You might look like you have it all together, but underneath there's a constant hum of worry that won't turn off. Maybe it's racing thoughts at night, the need to control every outcome, or a tightness in your chest that you've just learned to live with. Therapy can help you understand what's driving the anxiety and build a different relationship with it, so it stops running the show.

Sometimes it's obvious: you feel heavy, unmotivated, withdrawn. Other times it's subtler. You're going through the motions but nothing feels meaningful. You've lost interest in things you used to care about, or you just feel flat. We can work together to understand what's underneath and help you reconnect with yourself and your life in a way that actually feels real. If you're not sure whether what you're feeling is ordinary sadness or something more, I've written more about how to tell the difference.

San Francisco's dating culture can be genuinely exhausting: the apps, the paradox of choice, the pressure to meet people while working 60-hour weeks. But if you find yourself repeatedly avoiding connection you actually want, unable to relax in relationships that are actually good, or stuck in the same patterns with different people, that's worth looking at more closely. Relationship anxiety and dating anxiety are two of the most common issues I work with, and they're highly treatable once you understand what's actually driving them.

Women's lives are shaped by experiences that deserve thoughtful, informed support at every stage. In your younger years, that might mean navigating body image, sexual identity, or the pressure to have it all figured out. Later, it could be fertility struggles, pregnancy loss, the emotional weight of IVF, or the adjustment to becoming a mother when it doesn't feel the way you expected it to. Perimenopause and menopause bring their own challenges that are too often dismissed: mood changes, anxiety that seems to come out of nowhere, shifts in identity and desire, grief over a changing body. And throughout all of it, there are the quieter ongoing pressures: balancing career and caregiving, relationship strain, burnout, and the tendency to put everyone else's needs before your own. I create a space where you can talk honestly about any of this without being told it's just a phase or just hormones. If you can related to the weight of the mental load that women carry, I've written more about that experience.

The way we learned to relate to people early in life tends to follow us into adulthood, often in ways we don't recognize until the same painful patterns keep repeating. Maybe you struggle to ask for what you need, or you find yourself in relationships where you give more than you get, or conflict feels unbearable. Therapy can help you see these patterns clearly and start making different choices.

You got into tech because you were excited about it. But somewhere along the way, the pace, the pressure, and the always-on culture started to wear you down. Maybe you're dreading work you used to love, running on fumes between sprints, or feeling like your entire identity has collapsed into your job title. Burnout in tech isn't a sign that you're not cut out for it. It's what happens when sustained pressure meets a person who keeps pushing through. Therapy can help you figure out what needs to change and how to move forward in a way that actually feels sustainable. If you're wondering whether what you're feeling is actually burnout or just a rough patch, I've written more about what to look for.