Therapy
Many of my clients arrive with the same quiet question:
“How can I be this successful and still feel this dissatisfied?”
For some, this becomes impossible to ignore in midlife, when the strategies that once drove achievement—perfectionism, overfunctioning, intellectualizing, relentless problem-solving—stop producing meaning.
For others, the same internal conflict shows up through food and body image. The surface details differ, but the underlying experience is remarkably similar: exhaustion, disconnection, and the sense that no matter what you do, it’s never enough.
Midlife Transitions & Identity
On paper, you’ve built a life that should feel deeply satisfying. A respected career. A full life. A long list of achievements that once fueled you.
But somewhere along the way, something shifted.
You’ve tried the usual fixes—new projects, another credential, a wellness plan, a retreat that promised clarity. They helped for a while, but the restlessness always returned. Even the wins feel flat now. You know exactly how much of yourself you spend to make them happen, and the return no longer matches the cost.
So you keep pushing. You override your own exhaustion, put on the polished external version of yourself, and keep delivering long after the satisfaction has disappeared. At night, you scroll because you’re too depleted to rest. During the day, you wonder why you feel guilty for wanting something different when you already have so much.
This isn’t a loss of ambition.
It’s misalignment.
Midlife exposes the places where external success no longer matches internal truth. Therapy gives you space to stop performing long enough to hear the part of you that’s been trying to get your attention: the part ready for evolution, meaning, and a life that reflects who you are now.
This work isn’t about abandoning achievement. It’s about realigning it—so your ambition becomes internally driven, sustainable, and connected to where you’re actually headed next.
Eating Disorders/Disordered Eating & Body Image
Achievement patterns don’t stay neatly contained in one part of life. When the internal pressure builds, it often shows up in the relationship with food.
On the outside, you’re the reliable one—the person who performs, anticipates, fixes, and excels.
On the inside, food becomes a place of control when everything else feels uncontrollable.
You may find yourself:
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tracking food in your head without even trying
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negotiating what you “earned” or need to make up for
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avoiding mirrors or obsessing over them
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slipping into cycles of shame → resolve → exhaustion
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feeling like you’re in a daily battle with yourself and your body
This isn’t about vanity.
And it’s not a discipline problem.
It’s what happens when years of performing, achieving, and holding everything together collide with the internal pressures you’ve been carrying for a long time.
In midlife—when the body changes, hormones shift, and long-held strategies stop working—these patterns often intensify.
Therapy helps you untangle the identity, perfectionism, and emotional regulation patterns beneath the eating behavior so food is no longer a battleground. The outcome is a relationship with your body and food that feels stable, easeful, and connected to actual well-being—not external standards.
Practical Details
My practice is fully virtual. I am licensed to provide therapy in North Carolina, Oregon, New York, and all PSYPACT participating states. I am currently unable to provide services in: Alaska, California, Hawaii, Iowa, Louisiana, Massachusetts, New Mexico, and Puerto Rico.