Therapy for High-Achievers


If you’ve always been ‘the smart one’ - but never quite fit in

I’ve got you.

Sound familiar?

You overthink and get stuck in thought loops. You overplan, triple-check, reassure yourself, sometimes procrastinate. It’s making you feel overwhelmed, anxious, and all-round bloody exhausted. The high-achiever’s plight, right?

Going through the motions, a bit like Groundhog Day. Work, chores, some sort of social life. Nothing’s really wrong, but it doesn’t feel right either. It doesn’t feel like you.

Maybe it's anxiety, maybe it's perfectionism, maybe it's OCD - but it's getting in the way.

Even though your life looks good from the outside, inside you feel inadequate, so you do your damn best to prove yourself. To fit in. To get a semblance of control or certainty. Or… you don’t go for things because you might fail and be ‘found out’. You silence, censor, and limit yourself, so you don’t rock the boat.

Maybe you’re not even sure what actually makes you happy (maybe you’ve even googled ‘I need help with life’) - but you’re starting to be more and more sure it’s not this. And that, in itself, is damn scary.

Because if it isn’t this, then what is it? Have you wasted time? Is it too late? Do you have to fake it? What if you take a risk and it doesn’t work out?

If you're nodding along, you need to know you are absolutely not alone. Most of all, it doesn't have to be like this!

There is a world in which you know what really matters to you, and go for it, in the big ways, and the very small, mundane ways too. Where you really know what you think and how you feel, and it doesn’t mess you about or keep you stuck. Because you know who you are, and you know you’re enough. That’s what I can guide you towards, if you’ll have me - through mindfulness and therapy, which is what helped me too!

Therapy for High-Achievers with a Fear of Failure


… but make it holistic, affirming, and inclusive

Carina, a therapist for high-achievers, in a light teal dress, sitting in front of a desk, with Chinese finger traps on each index finger, framed pictures on the wall in the background

Which means we’ll work with the anxiety, the self-doubt, the overwhelm, the procrastination, the thought loops, the ‘feeling stuck’, the sticky thoughts - but not in a ‘plaster over a woundhole’ way. 

We’ll explore what may be underneath it all:

  • Beliefs (for example, around fear of failure, vulnerability, proving yourself, doubting yourself, or being your true self and not being accepted)

  • Wider context (like the systems, culture, dynamics, and trauma that shape the way you’ve learned to cope)

We’ll also understand:

  • How all this shaped the way you operate day by day, such as…

  • The very small, moment-by-moment experiences - like immediate emotions or thoughts, impulses, urges

  • How these lead to how you act

We’ll work on all this in a way that:

  • Honours your experiences and the way your brain works

  • Teaches you to notice and get to know your mind and body in the moment

  • Challenges what’s unhelpful

  • Supports you to be able to slow down, and respond more helpfully, not in the same ways you may have been for a long time

  • Gently helps you get to a point where all these difficulties don’t have as big an impact

More concretely: Evidence-based, skills-based therapy (Acceptance and Commitment Therapy / Cognitive Behavioural Therapy / Mindfulness). It’s therapy for high-achievers with a fear of failure - but ACT and mindfulness breathe life into it.

So than you can:

  • Enjoy a slow, quiet morning with no rush and no pressure - coffee or tea, maybe a book, or a walk to feel grounded

  • Spend a weekend completely with yourself - sofa, tea, maybe a drink, books, movies, comfort shows, nostalgia, music - and know there’s nothing wrong with enjoying that

  • Have relationships that feel natural rather than forced, and where you can show up as yourself and that be accepted - because you’ve learned to advocate for yourself

  • Have work that doesn’t overtake your whole life, because you can untangle your worth from your achievements

  • Live a “boring” life in the best way - slow mornings, cosy evenings, hobbies, projects, time with yourself or close people, space to savour what really matters

We’ll get you to a point where you:

  • No longer get lost in thought loops

  • Can feel your feelings without them limiting you

  • Find a sweet spot between overdoing things and avoiding them

  • Have more understanding and compassion for yourself

  • Know, deep down, that you are enough

  • Finally stop performing and start living

Did you know that a fear of failure can often disguise itself as low self-esteem, high-functioning anxiety, OCD - and often shows up in neurodivergent and/or LGBTQIA+ people?

I’ve written specific pages on each of these areas to dedicate enough space to each of them. You can click on the images below to read more about what these might look like, and how I might be able to support you with them.

Therapy for Low Self-Esteem

Therapy for High-Functioning Anxiety

Therapy for OCD

Neuro-Affirming Therapy (for Autistic/ADHD/AuDHD folks)

LGBTQIA+-Affirming Therapy

Hi, I’m Carina (she/her) - and here are my values & approach

Here’s the thing: I’m a senior cognitive behavioural therapist in the NHS, a university supervisor, a mindfulness teacher, and I’ve worked in lots of different mental health services for many years, and also in academic research and healthtech. I also have 4 degrees (BSc Psychology, MSc Clinical Neuroscience, PGDip Psychological Intervention CBT, MSc Psychological Therapy). 

But I think that all of that means squat if you don’t feel safe, heard, and understood by me. So, here’s what you can expect:

  • I use evidence-based, trauma-informed, affirming and inclusive approaches - CBT for OCD, overthinking, high-functioning anxiety; ACT, and mindfulness - no BS, airy-fairy stuff, and no cluelessness as to the systems, culture, dynamics, and trauma that shape the way humans operate

  • I have an understanding of good research - I’ll know when old approaches have been disproven, or when new exciting discoveries have been made

  • I have practised mindfulness personally since 2015, and have had my own therapy, mostly based on Acceptance and Commitment Therapy (ACT) - so I know what it’s like to be on both sides

  • Humanity (I’ll never pretend to have it all figured out)

  • Imperfection (because no one is, and those who try probably make terrible therapists)

  • Openness (about what’s working and what isn’t, about what’s really going on, about… everything)

  • Silly sense of humour (because sometimes that’s the only thing that makes sense)

Carina, therapist for high-achievers, sitting on a rug in front of a sofa, resting her chin on a pile of books, reading

Interested in working together? I’m so glad!

You deserve a life that feels like yours.

Having said that, I know reaching out can be a bit of a nerve-racking (and also amazing) step. So, because everyone’s different, here are your options to get started (and a more detailed overview below):

  • If you feel most comfortable starting in writing, contact me via this form

  • If you’d like to see if we click live, book a free 15-min consultation by clicking the button below

  • If you’ve decided you want to go straight for an initial session to explore things in a bit more depth, book it by clicking the button below

Therapy sessions: £125/session

Book in week by week

Carina, therapist for high-achievers, in a burgundy jumper, resting her head on her hand, sitting on an armchair, smiling

How it all works…

(Optional): Reach out in writing OR have a free 15-minute intro call

Everyone’s different - some people prefer to get a feel in writing first, others want to see if they connect with someone live. Or you might even be ready to try a first session directly. Choose what feels right for you!

1


Initial session (up to 60 minutes), during which we’ll discuss:

  • Current difficulties, some background and history, & impact on your daily life

  • Goals & previous experiences of therapy (if any) - what was helpful and what wasn’t

  • How this all may link together & how ACT/CBT could help

  • What you need to make this work best for you

  • Your first between-sessions task

2


Ongoing sessions (45-50 minutes), during which we will:

  • Go deeper on our shared understanding of what may have led to development of your difficulties, and what may be keeping them going (called a ‘formulation’), to use as a basis for your treatment plan

  • Use a variety of interventions (ACT/CBT/mindfulness) to support you in achieving your goals

  • Set a plan / agenda at the start of each session to keep us on track (but this is not fixed and we can adapt according to your needs)

3


Ending therapy (which we both agree on):

  • We will discuss ending therapy a few sessions before the final one (and we will of course agree on this)

  • It’s natural to feel a little apprehensive about ending, so we really think together if it’s ‘just’ this, or if we’ve actually missed anything

  • During this final session, or perhaps last two sessions, we will work together to produce a summary of important points and a plan for the future

FAQs

  • It may be for you if:

    • You find yourself saying “I overthink everything”, worry all the time, have intrusive thoughts that won’t let you rest, you don’t feel good enough

    • You probably have “high-functioning” anxiety or OCD

    • You’re tired of brushing it off or trying everything under the sun without anything changing

    • You’ve tried other approaches and they’ve left you feeling invalidated, confused, or stuck

    • You want a therapist who, while always being on your side, will sometimes gently call you up on your BS to help you move forward

    • You want to live more authentically and are willing to put in some work for this to happen

    • (and also, you can reach out in writing or book a free 15-min intro call to ‘vibe’-check :-)

    It may not be for you if:

    • You want an open, explorative space with no structure, practical skills, exercises, or things to do between sessions

    • You want to get rid of your difficult thoughts and feelings altogether and only experience positives

    • You want an uber-’professional’, blank-slate kind of therapist who will nod in agreement to everything you say and never challenge you

    • You want a quick fix or expect that things will change by you attending a session a week and continuing as you are outside of it

  • Short answer - almost. The only limitation is that I can’t offer therapy to clients based in the US or Canada due to licensing (and please note I work under UK jurisdiction, as I’m based and accredited in the UK).

  • I’m online-based only at the moment - so all sessions take place on Zoom. I love online therapy as research shows it’s just as effective as in-person therapy, but we can work together even if we live miles apart, and you get the comfort and flexibility that comes with it. As long as we both have good cameras and microphones, we can recreate most, if not all, of what we would do in a therapy room. You get high-quality therapy AND you can show up in a familiar, comfy space, with a hot drink.

    • ACT/CBT are goal-oriented and a therapy episode is usually completed in 3-6 months of weekly therapy sessions, but some people carry on for longer (we’re all different!)

    • The recommended frequency of therapy sessions is weekly - this is the ‘sweet spot’ frequency to allow for momentum to build but also allow for enough time for information to consolidate and skills to be practised between sessions

  • My speciality is working with adult (18+) high-achieving introverts whose fear of failure or rejection shows up as overthinking, ‘high-functioning’ anxiety, obsessive-compulsive disorder (OCD), and feeling not good enough, and keeps them from living as their real, authentic selves.

    I also have a particular interest and knowledge in working with people who are neurodivergent or LGBTQIA+.

    And I also specialise in working with dog phobia - see here.

    Having said that, I am highly trained in working with a range of mental health difficulties, including stress, depression, generalised anxiety disorder, panic disorder, health anxiety, social anxiety, low self-esteem, perfectionism, phobias, and post-traumatic stress disorder (PTSD).

  • I generally do not work with people who present with severe and enduring mental health difficulties, including, for example, active symptoms of psychosis, or severe difficulties with emotional regulation - this is because such difficulties are best addressed in specialist services which consist of multi-disciplinary teams of clinicians.

    Importantly and relatedly, I also do not work with people who are presenting with concerns related to their own safety or that of others - as in private practice I do not have access to professionals and facilities which would support managing such concerns, and therefore, it would be unsafe and unprofessional.

  • I am not set up to provide crisis support, so I am not able to respond to any urgent queries between sessions, nor am I able to work with people who have concerns about their own safety or that of others.

    If you are having such difficulties and are in the UK, please call 999 or go to A&E. You can also contact your GP or local NHS mental health service for urgent support, contact the Samaritans on 116 123, text Shout to 85258, or use the Stay Alive mobile app.

    If you are outside of the UK, please contact your local emergency services.

  • I have quite a few, bit of a nerd here :-) The most relevant ones are my PgDip in Psychological Intervention (CBT) from the University of Surrey, which I then topped up with an MSc in Psychological Therapies from the University of Exeter, and my accreditation with the BABCP (British Association for Behavioural and Cognitive Psychotherapies) as both therapist and supervisor. I also completed the Mindfulness Teacher Training Pathway with The Mindfulness Network/University of Bangor. 

    But I also hold a BSc (Hons) in Psychology from the University of York, an MSc in Clinical Neuroscience from UCL, and plenty of experience - read more about me here

  • The type of therapy I offer is evidence-based and structured, goals-oriented, and forward-focused. 

    We’ll do the in-the-moment stuff. But we’ll also go deeper, exploring both:

    • Beliefs (your fear of failure, vulnerability, proving yourself, or being your true self and not being accepted)

    • Wider context (the systems, culture, dynamics, and trauma that shape the way you’ve learned to cope)

    We’ll spend time both exploring and using active interventions to help you unhook from the “I overthink everything” loop, so your true self has space to emerge and bloom.

    Read more about ACT here.

  • You’re definitely not alone! Talking to a complete stranger about your deepest thoughts and feelings can feel quite daunting when you think about it, and I really get that - and many clients tell me the same thing.

    That’s why I offer a few options so you feel as comfortable as possible:

    • If you feel most comfortable starting in writing, contact me via this form

    • If you’d like to see if we click live, book a free 15-min consultation here

    • If you’ve decided you want to go straight for an initial session to explore things in a bit more depth, book it here

  • That’s a big question with a lot of nuance, but it may boil down to two main aspects:

    What you physically do: Regular attendance and real active engagement in the sessions and with between-sessions tasks, including making notes, keeping diaries etc. - simply attending sessions is unfortunately unlikely to lead to effective, long-lasting change

    How you think about it: It’s ok to be sceptical, it’s ok to not ‘think positively’, it’s ok to not feel like attending, and it’s ok to not leave every session feeling like you’re on cloud nine.

    • What’s going to get in the way though is you not sharing all this stuff with me. I not only will not take offense at you sharing it, but very much encourage you to - to make sure you make the most of our sessions, and to give us a chance to work through these challenges, which are a common part of the process.

    • Although I’ll check in, at the risk of pointing out the obvious, while I understand that sharing is difficult, and I will of course be sensitive about this, I cannot help you with issues you do not share with me - and these may impact on our work and ultimately on what you get out of the therapy process.

  • Therapeutic work can inherently feel challenging due to increased awareness or reduced avoidance of internal and external experiences - but it should never feel unmanageable. I will always ensure any work we engage in is collaboratively decided, with your informed consent. You do not have to, and should not, engage in any work without understanding the rationale behind it and feeling confident that it was ultimately your choice. We can always discuss, review, reiterate, and break things down such that you feel confident in the work we are doing together.

    If I feel at any point that my approach is not the most suited to you, I will of course discuss this with you and we will agree on next steps, such as referrals and sign-posting.

  • Another big question with a lot of nuance! Without being waffly, it really depends on what you mean by ‘healing’, what your expectations are, and what timeline you have in mind. I’m not going to say it’s impossible because in some cases time or changing unhelpful or even toxic circumstances can absolutely heal. Some people also get lucky and come across the right set of resources and do some work themselves. Some people don’t find certain types of therapy helpful. But if you relate to what you see on this website, if you give it a real chance, it could get you closer to where you want to get, more quickly. The rest is up to you!

  • Not at the moment, no. It means fewer limitations around logistics (like number of sessions) for you, too!

… and breathe. You may just have found a way to go from being terrified of being found out as a failure (and the anxiety, overwhelm, and discontent that goes with it) to a life that not only feels more authentic but also celebrates your beautifully unique experiences and mind.

I’m here when you’re ready.