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 or links below to read more about what these might look like, and how I might be able to support you with them.

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, 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

… 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.