CBT for Overthinking for those who…

  • Overthink everything and never feel quite enough

  • Have a fear of failure disguised as high-functioning anxiety which is holding them back from being really, unapologetically themselves

  • Have tried CBT and it hasn’t worked - because my blend of CBT is actually more Acceptance and Commitment Therapy (ACT) and Mindfulness

Carina Tudor-Sfetea, who offers CBT for overthinking and high-functioning anxiety, hiding her face with her hands in a playful way

An overthinker’s story…

You sort of fell into it all. Maybe as an alternative to being ‘the quiet one’, maybe to try and show you were good at something - because it wasn’t being fun or cool. Not because you’re not, but because what you found fun and cool was a bit different to what most people find fun and cool.

It started at school, or even earlier. Then carried on - good grades, good degrees, good jobs. But it doesn’t quite click, it doesn’t feel like you.

If you took a silly internet quiz, your results may look like…

Overthinking and comparing

Your brain won’t let you fall asleep as you replay all the things that went wrong in the past and might go wrong in the future, all the while comparing (and despairing) when you see how well others seem to be doing (I promise, they’re not).

Feeling not good enough… or too much

No matter how well things are going, your brain focuses on the stuff that you should have done better. And when you get anxious, worry, or just try to… be yourself, sometimes it feels like you’re too much. You feel inadequate, like a failure.

Overplanning, procrastinating, limiting yourself

You’re desperate to prove yourself - so you either overplan to make sure you’re prepared for everything, or procrastinate or avoid stuff because if you fail, you’ll be found out. You also never really get to be yourself, because what if you let your guard down, and you’re rejected?

Overwhelm, shame, anxiety, exhaustion

When you constantly live to prove yourself, to meet others’ expectations, to fit into a mold… how else could you be feeling?

Stuck

Because you’re not living for yourself, and as yourself, not really - so you either don’t really know what makes you happy in the first place, or how to get there.

Carina, a fellow overthinker, sitting cross-legged on a cushion in front of a window with flowing curtains

Here’s what you’re probably forgetting and ignoring

As an overthinker with what could be called high-functioning anxiety, you’re probably also quite good at:

  • Thinking outside the box

  • Seeing things for what they are

  • Zooming out and taking perspective

  • Spotting connections or patterns others miss

This is why overthinking can also be your super-power - once you learn how to work with it differently.

Online CBT for Overthinking

… but make it holistic, affirming, and inclusive

Which means we’ll work with the anxiety, the overwhelm, the procrastination, the overthinking - but not in a ‘plaster over a bullethole’ way

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 explore and get specific about how to shift things and move you forward in practical ways. We’ll challenge what’s unhelpful and honour everything you’ve been through and how your brain works.

And we’ll get you to a place where you feel more like yourself - your authentic, real, maybe a lil’ quirky self. Where you know you can handle what comes your way, live in alignment with what really matters to you, and experience the calm, peace, and contentedness that comes with that.

More concretely: Evidence-based, skills-based therapy (Acceptance and Commitment Therapy / Cognitive Behavioural Therapy / Mindfulness). 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.

Carina, your therapist if you feel like you overthink everything, smiling and looking down on top of a mountain with a background of trees and a valley

Unpopular opinion: You don’t need to fix, change, or get rid of all that’s difficult

Being human is hard. Being an overthinker with high-functioning anxiety is harder.

Maybe you’ve read self-help books, tried affirmations, dopamine detoxes, “growth mindset” hacks. Maybe you’ve even been to therapy before - only to leave feeling like the unspoken message was that something about you needed to be fixed.

But what if it’s not about fixing (and maybe sometimes invalidating) your thoughts and feelings, like all these approaches have done? What if it’s about creating a different relationship to them altogether - one that honours your unique experiences, mind, and body, while moving you forward to where you want to be?

What if you learned to move forward with what really matters to you even when your mind is shouting 'but what if?' - because let's face it, it probably will be (mine definitely is). And that's okay. Because maybe the goal isn't to feel confident all the time, but to do what matters even when you don't.

That’s what I invite you to do with me. 

Several blue-ish mountain chains with a background of golden grass

So that you can…

  • Not get lost in overthinking

  • Feel your high-functioning anxiety without it limiting you

  • Find the sweet spot between procrastinating and overdoing things

  • Be present in your life and enjoy the little moments

  • Have more understanding and compassion for yourself

  • Know, deep down, that you are enough

This might look like…

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

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

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

My values & approach

I’m both a mindfulness teacher and a cognitive behavioural therapist, and I also have a background in psychology and clinical neuroscience, with experience in academic research, clinical roles, and healthtech

I also 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 - 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)

Flat alpine valley with grass, marshes, and some houses in the distance with rays of sunshine lighting it

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

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

Therapy sessions: £125/session

Book in week by week

Carina, your therapist for when you feel not good enough, smiling from a computer screen featuring a video conferencing preview image

Here’s 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!

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

Ongoing sessions (45-50 minutes, weekly - same day same time, 3-6 months or longer), 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)

Ending therapy:

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

  • 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

Atmospheric green-blue sea with clouds on top of it and the horizon visible but blending

FAQs

  • It may be for you if:

    • You often find yourself saying “I overthink everything”, you don’t feel good enough, and you probably have “high-functioning” anxiety - and 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 (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.

  • My speciality is working with adult (18+) high-achieving introverts whose fear of failure or rejection shows up as overthinking, ‘high-functioning’ anxiety, 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, obsessive-compulsive disorder (OCD), 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.