xmlns:media="http://search.yahoo.com/mrss/" GoodTherapy.org Therapy Blog https://www.goodtherapy.org/blog Exploring Healthy Psychotherapy 2026-03-31T09:42:46+0000 en-US https://wordpress.org/?v=6.9.4 https://www.goodtherapy.org/blog/blog/wp-content/uploads/2025/08/cropped-GT-Logo-icon-32x32.png FBK RSS | https://www.goodtherapy.org/blog https://www.goodtherapy.org/blog 32 32 Do You Feel Like a Fraud? Understanding Imposter Syndrome https://www.goodtherapy.org/blog/imposter-syndrome-feeling-like-a-fraud/ ba426454dcb670704a6fcd0399a58a6f 2026-05-08T22:28:38+0000 Goodtherapy
Goodtherapy
Imposter syndrome can feel like standing outside a life that should belong to you, sensing that the version others see is only a careful performance. For some people, that feeling is not just doubt before a big moment. It is a quiet, persistent question about whether the self they show the world is the whole truth. Imposter syndrome Inner critic Authentic self Therapy support In this blog ? The door that was always yours ? Why imposter syndrome misses the point ...
A professional holds a smiling mask beside his unsmiling face, illustrating imposter syndrome.Imposter syndrome can feel like standing outside a life that should belong to you, sensing that the version others see is only a careful performance. For some people, that feeling is not just doubt before a big moment. It is a quiet, persistent question about whether the self they show the world is the whole truth.
Imposter syndrome Inner critic Authentic self Therapy support

The Door That Was Always Yours

The writer Franz Kafka told a story about a man who waits his whole life in front of a door. At the very end of his life, he is told that this door was always meant only for him. He never walked through. He simply did not know it was his. This is the quiet sadness of the "as-if" pattern. The real self has been there all along, waiting. While the person performs an elaborate show about not needing it.

Key insight

The feeling of being a fraud may be less about failure and more about a self that learned to hide in order to stay connected, accepted, or safe.

Why Imposter Syndrome Misses the Point

The term imposter syndrome is useful. But it is also a little thin. It names the feeling without explaining where it comes from. For many people, this goes beyond nerves before a speech. It is a steady, low feeling of unreality. Like moving through life as an actor who has not quite learned the script. A quiet suspicion that the version of you the world sees, capable, likeable, put-together, is a construction, and that underneath, there is not much there at all. Researchers often use the term impostor phenomenon rather than a formal diagnosis. That distinction matters: the experience can be painful and disruptive, but it does not mean something is wrong with you. In depth psychology this is called the "as-if" personality. This term describes a person who performs the motions of living, rather than truly living them. Moving as if they belong. As if they feel. As if they know who they are.

Imposter Syndrome and the Mask We Wear

We all wear masks. This is not a sickness. It is part of being human. The persona is the name for the face we show the world. You speak differently at work than at home. You act differently with your boss than with your best friend. This is normal. This is healthy. However, for some people, the mask did not stay a mask. It became the whole face. The performance became the person. Underneath, the real self, the true self, sat quietly in the dark. Waiting.

When the inner critic is loud

If the voice inside keeps saying you are not good enough, GoodTherapy's article on self-compassion and the inner critic can offer another way to relate to that voice.

How This Pattern Begins

This usually starts in childhood. Children are smart. They learn fast what is safe and what is not. If you grew up in a home where being too loud, too emotional, or too needy was met with coldness, you learned to adapt. You learned to become what the world needed you to be. A child who learns that being real feels dangerous will build another self. A safer self. One that earns love by being agreeable, capable, and easy to manage. The true self does not disappear. It hides. And it waits. The adult who grew from that child often carries great skill on the outside. But there is a strange hollowness on the inside. They have mastered the performance. They just cannot quite remember who was there before the curtain went up. If the roots of this pattern are connected to chronic stress, neglect, or trauma, it may help to read about how complex trauma can change a person's sense of self. A trauma-informed approach emphasizes safety, trust, choice, and collaboration, principles also described by SAMHSA.

Do You Recognize Yourself Here?

Here are some signs that you may be living in the "as-if" pattern:
? The perpetual understudy. No matter how much you achieve, success still feels like a lucky mistake. You are waiting for someone to realize they got it wrong.
? Exhausting adaptability. You are very good at reading a room and giving people what they want. Secretly, it drains you completely.
? Not knowing what you want. When someone asks what you want, not what you should want, not what would please others, your mind goes strangely blank.
? The glass wall feeling. You are present in conversations and relationships. Yet not quite there. You narrate your own life rather than live it.
? Needing praise but fearing closeness. You crave recognition. But you believe that if someone looked too closely, they would find you out.
? A relentless inner critic. A voice in your head that never stops: not good enough. Not real enough. Not deserving enough.
These experiences are not random. They are the logical result of a self that learned to hide in order to survive. A professional looks uncertain while working at a laptop, reflecting self-doubt associated with imposter syndrome.

What Happened to the Hidden Parts

Here is something most people do not know. When we push parts of ourselves away, those parts do not simply vanish. These hidden parts become the shadow. The shadow holds everything we have pushed out of sight, our anger, our grief, our strongest wants. All the parts of us that felt too dangerous to show. Often, buried alongside the anger and grief, are creativity, vitality, and passion. The parts of the self that got pushed away were not only the "bad" parts. They were the alive parts. The ones that felt too much, wanted too boldly, or loved too fiercely for the world around them at the time. The shadow does not disappear just because we ignore it. It finds other ways to come out. Sudden bursts of emotion. Strange dreams. A vague feeling that something is wrong, but you cannot name it.

A gentle try-this-now exercise

Without forcing an answer, ask yourself: What part of me has been waiting to be noticed?

Write one sentence beginning with, "A part of me wants..." Then stop. You do not need to explain, justify, or fix the answer today.

How Therapy Helps with Imposter Syndrome

Therapy is about finding the door that was always yours and finally walking through it. The good news: the "as-if" pattern is not permanent. People find their way back to themselves. Not all at once. Slowly. Surprisingly. Often with great relief. Psychotherapy can offer a structured relationship where thoughts, emotions, body cues, and patterns can be explored with support.
1 Learning to be seen. In therapy, you practice letting someone witness your real self, your doubt, your anger, your need. When that person does not leave or punish you for it, something inside relaxes. Being real begins to feel safe.
2 Meeting your shadow. Not acting out buried feelings but getting to know them. What emotions have you been managing instead of feeling? What would you be like if you stopped performing?
3 Coming back to the body. The "as-if" pattern often means living so much in the constructed self that the body goes quiet. Body-aware work can reconnect you to sensations you stopped noticing long ago.
4 Working with dreams. Dreams speak the language of the unconscious. They show you, in image and story, exactly what your waking mind is too busy, or too scared, to look at directly.
Early research on interventions for the impostor phenomenon suggests that approaches such as reflection, self-compassion, and supportive therapeutic work can be useful, though more rigorous research is still needed.

Finding support

If this pattern feels familiar, you do not have to figure it out alone. You can search for a therapist or read GoodTherapy's guide on how to find the right therapist.

Your Sensitivity Is a Strength

The very sensitivity that made the mask necessary is also one of your greatest strengths. People who learned to read environments carefully, who sense what others need, who adapt with skill and care, these people have a rare and deep empathy. They understand others in ways that most people never will.

You Do Not Have to Keep Performing

The feeling of being a fraud, of moving through life behind a carefully built face, has roots. And those roots can be gently, bravely explored. Therapy offers exactly this kind of space. To help you find your way back to what was always right about you and let it take up space in the world.

A next step that does not require performing

You can begin with one honest sentence in a safe relationship. If therapy feels like the right place for that, GoodTherapy can help you find a therapist who fits your needs.

Frequently Asked Questions

Direct answers about imposter syndrome, self-doubt, therapy, and the inner critic.

Q: Is imposter syndrome a diagnosis? +

A: No. Imposter syndrome is a common way of naming feelings of fraudulence and self-doubt, but it is not a formal mental health diagnosis. The feeling can still be distressing and worth exploring with support.

Q: Why do I feel like a fraud even when I am capable? +

A: Sometimes the self that performs well is not the same self that feels seen. If you learned to earn safety, praise, or closeness by adapting, success may feel disconnected from who you are inside.

Q: Can therapy help with imposter syndrome? +

A: Therapy can help many people explore the roots of self-doubt, practice being seen more honestly, and build a safer relationship with parts of themselves they learned to hide. It is not a quick fix, but it can be a steady place to begin.

Q: What can I do when the inner critic gets loud? +

A: Try naming the critic as one part of you, not the whole truth of you. A simple sentence such as, "A part of me is afraid I will be found out," can create enough space to respond with curiosity instead of attack.

Take the Next Step

You do not have to keep performing your way through self-doubt alone. Support can help you understand what the mask has protected and what your real self may need now.

Find a Therapist Near You >
Amanda Frudakis-Ruckel, LCSW, TCTSY-F

About the Author

Amanda Frudakis-Ruckel

Licensed Clinical Social Worker, TCTSY-F

Amanda Frudakis-Ruckel, LCSW, TCTSY-F, is a licensed clinical social worker and psychotherapist practicing in New Jersey and New York. She trained clinically at Memorial Sloan Kettering, Weill Cornell Medicine, and through New York City's Mental Health Service Corps, and holds a Master's in Social Work from Fordham University.

Her practice, Person to Person Psychotherapy, specializes in trauma, identity, life transitions, grief, and existential anxiety. She draws on existential, humanistic, and narrative frameworks and is a certified Trauma Center Trauma Sensitive Yoga facilitator.

View Profile >

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What Suicidal Thoughts Are Really Trying to Tell You https://www.goodtherapy.org/blog/what-suicidal-thoughts-are-really-trying-to-tell-you/ 6b68a231f9146356d0b6ac76ce6b394a 2026-05-07T05:46:58+0000 Goodtherapy
Goodtherapy
Suicidal thoughts are often treated solely as symptoms to be eliminated or risks to be managed, yet this narrow focus can overlook their deeper meaning. Many people who experience suicidal thoughts are also carrying unresolved trauma, loss, or chronic emotional pain. This article explores what suicidal thoughts may be trying to tell us, reframing the desire for death not as a literal wish to die but as a signal that something in a person's life, identity, or relationships has become unbearab...
A person in therapy receiving compassionate support for suicidal thoughts
Suicidal thoughts are often treated solely as symptoms to be eliminated or risks to be managed, yet this narrow focus can overlook their deeper meaning. Many people who experience suicidal thoughts are also carrying unresolved trauma, loss, or chronic emotional pain. This article explores what suicidal thoughts may be trying to tell us, reframing the desire for death not as a literal wish to die but as a signal that something in a person's life, identity, or relationships has become unbearable or unsustainable. When these thoughts are approached with curiosity, compassion, and attention to meaning alongside safety, therapy can become a space where individuals feel understood rather than silenced, and where genuine change can begin.
Suicidal ThoughtsEmotional PainTrauma and LossTherapy Support

If safety feels uncertain

If you or someone nearby may act on suicidal thoughts or cannot stay safe, call or text the 988 Suicide & Crisis Lifeline now, use 988 chat, call local emergency services, or go to the nearest emergency room. The National Institute of Mental Health warning signs can also help loved ones recognize when immediate support is needed.

Why Suicidal Thoughts Are So Often Misunderstood

For many people, the moment suicidal thoughts arise, fear takes over. Individuals may feel ashamed, frightened by their own minds, or convinced that something is deeply wrong with them. Friends and loved ones often react with panic, while professionals may quickly move into assessment and crisis management. While safety is essential, fear-based responses can unintentionally shut down the very conversations people most need to have. When suicidal thoughts are treated only as emergencies or warning signs, individuals may learn that honesty leads to consequences rather than care. As a result, many people hide these thoughts, even as they continue to suffer internally. This silence can be deeply isolating. Instead of feeling supported, individuals may feel reduced to a problem that needs to be fixed or controlled. Over time, this can reinforce the belief that their pain is unacceptable or too much for others to hear. GoodTherapy's guide on talking and writing about suicide offers helpful language for approaching the subject with care.

Key insight: Safety matters, but people are often more willing to talk honestly about suicidal thoughts when their pain is met with steadiness instead of panic.

A Different Lens: Suicidal Thoughts as Communication

Many people who experience suicidal thoughts are not expressing a true desire to die. Rather, they are expressing a desire for their pain to end. This distinction matters. Suicidal thoughts can serve as a form of communication when other ways of expressing distress feel unavailable or unsafe. They may emerge when someone feels trapped, overwhelmed, exhausted, or disconnected from meaning and connection. In this sense, suicidal thoughts are not evidence of weakness or failure but signs that something in a person's internal or external world is asking for attention. Seen through this lens, the question shifts from "How do we make these thoughts stop?" to "What are these thoughts trying to tell us?" This reframing does not minimize risk. It makes room for both suicide prevention and a more humane understanding of pain.
PainA desire for pain to stop+

Suicidal thoughts may point to emotional pain that has exceeded a person's current capacity to carry it alone.

LossA grief that has not been witnessed+

When grief is minimized, delayed, or unsupported, suicidal thoughts can become one way the mind signals that something important still needs care.

TraumaA nervous system stuck in survival+

Trauma can leave the body scanning for danger and the mind searching for escape, even long after the original harm has passed.

SupportA need for agency, connection, and safety+

The presence of suicidal thoughts can be a signal that support needs to become more immediate, collaborative, and compassionate.

A meaning-focused question can sound like

What feels impossible to keep carrying? What has gone unheard for too long? What kind of support would make the next hour safer? What would make life feel one small degree more livable?

The Role of Trauma, Loss, and Chronic Emotional Pain

For many individuals, suicidal thoughts are closely tied to unresolved trauma or loss. Trauma can disrupt a person's sense of safety, identity, and trust in others. Loss, whether sudden or prolonged, can leave emotional wounds that do not heal easily, especially when grief is minimized or unsupported. Chronic emotional pain may develop when someone has spent years feeling unseen, unheard, or required to carry more than they are equipped to manage. Over time, this accumulation of pain can overwhelm the nervous system. The body and mind may enter a state of exhaustion, where continuing to endure feels impossible. In these moments, suicidal thoughts may arise as an imagined escape from relentless suffering. This does not mean the person truly wants life to end. Often, it means they cannot see another way forward. The CDC's suicide risk and protective factors note that relationship, community, health, and life circumstances can all shape risk and protection. GoodTherapy's article on how complex trauma changes a person offers additional context for understanding why long-term pain can affect safety, trust, and identity.
A quiet therapy office representing reflection, safety, and support for suicidal thoughts

When Survival Takes Precedence Over Living

Some people experiencing suicidal thoughts have spent much of their lives in survival mode. They may appear highly functional, meeting responsibilities, caring for others, and seeming capable. Internally, however, they may feel numb, disconnected, or deeply lonely. Survival mode can keep someone alive, but it does not necessarily make them feel alive. When life becomes reduced to endurance rather than meaning, suicidal thoughts may surface as a response to this inner deadening. They can reflect a longing for rest, relief, or an end to constant striving. Understanding this context allows for a more compassionate response, one that recognizes how much strength it has taken to survive up to this point.

A More Helpful Pathway

Unbearable pain

>

Honest language

>

Safety support

>

Meaning and agency

The Limits of Risk-Only Approaches

Traditional approaches to suicidality understandably focus on risk assessment and prevention. These strategies save lives and are often necessary. However, when risk management becomes the sole focus, the deeper emotional story can be overlooked. Checklists and assessments do not capture the full complexity of human suffering. They cannot fully explain why someone feels trapped, empty, or hopeless. When people sense that only certain answers are acceptable, they may disengage or minimize their experience. This does not mean safety should be ignored. Rather, it suggests that safety and meaning must be held together. When individuals feel heard and understood, they are often more willing to engage honestly in conversations about safety and support. For loved ones, GoodTherapy's suicide prevention guide outlines ways to respond with directness and care.

How Therapy Can Create Space for Meaning

Therapy has the potential to offer something many people experiencing suicidal thoughts have never had: a space where their pain is taken seriously rather than feared or dismissed. In a meaning-oriented therapeutic approach, suicidal thoughts are explored gently and respectfully. Clients are invited to talk about what feels unbearable, what has been lost, and what feels impossible to change. Instead of rushing to solutions, therapy slows the process down, allowing understanding to emerge.

What therapy can explore safely

  • What this pain has taken from you
  • What feels unspeakable, unresolved, or unseen
  • Which parts of yourself have had to be hidden or abandoned
  • What would make life feel more livable, even in small ways
  • Which support plan would help you stay safer while the deeper work unfolds
These conversations do not encourage harm. They honor the reality of suffering while opening pathways toward agency, connection, and hope. If you are considering therapy, GoodTherapy's step-by-step guide on how to find the right therapist can help you think through fit, safety, and support.

Looking for support?

You can use GoodTherapy to search for a therapist who can help you talk through suicidal thoughts, trauma, grief, and emotional pain with care.

Rebuilding Trust After Difficult Therapy Experiences

Some individuals experiencing suicidal thoughts have previously sought help and felt misunderstood, dismissed, or even harmed. These experiences can make it difficult to trust therapy again. When someone has learned that vulnerability leads to invalidation or control, they may approach new therapeutic relationships with understandable caution. Acknowledging this history matters. Therapy can be effective only when trust is built slowly and collaboratively. A respectful therapeutic process emphasizes transparency, choice, and pacing, allowing clients to remain active participants in their own care. Over time, consistent attunement and honesty can help repair not only the relationship with therapy but also a person's relationship with themselves.

Reclaiming Agency and Choice

One of the most important aspects of healing is the restoration of agency. Suicidal thoughts often arise when people feel powerless, trapped, or unable to influence their circumstances. Therapy can help individuals reconnect with choice, even when options feel limited. Agency does not mean forcing positivity or making drastic changes overnight. It may begin with small acts of self-understanding, boundary setting, or self-compassion. As people begin to understand what their suicidal thoughts are communicating, they can explore new ways of responding to their needs. This process often includes learning to recognize emotional and relational patterns, identify values and sources of meaning, develop healthier ways to ask for support, build tolerance for difficult emotions, and imagine change without overwhelming the nervous system. When depression is part of the picture, it can be especially important to have timely support. GoodTherapy's article on depression and suicide explains when to seek help and why warning signs should be taken seriously.

When Hope Feels Out of Reach

Hope is often misunderstood as optimism or certainty. For people experiencing suicidal thoughts, hope may feel distant or unrealistic. In therapy, hope does not need to be forced or manufactured. Sometimes hope begins as a sense of being less alone. Sometimes it shows up as curiosity, or as a willingness to stay present for one more conversation. These small shifts matter. Healing is rarely linear. There may be moments of progress alongside moments of discouragement. A supportive therapeutic relationship can help individuals stay connected through these fluctuations, offering steadiness rather than pressure.

A Compassionate Closing

If you or someone you love experiences suicidal thoughts, it is important to know that these thoughts are not a personal failure. They often reflect pain that has gone on too long without adequate support. They may be signaling unmet needs, unresolved grief, or a longing for change that feels out of reach. Understanding what suicidal thoughts may be trying to tell us does not replace the importance of safety. It deepens it. When people feel understood rather than judged, they are more likely to reach out, stay engaged, and explore new ways of living. Therapy can be a place where these conversations are held with care, respect, and honesty. When meaning and compassion are allowed alongside safety, the possibility of genuine and lasting change becomes more accessible. If you are struggling or feeling unsafe, reaching out for support can be an important step. Speaking with a trusted person, a mental health professional, or a local crisis resource can help you navigate this moment with care and support. The NIMH 5 action steps can also help loved ones respond when someone is in emotional pain.

Frequently Asked Questions

Direct answers about suicidal thoughts, therapy, trauma, grief, and immediate support.

Q: Are suicidal thoughts always a wish to die? +

A: Not always. For many people, suicidal thoughts can express a wish for unbearable pain to stop. Even when the thoughts are communicating distress rather than intent, they should be taken seriously and paired with safety support.

Q: Can therapy help with suicidal thoughts? +

A: Therapy can help people explore suicidal thoughts with safety, care, and meaning. A therapist may support crisis planning, help identify trauma or loss beneath the pain, and work with the client to rebuild agency and connection.

Q: What should I do if someone tells me they are having suicidal thoughts? +

A: Listen calmly, take the disclosure seriously, ask directly about immediate safety, and do not leave the person alone if they may act on the thoughts. In the United States, call or text 988 for crisis support.

Q: Why might suicidal thoughts show up during trauma or grief? +

A: Trauma and grief can overwhelm a person's sense of safety, identity, and connection. Suicidal thoughts may appear when emotional pain feels unbearable or when the mind cannot yet see another way to get relief.

Q: Is it safe to talk honestly with a therapist about suicidal thoughts? +

A: Yes. A compassionate therapist can help you talk about suicidal thoughts directly while also paying attention to immediate safety, support, and the deeper pain behind the thoughts.

Q: When should suicidal thoughts be treated as an emergency? +

A: Suicidal thoughts should be treated as an emergency if someone may act on them, has a plan or access to means, cannot commit to staying safe, or feels unable to get through the next moments safely. In the United States, call or text 988 or use emergency services.

Take the Next Step

You do not have to make sense of suicidal thoughts alone. Compassionate support can help hold both immediate safety and the deeper meaning beneath the pain.

Find a Therapist Near You >
Kristin Robert, Associate Marriage and Family Therapist

About the Author

Kristin Robert

Associate Marriage and Family Therapist

Kristin Robert is an Associate Marriage and Family Therapist in Westlake Village, California. Her work centers on helping individuals and couples navigate intimacy, loss, betrayal trauma, grief, anxiety, relationship patterns, and major life transitions.

Her GoodTherapy profile lists her work with teens, adults, and elders, and concerns including grief and loss, anxiety, depression, trauma, relationship pain, life transitions, and suicidal ideation and behavior. Her approach emphasizes compassion, honesty, meaning-making, and support for people navigating painful or uncertain seasons.

View Profile >

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How to Find the Right Therapist: Brooke Pomerantz on Starting Therapy, Feeling Safe, and Finding the Right Fit https://www.goodtherapy.org/blog/find-the-right-therapist-brooke-pomerantz/ 29c3a8a59b74dc3e241369759bee9336 2026-05-05T12:04:46+0000 Goodtherapy
Goodtherapy
Starting therapy can feel hard to explain. Sometimes there is a clear reason. A loss. A breakup. Burnout. A period of anxiety that has become impossible to ignore. Other times, the feeling is more subtle. Life may look fine from the outside, but something internally feels off. You may feel stuck, disconnected, overwhelmed, or simply no longer at ease in your own life. For therapist Brooke Pomerantz, that in between space matters. It is often where the most meaningful work begins. A lic...

Starting therapy can feel hard to explain.

Sometimes there is a clear reason. A loss. A breakup. Burnout. A period of anxiety that has become impossible to ignore.

Other times, the feeling is more subtle. Life may look fine from the outside, but something internally feels off. You may feel stuck, disconnected, overwhelmed, or simply no longer at ease in your own life.

For therapist Brooke Pomerantz, that in between space matters. It is often where the most meaningful work begins.

A licensed clinical social worker who has been in private practice since 2007, Brooke works with adults and young adults in Oakland and via telehealth. Many of the people she supports are highly capable, thoughtful, and outwardly successful, yet privately struggling with anxiety, perfectionism, burnout, or a deeper sense of dissatisfaction they cannot quite name.

What stands out most in Brooke's approach is not just what she helps clients work through, but how she meets them there. Her philosophy is grounded in curiosity, patience, and the belief that every person deserves to be understood as an individual, not reduced to a category or rushed into change before they are ready.

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Take Our Quiz to Start Your Healing Journey
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Video Interview: Watch the Conversation with Brooke Pomerantz

Hear Brooke discuss starting therapy, feeling safe with a therapist, and finding the right fit.

Why starting therapy can feel so hard

For people starting therapy for the first time, I acknowledge that the experience can feel vulnerable and anxiety-inducing. That anxiety, she says, is not a sign that something is going wrong. It is often part of the process. A competent therapist can recognize this vulnerability and adjust the pace of treatment at a pace that works best for their client. This is why the initial sessions are a huge opportunity for both the individual and the therapist to assess if they are a good match and whether the individual has an agency in the process.

What to do if you feel anxious about therapy

It's simple. Name the feeling. Saying "I feel anxious being here" can lead to a much deeper and sincere conversation. It gives both therapist and client somewhere real to begin. Instead of trying to arrive with everything figured out, a person can start from what is true in the moment. It also gives them a chance to notice if they feel safe, understood, and ready to share their experiences in a particular setup with the therapist in question.

A gentle first sentence

If starting feels awkward, a simple sentence like "I feel anxious being here" can be enough to open the door.

Can therapy help even if nothing feels wrong?

Yes. Therapy does not only belong to moments of crisis or chaos. It can also be a place to think more deeply about your life, understand your patterns, strengthen your relationships, and develop a more connected relationship with yourself. Even when someone says they are "fine," there is often something underneath that is asking to be explored.

That idea makes therapy feel less like an emergency response and more like a meaningful form of self-reflection. It becomes a space to pause, take stock, and ask harder questions about how you are living and what you may need next.

What makes your practice unique, and how do you know if you're a good fit for a client?

It is about being intentional about not getting ahead of the person in front of you. As therapists, we need to understand each person in the context of their own life, strengths, challenges, and readiness for change. That means honoring where someone is, instead of pushing them toward where they "should" be.

This way of working can be especially supportive for people who are used to pressuring themselves. Like many of my clients who are high functioning and driven. They may look successful on the outside while internally feeling exhausted, unhappy, perfectionistic, or chronically disconnected from their own needs. I also work with young adults who are having trouble launching into adulthood, perhaps having had setbacks like a mental health crisis, and need support navigating the transition.

How to cope when life feels emotionally overwhelming

When life feels overwhelming, it can help to slow everything down and focus on getting through one moment or one hour at a time. Reducing the size of the problem can make it feel more survivable. And when depression or hopelessness makes action feel nearly impossible, even a very small step can matter. A walk. A phone call. Any small movement or action can combat the tendency to retreat and feel paralyzed.

There is something deeply humane about that advice. It does not romanticize healing or pretends that change is easy. It simply offers a gentler entry point.

How to find the right therapist for your needs

Finding a therapist is rarely a one size fits all process. It is highly individual. People may begin by exploring therapist directories, asking for referrals from their community, or looking for someone with a shared background or area of expertise. What matters most is finding someone with whom you feel safe and someone you believe can understand you and help with the areas where you feel stuck.

A simple way to begin is:

1. Read a few therapist profiles carefully

Notice how therapists describe their approach, specialties, and the kinds of clients they work with.

2. Look for what feels aligned

Shared identity, expertise, communication style, or lived experience may all play a role in helping you feel understood.

3. Take the next step to assess fit

A consultation or follow up call can help you decide whether the connection feels right.

This is one reason directories like GoodTherapy can be a helpful place to start. They make it easier to explore therapist profiles, understand different approaches, and find a therapist whose style feels aligned with what you need.

For therapists, it is also a reminder that a thoughtful profile matters. The clearer you are about your approach and who you help, the easier it is for the right clients to find and connect with you.

The right support can change everything

Brooke Pomerantz's approach reminds us that therapy is not about having everything figured out before you begin. It is about making sense of your feelings and things that are weighing you down and channeling it into an effort to find a space where you can be honest and feel safe. Her reflections offer something deeply reassuring that growth can happen at your own pace, that support can be valuable even before a crisis, and that the right therapeutic relationship can help you move through life with greater clarity and self-awareness.

If Brooke's words resonated with you, take a moment to explore her GoodTherapy profile and learn more about her approach. If you are still looking for the right fit, browse GoodTherapy's therapist directory to find a provider whose style, perspective, and approach align with your needs.

FAQs

Frequently Asked Questions

Common questions about starting therapy and finding the right therapist.

Q: How do I find the right therapist? +

A: Start by reading therapist profiles, looking for someone, whose approach and expertise feel relevant to your needs, and then taking a consultation call if possible. The right therapist is often someone with whom you feel safe and understood.

Q: What if I feel anxious about starting therapy? +

A: Feeling anxious about therapy is normal. Brooke suggests naming that anxiety directly, since it can become a helpful starting point for the conversation.

Q: Do I need to be in crisis to go to therapy? +

A: No. Therapy can help with self-awareness, life transitions, relationships, anxiety, and personal growth, even when nothing is obviously wrong.

Q: How do I know if a therapist is a good fit? +

A: A good fit often means you feel safe, understood, and supported. The first few sessions can help both you and the therapist decide whether the relationship feels right.

Ready to find the right therapist?

Explore GoodTherapy's directory of vetted professionals and find someone whose approach aligns with your needs.

Browse Now

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High Functioning Anxiety: Why Anxiety Does Not Always Look Like Falling Apart https://www.goodtherapy.org/blog/high-functioning-anxiety/ e50a1ae9a10aeee84497f17ef420b178 2026-05-04T14:49:36+0000 Goodtherapy
Goodtherapy
When people think of anxiety, they often picture some visible signs. They imagine panic, spiraling thoughts, avoidance, or moments when someone clearly looks overwhelmed. While anxiety can look like that. High functioning anxiety Hidden anxiety Perfectionism Burnout In this blog How anxiety can fuel performance Signs of high functioning anxiety that are easy to miss Why high functioning anxiety often goes unnoticed The breaking point: burnout and em...
High functioning anxiety support group in a calm therapy setting with inclusive adults
When people think of anxiety, they often picture some visible signs. They imagine panic, spiraling thoughts, avoidance, or moments when someone clearly looks overwhelmed. While anxiety can look like that.
High functioning anxiety Hidden anxiety Perfectionism Burnout
That is not the only way it shows up. Sometimes anxiety is harder to notice, even for the person living with it. It can hide behind routines, ambition, reliability, and the ability to keep going. It can look like answering every email, meeting every deadline, remembering every key event and detail, showing up for people who matter, and still never quite feeling calm. It can look like being the one everyone depends on while your own mind never fully quiets down.

That is why it is important to recognize this type of anxiety. Commonly known as high functioning anxiety, this experience is not recognized as a formal mental health diagnosis, but it describes something very real. Many individuals continue to function at a high level while carrying persistent worry, pressure, and internal distress that often goes unseen.

How Anxiety can Fuel Performance

One of the reasons high functioning anxiety can go unnoticed is that it often wears socially acceptable masks and may often look like success. In fact, in may look like being very responsible. It may look like caring deeply. It may look like staying organized, always preparing, or trying hard not to let anyone down. Some people learn to manage anxiety by becoming exceptionally good at anticipating problems, staying busy, and keeping control wherever they can. In many cases, anxiety does not stop people. It pushes them. Pushes them to care deeply, to stay highly organized, to always prepare for things and events in advance or or try to not let anyone down. Research indicates that certain forms of anxiety, especially when tied to performance or expectations, can coexist with high achievement. In academic settings, for example, perfectionistic standards can even have a positive relationship with performance outcomes, despite underlying stress. At the same time, this productivity is often driven by fear. Fear of failure, fear of letting others down, or fear of not being ?good enough.? This creates a cycle where:
1 Anxiety fuels effort 2 Effort leads to achievement 3 Achievement reinforces the anxiety
What looks like discipline or ambition from the outside may actually be a coping mechanism on the inside.

Signs of High-functioning Anxiety that are Easy to Miss

High functioning anxiety rarely looks like avoidance or breakdowns. Instead, it shows up in patterns that are often socially rewarded. For some people, anxiety shows up as perfectionism. For others, it appears as people pleasing, irritability, muscle tension, difficulty sleeping, or the sense that their mind is always running in the background. Some people stay busy because slowing down brings them too close to feelings they do not know how to sit with. Others become highly attuned to everyone else around them, constantly tracking moods, reactions, and signs of disappointment. Some of the most common but overlooked signs include:
 Constant overthinking, even about small decisions
 Perfectionism and fear of mistakes
 People-pleasing and difficulty saying no
 Staying busy to avoid slowing down
 Difficulty relaxing, even during rest
 Persistent physical tension or fatigue
 Becoming attuned to surroundings, tracking moods, reactions and signs of disappointment
Research shows that perfectionistic tendencies and worry are closely linked, with worry often acting as a core feature of anxiety. In fact, maladaptive perfectionism has been consistently associated with anxiety symptoms across multiple studies and populations.

If these patterns feel familiar, talking to a therapist can help you understand what is driving them.

Why High-Functioning Anxiety often goes Unnoticed

High functioning anxiety often goes unnoticed not because it is rare, but because it usually does not align with what we expect anxiety to look like. Mental health systems typically define disorders based on distress and impairment. But what happens when someone is distressed, yet still performing well? People with high functioning anxiety often:

Meet expectations

Maintain relationships

Succeed professionally

As a result, their internal experience is often overlooked, both by themselves and by others. This is reinforced by social and cultural expectations. Productivity, reliability, and achievement are rewarded, even when they come at the cost of mental wellbeing.

The Breaking Point: Burnout and Emotional Exhaustion

High functioning anxiety calm workspace with notebook, calendar, tea, and loosened knot
Despite being hidden, high functioning anxiety can take a toll on your emotional and physical well-being and is not sustainable indefinitely. It can make it hard to be fully present. You may be physically in the room but mentally somewhere else, scanning the next problem, thinking about the next task, or the next thing that could potentially go wrong. You may struggle to enjoy moments of rest because your mind treats stillness like a threat instead of relief. Over time, this feeling piles up and can feel exhausting. You may find yourself becoming more irritable, more physically and emotionally drained, or more disconnected from joy. This is one of the quieter harms of anxiety. It can steal peace long before it interrupts performance. Over time, the constant pressure, overthinking, and need to perform can lead to:
1Burnout 2Emotional exhaustion
3Irritability or detachment 4Difficulty concentrating
5Sudden breakdowns after long periods of coping
Research shows that perfectionism and anxiety are linked to chronic psychological distress and rumination, which can intensify over time if not addressed. Similarly, studies highlight that individuals with strong perfectionistic tendencies are more vulnerable to long-term stress and mental health challenges. Such people don?t fall apart slowly but rather hold it together, until they can't.

You do not have to wait until burnout to seek support. Early conversations with a therapist can make a meaningful difference.

When should you seek help?

One of the biggest barriers to seeking support is the belief that your condition is not serious because you are fully functional and able to carry out everyday tasks as expected. But functioning is not the same as feeling okay. Your body may be sending subtle signals you tend to overlook, but they could be a sign that you need professional support. It may be time to seek support if:

It may be time to seek support if:

your mind rarely feels calm
you feel constant internal pressure
rest feels uncomfortable or undeserved
your anxiety is affecting your relationships or wellbeing
you feel exhausted despite being productive
Because the external signs of struggle are minimal, high functioning anxiety often delays help seeking, but getting support early can prevent long term burnout and more serious mental health challenges.

Connect with a licensed therapist who specializes in anxiety and stress.

Effective forms of Therapy for High Functioning Anxiety

Many people with high functioning anxiety hesitate to seek help because they feel like they are ?managing.? But therapy can help you understand what is driving that constant pressure and give you tools to move through life with more clarity and less strain. Some of the most effective approaches include:
1

Cognitive Behavioral Therapy (CBT)

CBT helps you identify patterns of thought that fuel anxiety and replace them with more balanced, realistic perspectives.

It is especially helpful if you:

  • overthink decisions
  • expect the worst outcomes
  • tie your self-worth to performance
2

Acceptance and Commitment Therapy (ACT)

ACT focuses on helping you accept internal experiences rather than constantly trying to control them.

This can be helpful if:

  • you feel the need to always stay in control
  • slowing down feels uncomfortable
  • your mind is constantly ?on?
3

Therapy for Perfectionism

Some therapists specifically work with perfectionism and high standards.

This approach helps you:

  • challenge unrealistic expectations
  • reduce self-criticism
  • separate your worth from your productivity

How to Approach Therapy if you have High Functioning Anxiety

If this type of anxiety resonates with you, it can help to look for therapists who:
  • specialize in anxiety or generalized anxiety disorder
  • have experience working with perfectionism or high achievers
  • focus on stress, burnout, or overthinking
  • use structured, evidence-based approaches
Browse therapist profiles and connect with someone who aligns with your needs and approach.

Moving Forward

High functioning anxiety can be easy to miss, especially when it looks like success. But just because you are meeting expectations, staying productive, and showing up for others does not mean you are not struggling. Anxiety does not always look like falling apart. Sometimes, it looks like holding everything together, at a cost. Recognizing that cost is the first step toward something better.

Frequently Asked Questions

Common questions about high functioning anxiety and getting support.

Q: Is high functioning anxiety a formal diagnosis? +

A: No. High functioning anxiety is not recognized as a formal mental health diagnosis, but it describes a real experience where someone continues to function while carrying persistent worry, pressure, and internal distress.

Q: What are signs of high functioning anxiety? +

A: Signs can include constant overthinking, perfectionism, fear of mistakes, people-pleasing, difficulty relaxing, physical tension, fatigue, and staying busy to avoid slowing down.

Q: When should someone seek help for high functioning anxiety? +

A: It may be time to seek support if your mind rarely feels calm, rest feels uncomfortable, anxiety is affecting your relationships or wellbeing, or you feel exhausted despite being productive.

Q: What therapy can help with high functioning anxiety? +

A: Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and therapy focused on perfectionism may help people understand the pressure behind anxiety and build more balanced ways of coping.

Resources:

Fletcher, S. (2024). What are signs of high functioning anxiety? Canadian Centre for Addictions. https://canadiancentreforaddictions.org/what-are-signs-of-high-functioning-anxiety/
Lunn, J., Greene, D., Callaghan, T., & Egan, S. J. (2023). Associations between perfectionism and symptoms of anxiety, obsessive-compulsive disorder and depression in young people: A meta-analysis. Cognitive Behaviour Therapy. https://doi.org/10.1080/16506073.2023.2211736
Macedo, A., Marques, M., & Pereira, A. T. (2014). Perfectionism and psychological distress: A review of the cognitive factors. International Journal of Clinical Neurosciences and Mental Health. https://www.researchgate.net/publication/260552234_Perfectionism_and_psychological_distress_a_review_of_the_cognitive_factors_REVIEW
St?ber, J., & Joormann, J. (2001). Worry, procrastination, and perfectionism: Differentiating amount of worry, pathological worry, anxiety, and depression. Cognitive Therapy and Research, 25, 49?60. https://doi.org/10.1023/A:1026474715384
Wu, R., Chen, J., Li, Q., & Zhou, H. (2022). Reducing the influence of perfectionism and statistics anxiety on college student performance in statistics courses. Frontiers in Psychology, 13, Article 1011278. https://doi.org/10.3389/fpsyg.2022.1011278
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Gaslighting in Relationships: How It Works and Why Therapy Has to Change When It’s in the Room https://www.goodtherapy.org/blog/gaslighting-in-relationships/ fc643cfa9fb07d59c1cc46bf16686fa2 2026-04-22T13:48:48+0000 Goodtherapy
Goodtherapy
“Gaslighting” has become a buzzword in popular culture, sometimes used to describe any disagreement or lie. But clinically, gaslighting in relationships points to something more specific: a pattern of manipulation aimed at getting someone to doubt their perceptions, memories, or understanding of events. And in intimate partnerships, that pattern can quietly reshape a person’s reality from the inside out. [gt_toc title="In this article"] [gt_toc_item href="#what-it-is"...
Woman sitting alone at a kitchen table looking pensive while her partner stands in the background, illustrating the quiet self-doubt of gaslighting in relationships

“Gaslighting” has become a buzzword in popular culture, sometimes used to describe any disagreement or lie. But clinically, gaslighting in relationships points to something more specific: a pattern of manipulation aimed at getting someone to doubt their perceptions, memories, or understanding of events. And in intimate partnerships, that pattern can quietly reshape a person’s reality from the inside out.

[gt_toc title="In this article"] [gt_toc_item href="#what-it-is"]What gaslighting in relationships looks like[/gt_toc_item] [gt_toc_item href="#gaslight-effect"]The Gaslight Effect: how the dynamic deepens[/gt_toc_item] [gt_toc_item href="#effects"]What it does to the targeted partner[/gt_toc_item] [gt_toc_item href="#what-to-do"]What to do if you think you're being gaslit[/gt_toc_item] [gt_toc_item href="#conventional-wisdom"]When conventional wisdom can hurt[/gt_toc_item] [gt_toc_item href="#therapy"]How therapy must adapt[/gt_toc_item] [gt_toc_item href="#progress"]Measuring progress differently[/gt_toc_item] [gt_toc_item href="#faq"]Frequently asked questions[/gt_toc_item] [/gt_toc]

What gaslighting in relationships looks like

The word gets used loosely. Understanding what gaslighting actually is, and what it isn't, is the first step to recognizing it in your own relationship.

[gt_compare] [gt_compare_col label="Gaslighting is NOT" title="Ordinary relational friction" color="orange" points="A partner remembering an argument differently|A clumsy apology|A one-off lie someone later owns"] [gt_compare_col label="Gaslighting IS" title="A repeated pattern of manipulation" color="green" points="Repeatedly denying what the other person saw, felt, or experienced|Rewriting events and shifting blame until they doubt their own memory|Using ridicule, false certainty, or character attacks to erode their confidence"] [/gt_compare] [gt_callout style="green" label="Clinical definition"] The American Psychological Association defines gaslighting as manipulating someone into doubting their perceptions or experiences. An important nuance: it is typically about power and control in the interaction, not just “being wrong.” Sociologist Paige L. Sweet argues in the American Sociological Review that gaslighting often exploits vulnerabilities and unequal dynamics, especially in intimate relationships, making it more than a one-off misunderstanding. [/gt_callout]

The “Gaslight Effect”: how the dynamic deepens over time

Dr. Robin Stern, credited with popularizing the term in wider public discourse, emphasizes that gaslighting escalates gradually, eroding confidence until the targeted partner is second-guessing their reality. She calls this the “Gaslight Tango”: a dance where one partner slowly gains the power to define what’s real and what’s not. She describes three stages:

A couple sitting apart on a couch with one partner dismissive and the other explaining, depicting the power imbalance of gaslighting in relationships
[gt_steps] [gt_step num="01" title="Disbelief"]“That was weird; he said I did that. Did that really happen?”[/gt_step] [gt_step num="02" title="Defense"]You start explaining yourself constantly, gathering proof, trying to be understood.[/gt_step] [gt_step num="03" title="Depression"]You feel defeated, confused, small, and unsure of yourself.[/gt_step] [/gt_steps]

People don’t stay in such a relationship just because they’re “weak.” They often stay because the relationship also contains love, history, dependence, fear, or hope, and because the manipulation is subtle at first. What makes gaslighting especially insidious is that the gaslighter often uses kernels of truth to anchor a larger, unfair argument. Their attack contains just enough truth to make the other person pause; over time, that pause becomes corrosive self-doubt.

Gaslighting might sound like…

[gt_callout style="orange" label="Denial"] “What are you talking about? I never said that. You’re being crazy!” This is outright denial paired with a character attack. The first half rewrites the event; the second half puts you on the defensive about your own sanity. [/gt_callout] [gt_callout style="green" label="Minimization"] “You’re too sensitive. That never happened!” This combines reality denial with an accusation designed to make you question whether your emotional response is legitimate at all. [/gt_callout] [gt_callout style="dark" label="Deflection"] “Why are you making such a big deal? You always do this. I’m tired of it!” This shifts the conversation away from the actual issue by labeling a recurring “flaw” in you. Even a kernel of truth gets used to dismiss a valid concern. [/gt_callout]

What gaslighting does to the targeted partner

Over time, people experiencing gaslighting in relationships report a cluster of deeply damaging effects:

[gt_card title="Chronic self-doubt" color="green"] “Maybe I am the problem.” The ability to trust your own perceptions slowly erodes. [/gt_card] [gt_card title="Difficulty making decisions" color="orange"] Even small choices feel paralyzing when you’ve been told your judgment can’t be trusted. [/gt_card] [gt_card title="Anxiety, shame, and numbness" color="green"] A steady loss of confidence that shows up in the body as well as the mind. Many people in gaslighting relationships describe persistent anxiety that lingers long after any specific argument. [/gt_card] [gt_card title="Social withdrawal" color="orange"] Explaining feels exhausting, or you fear being judged, so you stop reaching out. [/gt_card]

What to do if you think you're being gaslit

[gt_callout style="green" label="Strategy 01 · Find your flight attendants"] Dr. Stern offers a powerful analogy: being gaslit is like being on a plane in turbulence. You can feel the shaking and rattling, but you aren’t sure whether it’s cause for concern or just turbulence. A good way to gauge the situation is to look to the flight attendants. If they seem calm and collected, chances are it’s just turbulence. If they seem concerned or frantic, there’s a problem. Look to the people in your life whom you trust to have your best interests at heart , friends, family, pastor, mentor, or a therapist, and check in with them regularly for a sanity check. These are the people who will tell you what you need to hear, not what you want to hear. Protect your sense of reality and sense of self. [/gt_callout] [gt_callout style="orange" label="Strategy 02 · Resist the urge to merge"] Another key concept of Dr. Stern’s is resisting the “urge to merge”: the need to win the approval of the gaslighter by convincing them that you are not crazy, incompetent, inconsiderate, stubborn, or whatever else they might be accusing you of being. By letting go of the need to be validated by them, you “opt out” of the gaslight tango. Trying to win an argument with a gaslighter is a supremely futile endeavor. You’re not arguing with someone interested in understanding differences and taking accountability when due. You’re arguing with someone desperately trying to maintain control of the situation. Facts be damned. [/gt_callout]

When conventional wisdom can hurt

Conventional wisdom on relationships emphasizes the importance of talking through issues and getting to a point of mutual understanding. But in the context of gaslighting in relationships, that notion can actually cause more harm than good.

Standard relationship advice makes a few assumptions that gaslighting breaks entirely:

[gt_checklist title="Assumptions standard advice makes"] [gt_check]Both people can reflect on their behavior[/gt_check] [gt_check]Both can take responsibility when they're wrong[/gt_check] [gt_check]Both genuinely want to understand one another[/gt_check] [gt_check]Perception is grounded in shared facts and reality[/gt_check] [/gt_checklist] [gt_callout style="orange" label="Why this matters"] Gaslighting breaks every one of these assumptions. When one partner is actively distorting reality and is not interested in a fair resolution, opting out of the discussion may be the healthiest and most self-protective choice available. [/gt_callout]

How therapy must adapt

Therapy can be genuinely helpful, but only when the therapist understands how gaslighting in relationships actually works and adapts their approach accordingly. In my practice, I see three main clinical scenarios:

[gt_card title="Individual therapy with the person being gaslit" color="green"] The therapist acts as a “flight attendant,” helping the client feel grounded in reality and protect their sense of self. This is often the most immediately stabilizing form of support, and one of the two most common scenarios I see. [/gt_card] [gt_card title="Couples therapy" color="green"] The therapist can attempt to increase accountability in the gaslighter by pointing out incongruences in a neutral, non-judgmental way. The key word is “attempt”: this works only in milder cases where the gaslighter still has some genuine willingness to work on the relationship. It also relies heavily on the therapist's ability to establish trust and rapport with both partners, such that even the gaslighter is willing to consider the therapist’s input. [/gt_card] [gt_card title="Individual therapy with the gaslighter" color="orange"] The most difficult scenario. The therapist is working only with the gaslighter and very likely lacks the larger context of their relationships. Most gaslighters don’t come into therapy saying, “I gaslight my partner; I need help.” Without witnessing the dynamic firsthand, the therapist may not recognize the pattern at all. [/gt_card]

Progress is measured differently

In a standard couples case, “progress” might look like fewer fights and better communication. With gaslighting in relationships, the benchmarks must shift entirely.

[gt_checklist title="What real progress looks like"] [gt_check]The gaslighting partner stops denying the other person's reality[/gt_check] [gt_check]They show behavioral accountability: “I did that. It was wrong.”[/gt_check] [gt_check]The targeted partner stops over-explaining and starts trusting their own perceptions again[/gt_check] [gt_check]The relationship becomes safer and more respectful, consistently, not performatively[/gt_check] [/gt_checklist] [gt_callout style="dark" label="A final grounding point"] If you’re reading this and thinking, “I’m constantly defending my reality,” you’re not alone. Gaslighting works precisely because it attacks the part of you that usually keeps you steady: your ability to trust yourself. Understand that you are in the midst of a difficult dynamic, but it is possible to break free of it and find your way back to yourself. [/gt_callout]

Frequently asked questions

[gt_faq title=""] [gt_faq_item q="What exactly is gaslighting in a relationship?"] Gaslighting is a pattern of psychological manipulation in which one partner repeatedly causes the other to question their perceptions, memories, and sense of reality. It differs from ordinary disagreements in two ways: the repetition and the deliberate goal of gaining power and control. The APA defines it as manipulating someone into doubting their own perceptions or experiences. [/gt_faq_item] [gt_faq_item q="What are the signs I might be getting gaslit?"] Common signs include constantly second-guessing yourself, feeling confused after conversations, apologizing frequently without knowing why, making excuses for your partner’s behavior, and feeling less confident than you used to be. You may notice you no longer trust your own memory of events, or that you feel anxious before difficult conversations even when you know you have done nothing wrong. [/gt_faq_item] [gt_faq_item q="Is gaslighting considered emotional abuse?"] Yes. Persistent gaslighting is widely recognized as a form of emotional abuse. It systematically erodes a person’s sense of reality, self-worth, and autonomy. Because it targets the victim’s capacity to trust their own judgment, it can be more insidious than forms of abuse that leave visible evidence. [/gt_faq_item] [gt_faq_item q="Why do people stay in relationships where they're being gaslit?"] People stay for many reasons unrelated to weakness: love, shared history, financial dependence, fear of retaliation, children, or genuine hope that things will improve. The manipulation typically begins subtly and escalates slowly, making it hard to identify until someone is deeply invested. By the time the pattern becomes clear, accumulated self-doubt has often made it harder to act on what they know. [/gt_faq_item] [gt_faq_item q="Can a gaslighter change through therapy?"] Change is possible, but requires genuine willingness to acknowledge behavior and take accountability. In couples therapy, progress is most likely in milder cases where some willingness remains. In individual therapy, the gaslighter needs to develop real insight into the impact of their behavior, which is difficult without the therapist having broader relational context. Meaningful change requires sustained behavioral accountability, not just verbal acknowledgment. [/gt_faq_item] [gt_faq_item q="What should I do first if I think I'm being gaslit?"] Start by building your support network. Reach out to people who have your best interests at heart and will be honest with you; they offer the outside perspective the manipulation is designed to deny you. Keep a private journal documenting incidents with dates and details; this helps counter the self-doubt the manipulation creates. Individual therapy with a qualified therapist can also help you regain your footing. [/gt_faq_item] [/gt_faq] [gt_takeaways title="Key takeaways"] [gt_take]Gaslighting in relationships is a pattern, not a single disagreement or misremembered event.[/gt_take] [gt_take]It escalates in three stages: disbelief, defense, depression.[/gt_take] [gt_take]Conventional “talk it through” advice can make it worse; sometimes opting out is the healthy choice.[/gt_take] [gt_take]Therapy helps, but the clinician must recognize the dynamic and adapt their approach.[/gt_take] [gt_take]Progress is measured by accountability and restored self-trust, not just fewer fights.[/gt_take] [/gt_takeaways] [gt_cta style="orange" title="You don't have to sort this out alone." subtitle="Find a licensed therapist who understands gaslighting dynamics and can help you regain your footing." button_text="Browse the GoodTherapy Directory" button_url="https://www.goodtherapy.org/find-therapist.html"] [gt_author name="Tomoko Iimura, LMFT" title="Licensed Marriage & Family Therapist" location="San Antonio, TX" photo="https://www.goodtherapy.org/thumbs/250x250/dbimages/87189-tomoko-iimura.jpeg" profile_url="https://www.goodtherapy.org/therapists/profile/tomoko-iimura-marriage-family-therapist"] Tomoko Iimura specializes in couples therapy, trauma, and relationship conflict. She uses evidence-based approaches including the Gottman Method and Emotionally Focused Therapy, with advanced training in affair and trauma recovery. Tomoko brings a uniquely global perspective to her work, shaped by years living as an expat across multiple countries. She completed her clinical internship at the Rape Crisis Center in San Antonio and holds graduate degrees from Our Lady of the Lake University (MS, Marriage and Family Therapy), Columbia University (MA, International Affairs and Public Policy), and Middlebury College (BA). Visit profile here. [/gt_author]
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Finding Closure: Powerful Truths About Moving On and Healing https://www.goodtherapy.org/blog/finding-closure-moving-on/ 6eedaf807cf9ec6214155a7b97370732 2026-04-10T21:05:59+0000 Goodtherapy
Goodtherapy
I used to think that closure and healing were the same. I was wrong. Finding closure is not an easy thing to come by. Most of the time, finding closure is harder to attain than healing. You can heal and move forward without ever receiving closure from another person. Finding closure does not come from an outside source. It comes from realizing what took place, leaving it there, and choosing not to carry it with you. What You Will Learn ...

A young man with a backpack smiling outdoors, symbolizing finding closure and moving forward with hope

I used to think that closure and healing were the same. I was wrong. Finding closure is not an easy thing to come by. Most of the time, finding closure is harder to attain than healing. You can heal and move forward without ever receiving closure from another person.

Finding closure does not come from an outside source. It comes from realizing what took place, leaving it there, and choosing not to carry it with you.

What You Will Learn

?

The difference between closure, healing, and forgiveness

?

Why finding closure does not require an apology or explanation

?

How closure is a choice, not a gift someone gives you

?

What it truly means to turn the page and begin a new chapter

In This Article

01 What Finding Closure Really Means
02 Forgiveness, Healing, and Finding Closure
03 Is Closure Really a Myth?
04 Turning the Page: Finding Closure as a Choice
05 What Finding Closure Gives You

What Finding Closure Really Means

Finding closure is not synonymous with healing, and it is not something another person can hand to you. Whether you are processing the end of a relationship, a loss, or a painful experience, the search for closure after a breakup or any significant chapter can feel elusive and out of reach.

Closure does not come from an outside source. It comes from realizing what took place, leaving it there, and choosing not to carry it with you. That is not an easy thing to do. But it is possible.

?

This is the closure: The lack of respect was the closure. The lack of apology was the closure. The lack of care was closure. The lack of accountability was the closure. The lack of honesty was the closure.

Forgiveness, Healing, and Finding Closure

Forgiveness is a change of heart. Healing is an internal recovery. And closure is the ability to move on. Sometimes you can forgive, but that does not mean forgetting is always an option. It just means that you choose not to become bitter.

Healing is what happens when forgiveness takes place. But closure takes time. If you choose not to forgive, it breeds resentment and vitriol, which leads to bitterness. Letting go of that resentment and learning how to forgive is a significant step toward healing. Research from the American Psychological Association confirms that practicing forgiveness is linked to lower anxiety, less depression, and greater emotional well-being.

Key Insight

Healing is what happens when forgiveness takes place. But finding closure goes one step further. Closure is the choice to stop perseverating on the past and to begin moving forward, on your own terms.

A woman hiking in nature looking up with joy, representing the freedom and peace of finding closure

Is Closure Really a Myth?

Sometimes people wait for the clouds to part and the light to shine on them, for everything to become butterflies and rainbows, before they allow themselves to feel closure. But closure is simply the ability to move past what was and to begin living again. It does not require a perfect ending.

I came across a quote that challenged me deeply:

?

Closure is a myth. The way people leave you, the way they exit your life, the way they leave their relationship or connection with you, is all the closure you need. Find clarity in actions, not words.

This was hard to fully agree with at first. I felt like it was saying that words did not matter, like ?sticks and stones.? But what this quote is really saying is that you get the closure from witnessing their actions, their true self. And when you realize that, finding closure becomes less about what they say and more about what you choose to see.

Turning the Page: Finding Closure as a Choice

Realizing that has given me the understanding that finding closure is the choice to stop perseverating on the past, coupled with the choice to move forward. Just like reading a book: each chapter has a different issue, a different problem, a different dynamic. And once that chapter is over, the reader must turn the page.

It is the ending of a chapter, not the end of the story. Your life is the book. What was is the past. And what will be is yet to be read.

What Finding Closure Gives You

I can say that I have forgiven it. I can say that I have healed. And now, I can say that I have closure.

Does this mean I will forget it? No. Does this mean there is no scar? No. Does this mean that because the chapter is over it never happened? No.

It means that because I will remember, because I have scars, and because I experienced that chapter, I have more wisdom moving forward. Working on forgiving to help yourself heal is not about erasing what happened. It is about choosing what you carry forward. The American Psychological Association notes that processing grief and loss is an active journey, one that requires making meaning of what happened rather than simply waiting for the pain to pass.

I now have the ability to not see the world through a tainted, broken, distorted lens of pain, sadness, and grief. It means I can move forward and embark on a new chapter, looking forward to what comes next, instead of dreading it.

Closure to me is not just the ability to move on.

Closure is finding peace.

Ready to Work Through It with a Therapist?

A licensed therapist can help you navigate the journey of healing, forgiveness, and finding closure at your own pace.

Find a Therapist

?

Have Questions?

Frequently Asked Questions

01

What is the difference between closure, healing, and forgiveness?

Forgiveness is a change of heart, choosing not to carry bitterness. Healing is the internal recovery process that follows. Finding closure is the ability to move forward without needing resolution from outside sources. You can heal without forgiving, and find closure without either.

02

Do you need an apology to find closure?

No. Closure does not come from an outside source. It comes from within, from recognizing what happened, choosing not to carry it forward, and deciding to turn the page. The way someone leaves your life, or fails to show up, is often all the closure you need.

03

How do I know when I have truly found closure?

You have found closure when you can reflect on a painful experience without being consumed by it. It does not mean forgetting or pretending it did not happen. It means you have chosen to stop perseverating on the past and to move forward, carrying the wisdom and not the wound.

04

Can you move on without finding closure?

Yes. Healing and moving on can happen even without formal closure from another person. What matters most is the internal decision to stop waiting for resolution and to begin living again. Closure is ultimately a choice you make for yourself.

05

How can therapy help with finding closure?

A therapist can help you process unresolved emotions, identify the beliefs keeping you stuck, and develop the tools to move forward with clarity and peace. If you are struggling to find closure on your own, working with a licensed counselor can be a powerful next step.

Josiah Dicken, MA, LPCC

Josiah Dicken

MA, LPCC

View Profile ?

About the Author

Licensed Professional Clinical Counselor

Wayfinder Counseling & Coaching, LLC ? Colorado Springs, CO

Josiah Dicken, MA, LPCC, is a licensed professional clinical counselor and founder of Wayfinder Counseling & Coaching, LLC in Colorado Springs, Colorado. He specializes in helping individuals, couples, and families navigate life?s challenges using a personalized, evidence-based approach. Josiah is known for creating a safe, non-judgmental space where clients feel heard, validated, and empowered to heal, grow, and move forward.

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Signs Your Teen Might Benefit from Therapy (and How to Start the Conversation) https://www.goodtherapy.org/blog/signs-your-teen-needs-therapy/ f29d446b2ca6f7ea246e580d4009ba58 2026-04-02T18:04:54+0000 Goodtherapy
Goodtherapy
...

Teen boy on smartphone experiencing cyberbullying — when to seek teen therapy

Parenting a teenager has never been easy. But today’s teens are navigating a world that looks very different from the one most parents grew up in, and their emotional experiences might be different than those raising them. Between 2016 and 2023, the prevalence of diagnosed mental or behavioral health conditions among adolescents increased 35%. Data from 2022–2023 shows that anxiety, behavior disorders, and depression are the most commonly diagnosed mental disorders in children, and many more have conditions that are undiagnosed.

35%

increase in diagnosed teen mental health conditions between 2016–2023

40%

of teens experience persistent feelings of sadness or hopelessness today

Is It Normal Teen Behavior or Something More?

We’ve all heard the stereotypical joke about parents thinking their child’s unconventional or unusual behavior is “just a phase.” While this may be true sometimes, your child’s behavioral shifts might actually suggest something bigger is going on.

Mood swings in teenagers are normal and to be expected. Yet, persistent sadness that lasts for weeks or more may signal a more significant mental health issue. If your teen seems uninterested in activities they once loved, withdraws from friends or family, or frequently expresses feelings of hopelessness, they may be struggling with depression.

The key word here is persistent. A bad week after a breakup or a slump during exam season is different from a pattern that lingers, intensifies, or begins to interfere with daily life. Lack of awareness means some parents don’t recognize the signs of depression or anxiety in their teen. They might attribute changes in behavior to “just being a teenager” rather than symptoms of a treatable condition.

Knowing when to seek professional help for your teen is one of the most powerful acts of parenting you can do.

5 Warning Signs Your Teen May Benefit from Therapy

It can be difficult to know how to best support your child as a parent, but you don’t have to have all the answers. When it comes to looking out for your teenager’s mental well-being, these are five signs to watch for that could indicate your teenager needs more than your love and encouragement: they probably need professional support.

01

Sign

Persistent Sadness, Anxiety, or Emotional Withdrawal

Today, 40% of teens experience persistent feelings of sadness or hopelessness. If your child seems consistently down, anxious, or emotionally shut off for an extended period of time, it’s worth paying attention.

Signs of depression or anxiety in teenagers include a lack of energy, feeling unmotivated, poor concentration, or withdrawing from friends and family. If unaddressed, these emotional needs can negatively impact your teenager’s well-being and even safety.

02

Sign

Sudden Changes in Behavior, Sleep, or Academic Performance

If you notice a distinct change in your teen’s behavior or mood that persists, it is a clear sign that it’s likely time for professional help. You might have noticed them withdrawing from friends and usual activities, experiencing a significant change in their level of motivation, being chronically or explosively angry, or experiencing a significant change in their eating habits or sleeping habits. When your teen’s performance in school suddenly drops without explanation, this could point toward underlying issues such as stress or depression.

These shifts can be easy to dismiss, but they’re often the first signal a struggling teenager has to communicate that something is wrong.

03

Sign

Social Isolation or Loss of Interest in Favorite Activities

If your teenager has become increasingly isolated or withdrawn from friends and family, it could indicate deeper emotional issues. Pay attention if they’ve stopped reaching out to friends, dropped sports or hobbies they once loved, or seem to have retreated entirely into their room. They could show a lack of interest in activities they used to enjoy, like sports, clubs, or just hobbies. Any sudden changes in your child’s behavior could be a sign that something isn’t right.

04

Sign

Physical Complaints Without a Medical Cause

Mental health doesn’t always announce itself with emotional language. Stomach aches, headaches, and complaints of pain are common ways for teenagers to express underlying experiences of mental health concerns. When there is no medical reason for these symptoms, it is important to think about what might be contributing to your teen’s complaints. If their pediatrician consistently assesses them but can’t identify what’s wrong, it may be time to look beneath the surface.

05

Sign

Risky Behavior or Signs of Self-Harm

Some individuals often use alcohol and drugs to cope with difficult feelings or circumstances, and your teenager could be abusing them without you knowing. Overusing these substances can signal deep emotional pain that needs to be addressed. If your teenager is hurting themself or abusing drugs or alcohol, this is a sign of significant emotional distress.

Abusing substances often manifests alongside self-harm behaviors. In fact, self-harm can become habit-forming and escalate over time, and could become a safety risk to your child or others. If you notice these signs with your child, be sure to seek professional support right away.

Addressing Stigma: Therapy Is Not a Last Resort

One of the biggest barriers to getting teens help is stigma — both theirs and ours. Your child may feel ashamed of the idea of seeing a therapist or worried about what their friends will think if they find out. Your child may think that seeing a therapist means they are “crazy” or that something is wrong with them.

As a parent, it helps to examine your own beliefs about mental health before starting this conversation. You might feel compelled to help your child “just push through” whatever they’re going through, but it’s important to let your child know that seeking professional help for what is happening in their internal world is just like going to the doctor if they aren’t feeling well. Therapy works the same way: if you are struggling and your usual coping mechanisms are no longer working, then you should reach out to a trained professional.

80%

In 2023, nearly 80% of children between 12 and 17 years old who needed mental health treatment received it. If your teen sees a professional, they are far from alone.

Sad teen in orange hoodie sitting alone by window hugging knees — sign teen therapy is needed

How to Start the Conversation Without Judgment

Parents sometimes approach the conversation from a solutions-mindset: “There is this problem, so let’s go to therapy to fix it.” However, this can make kids defensive and feel targeted. It’s important to talk about the therapist as an expert who teaches us how to process emotions, like communicating better, processing our feelings, or not getting so nervous before events. In other words, focus on how therapy can help them.

Here are a few gentle approaches you can try:

Choose the right moment

Choose a time when both you and your child are well rested and calm to bring up the topic of seeing a therapist. Avoid raising it mid-conflict or crisis.

Lead with love, not labels

Frame the conversation around what you’ve noticed, not what’s wrong. Try something like: “I’ve noticed you seem really tired lately, and I just want to make sure you have the right support.”

Give them agency

Give your teen choices whenever possible. You might let them help choose the therapist, decide between in-person or online sessions, or agree to try just one appointment. Even small choices send an important message: Your voice matters.

Address confidentiality concerns

Talk to your teen about patient confidentiality to make them feel like they have control over their own privacy. A therapist may share generalities with parents, like it was a hard session or a good discussion, but they won’t get into specifics without your child’s permission.

Remember: If the conversation doesn’t go as planned the first time, that’s okay. Keep the door open, and try again.

What to Look for in a Teen-Specialized Therapist

Not every therapist is the right fit for a teenager. Research confirms that teenagers are not really true children or grown adults: they represent a distinct psychological life stage with unique healthcare requirements. Adolescent brains experience rapid neural development and neurochemical changes that guide emotional, cognitive, and social shifts.

When searching for the right provider, look for professionals with these qualities:

Adolescent specialization

Not all therapists specialize in working with teenagers. Look for mental health professionals with relevant training and experience, such as licensed counselors, licensed marriage and family therapists, or clinical psychologists. Confirm that they have experience treating teens and addressing the specific challenges your child is facing.

A strong therapeutic relationship

The quality of the therapeutic relationship is a primary factor in improving mental health outcomes for teens. Techniques like motivational interviewing and active listening were especially effective in building rapport and promoting treatment success.

A flexible, adaptive approach

The most skilled adolescent therapists have a diverse toolkit of methods they can draw from, adapting their approach to match each teen’s unique needs, interests, and developmental stage. They don’t force your child into their preferred method; they adapt their methods to fit your child.

Family involvement

Teens need their own safe space to talk freely. But a therapist who has a family-centered approach will view the family as part of the therapeutic process and will engage parents in ways that are supportive, respectful, and open.

Wondering where to get started? You can begin your search using GoodTherapy’s therapist directory, which allows you to filter by specialization, location, and age group.

Taking the First Step

Early intervention is key when it comes to addressing mental health issues in teenagers. The sooner your child receives professional help, the better their chances of developing effective coping strategies and building self-confidence.

Reaching out for help is one of the most loving things a parent can do, not a sign of failure. Getting help for your child is an act of compassion, and it will help your child improve their mental well-being and could even enhance your relationship with them as well.

Mental health matters for children, teens, and adults. If you’re not sure where to start, explore GoodTherapy’s resources on depression, anxiety, and other resources — or connect with GoodTherapy’s mental health professionals who truly understand this stage of life.

Find a Therapist Who Specializes in Teens

GoodTherapy’s directory lets you filter by age group, specialization, and location to find the right fit for your family.

Search the Therapist Directory

Crisis Resources

If your teen is in immediate distress or experiencing a mental health emergency, please contact the 988 Suicide & Crisis Lifeline by calling or texting 988. Help is always available.

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Understanding Different Types of Therapy: CBT, DBT, EMDR, and More https://www.goodtherapy.org/blog/understanding-types-of-therapy-cbt-dbt-emdr/ 7610ef9a860e9fea0819f36982614ba5 2026-04-01T17:17:21+0000 Goodtherapy
Goodtherapy
If you’ve ever typed “types of therapy” into a search tool and felt more confused after reading the results, you’re not alone. Terms like cognitive behavioral therapy, dialectical behavior therapy, and EMDR can sound clinical and intimidating, but this guide helps you understand these approaches with definitions written for real people like you. Whether you’re considering therapy for the first time, exploring options for a loved one, or simply trying to ask better questions when w...

Female therapist with glasses and a young male client sit together reviewing a clipboard during a types of therapy session in a bright room

If you’ve ever typed “types of therapy” into a search tool and felt more confused after reading the results, you’re not alone. Terms like cognitive behavioral therapy, dialectical behavior therapy, and EMDR can sound clinical and intimidating, but this guide helps you understand these approaches with definitions written for real people like you.

Whether you’re considering therapy for the first time, exploring options for a loved one, or simply trying to ask better questions when working with a therapist, we can help you through it all.

Why Knowing Your Therapy Options Matters

The beauty of therapy is that there is no one approach: it looks different for everyone, depending on their needs. The right treatment for someone navigating grief may look very different from what works for someone managing borderline personality disorder or processing childhood trauma. You may have heard of cognitive-behavioral therapy (CBT), which is very effective for many people, but it’s just one of many therapy approaches that trained professionals can use.

Knowing what’s available and which modalities address different needs empowers you to have informed, meaningful conversations with potential therapists or current therapists. It also helps you trust the process once you begin the healing journey.

The Most Common Types of Therapy, Explained

Cognitive Behavioral Therapy (CBT): Changing the Way You Think & Act

Cognitive Behavioral Therapy is one of the most widely researched and practiced forms of psychotherapy in the world. At its core, CBT is straightforward: learning how your thoughts, feelings, and behaviors interact helps you view challenging situations more clearly and respond to them more effectively.

In practice, CBT is structured and goal-oriented. Cognitive behavioral therapy usually takes place over a limited number of sessions, typically 5–20. During those sessions, a therapist helps you identify negative thought patterns, like catastrophizing or all-or-nothing thinking, and replace them with more realistic ones.

Best for: Anxiety disorders, depression, Obsessive Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, substance use, and even chronic pain.

Dialectical Behavior Therapy (DBT): For Intense Emotions and Difficult Patterns

Dialectical Behavior Therapy (DBT) takes a different approach, using fundamentals of CBT with an emphasis on acceptance. Originally developed by psychologist Marsha Linehan in the late 1970s and 1980s, it was initially designed to treat chronic suicidality in people with borderline personality disorder (BPD). Since then, its reach has expanded significantly.

“Dialectical” means trying to understand how two things that seem opposite could both be true. For example, accepting yourself and changing your behavior might feel contradictory, but DBT emphasizes that you can achieve both.

DBT focuses on four core skill areas:

Mindfulness

Distress Tolerance

Emotion Regulation

Interpersonal Effectiveness

Treatment involves individual therapy sessions, group skills sessions, or phone coaching with therapists between sessions. It aims to help people develop skills they can use in their daily lives to effectively manage emotions, maintain or improve interpersonal relationships, tolerate distress, and avoid behaviors that are detrimental to their quality of life.

Best for: Borderline personality disorder, self-harm, suicidal ideation, eating disorders, depression, PTSD, and substance use disorders. In fact, the most effective treatment for borderline personality disorder is DBT.

EMDR: Healing Trauma Without Reliving Every Detail

Eye Movement Desensitization and Reprocessing (EMDR) may be one of the most misunderstood therapies, but it’s one of the most effective and well-researched trauma treatments available. Some studies found that 84–90% of single-trauma victims can no longer experience post-traumatic stress disorder after three 90-minute sessions.

The premise is rooted in how the brain stores traumatic memories. EMDR trauma therapy helps clients reprocess distressing memories that remain “stuck” in the nervous system, often driving symptoms such as hypervigilance, intrusive thoughts, emotional dysregulation, and avoidance. During a session, a therapist guides you through recalling a distressing memory while engaging in bilateral stimulation, such as guided eye movements, tapping, or alternating tones. Over the course of the session, the memory typically loses its emotional charge and becomes integrated as a resolved past event rather than an ongoing emotional threat.

Reliving trauma is very painful, but the advantage of EMDR is that it doesn’t require talking through trauma in detail, making it especially valuable for those who find verbal processing overwhelming.

Best for: PTSD, complex trauma, anxiety, depression, grief, phobias, and abuse recovery.

Close-up of a therapist gently holding a client's clasped hands during a supportive types of therapy session, showing empathy and connection

Psychodynamic Therapy: Exploring the Roots of the Present

How has your past shaped who you are today? This is the question that psychodynamic therapy addresses as its foundational question.

Unlike CBT’s focus on thoughts and behaviors, psychodynamic therapy focuses on acknowledging emotions rather than thoughts and beliefs. It also focuses on understanding avoidance, identifying patterns, interpersonal relationships, and encourages free associations. This means freely speaking about fears, emotions, dreams, desires, and thoughts in a non-judgmental environment to discover unconscious or suppressed feelings.

Sessions tend to be less structured than CBT, with more room for open-ended conversation and self-exploration. This approach is particularly valuable for people who feel that their current struggles are connected to unresolved experiences or relational patterns from earlier in life.

Best for: Depression, anxiety, relationship difficulties, grief, identity challenges, complex trauma, stress, panic, schizophrenia, and bipolar disorder.

Humanistic Therapy: Centering the Whole Person

Humanistic therapy combines several approaches to address the whole person. It blends person-centered therapy (developed by Carl Rogers), Gestalt therapy, and existential approaches to focus on this core perspective: people are inherently capable of growth, and the right therapeutic environment can unlock that potential.

Humanistic therapy focuses on a person’s positive attributes, including their personal characteristics, strengths, and overall drive to self-actualization. The modality focuses on the here and now and encourages the client to take an active role in the therapy process. Really, the therapeutic relationship itself becomes the vehicle for change, which only reiterates the fact that finding the right therapist is crucial to a positive therapy experience.

Best for: Low self-esteem, existential concerns, personal growth, relationship issues, grief, and those who feel unseen or misunderstood in their daily lives. Humanistic approaches are also often woven into other therapy styles as a foundational framework.

How Do You Know Which Type of Therapy Is Right for You?

The truth is: You don’t always know in advance, and that’s okay. Most skilled therapists are trained in multiple modalities and will tailor their approach to your specific needs, history, and goals. The most skilled therapists have a diverse toolkit of methods they can draw from, adapting their approach to match each person’s unique needs, interests, and developmental stage.

That said, going in with some knowledge gives you the ability to ask meaningful questions. When looking for the right therapist, or during your next session, try asking your therapist these questions:

1.  What approaches do you use for [anxiety/trauma/depression]?

2.  Are you trained in CBT, DBT, or EMDR?

3.  How structured will our sessions be?

4.  What experience do you have working with people with my cultural background?

5.  How will we know if it’s working?

Asking these questions will help you find the right fit for your healing journey, and a good therapist will welcome them.

A Quick Reference: Therapy Types and What They Address

There are so many therapeutic approaches out there, and we’ve only covered a few. Still, here’s a breakdown of the theories we discussed and what they can help support:

Therapy Type

Commonly Used For

CBT

Anxiety, depression, OCD, PTSD, eating disorders

DBT

BPD, self-harm, intense emotions, eating disorders

EMDR

Trauma, PTSD, abuse, grief, phobias

Psychodynamic

Depression, relational patterns, identity, grief

Humanistic

Self-esteem, personal growth, existential concerns

Taking the Next Step

Understanding these approaches is the first step in building a better you. Finding the right therapist is a significant part of improving your mental health, but you don’t have to do it alone. GoodTherapy’s therapist directory allows you to filter by therapy type, specialization, location, and more, so you can find someone who truly fits your needs.

If you’re still exploring whether therapy is right for you, our blog on what to expect in your first therapy session can help you get started.

Remember, reaching out is not a sign that something is irreparably wrong with you. It’s a sign that you know your well-being is worth investing in.

Ready to Find the Right Therapist for You?

GoodTherapy’s directory lets you filter by therapy type, specialization, location, and more.

Take Our Therapy Quiz to Find Your Fit
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Member Spotlight: Linda Baker, PsyD – Finding the Right Therapist & Trusting the Healing Process https://www.goodtherapy.org/blog/member-spotlight-linda-baker/ 8c134e3d715df89c07777bb507722dcb 2026-03-31T18:49:28+0000 Goodtherapy
Goodtherapy
What makes therapy work isn't always what people expect. It's not the credentials on the wall or even the specific modality a therapist uses. Linda Baker, PsyD, MA is a Denver-based licensed clinical psychologist and GoodTherapy member, has spent her career helping people find what they need: a therapeutic space where they feel genuinely safe, seen, and understood. With a background that spans men's correctional facilities, international disaster psychology, and trauma-informed care, Dr. ...

What makes therapy work isn't always what people expect. It's not the credentials on the wall or even the specific modality a therapist uses. Linda Baker, PsyD, MA is a Denver-based licensed clinical psychologist and GoodTherapy member, has spent her career helping people find what they need: a therapeutic space where they feel genuinely safe, seen, and understood.

With a background that spans men's correctional facilities, international disaster psychology, and trauma-informed care, Dr. Baker brings a rich and unexpected depth to her practice. Today, she works primarily with men using a hybrid of Internal Family Systems (IFS) and Cognitive Behavioral Therapy (CBT), a combination she developed over years.

We sat down with Dr. Baker to talk about what first-timers should know before walking into therapy, how she creates emotional safety for her clients, and the one mindset shift she shares with almost everyone she works with.

Read More: Take Our Quiz to Start Your Healing Journey

 LIVE INTERVIEW: Watch the Conversation with LINDA BAKER

 

Q&A with Linda Baker

Q: What should someone know before their very first therapy session?

Linda:

If you look statistically and you look at the research around positive therapy outcomes, the number one indicator of positive therapy outcomes is about goodness of fit. It doesn't matter if somebody's CBT trained, it doesn't matter if they're ACT trained, it doesn't matter their modality. What really matters is how comfortable you feel with that person, if you feel like you could feel safe, if you feel heard…The more honest and authentic you can be, obviously, the better the therapy process is going to go.

If you meet with somebody and it doesn't feel like a good fit, it's totally okay to move on. There are so many different kinds of clinicians out there and there's absolutely an opportunity to find somebody that you just feel safe and seen and heard with…

It's sort of like dating. You're allowed to go and meet and see how it feels and maybe give somebody a second shot if you're sort of curious. And if it's just not right, it's not right.

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Q: What if you know something feels off, but you can't explain what it is?

Linda:

I think that's sort of the whole purpose of therapy, actually. People [often]…notice a behavior…a feeling,…a mood shift,…[or] something sort of internally. And it's actually really common for people to not know exactly what's going on for them, especially when so many of our root issues come from historical experiences. It's really hard to name that when we grow up and become adults.

[Therapy] gently brings that internal struggle to the surface and gives a voice to it. So then people can really understand what's happening for them, and then they know what to do about it. That's the good news about therapy, right? We can see what the issue is, we can name it, and then there's a plan. There's hope that can come from it.

It could be something really mild — I just feel really off and I don't know why, or my energy or my motivation has really shifted, or my sleep is off, or I've been really moody with my partner….And that's kind of the whole point of therapy: we sort of translate that for folks.

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Q: Why does it matter to find a therapist who truly gets you?

Linda:

You have to feel really safe. I don't mean just physically safe, but you have to feel emotionally safe with the provider you're working with because this experience is so intrinsically vulnerable and it's so intimate.

I have sort of a recipe for safety. For me, safety is consistency, predictability, and reliability. If a clinician shows up in those ways, then oftentimes what that does to the client's nervous system is it helps them take a nice deep breath. So for me, whoever the client is, hopefully that therapist has expertise in working with all sorts of people. And regardless of their demographic or their background, what's important for a clinician is to make sure that you're providing that super safe, consistent, reliable, predictable space so the client can explore whatever those deep vulnerabilities are for them.

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Q: How do you create emotional safety for your clients?

Linda:

I think a big one for me is showing up authentically…It's so important to be really mindful and attuned to yourself coming into sessions. So if that means meditating, if that means going outside, if that means a hot bath, tea — whatever the thing is to ground you. To me, that's so important. So you can show up and really be present and have an internal openness with clients…even clients virtually can sense when you've got space and room for them.

It's hard because there's so many things going on in the world and life is hard. But to me, it's crucial for therapists to make sure that they've got internal room so they can provide it for the client. So then we've got this space we've co-created where we both can explore and make sense of things.

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Q: How would you describe your approach to therapy?

Linda:

I'm classically CBT trained. That was kind of the approach when I was in school. I've since shifted into Internal Family Systems. [For] Internal Family Systems…I conceptualize all of us like we're a bus and we've got all these different parts of us riding on the bus. Depending on the environment, a part of us will hop up and grab the wheel. Sometimes that's really beautiful because it'll drive us into prosperity [and] we make good choices. Sometimes the part is pretty problematic and drives us into a ditch…

We're not…making people feel more ashamed around whatever the issue is that they're having. It's about approaching a part with genuine curiosity, understanding, compassion, and acceptance. That feels really important to me.

In terms of what makes me different as a clinician… I went through school wanting to work with women…[But] I kept getting shuffled into working with men, [including] men's prisons, men's jail, halfway houses, those sorts of things. And now…over half my practice is working with men. I get to use my deeply feminist intentions and background to help men behave differently in their relationships. It's sort of an inadvertent way of helping the population I was really focused on originally, by helping the demographic that has a lot of interaction and impact on them.

I was also the second ever graduating class from the University of Denver's International Disaster Psychology program, so I'm very deeply trained in trauma [and] working with refugees, asylum seekers, high-intensity circumstances. I would strongly recommend people to have a really good foundation around trauma because it's so pervasive and it really shows up with whoever you're working with.

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Q: What's one mindset shift that helps people start feeling better?

Linda:

One thing I say to clients constantly is: it's not a problem unless it's a problem. Clients will come to me and [their beliefs are] based off of our culture, based off of these pressures, or based off of what they grew up believing.

And it's so interesting when you really get into clinical work with most clients: a lot of times things are not what they seem. Sometimes the concept or the value that they're bouncing off of isn't actually their own. It was something that was ingrained in them via culture, via family of origin, or their own history…I say to folks all the time: maybe this isn't as bad as you think it is, and maybe it's not actually a problem in terms of aligning with your own values and what matters for you.

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Q: Is there any other advice or thoughts you want to share for clients or clinicians?

Linda:

Something I would recommend to therapists…is finding your own voice around what makes the most sense to you because then it'll make the most sense to clients.

[Also,] check in with your clients. There's this idea of trying to get it right all the time, and I think in this field there's a good amount of perfectionism. It's so important to ask clients Is this going well for you? Is it not going well for you? What feels good? What doesn't feel good?

I'd strongly encourage clients: all you have to do when you come to therapy is show up and be yourself. That sounds really simple, but in a lot of circumstances, it's so hard because it does feel so exposing and vulnerable. So I just really encourage people to take the leap and just see how it goes…Trust your gut, trust your insights, and then go from there.

You don't have to wait until it gets so bad that you don't know what to do next or you feel incapacitated. Therapy is a luxury…we get to have this experience, we get to have these opportunities…If you have access, take advantage of it. There are people out there that are good at helping, that are interested in helping. And you don't have to suffer alone.

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The First Step Means Taking a Leap of Faith

Linda Baker's journey — from disaster psychology and correctional facilities to a thriving private practice — proves that the most meaningful work often finds us in unexpected ways. Whether you're a first-time therapy-seeker trying to quiet that sense that something is off, or a clinician looking to refine your own approach, Dr. Baker's insights offer something rare: clinical wisdom delivered without pretense, and a genuine belief that the right support can change everything.

If her words resonated with you, we encourage you to take that next step. Browse GoodTherapy's therapist directory to find a provider who feels like the right fit that creates a consistent, safe space for you to grow.

Read More: Ready to Find Your Therapist?

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AI Anxiety: How to Cope, Adapt, and Thrive in an AI-Driven World https://www.goodtherapy.org/blog/ai-anxiety-cope-adapt-thrive/ 5f2d2351ed396041ae7a7e0912fb1dbf 2026-03-31T09:42:46+0000 Goodtherapy
Goodtherapy
The exponential improvement and integration of AI into our personal and professional lives has been almost startling. Like the cell phone, the Internet, and ATM cards, AI is here to stay. The Wall Street Journal (Bindley & Blunt, 2024) reports that companies now assess AI fluency during hiring, and annual reviews increasingly factor in how well employees use AI to increase productivity and cut costs. Some organizations even award bonuses to those who help others work smarter. When I ...
Female AI engineer experiencing stress and anxiety while working in a busy tech hub environment

The exponential improvement and integration of AI into our personal and professional lives has been almost startling. Like the cell phone, the Internet, and ATM cards, AI is here to stay.

The Wall Street Journal (Bindley & Blunt, 2024) reports that companies now assess AI fluency during hiring, and annual reviews increasingly factor in how well employees use AI to increase productivity and cut costs. Some organizations even award bonuses to those who help others work smarter.

When I recently rescheduled a medical appointment with an AI agent, efficient, courteous, and surprisingly “human,” I wasn’t put off at all. That moment clarified something important: the question is no longer whether AI will change your life. It already has.

1 in 3
workers report anxiety about being replaced by AI
85%
of companies factor AI fluency into performance reviews
new roles being created for those who adapt to AI

AI as a Perceived Threat to My Job and Personal Life

Many people understandably perceive AI as a threat to their jobs and way of life. But how a person responds to a perceived threat matters enormously. Rational Emotive Behavior Therapy (REBT) offers a clear lens: you can react in a healthy, self-enhancing way or an unhealthy, self-defeating one.

AI is a tool like a scalpel. Either you learn how to use it, or you will get cut by it.

— REBT Perspective

We are not stopping this wave. The goal is to manage your emotional reaction to the profound changes AI will introduce, so you don’t get left behind.

Feeling overwhelmed by rapid change? A therapist trained in cognitive behavioral approaches can help you build the flexibility to adapt. Find a therapist near you.

How to Turn AI Anxiety into Healthy Concern

REBT distinguishes between healthy concern, which motivates us to cope, and unhealthy anxiety, which leads to avoidance and retreat. When the stakes are high, it is easy to slip from concern into anxiety, especially when we hold rigid attitudes toward change.

Two Paths Forward

How you respond to AI’s rise determines your outcome

Unhealthy Anxiety

Avoids learning new tools

Rigid “this must not happen” thinking

Catastrophizes job loss

Trades future security for short-term comfort

Healthy Concern

Engages and prepares proactively

Flexible “I can adapt” mindset

Accepts change as inevitable

Invests in skills that compound over time

Four Common AI Anxiety Traps and How REBT Reframes Them

Below are four rigid attitudes that fuel AI anxiety, each paired with a healthy, flexible alternative.

1
Job Security

“AI will steal my role at work”

⚠ Anxiety-Provoking

AI will steal my knowledge and my role. That must not happen.

✓ Healthy Alternative

AI will change what employers need, but the only constant is change. By mastering AI as a tool, I can flourish in an AI-driven economy.

2
Obsolescence

“It will be awful if AI makes me obsolete”

⚠ Anxiety-Provoking

It will be awful when I am made obsolete in the workplace by AI.

✓ Healthy Alternative

It would be quite bad, but layoffs have happened before. I will accept reality, study AI, and commit to becoming the go-to person in my organization.

3
Future Fear

“It’s too threatening to think about surviving an AI world”

⚠ Anxiety-Provoking

It is too threatening to think about how I will survive in an AI-run world.

✓ Healthy Alternative

It is uncomfortable, but not unbearable. With psychological flexibility, I can adapt to whatever the future holds.

4
Relationships

“AI companions will make human relationships obsolete”

⚠ Anxiety-Provoking

AI companions could make human intimate relationships obsolete. This is awful.

✓ Healthy Alternative

A tool or service is just that. Proceed with an open mind and healthy skepticism. Perhaps it is not either/or, but both/and.

The inner critic can amplify AI anxiety. Learning to quiet rigid self-talk is a powerful skill. Read: Silencing the Inner Critic: The Power of Self-Compassion

Confident woman learning AI tools at her desk, overcoming AI anxiety in the workplace

A 3-Step REBT Reset for AI Anxiety

When anxious thoughts about AI arise, use this simple process to shift from rigid fear to flexible action.

1

Notice the Thought

Catch the rigid belief: “AI will destroy my career and that must not happen.” You cannot challenge what you cannot see.

2

Dispute the Belief

Ask: “Is this thought realistic? Helpful? Is there evidence for it?” Most catastrophic AI fears are exaggerated and unprovable.

3

Replace with a Flexible Belief

Adopt a balanced alternative: “Change is difficult, but I have adapted before. I can learn AI tools and protect my value.”

Ways to Use AI Effectively

Below are some of the ever-expanding ways you can put AI to work in your professional and personal life, generated with the assistance of ChatGPT to illustrate the practical range of AI applications (OpenAI, 2023).

Productivity and Knowledge Work

Research

Summarize articles, suggest sources, and generate bibliographies in seconds.

Drafting & Editing

Draft emails, reports, or essays, then refine for clarity and style.

Learning & Tutoring

Explain complex concepts and offer personalized feedback in any subject.

Data Analysis

Analyze datasets, identify trends, and visualize information for professional projects.

Time Management

Optimize calendars, set reminders, and automate routine tasks.

Emotional Support

AI chatbots offer empathetic conversation for those seeking nonjudgmental interaction.

Creative and Visual Work

AI is reshaping creative fields in profound ways. Tools like DALL·E, Midjourney, and Stable Diffusion open new possibilities for anyone willing to engage with them.

Image Generation

Create original visuals from text descriptions using DALL·E, Midjourney, or Stable Diffusion.

✨ Style Transfers

Apply artistic styles to photos, upscale low-resolution images, or restore old photographs with AI tools.

Design Assistance

Generate logos, concept art, and visual mockups that speed up the creative design process significantly.

Creative Brainstorming

Artists increasingly use AI as an ideation partner to explore new visual concepts before committing to final work.

A Practical Checklist: Using AI Responsibly

AI Usage Best Practices

Work smarter, stay ethical, and protect yourself in the process.

Be specific with prompts. Detailed instructions yield better, more useful results.
Verify information. Always fact-check AI output, especially for sensitive topics.
Use AI as a tool, not a replacement. It enhances, not replaces, your critical thinking.
Protect your privacy. Avoid sharing sensitive personal data with AI tools.
Stay ethical. Do not use AI to plagiarize, deceive, or create harmful content.
Iterate and refine. Rephrase prompts and ask follow-up questions when results miss the mark.
Understand limitations. AI may make mistakes, misunderstand context, or lack current knowledge.
Stay informed. Keep up with AI developments to use the latest features and best practices.

★ Key Insight

By leveraging AI, adaptive individuals can increase productivity, enhance creativity, improve a wide range of skills, and make more informed decisions.

Adopt flexible, non-extreme attitudes toward the changes AI will bring. Nothing is constant but change.

Looking for support in navigating change? A therapist can help you build the psychological flexibility to adapt and thrive. Learn how to find the right therapist.

Frequently Asked Questions

Common questions about AI anxiety and how to cope with it.

Q: Is it normal to feel anxious about AI?

A: Yes. AI anxiety is a widely reported response to rapid technological change. REBT and other evidence-based approaches can help you shift from rigid, extreme reactions to flexible, adaptive ones.

Q: Will AI really take my job?

A: AI is changing roles across many industries but also creating new ones. People who learn to work with AI are more likely to stay relevant. The biggest risk is avoidance, not AI itself.

Q: What is REBT and how does it help with AI anxiety?

A: REBT helps people identify and challenge rigid beliefs that cause emotional distress. Applied to AI anxiety, it replaces catastrophic thinking with flexible attitudes: “This is challenging, but I can adapt and thrive.”

Q: What are practical first steps to overcome AI anxiety?

A: Start small. Spend 15 minutes a day exploring an AI tool like ChatGPT. Curiosity is the antidote to fear. The more you engage, the less threatening AI becomes.

Q: When should I seek professional support for technology-related anxiety?

A: If anxiety about AI is interfering with your work, relationships, or daily life, speaking with a therapist can help. Find a therapist near you.

Walter Matweychuk PhD, licensed psychologist and REBT specialist

About the Author

Walter Matweychuk, PhD

Licensed Psychologist & REBT Specialist

Dr. Walter Matweychuk is a licensed psychologist and one of the foremost practitioners of Rational Emotive Behavior Therapy (REBT) in the United States. He trained directly under Dr. Albert Ellis, the pioneering psychologist who developed REBT, and worked at the Albert Ellis Institute in New York for many years. He teaches graduate psychology courses at New York University and works at the University of Pennsylvania.

In his private practice in New York City, Dr. Matweychuk helps individuals and couples overcome anxiety, depression, and relationship challenges using the evidence-based principles of REBT.

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References: Bindley, K., & Blunt, K. (2026, Feb. 24). Tech Firms Aren’t Just Encouraging Their Workers to Use AI. They’re Enforcing It. The Wall Street Journal.

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