Barb Nasser-Gulch, MA, LPC

I work with adults who feel stuck in patterns that are difficult to change, even when they understand them well. Trauma and painful relationship experiences: - complex trauma and relational trauma - emotional neglect - emotional abuse or difficult family dynamics - sexual trauma or boundary violations - experiences that continue to shape how you feel about yourself or other people Anxiety and overthinking: - replaying conversations or decisions - difficulty turning your mind off - chronic worry or hypervigilance - feeling overwhelmed by uncertainty - needing to understand everything before you can feel settled Low self-worth and self-doubt: - feeling “not good enough” - harsh self-criticism - second-guessing yourself - difficulty trusting your own judgment - shame that feels bigger than the situation People-pleasing and over-responsibility: - feeling responsible for other people’s emotions - difficulty saying no - guilt when you set limits - losing track of what you want or need - overfunctioning in relationships Relationship patterns: - staying too long in relationships that hurt - difficulty recognizing or acting on red flags - fear of conflict, rejection, or closeness - resentment from giving too much - repeating familiar dynamics even when you know they are unhealthy Feeling disconnected: - numbness or emotional shutdown - difficulty knowing what you feel - feeling detached from yourself or your body - moving between intense emotion and disconnection - feeling unlike yourself in relationships Feeling stuck despite previous therapy: - insight without lasting change - knowing what you “should” do but struggling to do it - feeling as though something deeper has not shifted - wanting therapy to move beyond explanation into real change These patterns are not random. They developed for a reason. Our work is about understanding those reasons and helping the pattern lose its grip.