In a city as driven, dynamic, and ever-evolving as San Francisco, success can start to feel like a moving target. We absorb so many borrowed ideas of what success should look like—titles, income, productivity, ownership—that it’s easy to lose sight of what truly matters to us.

Many sensitive, insightful people come to therapy feeling stuck in patterns they can’t explain: chronic self-doubt, the need to prove their worth, or the inability to say no without guilt. These patterns often show up as people-pleasing or perfectionism—coping strategies that may have once helped us feel safe, loved, or needed.

Generalized anxiety disorder (GAD) affects about 2.7% of the adult population of the United States. That equates to nearly 7 million people dealing with anxiety.

A dark night of the soul is a phrase that describes a deep and often painful period of emotional and spiritual crisis. Many who experience it feel overwhelmed by depression, despair, or a sense that life has lost its meaning.