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Low Self Esteem, Identity Confusion, Imposter Syndrome, People Pleasing, Attachment Wounds, Life Transitions

Services:

Therapy at The Healing Office is grounded, collaborative, and focused on real change. I work with adults navigating emotional, relational, and trauma related challenges. Below you will find more details about the kind of therapy I offer, how I work, and what you can expect.

Illustration of a therapist and client with plants growing from their heads, symbolizing growth, connection, and healing thro
Individual Therapy for Adults

Whether you are feeling stuck, overwhelmed, burned out, or just unsure where to go next, therapy can help. Together we will identify patterns, process difficult emotions, and develop tools to support you in daily life. This is a space to be honest, slow down, and get curious about what is really going on underneath the surface.

 

Common issues: anxiety, depression, trauma, relationship stress, emotional regulation, identity, grief, burnout, low self worth, boundaries.

Couple sitting together during a therapy session, focusing on communication, connection, and emotional growth
Couples Therapy

Relationships require care and maintenance. When communication breaks down or emotions run high, it can be hard to feel connected. I help couples understand their dynamic, rebuild trust, and learn to communicate with more honesty and care.

 

Common issues: conflict, disconnection, resentment, infidelity, emotional distance, navigating life transitions together.

herapist guiding a client through an EMDR therapy session, supporting trauma recovery and emotional regulation in a calm, saf
EMDR Therapy

Unresolved trauma, difficult memories, or stuck emotional patterns can feel overwhelming or confusing. EMDR helps the brain process experiences so they no longer feel so intense. I use EMDR to work with both recent and long term trauma, and I integrate attachment focused approaches when early relationship wounds are present.

Symptoms & Concerns I Work With: 

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Anxiety

Anxiety can make your mind feel like it’s always in overdrive. You may constantly overthink things, replay conversations in your head, or worry that something bad is going to happen even when everything seems fine on the outside. You might avoid social situations, struggle to fall asleep, or feel tension in your body that never quite goes away. Physical symptoms like chest tightness, nausea, shakiness, or a racing heart can make it hard to relax or feel safe in your body.


This kind of anxiety can affect your relationships, your work, and your ability to be present in your own life.


May be related to: Generalized Anxiety Disorder, Social Anxiety, Panic Disorder, Health Anxiety, High-Functioning Anxiety.​​​​​

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Identity and Self Worth

You do your best to show up for everyone around you, but somewhere along the way you lost touch with who you actually are. Maybe you have always defined yourself by what you do, who you take care of, or how well you perform. And when those things shift or disappear, you are left wondering what is underneath.

 

You might struggle with feeling like you are never enough, no matter what you accomplish. Or you move through relationships and roles feeling like you are playing a part rather than living as yourself. You might people please, shrink, or overperform just to feel okay about who you are.

This is not about fixing yourself. It is about finally getting to know yourself.


May be related to: Borderline Personality Disorder traits, Narcissistic Traits, Emotional Dysregulation, Identity Confusion, Attachment Injury

Plant-headed figure holding their own pot, representing boundaries, self-containment, and emotional safety

Grief & Loss

Grief isn’t linear. It can feel like waves, sometimes overwhelming, sometimes distant, sometimes like it catches you off guard. You may find yourself avoiding reminders of your loss, feeling emotionally disconnected, or stuck in sadness, anger, or regret. Even when time has passed, you might struggle with finding meaning or adjusting to life without what you’ve lost.


Grief doesn’t just follow death—it can come from breakups, illness, moving, changes in identity, or losing parts of yourself.


May be related to: Low Self Esteem, Identity Confusion, Imposter Syndrome, People Pleasing, Attachment Wounds, Life Transitions

Illustration of a plant-headed person with swirling branches, symbolizing racing thoughts and overthinking

Depression & Mood Issues

Depression doesn’t always look like sadness. Sometimes it’s emotional numbness, low energy, or feeling like nothing really matters. You might feel like you're moving through the day on autopilot getting things done, but disconnected from joy or meaning. Other times, depression shows up as irritability, guilt, or the sense that you’re failing even when you're doing your best. Changes in appetite, sleep, and motivation are common.
 

These experiences can make it hard to show up for yourself or others and may impact your ability to plan for the future, make decisions, or feel connected to your values.

May be related to: Major Depression, Persistent Depressive Disorder (Dysthymia), Mood Disorders, Seasonal Affective Disorder

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Perfectionism & Burnout

Perfectionism often shows up as constant pressure to perform, succeed, or keep everything under control. You might never feel like you're doing enough no matter how much you accomplish. Burnout can follow, leaving you physically and emotionally drained, disconnected from joy, and unsure of what you’re working toward.


This pattern can be tied to self-worth, fear of failure, or early experiences of needing to be “the strong one” or “the achiever.”


May be related to: High-Functioning Anxiety or Depression, Achievement Stress, Chronic Stress, People-Pleasing, Imposter Syndrome

Person with a plant for a head sitting alone, symbolizing emotional disconnection and the need for relational healing.

​Trauma & PTSD

Trauma lives in the nervous system, not just in your memories. You might have flashbacks, nightmares, or intense emotional reactions to things that seem small to others. Or you might feel emotionally numb, dissociated, or like you're watching life from the outside. You may avoid people or situations that remind you of what happened—even if you can’t always name why.


Trauma can affect your relationships, your ability to trust, and your sense of identity. You may feel stuck in survival mode, struggling with shame, guilt, or feeling unsafe in your own body.


May be related to: Post-Traumatic Stress Disorder (PTSD), Complex PTSD, Childhood Trauma, Attachment Trauma

Illustration of a person with a plant for a head holding their face, symbolizing emotional overwhelm and inner struggle

​Life Transitions & Stress

Big changes, chosen or not, can leave you feeling disoriented or overwhelmed. Whether you're going through a breakup, starting a new job, questioning your identity, or adjusting to a new phase of life, it’s common to feel lost or unsure of how to move forward.
You might be carrying anxiety, grief, or self-doubt.

 

Therapy provides space to pause, reflect, and navigate transition with clarity and support.


May be related to: Adjustment Disorder, Identity Exploration, Career Changes, Relationship Changes, Relocation, Life Stage Shifts​​​​​

Person with a wilted plant for a head sitting with slumped posture, representing burnout and emotional exhaustion

Co-Dependency & Boundaries

You may constantly prioritize others at the expense of your own needs, struggle to set boundaries, or feel guilty for saying no. Your identity may feel tied to being needed, fixing things, or keeping the peace. Over time, this can lead to burnout, resentment, or losing touch with who you are outside of your relationships.


Therapy can help you reconnect with your values, set healthy limits, and create relationships that feel more balanced and mutual.


May be related to: Co-Dependency, People-Pleasing, Enmeshment, Relational Trauma

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Relationship Issues

Relationship struggles can leave you feeling alone, misunderstood, or emotionally exhausted, even when you’re in the same room as someone you love. You may find yourselves having the same arguments over and over, shutting down emotionally, or avoiding hard conversations out of fear.

You might question whether the relationship can be repaired or if you’re the problem. Underneath the conflict, there’s often hurt, fear, unmet needs, and a longing to feel connected and safe again. Therapy creates space to slow down, understand your patterns, and start building new ways of relating, with yourself and with others.

May be related to: Communication Issues, Infidelity, Attachment Wounds, Emotional Disconnection, Codependency, High-Conflict Dynamics, Relationship Trauma

Contact

Let’s connect and see how I can support you. Reach out by phone or email, and I’ll get back to you soon!

Ana María Paniagua-LCSW, PLLC promoting The Healing Office. All rights reserved.Powered and secured by Wix

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