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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 primarily with women navigating life transitions, anxiety, relationship changes, and periods when the way they've been living no longer feels like it fits. I also work with couples who want to better understand their patterns and make meaningful changes in their relationships.

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The goal is not just to understand your patterns, but to help you change them and build a life and relationships that feel more like your own.

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

Sometimes you know something needs to change, but you're not entirely sure what that change looks like yet. You may be questioning your career, moving through a breakup, struggling with boundaries, or realizing how much of yourself you've set aside while meeting other people's expectations.

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You may understand your patterns but still struggle to change them. Therapy gives us space to explore what keeps you taking on too much, questioning your decisions, or putting your own needs last, while building practical ways to respond differently.

 

Common reasons people come to therapy: Anxiety, life transitions, identity changes, career decisions, relationship changes, perfectionism, burnout, boundaries, people-pleasing, self-doubt, self-esteem, and excessive responsibility.

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

Relationships change, and sometimes couples reach a point where the way they have been relating to each other is no longer working. Conflict, disconnection, or resentment can leave you wondering whether the relationship can move forward and what moving forward would even look like.

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I help couples understand their dynamic, communicate more openly, navigate changes, and create a relationship that works for who they are now.

 

Common reasons people come do couple's therapy: Communication difficulties, conflict, disconnection, resentment, boundaries, changing expectations, and major relationship transitions.

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

Sometimes you understand why you respond a certain way but still find yourself repeating patterns that no longer serve you. Certain experiences or beliefs may continue to influence how you see yourself, make decisions, or relate to others.

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EMDR is an evidence-based therapy that can help people process distressing experiences and reduce their impact in the present. When clinically appropriate, I integrate EMDR into our work based on your history, needs, and treatment goals.

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Not every client needs EMDR. Together, we'll determine which approaches make the most sense for you.

Symptoms & Concerns I Work With: 

Plant-headed figure with tangled vines around their neck, representing anxiety, pressure, and the need for release

Anxiety & Overthinking

Anxiety can make it difficult to feel settled, even when things are going well. You may replay conversations, second-guess decisions, anticipate what could go wrong, or feel responsible for keeping everything under control. On the outside, you may be functioning well while internally your mind rarely slows down.

 

Therapy can help you understand what is driving the anxiety, learn ways to manage it when it shows up, and become more comfortable making decisions without needing to predict or control every outcome.

Plant-headed person with roots showing through cracks, representing growth emerging from pain and resilience.

Relationships & Boundaries

You may notice yourself repeating the same patterns in relationships even when you understand them. Maybe you have difficulty saying no, feel responsible for other people's emotions, or find yourself making compromises that leave little room for what you actually want. You may be good at considering everyone else's perspective while struggling to recognize your own needs.

 

Together, we can look at where those patterns come from and what keeps them going. We can work on setting boundaries, communicating more directly, managing the guilt that can come with disappointing others, and staying connected to yourself while being close to someone else.

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

Identity & Sense of Self

You may be good at showing up for everyone around you, but somewhere along the way, you lost touch with yourself. Maybe you have defined yourself by what you do, who you take care of, your relationships, or how well you perform. When those things change, you may find yourself wondering who you are outside of them.

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This can also happen after a breakup, divorce, career change, burnout, or a major life transition. Sometimes you look back and realize how much of yourself you've set aside to maintain a relationship, meet expectations, or make things work.

 

You may feel frustrated by the compromises you've made or uncertain about who you are now. The version of you that got you here may no longer fit, but you're not quite sure what comes next.

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Therapy can be a place to get to know yourself again. We can work on understanding your patterns, setting boundaries, managing the emotions that come with change, and figuring out what you actually want for yourself and your relationships.

Figure with a plant head looking into a mirror, symbolizing self-reflection, healing, and awareness of emotional patterns

Perfectionism & Burnout

You may be capable, responsible, and used to getting things done, but still feel like you are never doing enough. Rest can feel uncomfortable. Mistakes can feel bigger than they are. You may put enormous pressure on yourself while appearing completely fine to everyone else.

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Eventually, functioning this way can become exhausting. Therapy can help you understand what is underneath that pressure, separate your worth from your performance, and find a way of being ambitious and responsible without constantly running yourself into the ground.

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

Boundaries & Overresponsibility

You may be the person everyone depends on. You're used to anticipating what needs to be done, taking care of problems, and making sure things work out. But somewhere along the way, you may have started taking responsibility for things that were never entirely yours to carry.

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Saying no can bring guilt. Letting someone make their own mistakes can feel uncomfortable. You may understand that other people's feelings and decisions aren't yours to manage, but still find yourself stepping in.

 

Therapy can help you recognize where your responsibility ends and someone else's begins. We can work on setting limits, tolerating the discomfort that comes with changing old habits, and learning to care about others without losing yourself in the process.

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

Life Transitions & Relationship Changes

Sometimes life changes before you have had time to figure out who you are within it. A breakup, divorce, career change, move, burnout, or other major transition can leave you questioning what comes next and even who you are now.

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Therapy gives you room to process what happened while also looking forward. We can work through the emotions that come with change, identify what you want to carry forward and what you want to leave behind, and begin building a life that feels more like your own.

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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