High functioning does not mean healthy.

Therapy for high-achievers navigating anxiety, attention, apathy, and the tensions that won't resolve on their own.

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The high-achievers in my practice usually walk in with some combination of:

You’re still showing up…

You are still meeting the due dates, still connecting with for friends and family, still in the relationship, still perusing the dream career.

But you snapped at someone you love last week and it didn't feel like you. You woke up at 3 a.m. again. You sat in your car in the parking lot for twenty minutes before you could drive home. You read the same paragraph four times. You cried in the bathroom for reasons you couldn't name. You poured the second glass… and then the third.

What's underneath isn't a character flaw. It's usually anxiety, depression, attention difficulty, burnout, or some combination of all of them, carried by a high-achiever who has been compensating for too long.

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Clinical psychologist

Dr. Kathryn Esquer

I'm a clinical psychologist, and I built my practice around women like the ones I kept meeting everywhere I worked. Bright, capable, doing too much, and quietly running out of room.

I hold a doctorate in clinical psychology and an MBA, a combination that lets me move fluently between the inner life of a person and the outer life of a career, a family, and the responsibilities that come with both. My professional training has taken me through university counseling centers, integrated primary care, and organizational consulting, which means I have spent my career sitting across from women who are highly capable, deeply invested in their lives, and quietly carrying more than the people around them realize.

The people I work with are high performers. They are physicians, attorneys, executives, founders, academics, and senior leaders. They are also wives, mothers, daughters, and women in the middle of the questions a high-performing life eventually surfaces. They are smart. They are tired. They are ready to heal themselves.

My clinical work is psychodynamic, integrative, and depth-oriented. I pair scientific rigor with humanity. I take symptoms seriously and I take you seriously.

If you're curious whether this is the kind of work you've been looking for, I'd love to hear from you.

How the work actually goes

Most therapy stops at symptom management. The work I'm trained to do goes further. Anxiety, burnout, and decision paralysis are rarely the whole picture and my work is widening the frame.

As a clinical psychologist with a doctorate and an MBA, work with me is psychodynamic, integrative, and depth-oriented. I pull from a range of empirically supported methods so the work adapts to your needs.

Know a friend that I can help? Send them my info.

What this is not

  • This isn't crisis care. If you're in acute crisis, you need a different kind of support, and I'll help you find it.

  • This isn't coaching. There's overlap in what I do and what an executive coach does (I hold both backgrounds), but this work is therapy, with the depth and protection that implies.

  • This isn't advice-giving. I'm not going to tell you whether to have the baby, take the job, or leave the marriage. I'm going to help you become someone who can hear her own answer.

  • This isn't a quick fix. If you're looking for a total transformation after one session, this isn't the right room.

THE PATH TO WORKING TOGETHER

  • Step 01

    Schedule a consultation

    A conversation, not commitment

    Fifteen minutes on the phone to talk through what's bringing you here, what you've already tried, and what you're looking for now. We'll cover fees, insurance, scheduling, and any questions you have. By the end, you'll know whether this is the right fit and what your next step looks like.

  • Step 02

    Begin Together

    Your first sessions

    If we're a fit, we'll schedule your first session within the week and I'll send paperwork ahead of time so we can use our time well. The first few sessions are about clinical orientation, understanding the full picture of what you're bringing in, and calibrating our approach to meet your specific needs.

  • Step 03

    Establish a Cadence.

    Regular sessions, virtual

    We'll start by meeting weekly by secure video. Then we’ll adjust the frequency as needed to meet your changing needs. Most clients see meaningful shifts within the first months and stay for the deeper work that follows.

Frequently Asked Questions