An organized desk with laptop and other work items. Propped against the wall and facing any occupant is a sign that says "Get shit done."

anxiety counseling for Professionals & Entrepreneurs

You’ve Mastered Professional Excellence, But You Can’t Turn Off the Anxiety

Photo Credits: Minh Pham; Unsplash

"I built the career I wanted. So why do I feel like I'm just going through the motions?"


"Why am I so stressed when everything is going well?"


"Do other people think about work this much?


"Is success supposed to feel this exhausting?"


You’ve Caught Yourself Wondering, “Is This It?” One Too Many Times…

You've built an impressive career. As a professional or entrepreneur, you’ve achieved what many people only dream of: leadership roles, financial success, respect from peers, and a track record of consistent achievement.

On paper, you have the ideal professional life: challenging projects, talented teams, growth opportunities, and the financial freedom that comes with career success. You've mastered the art of professional excellence and having your shit together.

But that’s not the full story.

What no one at work sees is how mentally exhausted you feel. Even during team celebrations and successful project launches, you're already thinking about the next deadline, the next challenge, the next potential failure. Maybe you’re even dreaming about what it would be like to take a real, restful nap–like picturing that hammock and longing for that gentle breeze

But you can't properly enjoy your professional wins because your mind immediately jumps to: "What if I can't replicate this success? What if they figure out I don't really know what I'm doing?"

Anxiety Shows Up Throughout Your Workday…

  • You received that promotion you worked toward for months – but instead of celebrating, you spent the weekend researching everything you'll need to know for your new role, worried you're not qualified.

  • Imposter syndrome has become your constant companion. You overthink every email before sending it, rehearse presentations obsessively, and second-guess decisions you're actually qualified to make.

  • You arrived at the office 30 minutes early to prep for a client meeting and had an unsettling thought: "I hope the new hires don't end up feeling as stressed as I do."

  • Sunday nights feel like a countdown to doom. The week hasn't even started, but you're already mentally reviewing your calendar, worrying about potential conflicts, and preparing for every possible scenario.

Your professional stress follows you home…

  • Your partner gets the stressed, depleted version of you. After managing teams and making decisions all day, you have little emotional energy left for intimate conversations or spontaneous connection.

  • You bring the same perfectionist standards to parenting – researching the "optimal" extracurriculars, turning family game night into a teaching moment, and feeling responsible for your child's every success or struggle.

  • Your friends see your professional success but not your exhaustion. At dinner, you deflect personal questions by asking about their lives, avoiding conversations about how work is actually affecting you.

  • Date nights become project planning sessions – discussing schedules, kid logistics, and home improvements rather than connecting as partners. Your spouse has probably said "Can we just enjoy dinner without solving anything?"

  • You struggle to be fully present at home because part of your mind is always processing work challenges, even during family time.

  • Intimate relationships feel like another area where you need to perform well rather than a place where you can truly relax and be yourself.

The Rising Physical Cost of Professional Perfectionism…

Your body is keeping score of all this professional pressure:

  • Jaw pain from grinding your teeth during stressful work periods

  • Tension headaches that coincide with big presentations or difficult conversations

  • Sleep disrupted by racing thoughts about tomorrow's meetings or next quarter's goals

  • Digestive issues that your doctor attributes to "occupational stress"

You've tried the recommended solutions: meditation apps during lunch breaks, weekend yoga classes, and better work-life boundaries. You've read the productivity books and implemented time-management systems.

But despite optimizing everything, the anxiety persists.

You’ve become too good at “having it together…”

  • At work, colleagues consistently turn to you as the reliable problem-solver. You've positioned yourself as the person who can handle anything, which means more complex projects and higher stakes.

  • In professional settings, you carefully filter what you say – "I have some concerns about this timeline" instead of the more honest "I'm completely overwhelmed and don't see how this is possible."

  • You've mastered the art of confident leadership – asking thoughtful questions in meetings, providing clear direction to your team, and maintaining composure under pressure.

I’m here to tell you: these well-practiced professional strategies are actually making you feel worse: more isolated, more pressured, and more disconnected from the satisfaction you thought career success would bring.

What you don’t need is another productivity system to “Manage” AnxietY…

I could give you a list of all the stress management techniques we'll practice together – and we both know you'd excel at them, just like everything else in your professional life.

But here's what I know: You're already exceptional at researching solutions, implementing systems, and optimizing performance.

You've read the leadership books. You've tried the productivity methods. You've implemented the stress-reduction techniques.

You DON'T need another professional development to-do list. And even though you’re probably going to ask me for one, I am absolutely not going to give it to you. Sorry, not sorry! 

The real work: transforming your relationship with professional success…

This isn't about becoming "better" at managing work stress or "optimizing" your performance even further.

It's about developing a new relationship with achievement – one where your self-worth isn't entirely tied to your next professional win.

It's about learning to value yourself beyond what you accomplish, earn, or deliver for clients and your boss (even when that boss is you).

Unlike the endless cycle of professional achievement – where each success only leads to higher expectations and bigger targets – this work creates lasting change.

We aren't just "managing work stress better;" we're fundamentally changing the relationship with success that created the anxiety in the first place.

This isn’t a temporary solution or a quick-fix. It’s a foundational, root-level change that will become your new way of being.

Here’s what that transformation looks like:

You're in a strategy meeting with a major client. They ask about your experience with a particular approach you've never actually used. Six months ago, you would've faked confidence, said you'd "look into the details," then stayed up until 2am researching to cover the gap. Now you say, "I don't have direct experience with that approach, but I'm interested in learning more about why it's important to you." The client appreciates your honesty. They explain their thinking. You realize: they don't need you to be perfect. They need you to be real and collaborative.

It's 7pm on a Tuesday and you're still at your desk. Your team finished hours ago, but you're "just tweaking" the presentation for tomorrow. Your partner texts: "Are you coming home?" The old you would've sent "Soon!" and stayed another hour, arriving home depleted. Now you save the file and close your laptop. The presentation is good enough. Tomorrow, it goes fine—exactly as it would have if you'd stayed and perfected it. You realize you just bought yourself an evening with your family that you can't get back.

Your 9-year-old asks you to play a board game after dinner. Usually you'd say yes but spend the whole game mentally reviewing tomorrow's meetings or thinking about that client email you need to send. Tonight, you put your phone in another room. You're fully present. Your kid wins and does a little victory dance. Later, as you're tucking them in, they say "That was fun." You realize: they don't need you to be perfect. They need you to be there.

A major project just wrapped successfully. Your team celebrates. Clients are thrilled. Your boss sends a congratulatory email. The old you would've allowed yourself maybe 30 seconds of relief before immediately pivoting to "What's next? How do I replicate this? What if I can't?" Now you actually pause. You let yourself feel proud. You go out to dinner with your partner and talk about the win without immediately jumping to the next deadline. The next morning, you're still competent. The success doesn't disappear because you enjoyed it.

You’re lying in bed on Sunday night and feel the familiar dread creeping in. The week hasn't started, but you're already mentally running through your calendar, anticipating conflicts, preparing for every scenario. You notice your jaw is clenched. Six months ago, you would've stayed in that spiral until you fell asleep at 1am, exhausted. Now you pause. You breathe. You remind yourself: "I'm competent. I'll handle Monday when Monday comes." You put on a podcast. You fall asleep at a reasonable hour. Monday morning, you handle it just fine.

Your partner says “You seem stressed, is everything okay?” over dinner. Before, you would’ve deflected: “I'm fine, work is just busy.” Tonight you say the truth: “Yeah, I'm really overwhelmed by this project. I'm worried I'm going to let people down.” Your partner listens. They ask questions. They can't solve it, but you feel less alone. Later, you realize: this is what intimacy actually is. Not performing competence, but sharing your reality.

You’re hiring for your team and interviewing a candidate who reminds you of yourself five years ago. Ambitious, driven, eager to prove themselves. They ask what your leadership style is like. The old you would've given them the polished answer about empowerment and growth. Now you say something more honest: “I’m learning to lead in a way that doesn't require everyone, including me, to be ‘on’ all the time. I care more about sustainable excellence than constant heroics.” They look relieved. You realize something: you’re building the kind of team culture you wish you’d had.

our sessions will be

01

Collaborative: We work together as equals – no consultant-client dynamic where you're paying someone to tell you what you already know.


02

Encouraging: You have genuine strengths beyond your professional achievements. You might roll your eyes when I point them out (that's allowed).


03

Real: I'll tell you the truth about what I observe – not corporate-speak or therapeutic jargon that sounds impressive but means nothing.


04

Strategic: We'll approach this like any other important professional project – with clear goals, measurable progress, and practical application.

Dr. Emily Fornwalt sitting outside on a windowsill
Connect with Emily
Dr. Emily Fornwalt, standing and leaning against a wall.

i’m Emily.

Welcome!

As a therapist with a PhD in counseling from the University of North Carolina at Charlotte and experience in various counseling settings (from general mental health to play therapy to teaching), I bring both clinical expertise and teaching experience to online therapy, supervision, and consultation. My expertise includes supporting parents and caregivers, adult therapy, and teen therapy, with a focus on reducing anxiety and improving relationships. I am a Level II AEDP therapist and have training in interpersonal neurobiology, advanced training and certification in play therapy, and certification in providing services online.

If you’d like to learn more about me than can fit in a short blurb, please explore the link below.


Learn more about me

about therapy for Professionals & Entrepreneurs…

Investment: Individual therapy sessions are $225 per 45/50-minute session.

My Approach: I work from an attachment and neuroscience framework, which means we focus on deeper, lasting change rather than quick fixes. Most professionals see significant changes in their relationship with work stress over 6-12 months of consistent work together.

What makes this different: Unlike productivity coaching or stress management techniques, this work addresses the underlying beliefs and nervous system patterns that create professional anxiety in the first place.

Availability: Currently accepting 2-3 new professional clients for the rest of 2025.

how to get started in Therapy…

  1. Schedule your first session using the link below

  2. Complete intake paperwork (submit 24 hours before your appointment)

  3. First session focus: Comprehensive assessment of your professional stress patterns, relationship dynamics, and therapy goals

  4. Ongoing work: Weekly 50-minute sessions focusing on transforming your relationship with achievement and success

Schedule Your First Session: Booking Page | Call/Text: 423.281.4098 | Email: emily@alignedcounseling.com

Stop surviving your success and start thriving in it. Your first session is one click away.

FAQs & Logistics…

Here you can find detailed instructions on how to get started working together, how we proceed, and what you can expect.

First, important things to note:

  • I only work exclusively online and no in-person appointments are available. 

  • I am not in network with any insurance plans and do not provide documentation for out-of-network reimbursement. There are many reasons for this, and I am happy to answer any questions you may have. 

  • I offer primarily 45/50-minute sessions at a rate of $225 per session. 60-minute sessions may be available at a rate of $300. These are subject to availability on a case-by-case basis.

  • For intake sessions, I am available Mondays-Thursdays from 10:00-5:00. I am available for ongoing sessions Tuesdays-Thursdays from 10:00-5:00. I do not have evening or weekend availability. With regard to ongoing session availability, I cannot guarantee the availability of specific times or days based on openings you may see in my online calendar; availability there does indicate recurring availability. One of my values is to have some schedule flexibility for current clients so that when they need to make schedule adjustments, I am more likely to be able to do so. As such, an available slot does not equal the ability to put a regularly occurring appointment in that slot. If you have specific schedule needs, please reach out to confirm that I’d be able to accommodate them prior to completing an initial session.

  • Once you have decided that you’d like to proceed with scheduling with me, you can mosey over and check out my lovely contact page. Here you can click the “Schedule your first session” button located at the center of the page. This will take you to my self-scheduling option. This allows you to look over my calendar and select a time that works for you. You can schedule up to 3 weeks in advance, as long as you are at least 3 days before the date you’d like to choose. It’s important to note that this first session will be a longer (90-minute) intake session. The cost is $275.

  • Scheduling in my online calendar will send a request for the specific appointment you’ve selected and reserve it for you. I typically confirm appointments within 24 hours, excluding weekends, holidays, and times I am out of the office on vacation. After I confirm your appointment, you will receive an email from Sessions Health.

  • After you receive the confirmation, keep an eye out for three more emails. (I know! I bet you already get plenty, but I promise we just have to do this stuff once!) You will get an email welcoming you to therapy and outlining what you can expect; this will come directly from me. In addition, you will get one from Sessions Health and Aligned Counseling and Supervision; this contains your invitation to the client portal; this is where you will complete all required paperwork, which I need back 24 hours prior to our scheduled time in order to keep your appointment and avoid automatic cancellation. Finally, you will get an appointment “reminder” that will contain your telehealth link.

  • Once you’ve set up portal access, you will have just three documents to review and sign. Please note that you can sign out and progress will be saved. You may want to set aside a little time to really read these over as they have a good bit of information relevant to our work together. Documents include: the informed consent, the HIPAA privacy practices, and information about my policies for electronic communication. Please let me know if you have any questions by emailing me. After signing those you will have some demographic questions and the opportunity to tell me just a bit about what brings you to therapy.

  • Once you have set up your portal and I have a phone number, keep an eye out for a text from IvyPay. This is where you will enter your credit card information for me to charge for your sessions. I use IvyPay so that I don't have to personally handle any of your credit card information. IvyPay is a third-party HIPAA-compliant payment processor that takes care of it for me.

  • Most clients are nervous the first time they attend counseling, even if it's just the first time with a new person. If you’ve never been before, you may not know what to expect and may have many TV or movie references for what it’s like. Trust me, they’re probably inaccurate. You may think you’re required to tell me ALL the things or that I will ask probing questions to get to the root of everything. That’s not what happens either. We will still be getting to know each other. In our first session, I will gather information about your concerns, the history, what you’d like to get out of counseling, and any other things you think are relevant. We will get a general idea of direction, but it will take us time to get to know each other. This one is a little different from the others, as a lot of our time will be spent getting me up to speed on your life and concerns. Things shift after that…stay tuned.

  • It’s important to know that the completion of this initial session is not a guarantee of working together. If it ends up not working, I will do my best to help you find another provider to meet your needs. A few things that might result in us not working together include, but are not limited to:

    • You decide that we are not a good fit. 

    • I am not the most appropriate person to help you with your specific needs. 

    • You need a specific time slot and it is not available. (Avoid this by checking with me ahead of time!)

  • Once you are ready to move forward, we will get your regular appointments set up. You will be scheduled for the same recurring time slot. These are either weekly or bi-weekly depending on your needs and availability. As we get to know each other during sessions, we will determine how we will know if things are getting better. I imagine that you have checked out who I am throughout my website, so you probably already know the following info. However, it’s probably worth saying again that I very much value talking explicitly with my clients about their experience of therapy with me, rather than assuming I know what they are feeling or experiencing, or what's best for them. This means I'll regularly ask you about what is going well in our therapy work together and if there's anything we should do differently. I am not a highly directive therapist, so our sessions will focus on what you need to get out of them each time. I provide some prompts about what we’ve been exploring or your general goals, but invite you to settle in and consider how we can take care of you in our session that day.

  • When we get to a point where you’re feeling confident in what you’ve learned and are practicing, we can discuss reducing frequency (if you started weekly) or wrapping up altogether. There may be the option to reduce from bi-weekly to monthly sessions, but these are available only on a case-by-case basis, scheduled week-of, and cannot be guaranteed.

  • Please feel free to email me! I usually respond within 24 hours Mondays-Fridays.

Book your session

Schedule a session

because, at the end of the day:

you—with your zoomy brain, heavy heart, & tired soul—deserve peace.

Let’s get started…

Contact me

Complete this form and I’ll be back in touch via email or text usually within 1 business day.


Call or Text

423.281.4089

Email

emily@alignedcounseling.com

office mailing address

404 S Roan St., Johnson City, TN, 37604