Counseling for Teens

counseling-for-perfectionism

Why is this so hard???? Am I the only one who feels like this?

To everyone on the outside, you look like you have it all together: good grades, sports teams and clubs, and just generally “put together.” People look up to you (but you’re pretty sure they wouldn’t, if they only knew how much effort it takes you).

Internally, it’s a different story. You’re stressed and overwhelmed a lot of the time. You are trying to do everything at 100% and make sure you meet everyone’s expectations (including your own). 

When you get to school in the mornings, everyone sees you as ready to slay the day: you’re super organized and on top of things; you raise your hand and offer answers to all your teachers’ questions; your makeup is on point…your cat eye is sharp enough to kill a man; your lines are all memorized; you know every play in the coach’s book; you’re the team captain…for basketball and debate; and no one sees you sweat.  

But internally, you felt the pressure mounting before you even left the house. Your mind has been reviewing the day’s responsibilities over and over again – your Spanish presentation, your track meet after school, and your college essay deadline approaching.

The pressure is a lot.

But no one would describe you as stressed. Nope, not you. Your teachers and coaches only see you as a confident, smart, and capable young person who has huge potential.

What they don’t see are the things you tell yourself, like…

  • "That was just luck. Next time they'll see I'm not really that good."

  • "That mistake is going to cost us the game, and it's all my fault."

  • "I've been staring at this AP Calc problem for 20 minutes. Anyone else would have solved it by now."

And they definitely don’t see the panic attack you had in the bathroom last week between English and Geometry or you pretending like everything was fine when you felt like throwing up before your last competition.

Once you’re successful in the current activity, you feel some relief. And then the anxiety and worry pick back up about the next big task.

When you get home, it’s really hard to turn your mind off and just…rest. (Rest? We don’t know her.) Instead, your brain jumps between wondering what kind of grade you got on your American Lit essay, and dreading your upcoming group project (because you’ll end up picking up someone’s – everyone’s? – slack).

Friend, you’re tired. But it’s really hard to sleep!

And your parents have noticed you seem stressed and tired. They care about you and say things like…

  • “That B+ won't define you. I know it’s important to you to be successful. I just want you to feel less stressed.”

  • "I've noticed you seem overwhelmed lately. Maybe talking to someone could help you manage the pressure better."

  • "Your brother struggled with anxiety in high school too, even though he didn't show it. We should have gotten him help sooner."

You appreciate that they care, but you still feel the pressure to perform at your best. Their concern sometimes makes you feel like you shouldn’t be struggling.

Even with their support, something just feels off… You feel kind of empty even though you should feel fulfilled and proud of yourself. You feel exhausted when you should feel excited. And you think your success is a fluke—that people won’t really like you if they knew how hard you have to work to pull it off, and how overwhelmed you really are.

You might be able to deal better with the stress and overwhelm if you had someone in your life who really got you. Your parents are trying to understand, but they still expect you to achieve. People see your confidence, ability, and potential, but they don't actually see YOU.

You don't want to be told to just drop activities or care less about school – that's not realistic. But you also can't keep feeling this way. You need someone who understands, but also isn't invested in your success in the same way your parents are – someone who can help you figure out what YOU really want.

Basically, you want help figuring things out, but you don’t want someone to brush off your feelings or tell you what to do.

That’s where I come in.

What if you could breathe again? Get some decent sleep? Enjoy time with your friends without that voice in your head counting all the things you should be doing instead?

Picture this:

  • You go into that AP exam and you know it will be hard – I mean we are not trying to pretend high level academics aren’t stressful – but instead of the panic attack in the bathroom, you’re able to settle your nerves and focus. You’re realistic, but confident. You know perfection isn’t required for high-level success.

  • You settle down to bed (yeah it’s late, but not that late)  and you actually fall asleep within 20 minutes – instead of lying awake for hours with your mind racing through tomorrow's to-do list. You have tools to quiet those thoughts and actually rest.

  • You develop the confidence to ask for help when you need it – from teachers, coaches, friends, or your parents. Rather than criticizing yourself for it, you recognize that seeking support is actually a strength that high achievers use strategically.

  • You can fully enjoy downtime with friends – whether it's gaming, watching movies, grabbing coffee, or just hanging out – without the nagging feeling that you should be studying instead. You're enjoying the moment, rather than mentally off somewhere else.

  • You maintain your ambition and standards, but with a healthier inner voice. The voice that says "never good enough" gets replaced with one that celebrates your efforts and recognizes your accomplishments. You become proud of yourself.

  • You and your parents find a better balance – they still support your goals and achievements, but you all have new ways to talk about pressure, expectations, and what success really means for YOU.

…I mean, yeah, you’re still dealing with all the ups and downs of being this age, so you’re allowed to flip out now and then, but the flips feel manageable and don’t ruin your entire week. 

Your ambition and work ethic don't disappear in therapy. 

You can still be that high-achieving, impressive student – but without the anxiety threatening to derail everything you've worked for.

Ready to talk? Let's work together to find that balance.

Hello, parent(s)!

While my primary relationship will be with your teen, I want you to know that I see you, too. I understand your concerns as a parent trying to balance supporting your teen's achievements and their mental and emotional health.

You want your teen to have sustainable success without sacrificing their wellbeing…

You want your teen to continue excelling in their AP classes, maintain their position as team captain, and build an impressive college application.

But you've noticed the toll it's taking – the dark circles under their eyes, the increasing irritability, the perfectionism that keeps them rewriting papers until 2 am.

You value your teen's mental and emotional health as much as their achievements. You want them to learn that taking care of themselves isn't just allowed – it's essential for long-term success!

You picture your teen staying passionate about their interests and activities, rather than becoming exhausted by them. You imagine them having the wisdom to occasionally say “no” to commitments when they need rest, without feeling like they've failed.

You want your teen to develop ways of handling their anxiety…

When your teen had that panic attack before the debate tournament, you felt helpless. You want your teen to learn how to manage their anxiety in ways that actually work – whether it's thought reframing skills or better time management approaches.

You want your teen to walk into that AP Calculus exam with healthy confidence, not paralyzing anxiety. You imagine your teen having a bad day but bouncing back quickly, rather than spiraling into self-criticism for days.

You want both mental health AND achievement for your teen…

You've seen other high-achieving students crash hard when they have an inevitable setback. You remember how your eldest struggled with perfectionism in high school, and you worry your teen might be following the same path.

You want your teen to handle disappointment in a healthy way – to see that B+ in Chemistry as information and feedback, rather than a failure. You picture your teen being able to celebrate their achievements instead of immediately worrying about the next hurdle.

You want better communication with your anxious teen…

You get concerned in those moments when your teen snaps, “You don't understand!” or shuts down when you try to discuss college plans. You notice how your teen sometimes pretends everything's fine – even when you can tell it's not.

You want to talk about expectations and pressure in a way that is supportive to your teen, and doesn’t make your teen feel even more pressured. You imagine family discussions about the future that don't end in tension, eyerolls, or tears.

You want professional guidance that complements your parenting…

You've tried saying all the right things – “Your worth isn't just about your grades,” “It's okay to make mistakes” – but they don't seem to sink in when coming from you. Sometimes your concern is misinterpreted as pressure.

You want a therapist for your teen who understands the importance of achievement, but also values mental health. You picture the therapist as a trusted guide who can help your teen internalize healthy perspectives that they might not fully hear or internalize when coming from you.

You want your teen to be happy, not just accomplished…

You've noticed how your teen doesn't seem to enjoy their successes. After winning the debate tournament, they immediately worried about the next competition rather than celebrating. Your teen’s room is filled with trophies and certificates that barely get glanced at.

You want them to find genuine satisfaction in their hard work. You imagine them feeling proud of their efforts regardless of outcome, and occasionally being able to relax without guilt. You want them to build a healthy relationship with achievement that will serve them throughout adulthood because it includes prioritizing mental health.

Teen facing camera with slight grin. Parent with arm on teen's shoulder looking at teen.

I’m here to help.

I know it's hard to entrust another person, about whom you know very little, with the job of helping your teen. This stage of growing independence is normal, but also challenging to navigate as a parent. You worry and want to hold them close, but know it's time to start letting go.

Imagine having someone who would alert you if your teen was in real danger, but otherwise would help them learn to problem-solve independently and communicate with you effectively—someone without the "parent energy" but who still cares deeply about both your teen and you.

This is where I come in. I provide your adolescent with a safe, confidential space while helping you both navigate these challenging times successfully.

Important note about confidentiality: I maintain strict confidentiality with your teen's sessions. I will only share information if there is imminent risk of harm. If you're looking for a therapist who routinely reports session content to parents, I'm not the right fit.

Imagine less stress, more smiles (I mean, count carefully—we're still dealing with hormones here!). Seriously, things can be better.

With my creative, collaborative, and respectful approach, we'll work together while honoring your teen's growing independence. You will not just survive adolescence – you'll both thrive through it

Let’s get started!

Photo Credits: Christian Erfurt (teen in blue hoodie), Joice Kelly (teen sitting on the floor), jeshoots.com (teen at computer) on Unsplash, & Ron Lach (teen with parent figure) on Pexels

Our sessions will be:

  • Collaborative

    We will work together. You’re the expert on you. I’m the facilitator of change.

  • Encouraging

    Whether you know it or not, you have strengths. We will build on those.

  • Real

    I’ll be honest with you. I’ll show up and engage in the process as the real me.

  • Even fun

    This may surprise you, but counseling can (and should) be fun. Yes, it’s work. Yes, it can be hard. But humor and fun are healing.

How to get started:

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

I would recommend grabbing a parent/legal guardian (I will use parent from here forward inclusively) and looking this over together. Parents, you are free to proceed through these steps on your own, but I recommend grabbing your teen!

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-minute sessions at a rate of $150 per session. 60-minute sessions may be available at a rate of $195. 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.

  • You must have 150 supervision hours, 50 of which can be group if you choose. 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. I’d suggest checking with a parent here because, unless you can legally consent to therapy on your own, I require you and your parent(s) to be available during the first session. Please use your (teen’s) email address to register for the portal account. Don’t worry, parents…you will get your own access to the portal, too! More to come on that. 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. I need you to do this even sooner, because I need your parent’s paperwork back 24 hours prior to our appointment, too, and their ability to access the portal depends on you giving me your info first. So, go ahead and register ASAP. 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. Two things to note here: 1) this where you will give me your parent’s information so that I can get them registered in the portal and 2) it is most likely that your parent has to legally sign these documents, but I still want you to have access so you can have all the information you need to make decisions about therapy! 

  • Oooh. Great question. And it’s really hard to choose. But I can be overheard saying some form of the following with regularity:

    • “You keep using that word. I do not think it means what you think it means.”

    • “These aren’t the _______ [droids] you’re looking for.”

    There are probably more. If you decide to work with me, you can point them out!

  • After you’ve registered for the portal, and I have your parent’s information, I will send them an invite where the rest of the legal paperwork will need to be completed. Parents, 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.

  • Great question. Don’t worry!!!!! Parent/guardian portal access does not grant access to teen information. These are separate.

  • Once you and your parent have set up your portals, your parent can keep an eye out for a text from IvyPay. This is where your parent will enter 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. If you need different payment options (e.g., two parents splitting the cost), please reach out directly to let me know what is needed. I will do my best to accommodate.

  • With my teen clients, I usually spend some time with just the parent(s) first. The amount varies, depending on the parent(s). I find this helpful, because I can get their perspective as well as yours on what’s going on. It’s my goal to also have some time to spend with everyone, but sometimes that first session flies by. If I don’t get enough time with you, you and I can always pick up the conversation at our first regular session. Don’t worry, though, after this session, even though I communicate with parents, I only talk to them about things we agree upon or in an emergency. 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!)

  • One? Yikes. Pasta, tacos, Girl Scout cookies, pancakes, biscuits? How do I choose? Hmmm. Thinks carefully and searches for a loophole. Tacos are versatile, and maybe that’s the loophole; there are breakfast tacos, dinner tacos, large tacos, complex tacos, simple tacos. But really, truly, it’s pasta I could never give up!

  • 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.

  • I do check in with parents and work with them, but I am adamant about your confidentiality. That means that I won’t be sharing things with them that you tell me in sessions. With your permission though, I might give them pointers about how they can support you or, even better, help you figure out how to talk to them about that! But what’s most important to understand is that, I won’t talk to your parents about anything other than an emergency without your permission/agreement about what will be discussed.

  • 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.