A woman adjusts her scarf during a quiet pause at an office desk.

Getting it all done and feeling nothing

Therapy for capable adults in New York who look fine from the outside and feel empty underneath.

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Who This Is For

"High-functioning depression" isn't a formal diagnosis. It is a phrase people use for a real experience: you get up, go to work, answer every email, show up for the people who count on you, and feel almost nothing while you do it. Nobody around you would guess. Sometimes you aren't sure yourself, because you are still getting it all done.

If that sounds familiar, it counts. Being able to keep going is not the same as being well. People in this place often wait a long time to reach out, partly because they don't look like they are struggling, and partly because they are so used to managing alone.

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Signs It May Be More Than Tired

Running on autopilot
Days that pass in a blur of tasks, with very little that feels like yours.
Success that doesn't land
Hitting the goal and feeling relief for an hour, then nothing.
A private heaviness
Being upbeat with others and sinking the minute you are alone.
Losing your own taste
No longer knowing what you want, enjoy, or would choose for yourself.

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How I Work With Hidden Depression

People who function well are often skilled at overriding what they feel. That skill got them far. In therapy, we slow down enough to notice what has been overridden. Using Hakomi and somatic work, we pay attention to small signals in the body, a heaviness in the chest, a flicker of interest, a sigh, and give them room.

Psychodynamic work helps us understand why feelings had to go underground in the first place. Maybe being the capable one was how you stayed safe or loved. We don't throw out your strengths. We make room for the rest of you, the parts that want rest, play, or something that is simply yours.

More about my approach

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What Sessions Look Like

A low key first step
A free 20 minute phone consultation. You don't have to explain it perfectly.
An hour that is yours
55 minutes, weekly or every two weeks, in Rhinebeck, Hudson, or by telehealth anywhere in New York State.
Noticing what is alive
We look for small moments of real feeling between sessions and build on them.

What Can Shift

I believe the Self you started with is still intact underneath all the doing. Life dislocated you from it. It didn't destroy it.

What I hope for is that you begin to feel your own life again, with interests and preferences of your own, and the quiet sense that it is good to be you.