Adult pausing with keys and a checklist before leaving home, reflecting awareness of patterns

Patterns are repetitive behaviours, thoughts, or emotional reactions that develop over time and are often connected to underlying beliefs. Whether we realize it or not, patterns shape the way we respond to situations, interact with others, and see ourselves. The more we repeat a behaviour or thought process, the more our brain accepts it as normal or true.

Patterns
Self-awareness
Underlying beliefs
Healthier habits

How Patterns Work

For example, someone may believe that every time they walk a certain route home, they always trip over the same uneven piece of sidewalk. Instead of changing their route or paying closer attention, they continue to walk the same way and expect the same outcome. Over time, the belief becomes reinforced: "I always fall there." This is how patterns work. They repeat themselves until we become aware enough to interrupt them.

Sidewalk with an uneven paving stone and a branching path, symbolizing awareness of repeated patterns

Positive and Negative Patterns

Not all patterns are negative. Some patterns can improve our quality of life and support our well-being. Regular exercise, maintaining healthy relationships, practicing self-care, or connecting with loved ones are all positive patterns that can increase happiness and emotional stability. However, many patterns can also become limiting or destructive.

Some common negative patterns include:

  Entering unhealthy or destructive relationships
  Procrastinating
  Avoiding exercise or healthy habits
  Being chronically late
  Overcommitting
  People-pleasing
  Perfectionism

Even when these patterns create stress or unhappiness, people often continue repeating them because they are deeply rooted and largely unconscious.

Where Patterns Begin

Many of our patterns begin in childhood. The way we were raised, the experiences we had, and the messages we received from parents, society, and the media all contribute to how we see ourselves and how we behave. From a young age, we begin forming beliefs about our worth, safety, acceptance, and success. These beliefs can follow us into adulthood and influence our decisions without us fully realizing it.

A gentle place to start

If a repeated pattern is affecting your mood, relationships, or daily life, a therapist can help you explore it without judgment. You can use GoodTherapy’s directory to find a therapist who fits your needs.

A Personal Pattern Example

I recently became more aware of one of my own recurring patterns with the help of my partner. Sometimes the people closest to us can recognize behaviours that we cannot easily see ourselves. My pattern involves rushing around at the last minute before leaving the house. Looking back, I realize I have done this for years.

Before going somewhere, I often start multiple unnecessary tasks that suddenly feel urgent. I might begin doing dishes, vacuuming, or starting laundry even though I know I do not really have enough time. The result is always the same: I feel stressed, rushed, and overwhelmed.

At first, I thought I simply struggled with time management. However, after reflecting more deeply, I realized there was a belief underneath the behaviour. I had developed a fear of being judged if my house was not perfectly clean. Once I became aware of this belief, I started to better understand why I kept repeating the same stressful pattern.

Notice the belief underneath

A pattern often makes more sense when you can see the belief, fear, or pressure beneath it. That awareness can make the next choice feel a little more possible.

Awareness Creates Choice

Awareness has allowed me to begin making different choices. Instead of automatically reacting to the anxiety I feel, I can pause and ask myself what is truly important in the moment. I still struggle with this pattern sometimes but recognizing it has helped me approach it with more intention and self-awareness.

Even while writing this, I can relate to the challenge of balancing priorities. My workspace may not be perfectly organized, I may want more time to exercise, and there are always other tasks competing for attention. However, understanding my patterns helps me decide what truly matters instead of reacting automatically out of stress or fear.

Patterns are deeply rooted and changing them takes time. The first step is becoming aware of what is no longer working in your life. Once we identify the behaviours and beliefs that keep repeating, we can begin making conscious choices that support healthier habits and healthier relationships with ourselves and others.

Awareness creates choice. When we understand our patterns, we are no longer stuck repeating them automatically. Instead, we gain the ability to create new patterns that better align with the life we want to live.

Frequently Asked Questions

Common questions about recognizing patterns and making small changes.

Q: What are patterns in behavior and thinking? +

A: Patterns are repeated behaviours, thoughts, or emotional reactions that develop over time. They can shape how a person responds to situations, relationships, and self-understanding.

Q: Are all patterns negative? +

A: No. Some patterns, such as regular exercise, self-care, and connection with loved ones, can support well-being. Patterns become a concern when they repeatedly create stress, unhappiness, or disconnection.

Q: Why do patterns keep repeating? +

A: Patterns can be deeply rooted and largely unconscious. They may be connected to earlier experiences, repeated messages, old beliefs, or familiar ways of responding to stress.

Q: What is the first step in changing a pattern? +

A: The first step is becoming aware of what is no longer working. Awareness creates choice, which can make it possible to respond with more intention instead of repeating the same automatic response.

Sources and Further Reading

  PMC: Habit and Health-Related Behavior
  NCBI Bookshelf: Cognitive Behavior Therapy
  NIMH: Psychotherapies
  GoodTherapy: Self-Compassion and the Inner Critic
  GoodTherapy: Core Beliefs and Mental Health
  GoodTherapy: How to Stop Procrastinating
  GoodTherapy: People-Pleasing Behavior

Support for New Patterns

Therapy can help you explore repeated patterns and practice new responses with more compassion and support.

Find a Therapist Near You >

Bobbie Cochrane, MC, RSW, CCP

About the Author

Bobbie Cochrane, MC, RSW, CCP

Registered Social Worker in Airdrie, Alberta

Bobbie Cochrane, MC, RSW, CCP supports people navigating trauma, anxiety, depression, grief, life transitions, and stress management. Her work emphasizes a compassionate, goal-focused process that helps people move forward while making sense of the experiences that shaped them.

Her approach may include EMDR, mindfulness, cognitive behavioral therapy, hypnosis, and self-awareness practices. In this article, she reflects on how recognizing repeated thoughts, feelings, and actions can help people approach change with more intention and choice.

View Bobbie Cochrane’s GoodTherapy Profile >

Person looking at a phone beside a journal, representing social media nervous system stress

Remember when we called it the information superhighway? That is what it was, back when the internet first showed up. The deal felt simple: you logged on, looked things up, learned something, and left. Now, the feed can reach past your willpower and into your social media nervous system response before you even realize what happened.

Social media nervous system
Doomscrolling
Vicarious trauma
Attention boundaries

And then something happened.

The superhighway became a supermarket. Everything is for sale now. The cost is not just money. It can be your emotional energy, your time, your relationships, your sanity, your regulation, and your ability to sit in a quiet room for five minutes without reaching for the glowing rectangle in your pocket.

Let us talk about what happened, why it matters, why it is not your fault, and what it can look like to get your ground back.

Key insight

The problem is not that you are weak. A social media nervous system response often begins because the feed is designed to bypass reflection and keep the body on alert.

Two Different Harms, One Nervous System

When we talk about “media,” we usually mash together two very different things your body has to deal with.

Stream one: the algorithm

Short videos. Edited photos. Stuff designed to make you mad. Comments built to keep your thumb moving. All of it made to get past your willpower and light up dopamine. It is not an accident that stopping feels hard. It was built that way.

Stream two: the suffering

Graphic images of war, violence, political chaos, and people in pain. You did not sign up to witness any of it. Your feed served it up anyway.

There is a clinical name for what can happen when we are exposed to suffering that is not ours over and over: vicarious trauma or secondary traumatic stress. In a study on media-induced secondary trauma during the COVID-19 pandemic, Lamba et al. (2023) explored how repeated media exposure can affect mental health during collective crises. This used to be something we talked about mostly with therapists, nurses, and first responders. Now, thanks to smartphones, many more people are exposed to other people’s pain again and again.

Both streams, the addictive and the disturbing, move through the same nervous system. That is the part most people miss.

Your Body Does Not Know It Is Just a Phone

Your nervous system was built for real threats. The kind that show up, get handled, and go away. It does not know what TikTok is. It cannot tell the difference between a bear and a shaky video of a bombing. It cannot tell the difference between friends laughing at your joke and bots boosting a stranger’s comment section.

It reacts to what it sees. Every time.

Heart rate up. Chest tight. Breath shallow. Cortisol dumping. That is supposed to happen briefly: burst, resolve, safety. But scrolling breaks that rhythm. Threat, threat, threat. Comparison, comparison, comparison. No resolution. No off switch. No “it is over now.”

Your body may think you are still in the woods with the bear, hours after you put the phone down.

And the research keeps piling up:

  • A systematic review and meta-analysis found that problematic social media use is linked to higher rates of depression, anxiety, and stress in adolescents and young adults (Shannon et al., 2022).
  • A meta-analysis linked use of social networking sites with self-reported depressive symptoms, with particular concerns around passive or comparison-based use (Vahedi & Zannella, 2021).
  • The World Health Organization reported that problematic social media use among teens rose from 7% in 2018 to 11% in 2022, alongside lower overall well-being (WHO, 2024).
  • Excessive screen time has been discussed in relation to changes in brain structure, sleep disruption, attention, and stress regulation (Stanford Lifestyle Medicine, 2024).

So no, it is not just you. It is not only in your head. A social media nervous system response can show up in the body, and it is measurable in sleep, attention, mood, and tension.

A grounded way to think about trauma exposure

If distressing content keeps following you into sleep, relationships, work, or your body, it may help to learn more about how trauma can shape nervous system responses.

What It Looks Like When It Is Wearing You Down

The harm builds slowly. That is why most people do not connect the dots. They just notice something is off.

See if any of this lands:

A quick self-check

  • Sleep that does not feel like rest, even when you get eight hours.
  • A low hum of worry that eases the second you pick up your phone and comes right back when you put it down.
  • Things that used to bring joy feel oddly flat.
  • You cannot sit with your own thoughts for more than a minute without reaching for something.
  • Cycles of anger and guilt leave you drained.
  • Bitterness creeps into places it did not used to live.
  • Comparison makes your actual life feel smaller than it is.
  • Tension gathers somewhere in your body: jaw, shoulders, stomach, chest.

If a few of those hit, you are not broken. You are a person responding the way a person is supposed to respond to a world you were never built to absorb at this speed.

Change the Design, Not Just the Behavior

Here is the trap. People try to use willpower against apps built to get past willpower.

Guess who wins that fight.

The move is not to try harder. It is to change the design.

Phone beside a journal, pen, water, and plant, representing a calmer boundary with social media

Practical reset

A design-first reset

Use these as experiments, not as proof that you are doing mental health correctly.

1 Audit before you adjust. Pull up your screen time. Do not judge it. Just look. Which apps eat the most hours? When do you reach for your phone? What were you feeling right before? This is data, not a confession.
2 Create distance, not deprivation. Deleting an app for 24 hours is worth more than six promises to “scroll less.” Turn off notifications, move social apps off your home screen, and put the phone in another room at night.
3 Set a news perimeter. Pick one time a day to check. Mute keywords that send you spiraling. You can stay informed without being soaked. Caring is not the same as watching.
4 Ground yourself when the damage is already done. The 5-4-3-2-1 exercise works because it pulls your body back to the present, which is the only place safety actually lives.
5 Ask your thoughts a different question. When something from your feed loops in your head, try: Is this a fact, a fear, or a feeling? Naming it does not make it disappear, but it puts a little air between you and it.
6 Move it through your body. Vicarious trauma does not just live in your head. It can live in your muscles, your gut, your jaw. Walk it out. Stretch. Dance to one song. Step outside for ninety seconds.
7 Replace it, do not just remove it. A nervous system running on stimulation will feel weird without it. Plan what fills the gap: text a real friend, read ten pages, sit on your porch. The first few days can feel loud in their quiet. Then it starts to feel like rest.

When self-kindness helps the reset stick

A feed boundary works better when it is not fueled by shame. If your inner critic gets loud, this GoodTherapy article on self-compassion and the inner critic may be a useful companion.

Try this now: 5-4-3-2-1

Name five things you can see, four things you can hear, three things you can feel, two things you can smell, and one thing you can taste.

This does not erase the content you saw. It helps your body locate the present moment, which is the only place safety can register.

Put Your Own Oxygen Mask On First

There is a reason flight attendants tell you to secure your own mask before helping the person next to you. A person who has run out of air cannot help anyone else breathe.

Research on caregivers points to a similar reality. Compassion fatigue and burnout are serious concerns among health care professionals, and ongoing research continues to examine how overexposure to distress and depleted regulation can affect people who care for others (Capobianco dos Santos et al., 2025).

Stepping back from media is not selfish. It is not giving up either. It is what lets you stay connected to the people and causes you love without becoming a casualty of the feed.

Support can make the pattern easier to change

If social media nervous system stress is affecting your sleep, relationships, or sense of safety, you can find a therapist through GoodTherapy and talk through what is happening without shame. If you are unsure where to start, GoodTherapy’s guide to finding the right therapist can help you think through fit.

What Comes Back

People who try this often notice the same thing. The first week is weird. Quieter than expected. Sometimes a little lonely. You may pick up your phone out of habit and put it back down. That is not relapse. That is recalibration.

Then something shifts. Sleep gets deeper. Thoughts come back online. Creativity sneaks in. Conversations go longer. The body settles into a kind of safety it had not felt in a long time.

You do not have to throw your phone in the ocean. You just have to stop letting it think for you. Your attention is one of the most valuable things you have. You are allowed to protect it.

Frequently Asked Questions

Common questions about feed stress, body cues, and getting help.

Q: Can social media affect my nervous system? +

A: It can. Social media can expose you to comparison, conflict, rapid novelty, and distressing content in quick succession. Your body may respond with stress signals even when the threat is not physically present.

Q: Is it vicarious trauma if I only saw the content online? +

A: Repeated exposure to others’ pain through media can contribute to secondary stress for some people. That does not mean every distressing post causes trauma, but it does mean your reaction deserves care and context.

Q: How do I stop doomscrolling without relying on willpower? +

A: Change the design first. Move apps, turn off notifications, set a news window, keep the phone out of the bedroom, and plan a replacement activity before you remove the old habit.

Q: When should I talk with a therapist? +

A: Consider therapy if scrolling is affecting sleep, relationships, work, mood, or your sense of safety. A therapist can help you understand what the feed is activating and build steadier ways to respond.

References

Capobianco dos Santos, C. G., Santos Neto, M. F., Carvalho, S. R. P. V. T., Furlani, M. R., Martins, C. C., Santos, E. R., Menezes, J. D. S., Silva, M. Q., Santos, L. L., Molina, T. C., Castro, N. A. A. S. R., Cristóvão, H., Santos Júnior, R., Brienze, V. M. S., Lima, A. R. A., Fucuta, P. D., Vaz-Oliani, D., Domingos, N. A., Miyazaki, M. C., . . . André, J. C. (2025). Compassion fatigue and burnout among health care professionals: Protocol for a scoping review. JMIR Research Protocols, 14, e66360. https://doi.org/10.2196/66360
Lamba, N., Khokhlova, O., Bhatia, A., & McHugh, C. (2023). Mental health hygiene during a health crisis: Exploring factors associated with media-induced secondary trauma in relation to the COVID-19 pandemic. Health Psychology Open, 10(2). doi: 10.1177/20551029231199578
Shannon, H., Bush, K., Villeneuve, P. J., Hellemans, K. G. C., & Guimond, S. (2022). Problematic social media use in adolescents and young adults: Systematic review and meta-analysis. JMIR Mental Health, 9(4), e33450. https://doi.org/10.2196/33450
Stanford Lifestyle Medicine. (2024). What excessive screen time does to the adult brain.
Vahedi, Z., & Zannella, L. (2021). The association between self-reported depressive symptoms and the use of social networking sites (SNS): A meta-analysis. Current Psychology, 40(5), 2174-2189. https://doi.org/10.1007/s12144-019-0150-6
World Health Organization. (2024). Teens, screens and mental health.

Protecting Your Attention Is Care

If your feed keeps leaving your body on alert, support can help you sort through what is being activated and what needs to change.

Find a Therapist Near You →
Griffin Oakley, Licensed Mental Health Counselor

About the Author

Griffin Oakley

MSCP, NCC, LMHC, LPC

Griffin Oakley, MSCP, NCC, LMHC, LPC, is a licensed therapist specializing in trauma, CPTSD, attachment, and identity work. His work focuses on helping adults make sense of overwhelming inner experiences with more steadiness, self-understanding, and practical support.

He provides telehealth therapy to adults throughout Florida through Curious Mind Counseling, where he supports clients navigating trauma recovery, nervous system stress, and relationship patterns.

View Profile >

A person carefully trimming a hedge, illustrating perfectionism, high standards, and the pressure to make every edge exact

Perfectionism can look like ambition, discipline, and drive. It can also feel like living under a never-ending report card, where every project, grade, performance review, relationship moment, and even appearance is scored, judged, and never quite enough.

Perfectionism
High standards
Self-criticism
Healthy striving

In This Blog

  Why perfectionism feels exhausting
  What causes perfectionism
  Healthy striving vs. perfectionism
  How to loosen perfectionism
  FAQ

Key insight: Perfectionism is not simply caring a lot. It is often a strategy for staying safe from criticism, rejection, shame, or the fear of falling short.

Psychology writers often describe perfectionism as a trait that can be motivating in healthy doses, yet deeply distressing when it becomes rigid and fear-driven. The goal is not to stop having standards. The goal is to build standards that are flexible enough to leave room for learning, connection, and a full life.

Why Perfectionism Feels So Exhausting

Extreme perfectionism tends to focus less on pursuing success and more on avoiding failure. That “do not mess up” orientation can create chronic tension, harsh self-criticism, and the sense that love, belonging, or acceptance must be earned through flawless performance.

Over time, this can make ordinary decisions feel high stakes. A work email becomes a test of competence. A social interaction becomes proof of whether you are likable. A mistake becomes evidence that you are failing as a person. That kind of pressure can keep the nervous system on alert, and the American Psychological Association notes that ongoing stress can affect the body, mood, and behavior.

What Causes Perfectionism?

Perfectionism is often fueled by internal pressure, such as a fear of making mistakes, being judged, disappointing others, or losing approval. Culture matters, too. A large meta-analysis of college students in the United States, Canada, and the United Kingdom found that multiple forms of perfectionism increased from 1989 to 2016, suggesting that younger generations may be feeling more pressure to be perfect, expecting more of themselves, and sometimes demanding more from others.

You can see this pressure in achievement culture, social comparison, family expectations, trauma histories, school or workplace environments, and messages that equate productivity with worth. For some people, perfectionism and childhood trauma can become connected when being “good,” quiet, successful, or in control once helped them feel safer.

Pause and name the pressure

If perfectionism is leaving you anxious or stuck, it may help to ask, “What am I afraid this mistake would mean about me?” For support with anxiety that hides behind productivity, see High Functioning Anxiety.

Signs Perfectionism May Be Taking Over

Perfectionists often set unrealistically high expectations for themselves, and sometimes for others. They can be quick to spot flaws, overly critical of mistakes, and prone to procrastination because starting or finishing means risking imperfection.

Common perfectionism signals

  • Rewriting, rechecking, or delaying work long after it is useful.
  • Dismissing compliments or moving immediately to what could have been better.
  • Feeling intense shame after ordinary mistakes.
  • Relying on achievement, appearance, status, income, or approval to feel okay.
  • Avoiding risks, creativity, rest, or connection because the outcome cannot be controlled.

Perfectionism can also show up as procrastination. When the standard is “excellent or worthless,” the safest option may seem like not starting at all. If this pattern feels familiar, it may help to read about how to stop procrastinating without turning the solution into another impossible standard.

The Three Types of Perfectionism

Researchers often describe perfectionism as multidimensional. It can point inward, outward, or toward what we believe other people expect from us.

Self-oriented perfectionism +

This is the pressure to meet impossibly high standards aimed at yourself. It may sound like, “I must never fail,” or “I should be able to handle everything.”

Other-oriented perfectionism +

This is the pressure placed on other people to meet rigid expectations. It can strain relationships when flexibility, repair, and ordinary human limits are not allowed.

Socially prescribed perfectionism +

This is the belief that other people expect you to be perfect. It can be especially painful because approval starts to feel conditional and constantly at risk.

Is Perfectionism a Mental Illness?

Perfectionism itself is generally considered a personality trait, not a mental illness. But when it becomes extreme, it can contribute to or worsen mental health challenges, especially when it is driven by compulsive thoughts, harsh self-criticism, fear of mistakes, or chronic anxiety.

A 2024 systematic review and meta-analysis linked perfectionism with symptoms of depression, anxiety, and obsessive-compulsive disorder in adults, with perfectionistic concerns showing a particularly strong relationship with psychological distress. The National Institute of Mental Health explains that anxiety symptoms can interfere with school, work, relationships, and daily routines, which is why patterns that keep the body in threat mode deserve care.

Healthy Striving vs. Demanding Perfection

There is a meaningful difference between striving for excellence and demanding perfection. Healthy striving can help you learn, practice, persist, and improve. Maladaptive perfectionism turns improvement into a verdict on your worth.

Healthy striving Perfectionism
High standards with flexibility. High standards with fear and rigidity.
Feedback is useful information. Feedback feels like proof of failure.
Mistakes are part of learning. Mistakes feel catastrophic or shameful.
Self-worth remains bigger than the outcome. Self-worth rises and falls with the outcome.
A stack of drafts and a red pen, suggesting the challenge of accepting good-enough work in perfectionism recovery

A gentler performance loop

Notice the pressure → name the fear → choose a good-enough next step → learn from the result → reconnect with your values.

How to Loosen Perfectionism Without Lowering Your Standards

Loosening perfectionism does not mean becoming careless. It means practicing standards that can bend without breaking you.

Try this now: the 80 percent experiment

  1. Choose one low-stakes task: an email, a drawer, a workout, a slide, or a small errand.
  2. Decide what “good enough” looks like before you start.
  3. Stop at 80 to 90 percent and observe what actually happens.
  4. Write one sentence about what you learned, not whether you did it perfectly.

It can also help to trade comparison for curiosity. When you notice yourself measuring your worth against someone else’s highlight reel, return to what you value and what you are learning. Compassionate self-talk matters, too. Speaking to yourself the way you would speak to a capable friend can make change more sustainable. For a deeper look at that skill, see self-kindness and emotional well-being.

Support is allowed

If perfectionism is affecting your sleep, relationships, work, mood, or ability to rest, a therapist can help you understand the fear underneath it. You can search GoodTherapy for a therapist who fits your needs.

Beliefs That Often Hide Under Perfectionism

Perfectionism often rests on self-defeating beliefs that sound like rules. They may involve achievement, love and belonging, conflict, emotional control, or the fear that being seen as flawed will make you unacceptable.

  “My worth depends on my achievements, intelligence, status, income, or looks.”
  “People will not love or accept me if I am flawed or vulnerable.”
  “If it is not perfect, it is a failure.”
  “I should always feel happy, confident, controlled, and strong.”

These beliefs can feel convincing because they may have helped you cope at one time. But they can also keep you trapped in shame, worry, or emotional exhaustion. The work is not to shame yourself for having these beliefs. The work is to notice them, question them, and build more flexible beliefs that support both excellence and humanity.

When Therapy Can Help With Perfectionism

Therapy can be useful when perfectionism is no longer just a preference for excellence, but a source of anxiety, depression, relationship strain, burnout, compulsive checking, or avoidance. A therapist may help you identify the fears behind perfectionism, practice more flexible thinking, work through early experiences that made perfection feel necessary, and build new ways to respond to mistakes.

Research on treatment for perfectionism is still developing, but a randomized trial of group cognitive behavioral therapy for perfectionism found reductions in perfectionism and related symptoms for participants in the treatment group. That does not mean one approach fits everyone, but it does suggest that perfectionism can be addressed directly and compassionately.

Frequently Asked Questions

Common questions about perfectionism, anxiety, and healthier standards.

Q: Is perfectionism a mental illness? +

A: Perfectionism itself is usually understood as a personality trait, not a diagnosis. It can still affect mental health when it becomes rigid, fear-based, or tied to anxiety, depression, obsessive-compulsive symptoms, shame, or avoidance.

Q: What causes perfectionism? +

A: Perfectionism can grow from temperament, family expectations, trauma, cultural pressure, school or workplace demands, social comparison, and the fear of criticism or rejection. For many people, it once felt like a way to stay safe or accepted.

Q: How can I tell healthy striving from perfectionism? +

A: Healthy striving allows mistakes, feedback, rest, and learning. Perfectionism tends to make mistakes feel catastrophic, success temporary, and self-worth dependent on the outcome.

Q: Can perfectionism cause anxiety or depression? +

A: Perfectionism may contribute to anxiety, depression, and related distress, especially when it involves intense concern about mistakes, judgment, or not being good enough. It is one factor, not the whole story, and support can help.

Q: How can therapy help with perfectionism? +

A: Therapy can help you understand what perfectionism protects, challenge all-or-nothing thinking, practice self-compassion, reduce avoidance, and build standards that support your values without making worth depend on flawless performance.

You do not have to earn care by being perfect

If perfectionism is making life smaller, support can help you keep your values while loosening the rules that keep you stuck.

Find a Therapist Near You →

Jill Verofsky, Licensed Professional Counselor

About the Author

Jill Verofsky

Licensed Professional Counselor in Ambler, Pennsylvania

Jill Verofsky describes her approach to therapy as realistic and person-centered, with attention to helping people become more functional in daily life while working toward deeper root issues.

View Jill Verofsky’s GoodTherapy profile

Starting therapy can feel hard to explain.

Sometimes there is a clear reason. A loss. A breakup. Burnout. A period of anxiety that has become impossible to ignore.

Other times, the feeling is more subtle. Life may look fine from the outside, but something internally feels off. You may feel stuck, disconnected, overwhelmed, or simply no longer at ease in your own life.

For therapist Brooke Pomerantz, that in between space matters. It is often where the most meaningful work begins.

A licensed clinical social worker who has been in private practice since 2007, Brooke works with adults and young adults in Oakland and via telehealth. Many of the people she supports are highly capable, thoughtful, and outwardly successful, yet privately struggling with anxiety, perfectionism, burnout, or a deeper sense of dissatisfaction they cannot quite name.

What stands out most in Brooke’s approach is not just what she helps clients work through, but how she meets them there. Her philosophy is grounded in curiosity, patience, and the belief that every person deserves to be understood as an individual, not reduced to a category or rushed into change before they are ready.

Read More

Take Our Quiz to Start Your Healing Journey

PLAY

Video Interview: Watch the Conversation with Brooke Pomerantz

Hear Brooke discuss starting therapy, feeling safe with a therapist, and finding the right fit.

In this interview

. Why starting therapy can feel so hard
. What to do if you feel anxious about therapy
. Can therapy help even if nothing feels wrong?
. What makes your practice unique?
. How to find the right therapist for your needs
. FAQs

Why starting therapy can feel so hard

For people starting therapy for the first time, I acknowledge that the experience can feel vulnerable and anxiety-inducing. That anxiety, she says, is not a sign that something is going wrong. It is often part of the process. A competent therapist can recognize this vulnerability and adjust the pace of treatment at a pace that works best for their client. This is why the initial sessions are a huge opportunity for both the individual and the therapist to assess if they are a good match and whether the individual has an agency in the process.

What to do if you feel anxious about therapy

It’s simple. Name the feeling. Saying “I feel anxious being here” can lead to a much deeper and sincere conversation. It gives both therapist and client somewhere real to begin. Instead of trying to arrive with everything figured out, a person can start from what is true in the moment. It also gives them a chance to notice if they feel safe, understood, and ready to share their experiences in a particular setup with the therapist in question.

A gentle first sentence

If starting feels awkward, a simple sentence like “I feel anxious being here” can be enough to open the door.

Can therapy help even if nothing feels wrong?

Yes. Therapy does not only belong to moments of crisis or chaos. It can also be a place to think more deeply about your life, understand your patterns, strengthen your relationships, and develop a more connected relationship with yourself. Even when someone says they are “fine,” there is often something underneath that is asking to be explored.

That idea makes therapy feel less like an emergency response and more like a meaningful form of self-reflection. It becomes a space to pause, take stock, and ask harder questions about how you are living and what you may need next.

What makes your practice unique, and how do you know if you’re a good fit for a client?

It is about being intentional about not getting ahead of the person in front of you. As therapists, we need to understand each person in the context of their own life, strengths, challenges, and readiness for change. That means honoring where someone is, instead of pushing them toward where they “should” be.

This way of working can be especially supportive for people who are used to pressuring themselves. Like many of my clients who are high functioning and driven. They may look successful on the outside while internally feeling exhausted, unhappy, perfectionistic, or chronically disconnected from their own needs. I also work with young adults who are having trouble launching into adulthood, perhaps having had setbacks like a mental health crisis, and need support navigating the transition.

How to cope when life feels emotionally overwhelming

When life feels overwhelming, it can help to slow everything down and focus on getting through one moment or one hour at a time. Reducing the size of the problem can make it feel more survivable. And when depression or hopelessness makes action feel nearly impossible, even a very small step can matter. A walk. A phone call. Any small movement or action can combat the tendency to retreat and feel paralyzed.

There is something deeply humane about that advice. It does not romanticize healing or pretends that change is easy. It simply offers a gentler entry point.

How to find the right therapist for your needs

Finding a therapist is rarely a one size fits all process. It is highly individual. People may begin by exploring therapist directories, asking for referrals from their community, or looking for someone with a shared background or area of expertise. What matters most is finding someone with whom you feel safe and someone you believe can understand you and help with the areas where you feel stuck.

A simple way to begin is:

1. Read a few therapist profiles carefully

Notice how therapists describe their approach, specialties, and the kinds of clients they work with.

2. Look for what feels aligned

Shared identity, expertise, communication style, or lived experience may all play a role in helping you feel understood.

3. Take the next step to assess fit

A consultation or follow up call can help you decide whether the connection feels right.

This is one reason directories like GoodTherapy can be a helpful place to start. They make it easier to explore therapist profiles, understand different approaches, and find a therapist whose style feels aligned with what you need.

For therapists, it is also a reminder that a thoughtful profile matters. The clearer you are about your approach and who you help, the easier it is for the right clients to find and connect with you.

The right support can change everything

Brooke Pomerantz’s approach reminds us that therapy is not about having everything figured out before you begin. It is about making sense of your feelings and things that are weighing you down and channeling it into an effort to find a space where you can be honest and feel safe. Her reflections offer something deeply reassuring that growth can happen at your own pace, that support can be valuable even before a crisis, and that the right therapeutic relationship can help you move through life with greater clarity and self-awareness.

If Brooke’s words resonated with you, take a moment to explore her GoodTherapy profile and learn more about her approach. If you are still looking for the right fit, browse GoodTherapy’s therapist directory to find a provider whose style, perspective, and approach align with your needs.

FAQs

Frequently Asked Questions

Common questions about starting therapy and finding the right therapist.

Q: How do I find the right therapist? +

A: Start by reading therapist profiles, looking for someone, whose approach and expertise feel relevant to your needs, and then taking a consultation call if possible. The right therapist is often someone with whom you feel safe and understood.

Q: What if I feel anxious about starting therapy? +

A: Feeling anxious about therapy is normal. Brooke suggests naming that anxiety directly, since it can become a helpful starting point for the conversation.

Q: Do I need to be in crisis to go to therapy? +

A: No. Therapy can help with self-awareness, life transitions, relationships, anxiety, and personal growth, even when nothing is obviously wrong.

Q: How do I know if a therapist is a good fit? +

A: A good fit often means you feel safe, understood, and supported. The first few sessions can help both you and the therapist decide whether the relationship feels right.

Ready to find the right therapist?

Explore GoodTherapy’s directory of vetted professionals and find someone whose approach aligns with your needs.

Browse Now

Back to top.

High functioning anxiety support group in a calm therapy setting with inclusive adults

When people think of anxiety, they often picture some visible signs. They imagine panic, spiraling thoughts, avoidance, or moments when someone clearly looks overwhelmed. While anxiety can look like that.

High functioning anxiety
Hidden anxiety
Perfectionism
Burnout

In this blog

How anxiety can fuel performance
Signs of high functioning anxiety that are easy to miss
Why high functioning anxiety often goes unnoticed
The breaking point: burnout and emotional exhaustion
When should you seek help?
Effective forms of therapy for high functioning anxiety
How to approach therapy if you have high functioning anxiety
Moving forward

That is not the only way it shows up.

Sometimes anxiety is harder to notice, even for the person living with it. It can hide behind routines, ambition, reliability, and the ability to keep going. It can look like answering every email, meeting every deadline, remembering every key event and detail, showing up for people who matter, and still never quite feeling calm. It can look like being the one everyone depends on while your own mind never fully quiets down.

That is why it is important to recognize this type of anxiety. Commonly known as high functioning anxiety, this experience is not recognized as a formal mental health diagnosis, but it describes something very real. Many individuals continue to function at a high level while carrying persistent worry, pressure, and internal distress that often goes unseen.

How Anxiety can Fuel Performance

One of the reasons high functioning anxiety can go unnoticed is that it often wears socially acceptable masks and may often look like success. In fact, in may look like being very responsible. It may look like caring deeply. It may look like staying organized, always preparing, or trying hard not to let anyone down. Some people learn to manage anxiety by becoming exceptionally good at anticipating problems, staying busy, and keeping control wherever they can.

In many cases, anxiety does not stop people. It pushes them.

Pushes them to care deeply, to stay highly organized, to always prepare for things and events in advance or or try to not let anyone down.

Research indicates that certain forms of anxiety, especially when tied to performance or expectations, can coexist with high achievement. In academic settings, for example, perfectionistic standards can even have a positive relationship with performance outcomes, despite underlying stress.

At the same time, this productivity is often driven by fear. Fear of failure, fear of letting others down, or fear of not being “good enough.”

This creates a cycle where:

1

Anxiety fuels effort

2

Effort leads to achievement

3

Achievement reinforces the anxiety

What looks like discipline or ambition from the outside may actually be a coping mechanism on the inside.

Signs of High-functioning Anxiety that are Easy to Miss

High functioning anxiety rarely looks like avoidance or breakdowns. Instead, it shows up in patterns that are often socially rewarded.

For some people, anxiety shows up as perfectionism. For others, it appears as people pleasing, irritability, muscle tension, difficulty sleeping, or the sense that their mind is always running in the background. Some people stay busy because slowing down brings them too close to feelings they do not know how to sit with. Others become highly attuned to everyone else around them, constantly tracking moods, reactions, and signs of disappointment.

Some of the most common but overlooked signs include:

  Constant overthinking, even about small decisions
  Perfectionism and fear of mistakes
  People-pleasing and difficulty saying no
  Staying busy to avoid slowing down
  Difficulty relaxing, even during rest
  Persistent physical tension or fatigue
  Becoming attuned to surroundings, tracking moods, reactions and signs of disappointment

Research shows that perfectionistic tendencies and worry are closely linked, with worry often acting as a core feature of anxiety.

In fact, maladaptive perfectionism has been consistently associated with anxiety symptoms across multiple studies and populations.

If these patterns feel familiar, talking to a therapist can help you understand what is driving them.

Why High-Functioning Anxiety often goes Unnoticed

High functioning anxiety often goes unnoticed not because it is rare, but because it usually does not align with what we expect anxiety to look like.

Mental health systems typically define disorders based on distress and impairment. But what happens when someone is distressed, yet still performing well?

People with high functioning anxiety often:

Meet expectations

Maintain relationships

Succeed professionally

As a result, their internal experience is often overlooked, both by themselves and by others.

This is reinforced by social and cultural expectations. Productivity, reliability, and achievement are rewarded, even when they come at the cost of mental wellbeing.

The Breaking Point: Burnout and Emotional Exhaustion

High functioning anxiety calm workspace with notebook, calendar, tea, and loosened knot

Despite being hidden, high functioning anxiety can take a toll on your emotional and physical well-being and is not sustainable indefinitely.

It can make it hard to be fully present. You may be physically in the room but mentally somewhere else, scanning the next problem, thinking about the next task, or the next thing that could potentially go wrong. You may struggle to enjoy moments of rest because your mind treats stillness like a threat instead of relief.

Over time, this feeling piles up and can feel exhausting.

You may find yourself becoming more irritable, more physically and emotionally drained, or more disconnected from joy. This is one of the quieter harms of anxiety. It can steal peace long before it interrupts performance.

Over time, the constant pressure, overthinking, and need to perform can lead to:

1Burnout 2Emotional exhaustion
3Irritability or detachment 4Difficulty concentrating
5Sudden breakdowns after long periods of coping

Research shows that perfectionism and anxiety are linked to chronic psychological distress and rumination, which can intensify over time if not addressed. Similarly, studies highlight that individuals with strong perfectionistic tendencies are more vulnerable to long-term stress and mental health challenges. Such people don’t fall apart slowly but rather hold it together, until they can’t.

You do not have to wait until burnout to seek support. Early conversations with a therapist can make a meaningful difference.

When should you seek help?

One of the biggest barriers to seeking support is the belief that your condition is not serious because you are fully functional and able to carry out everyday tasks as expected.

But functioning is not the same as feeling okay.

Your body may be sending subtle signals you tend to overlook, but they could be a sign that you need professional support.

It may be time to seek support if:

It may be time to seek support if:

your mind rarely feels calm
you feel constant internal pressure
rest feels uncomfortable or undeserved
your anxiety is affecting your relationships or wellbeing
you feel exhausted despite being productive

Because the external signs of struggle are minimal, high functioning anxiety often delays help seeking, but getting support early can prevent long term burnout and more serious mental health challenges.

Connect with a licensed therapist who specializes in anxiety and stress.

Effective forms of Therapy for High Functioning Anxiety

Many people with high functioning anxiety hesitate to seek help because they feel like they are “managing.” But therapy can help you understand what is driving that constant pressure and give you tools to move through life with more clarity and less strain.

Some of the most effective approaches include:

1

Cognitive Behavioral Therapy (CBT)

CBT helps you identify patterns of thought that fuel anxiety and replace them with more balanced, realistic perspectives.

It is especially helpful if you:

  • overthink decisions
  • expect the worst outcomes
  • tie your self-worth to performance
2

Acceptance and Commitment Therapy (ACT)

ACT focuses on helping you accept internal experiences rather than constantly trying to control them.

This can be helpful if:

  • you feel the need to always stay in control
  • slowing down feels uncomfortable
  • your mind is constantly “on”
3

Therapy for Perfectionism

Some therapists specifically work with perfectionism and high standards.

This approach helps you:

  • challenge unrealistic expectations
  • reduce self-criticism
  • separate your worth from your productivity

How to Approach Therapy if you have High Functioning Anxiety

If this type of anxiety resonates with you, it can help to look for therapists who:

Browse therapist profiles and connect with someone who aligns with your needs and approach.

Moving Forward

High functioning anxiety can be easy to miss, especially when it looks like success. But just because you are meeting expectations, staying productive, and showing up for others does not mean you are not struggling.

Anxiety does not always look like falling apart. Sometimes, it looks like holding everything together, at a cost. Recognizing that cost is the first step toward something better.

Frequently Asked Questions

Common questions about high functioning anxiety and getting support.

Q: Is high functioning anxiety a formal diagnosis? +

A: No. High functioning anxiety is not recognized as a formal mental health diagnosis, but it describes a real experience where someone continues to function while carrying persistent worry, pressure, and internal distress.

Q: What are signs of high functioning anxiety? +

A: Signs can include constant overthinking, perfectionism, fear of mistakes, people-pleasing, difficulty relaxing, physical tension, fatigue, and staying busy to avoid slowing down.

Q: When should someone seek help for high functioning anxiety? +

A: It may be time to seek support if your mind rarely feels calm, rest feels uncomfortable, anxiety is affecting your relationships or wellbeing, or you feel exhausted despite being productive.

Q: What therapy can help with high functioning anxiety? +

A: Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and therapy focused on perfectionism may help people understand the pressure behind anxiety and build more balanced ways of coping.

Resources:

Fletcher, S. (2024). What are signs of high functioning anxiety? Canadian Centre for Addictions. https://canadiancentreforaddictions.org/what-are-signs-of-high-functioning-anxiety/
Lunn, J., Greene, D., Callaghan, T., & Egan, S. J. (2023). Associations between perfectionism and symptoms of anxiety, obsessive-compulsive disorder and depression in young people: A meta-analysis. Cognitive Behaviour Therapy. https://doi.org/10.1080/16506073.2023.2211736
Macedo, A., Marques, M., & Pereira, A. T. (2014). Perfectionism and psychological distress: A review of the cognitive factors. International Journal of Clinical Neurosciences and Mental Health. https://www.researchgate.net/publication/260552234_Perfectionism_and_psychological_distress_a_review_of_the_cognitive_factors_REVIEW
Stöber, J., & Joormann, J. (2001). Worry, procrastination, and perfectionism: Differentiating amount of worry, pathological worry, anxiety, and depression. Cognitive Therapy and Research, 25, 49–60. https://doi.org/10.1023/A:1026474715384
Wu, R., Chen, J., Li, Q., & Zhou, H. (2022). Reducing the influence of perfectionism and statistics anxiety on college student performance in statistics courses. Frontiers in Psychology, 13, Article 1011278. https://doi.org/10.3389/fpsyg.2022.1011278

Female AI engineer experiencing stress and anxiety while working in a busy tech hub environment

The exponential improvement and integration of AI into our personal and professional lives has been almost startling. Like the cell phone, the Internet, and ATM cards, AI is here to stay.

The Wall Street Journal (Bindley & Blunt, 2024) reports that companies now assess AI fluency during hiring, and annual reviews increasingly factor in how well employees use AI to increase productivity and cut costs. Some organizations even award bonuses to those who help others work smarter.

When I recently rescheduled a medical appointment with an AI agent, efficient, courteous, and surprisingly “human,” I wasn’t put off at all. That moment clarified something important: the question is no longer whether AI will change your life. It already has.

1 in 3
workers report anxiety about being replaced by AI
85%
of companies factor AI fluency into performance reviews
∞
new roles being created for those who adapt to AI

AI as a Perceived Threat to My Job and Personal Life

Many people understandably perceive AI as a threat to their jobs and way of life. But how a person responds to a perceived threat matters enormously. Rational Emotive Behavior Therapy (REBT) offers a clear lens: you can react in a healthy, self-enhancing way or an unhealthy, self-defeating one.

“

AI is a tool like a scalpel. Either you learn how to use it, or you will get cut by it.

— REBT Perspective

We are not stopping this wave. The goal is to manage your emotional reaction to the profound changes AI will introduce, so you don’t get left behind.

Feeling overwhelmed by rapid change? A therapist trained in cognitive behavioral approaches can help you build the flexibility to adapt. Find a therapist near you.

How to Turn AI Anxiety into Healthy Concern

REBT distinguishes between healthy concern, which motivates us to cope, and unhealthy anxiety, which leads to avoidance and retreat. When the stakes are high, it is easy to slip from concern into anxiety, especially when we hold rigid attitudes toward change.

Two Paths Forward

How you respond to AI’s rise determines your outcome

✗

Unhealthy Anxiety

✗Avoids learning new tools

✗Rigid “this must not happen” thinking

✗Catastrophizes job loss

✗Trades future security for short-term comfort

✓

Healthy Concern

✓Engages and prepares proactively

✓Flexible “I can adapt” mindset

✓Accepts change as inevitable

✓Invests in skills that compound over time

Four Common AI Anxiety Traps and How REBT Reframes Them

Below are four rigid attitudes that fuel AI anxiety, each paired with a healthy, flexible alternative.

1
Job Security

“AI will steal my role at work”

âš  Anxiety-Provoking

AI will steal my knowledge and my role. That must not happen.

✓ Healthy Alternative

AI will change what employers need, but the only constant is change. By mastering AI as a tool, I can flourish in an AI-driven economy.

2
Obsolescence

“It will be awful if AI makes me obsolete”

âš  Anxiety-Provoking

It will be awful when I am made obsolete in the workplace by AI.

✓ Healthy Alternative

It would be quite bad, but layoffs have happened before. I will accept reality, study AI, and commit to becoming the go-to person in my organization.

3
Future Fear

“It’s too threatening to think about surviving an AI world”

âš  Anxiety-Provoking

It is too threatening to think about how I will survive in an AI-run world.

✓ Healthy Alternative

It is uncomfortable, but not unbearable. With psychological flexibility, I can adapt to whatever the future holds.

4
Relationships

“AI companions will make human relationships obsolete”

âš  Anxiety-Provoking

AI companions could make human intimate relationships obsolete. This is awful.

✓ Healthy Alternative

A tool or service is just that. Proceed with an open mind and healthy skepticism. Perhaps it is not either/or, but both/and.

The inner critic can amplify AI anxiety. Learning to quiet rigid self-talk is a powerful skill. Read: Silencing the Inner Critic: The Power of Self-Compassion

Confident woman learning AI tools at her desk, overcoming AI anxiety in the workplace

A 3-Step REBT Reset for AI Anxiety

When anxious thoughts about AI arise, use this simple process to shift from rigid fear to flexible action.

1

Notice the Thought

Catch the rigid belief: “AI will destroy my career and that must not happen.” You cannot challenge what you cannot see.

2

Dispute the Belief

Ask: “Is this thought realistic? Helpful? Is there evidence for it?” Most catastrophic AI fears are exaggerated and unprovable.

3

Replace with a Flexible Belief

Adopt a balanced alternative: “Change is difficult, but I have adapted before. I can learn AI tools and protect my value.”

Ways to Use AI Effectively

Below are some of the ever-expanding ways you can put AI to work in your professional and personal life, generated with the assistance of ChatGPT to illustrate the practical range of AI applications (OpenAI, 2023).

Productivity and Knowledge Work

Research

Summarize articles, suggest sources, and generate bibliographies in seconds.

Drafting & Editing

Draft emails, reports, or essays, then refine for clarity and style.

Learning & Tutoring

Explain complex concepts and offer personalized feedback in any subject.

Data Analysis

Analyze datasets, identify trends, and visualize information for professional projects.

Time Management

Optimize calendars, set reminders, and automate routine tasks.

Emotional Support

AI chatbots offer empathetic conversation for those seeking nonjudgmental interaction.

Creative and Visual Work

AI is reshaping creative fields in profound ways. Tools like DALL·E, Midjourney, and Stable Diffusion open new possibilities for anyone willing to engage with them.

Image Generation

Create original visuals from text descriptions using DALL·E, Midjourney, or Stable Diffusion.

✨ Style Transfers

Apply artistic styles to photos, upscale low-resolution images, or restore old photographs with AI tools.

Design Assistance

Generate logos, concept art, and visual mockups that speed up the creative design process significantly.

Creative Brainstorming

Artists increasingly use AI as an ideation partner to explore new visual concepts before committing to final work.

A Practical Checklist: Using AI Responsibly

AI Usage Best Practices

Work smarter, stay ethical, and protect yourself in the process.

✓
Be specific with prompts. Detailed instructions yield better, more useful results.
✓
Verify information. Always fact-check AI output, especially for sensitive topics.
✓
Use AI as a tool, not a replacement. It enhances, not replaces, your critical thinking.
✓
Protect your privacy. Avoid sharing sensitive personal data with AI tools.
✓
Stay ethical. Do not use AI to plagiarize, deceive, or create harmful content.
✓
Iterate and refine. Rephrase prompts and ask follow-up questions when results miss the mark.
✓
Understand limitations. AI may make mistakes, misunderstand context, or lack current knowledge.
✓
Stay informed. Keep up with AI developments to use the latest features and best practices.

★ Key Insight

By leveraging AI, adaptive individuals can increase productivity, enhance creativity, improve a wide range of skills, and make more informed decisions.

Adopt flexible, non-extreme attitudes toward the changes AI will bring. Nothing is constant but change.

Looking for support in navigating change? A therapist can help you build the psychological flexibility to adapt and thrive. Learn how to find the right therapist.

Frequently Asked Questions

Common questions about AI anxiety and how to cope with it.

Q: Is it normal to feel anxious about AI?

A: Yes. AI anxiety is a widely reported response to rapid technological change. REBT and other evidence-based approaches can help you shift from rigid, extreme reactions to flexible, adaptive ones.

Q: Will AI really take my job?

A: AI is changing roles across many industries but also creating new ones. People who learn to work with AI are more likely to stay relevant. The biggest risk is avoidance, not AI itself.

Q: What is REBT and how does it help with AI anxiety?

A: REBT helps people identify and challenge rigid beliefs that cause emotional distress. Applied to AI anxiety, it replaces catastrophic thinking with flexible attitudes: “This is challenging, but I can adapt and thrive.”

Q: What are practical first steps to overcome AI anxiety?

A: Start small. Spend 15 minutes a day exploring an AI tool like ChatGPT. Curiosity is the antidote to fear. The more you engage, the less threatening AI becomes.

Q: When should I seek professional support for technology-related anxiety?

A: If anxiety about AI is interfering with your work, relationships, or daily life, speaking with a therapist can help. Find a therapist near you.

Resources

NIMH: Anxiety Disorders Overview →
APA: Anxiety – What You Need to Know →
APA: Building Your Resilience →
GoodTherapy: Silencing the Inner Critic with Self-Compassion →
GoodTherapy: How to Find the Right Therapist →
Walter Matweychuk PhD, licensed psychologist and REBT specialist

About the Author

Walter Matweychuk, PhD

Licensed Psychologist & REBT Specialist

Dr. Walter Matweychuk is a licensed psychologist and one of the foremost practitioners of Rational Emotive Behavior Therapy (REBT) in the United States. He trained directly under Dr. Albert Ellis, the pioneering psychologist who developed REBT, and worked at the Albert Ellis Institute in New York for many years. He teaches graduate psychology courses at New York University and works at the University of Pennsylvania.

In his private practice in New York City, Dr. Matweychuk helps individuals and couples overcome anxiety, depression, and relationship challenges using the evidence-based principles of REBT.

View Profile >

References:
Bindley, K., & Blunt, K. (2026, Feb. 24). Tech Firms Aren’t Just Encouraging Their Workers to Use AI. They’re Enforcing It. The Wall Street Journal.

Starting therapy can feel overwhelming, especially when you’re not quite sure what to expect or where to begin. For Anna Aslanian, a licensed therapist at GoodTherapy, helping clients navigate that uncertainty is at the heart of her practice. With extensive training in evidence-based modalities including Gottman Method couples therapy, Emotionally Focused Therapy (EFT), and attachment-focused EMDR, Anna brings both expertise and compassion to her work with adults seeking support for anxiety, depression, relationship challenges, and trauma.

In this Member Spotlight, Anna shares valuable insights on what makes therapy successful, from finding the right therapeutic fit to understanding that you don’t need to have all the answers before you start. Whether you’re considering therapy for the first time or looking to deepen your understanding of the process, her perspective offers reassurance that healing is possible when you find a therapist who truly gets you.

Read More:
Take Our Quiz to Start Your Healing Journey

LIVE INTERVIEW: Watch the Conversation with Anna Aslanian

 

Table of Contents

Click a question to jump to it.

  1. For those who have never been to therapy, what should they know about starting their first session?
  2. How can therapy help someone gain clarity if they feel like something is off with themself?
  3. Why is it so important for people to find therapists who truly understand them, their background, or their identity?
  4. What makes your practice unique, and how do you know if you’re a good fit for a client?
  5. Why is it important for therapists to have varied certifications, experiences, and educational backgrounds?
  6. What’s one tip or mindset shift that you can share that helps people start feeling better?
  7. Finding Your Path Forward

Q&A with Anna Aslanian

Q: For those who have never been to therapy, what should they know about starting their first session?

Anna:

I think it can be nerve-wracking to start therapy, and a lot of people have different ideas of what therapy is… It’s very different. If you’re looking for a therapist and it’s your first time, I have two tips that I think would make this successful.

Number one, look for someone who is specializing in what you’re looking for. So if you’re looking for therapy for, let’s say, depression, or you’re looking for couples therapy, or for your anxiety, or you’re trying to heal from childhood trauma, then look for that specific therapist who…mentions that they work with that specialty.

Don’t shy away from asking questions in terms of their experience, [including] what trainings they have.

Number two is your comfort level. I think therapy is different in that it’s very relational. So if you’re not clicking or connecting, or this person is not really making you feel safe to really be yourself and share, you might need a different fit. It doesn’t mean that a therapist is bad or you’re not doing a good job. It’s just really about connecting with one human being.

Just be as open as you can. Most of us therapists have heard all sorts of things. So there is nothing you can tell me that I will be shocked [to hear]. The more open you are and more you share, the better I can help you.

Back to top

Q: How can therapy help someone gain clarity if they feel like something is off with themself?

Anna:

It’s not your job to do detective work to figure out what’s happening…The best thing to do is just be honest with the therapist, and you can just share what you know…I have these thoughts, I have these feelings, I have these body sensations. Based on that, your therapist should be trained enough to ask follow-up questions to narrow down what is happening and give you insight and psychoeducation so you can connect the dots.

So don’t feel like it’s your job to know the whole thing…Your therapist is there to really guide you and figure out why you’re feeling, what you’re feeling, what it ties to, and what tools you need to move past that.

Back to top

Q: Why is it so important for people to find therapists who truly understand them, their background, or their identity?

Anna:

If you don’t feel safe with another person in the room, emotionally safe, it’s hard to open up and to share your deepest wounds and your thoughts. [Maybe] we’ve never shared that with somebody else before, or there is shame associated with what we’re going to share.

It’s really about the connection with the therapist and [if] you feel comfortable. You can also [tell] the therapist, “Hey, this is what would make me feel more comfortable,” just so that they can help you the best they can. But even then, sometimes you may feel like we’re not clicking, and that’s okay. There are so many therapists out there.

This is why so many therapists, including myself, provide free phone consultations before meeting. So that way you can have that 15-20 minute conversation on the phone…[and discuss] what you want to work on and see what they say. And if that really feels like, I’m excited to start this journey with this therapist and I feel comfortable, or it just feels like, I’m uneasy about this, then just follow your intuition on that.

Back to top

Q: What makes your practice unique, and how do you know if you’re a good fit for a client?

Anna:

So with adults, it’s kind of two branches: couples and individual therapy. For couples, I have done many additional trainings on top of just getting your degree. For example, I’m certified in Gottman Method couples therapy, and that’s all research-based…So I’m not just listening to their problems and being a witness to it. I’m giving them research-based tools.

But I’m also trained in Emotionally Focused Couples Therapy, which is all about the attachment styles and how you relate to another human being. And that really stems from childhood stuff. So I can really bring that into my work when people feel stuck and know how to get them out of that.

Within these years that I’ve been practicing, I’ve had a lot of both work experience as well as additional trainings to work with subcategories of couples therapy. So it’s not just a general approach. You have couples who come in when there is infidelity…or couples who are new parents…or premarital counseling, [or] addiction and couples therapy. All of those factors really change the dynamic and what interventions will be helpful.

For individual therapy,…I’ve worked in different populations, in different clinics, in different settings, …as well as had many certifications that really continue this growth as a therapist. I think that’s very important. We don’t just get our degrees and say that’s it or do an online course and that’s it. It’s…the schooling, the additional trainings, the practice in different settings to know how to actually utilize that in real-life situations.

I am certified in attachment-focused EMDR, as well as the traditional protocol of EMDR. I’m trained in polyvagal theory, which is all about nervous system regulating, in ACT, which is acceptance commitment therapy that’s super helpful for anxiety or just life transitions…Because I’m trained in all these different modalities, but also have the work experience and years of doing the actual work with clients, I can tailor that to what the client needs.

Back to top

Q: Why is it important for therapists to have varied certifications, experiences, and educational backgrounds?

Anna:

If you’re only trained in one modality or you’re just generally trained, there are only a handful of techniques you might know how to do. That’s why it’s important to go to a specialist, or as a therapist, it’s important to continue your growth, because not every person heals and learns or unlearns the same way. There are different methods that work for different people, and one isn’t better than the other.

You need to have a really rich toolkit as a therapist to know, Okay, this client is processing things like this, so this approach is going to be better for them, instead of trying to fit them into the way you think.

Back to top

Q: What’s one tip or mindset shift that you can share that helps people start feeling better?

Anna:

Get curious and compassionate about what’s happening instead of judgmental or solution-focused. Sometimes we can be very solution-focused, which isn’t a bad thing in itself. We have a problem, we want to fix it…But there may be a lot of judgment with that too, and pressure to change…

We [should be] compassionate with ourselves…[and] kind to ourselves the way we would be kind towards someone we love that’s going through a hard time. That’s number one. That would help you have less of that judgment and negativity around what you’re experiencing…

Whether you’re experiencing anxiety, depression, you’re stressed, or you’re feeling feelings that you think are shameful, the first thing that you can do is just allow all of that to be present in a room with you and know that it’s human and it’s normal. So you can be kind towards that aspect of yourself struggling, and then get curious: Where can I get my answers? Who can help me here? What do I need right now to take care of myself? I think those are the two fundamentals that will help you in this process of healing.

Back to top

Finding Your Path Forward

Anna’s approach to therapy reminds us that seeking help doesn’t mean you need to have everything figured out. In fact, uncertainty is often what brings us to therapy in the first place. Whether you’re navigating relationship challenges, processing past trauma, or simply feeling like something is off, the right therapeutic relationship can provide the safety and tools you need to move forward.

If you’re ready to take that first step, look for a therapist with expertise in your specific concerns, trust your gut about whether you feel comfortable, and remember that it’s okay to ask questions during a consultation. Therapy is a collaborative process, and finding a therapist who understands your unique needs can make all the difference.

To learn more about Anna Aslanian’s approach and see if she might be the right fit for you, visit her profile on GoodTherapy. If you’re interested in exploring more about the therapy process, check out GoodTherapy’s resources on how to find a therapist, what to expect in your first therapy session, and tips for getting the most out of therapy.

Read More:
Ready to Find Your Therapist?

Back to top.

Every January, you promise yourself this will be the year. You may think: This time, I’ll finally lose the weight, cut back on drinking, stop feeling so anxious, or fix that relationship I’ve been neglecting.

 

You may make it through January, but the failure rate for many New Year’s resolutions hovers around 80%. After a month or two into the new year, you might have given up on your goal and may be carrying the additional weight of disappointment and self-blame.

 

If this sounds familiar, you’re not alone. More importantly, you may not be failing because you lack willpower or discipline. When you find yourself making the same resolutions year after year without lasting change, it may be time to consider a different possibility: how mental health is involved.

New Year’s Resolutions
Depression Treatment
Therapy Benefits
Self-Sabotage

 

Why Do I Keep Failing at My New Year’s Resolutions?

If only 9% of Americans ultimately keep their resolutions, this means the vast majority of people struggle just like you do. But while fitness gurus and self-help books will tell you to set smarter goals, track your habits, or find an accountability partner, these strategies often miss a crucial truth: behavioral change is nearly impossible when underlying mental health conditions are working against you.

 

Key Insight

Only 9% of Americans keep their New Year’s resolutions, but this isn’t about willpower. When mental health conditions are present, traditional goal-setting strategies simply won’t work without addressing the underlying issues first.

 

The Willpower Myth: Why “Just Try Harder” Doesn’t Work

For decades, we’ve been told that willpower is the ability to resist short-term temptations in order to meet long-term goals. But actually, the very belief that you just need more self-control may be setting you up for failure.

 

Success is often influenced by a combination of personality traits, environmental factors, and social contexts rather than willpower alone. In reality, when you’re battling anxiety, depression, undiagnosed ADHD, or trauma, your brain is working with fundamentally different resources.

 

Understanding seasonal patterns? Learn about Seasonal Affective Disorder and how it impacts mental health during winter months.

 

How Mental Health Conditions Sabotage Your Goals

The resolutions you make year after year to lose weight, drink less, manage anxiety, and improve relationships aren’t random. They’re often symptoms of deeper struggles that haven’t been identified or addressed. Consider what other factors might be at play, and give yourself some newfound grace.

 

When Depression Derails Your Best Intentions

This year, you may plan to exercise more, eat better, or reconnect with friends. But anxiety, depression, and self-esteem issues are common conditions that nearly 21 million adults in the U.S. deal with each year (as of 2021 data).

 

While it manifests differently from person to person, depression doesn’t just make you feel sad: it fundamentally alters your motivation, energy levels, and ability to experience pleasure. When you’re depressed, the activities that would help you feel better feel impossibly difficult.

Read More:

Experiencing Seasonal Affective Disorder? Start Here

ADHD: The Hidden Hurdle

Many adults struggle for years without realizing they have Attention Deficit/ Hyperactivity (ADHD). They may just think they’re lazy, undisciplined, or fundamentally flawed. Individuals with ADHD may struggle with impulsivity, emotional regulation, and consistency, leading to self-sabotaging behavior like missed deadlines, emotional outbursts, or difficulty following routines.

 

Living with ADHD can make it difficult to reach your goals and find a routine that works. Your resolution to wake up earlier, stick to a budget, or stop procrastinating faces up against mental health factors that no amount of determination or “willpower” can overcome.

Depression

Alters motivation, energy levels, and ability to experience pleasure; making even helpful activities feel impossibly difficult.

ADHD

Impairs impulse control, emotional regulation, and consistency; creating self-sabotaging patterns despite best intentions.

Anxiety

Hijacks efforts through fear-based procrastination and avoidance, creating cycles that confirm worst fears.

 

Anxiety and the Self-Sabotage Cycle

If you want to be less anxious this year, you might make resolutions to meditate, practice self-care, or “worry less.” But anxiety has a way of hijacking your best efforts, whether it’s related to politics, finances, relationships, the holidays, or more. These deep-rooted beliefs and thinking patterns can fuel all kinds of fears that can result in procrastination or avoidance. If left unchecked, this can lead to general anxiety, social anxiety, and depression.

 

Ironically, the very act of setting ambitious goals can trigger anxiety about failure, which confirms your worst fears about yourself. It’s a cycle that feels impossible to break on your own. Luckily, anxiety (and depression and ADHD) is a very treatable and common condition that doesn’t have to get in your way.

 

Depression, ADHD, and anxiety are not the only mental health issues that can make reaching your annual goals a challenge. Substance abuse challenges, trauma, obsessive compulsive disorder (OCD), and others might be at play. The first step, though, is doing some self-evaluation and talking to a licensed mental health professional.

Not sure where to start? Take the GoodTherapy Quiz to Explore Your Needs and discover the right therapeutic approach for you.

 

What Does Self-Sabotage Really Look Like?

Getting in your own way isn’t always obvious, and it doesn’t always look like giving up. Knowing the below signs of self-sabotage can equip you with the tools to interrupt your harmful patterns and start reaching your goals:

 

Low self-esteem and unfounded beliefs about being deficient, not good enough, incapable, or unintelligent contribute to self-defeating behavior. These core beliefs fuel fears about performance and can cause procrastination or avoidance.

 

 

If you find yourself getting in your own way, remember: These patterns aren’t character flaws. They’re often learned responses to unmet emotional needs. Plus, they’re incredibly common among people with undiagnosed mental health conditions.

Explore More:

Explore Common Mental Health Issues & How Therapy Can Help

 

How Do I Know If I Need Professional Help?

If you’re reading this and wondering whether your resolution struggles signal something deeper, try asking yourself these questions:

  • Have I made the same resolution for three or more years?
    • Repeated patterns often indicate a systemic issue rather than a simple habit problem.
  • Do my struggles affect multiple areas of my life?
    • When the same issues show up in your work, relationships, health, and self-esteem, there’s usually a common thread.
  • Have I tried everything and still struggle?
    • If you’ve read all the books, tried all the apps, and enlisted all the accountability partners to no avail, it’s time to look deeper.
  • Do I feel hopeless about change?
    • Persistent feelings of defeat, shame, or worthlessness are signs that you’re carrying more than just a “bad habit.”
  • Am I using substances to cope?
    • If you regularly rely on alcohol, food, drugs, or other behaviors to manage your emotions, professional support can help you develop healthier strategies.

Prioritizing your mental health needs doesn’t have to follow a significant or traumatic event in your life. It can be the natural next step if you notice the little things adding up and your resolutions getting harder and harder to achieve.

 

What Can Therapy Actually Do for My Resolutions?

Despite what some may think, therapy isn’t about having someone tell you to try harder or hold you accountable. It’s about uncovering and addressing the root causes that have been affecting your efforts all along. Finding emotional healing starts with a diagnosis, if applicable, exploring root causes, and building the skills to manage your needs.

 

Accurate Diagnosis Changes Everything

A thorough evaluation for a specific condition, or a few, might seem scary and overwhelming. But getting an accurate diagnosis gives you clarity. Suddenly, your struggles have a name and a framework. Whether you have ADHD, anxiety, PTSD, depression, or another condition, early identification improves the effectiveness of treatment and improves your overall quality of life. You’re not broken or lazy: you’re dealing with a legitimate challenge that has real solutions.

 

Why Diagnosis Matters:

Getting an accurate diagnosis transforms your struggles from personal failings into treatable conditions with proven solutions. Early identification dramatically improves treatment effectiveness and quality of life.

 

Therapy Addresses the “Why,” Not Just the “What”

Resolutions and therapy may share the same end goal of bettering yourself, but they approach it in very different ways. Resolution-setting focuses on behavior: eat less, exercise more, save money. Therapy digs into why those behaviors have been so difficult to sustain.

 

A skilled therapist can help you:

Ready to find the right therapist? Check out our 5 Step Guide to Finding the Right Therapist for practical strategies that work.

 

You Learn Skills That Last Beyond January

Therapy is not meant to give you a one-time fix for a sticky situation or a script for handling one tough conversation. Therapy approaches are long-term treatments that can be very helpful in creating lasting change. Some common frameworks include Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS), or Acceptance and Commitment Therapy (ACT), to name a few.

1. Recognize and challenge self-defeating thoughts

2. Tolerate distress without harmful coping mechanisms

3. Practice compassion for yourself

4. Build a life aligned with your values, not just your to-do list

 

Making Therapy Your Resolution This Year

This year, instead of resolving to change your behavior through just more willpower and determination, consider making a different commitment: to understand yourself better and get the support you deserve.

 

When finding a therapist, look for someone who:

✓
Has experience with the issues you’re facing (ADHD, anxiety, depression, substance use, etc.)
✓
Uses evidence-based approaches
✓
Makes you feel heard and respected, not judged
✓
Collaborates with you rather than dictating what you should do

 

Seeking therapy is about acknowledging that you’ve been fighting an uphill battle with limited tools and wanting to make a change, not admitting defeat. With proper treatment, you can work towards genuine self-motivation.

Find Your Match:

Find a Therapist Who Gets You at Our BIPOC Page

 

Take the First Step Towards a Healthier You

Change takes time, and it doesn’t have to start with a sweeping life overhaul. It can start with one phone call, one appointment, one honest conversation about what you’ve been struggling with. Setting New Year’s resolutions already proves you have the desire to change, so now it’s time to get the support that makes change possible.

 

Find a therapist near you who can help you understand what’s been holding you back and build a path forward that actually works for your life and your unique circumstances.

Start Your Journey Today

Search for qualified therapists in your area at our GoodTherapy directory.

Find a Therapist Near You →


Resources:

Man measuring individual blades of grass with a ruler, symbolizing Perfectionism and Childhood Trauma.

Perfectionism and childhood trauma are often more connected than they appear. If you are a perfectionist, you are probably the person everyone counts on. You are the one who stays late, remembers the details, and makes sure things are done right. On the outside, you look like you have it all together.

Perfectionism
Childhood trauma
Self-critical thoughts
Healing & safety

On the inside, you are probably exhausted.

You’re tired of the constant mental checklist, the quiet fear of “what if I miss something,” and the nagging feeling that you are never quite doing enough. It’s a heavy weight to carry.

We have been told that perfectionism is a badge of honor, a sign of a high achiever. But this is a myth. For most who live with it, perfectionism is not a motivator. As Judith Beck has described, perfectionism often becomes a heavy “burden,” not a superpower. It is not the same as a healthy drive to do your best; it is a life steeped in fear and nervousness.

What if that fear is not a new feeling? What if your perfectionism is not a character flaw at all? What if it is a brilliant survival skill you developed when being “perfect” was the only way to feel “safe”?

Research is now confirming what many have long felt: perfectionism, in its most painful forms, can be fostered by childhood trauma. One recent study found that maladaptive perfectionism can act as a “bridge” between early trauma and depression in adulthood, especially after experiences such as sexual abuse. In other words, perfectionism and childhood trauma can be linked in a very direct way: the very trait that helped you survive is now fueling your pain.

✨

Key Insight

A quick snapshot of how perfectionism and childhood trauma are connected.

Perfectionism isn’t just about high standards, it can be a survival strategy that formed in response to childhood trauma or conditional love. What once kept you safe may now be keeping you stuck.

1. Where it starts

In chaotic, critical, or neglectful homes, children may learn: “If I’m perfect, I’m safer and more lovable.”

2. How it feels now

As an adult, this can look like relentless self-criticism, fear of mistakes, burnout, anxiety, or depression, even when everything appears “fine” on the outside.

3. What healing can do

Trauma-informed therapy, CBT, and self-compassion help you set the shield down, so your worth no longer depends on being perfect, and “good enough” can finally feel safe.

If this summary feels uncomfortably familiar, it may be a sign that your perfectionism is doing the job trauma once required, and that you deserve support in finding a gentler way to feel safe.

How Perfectionism and Childhood Trauma Create a “Perfect” Shield

We’re used to thinking of perfectionism as a personality trait. But in the context of perfectionism and childhood trauma, it is often also a survival skill.

This pattern is often formed in an environment where love and safety feel conditional. At the root of perfectionism, there is frequently a deep-seated self-esteem issue. Orthopedic surgeon and author John D. Kelly describes how perfectionism can grow from anxiety, self-doubt, and a belief that anything less than flawless is failure. Over time, a child may internalize the message: “If I don’t do everything right, I will be rejected, punished, or ignored.”

Then: Growing up

You may have experienced criticism, chaos, neglect, or other forms of trauma. Being quiet,
helpful, or “perfect” reduced conflict or made you feel a little safer.

Now: Adult perfectionism

The same patterns show up as overworking, over-preparing, people-pleasing, or intense
self-criticism. You still behave as if one mistake could ruin everything.

Next: Healing and choice

By understanding the tie between perfectionism and childhood trauma, you can
begin to build new ways of feeling safe, ones that do not require you to be flawless.

When “perfect” becomes protection

Environment

  • Chaos, criticism, or neglect
  • Love or attention only when you excel
  • Walking on eggshells around caregivers

Adaptation

  • “If I’m perfect, I’ll stay safe.”
  • Hyper-focus on performance and mistakes
  • Trying to control pain by controlling yourself

In response to adverse or traumatic childhood experiences, perfectionism can emerge as a powerful coping strategy. A person may begin striving for perfection as a way to secure the love and acceptance they are missing, regain a sense of control over their environment, and unconsciously try to avoid further abuse or emotional harm.

If you grew up with chaos, criticism, or neglect, being “perfect” was a brilliant adaptation. It was a shield. It was your way to manage the unmanageable and make sense of perfectionism and childhood trauma in a world that did not feel safe.

Want more on how perfectionism starts?
Read GoodTherapy’s piece on how perfectionism can quietly hold you back and keep you stuck in cycles of pressure and self-criticism.

When the Shield Becomes a Cage

That shield may have kept you safe then, but today it has likely become a cage. The strategy that helped you survive childhood is now the source of your adult anxiety, burnout, or emotional numbness.

Clinicians often see two sides of perfectionism: the part that sets high standards, and the part that causes all the pain. This “maladaptive” side is the one that really gets us stuck. This isn’t just about being neat or organized; it’s about being so intensely self-critical that even a small mistake feels like proof of a deep, personal failure. It’s the reason why, even when you succeed, you may not feel joy, only a hollow sense of relief that you “did not fail.”

Perfectionism says, “If I don’t get this right, I am not enough.”

Healing says, “Even when it’s not perfect, I am still worthy and safe.”

Researchers now see this painful, self-critical perfectionism as a transdiagnostic risk factor that can contribute to many mental health conditions. A large meta-analysis of cognitive behavior therapy (CBT) for perfectionism found that when people work directly on these patterns, not only does perfectionism decrease, but symptoms of depression, anxiety, and eating disorders often improve as well.

Another review of over 41,000 young people found a clear, moderate link between “perfectionistic concerns” (fear of mistakes, harsh self-criticism, feeling never good enough) and symptoms of anxiety, obsessive-compulsive disorder (OCD), and depression. The more self-critical the perfectionism, the more distress young people tended to experience.

From shield to cage:

  1. Childhood trauma or conditional love → “I must be perfect to stay safe.”
  2. Perfectionism becomes the shield → hypervigilance, overwork, never enough.
  3. Adulthood → anxiety, burnout, relationship strain, depression.
  4. Hidden message → “If I stop performing, I’ll lose love or be hurt.”
Feeling trapped by high standards?
Explore this article on perfectionism and burnout for practical ways to recognize when striving has become self-sacrifice.

Healing Perfectionism Rooted in Childhood Trauma

You cannot simply “stop being a perfectionist.” That shield is heavy for a reason. The goal is not to stop caring or to start “doing the bare minimum.” The goal is to heal the deeper relationship between perfectionism and childhood trauma, so that care, effort, and excellence come from choice, not fear.

Healing often involves two parts: managing the day-to-day symptoms of perfectionism and, just as importantly, understanding its roots. Cognitive Behavioral Therapy (CBT) is widely considered an especially effective, gold-standard treatment for managing perfectionism. A major meta-analysis has shown that CBT for perfectionism can reduce perfectionistic thinking and lower related anxiety, depression, and eating difficulties.

Illustration of a man examining a lightbulb with a magnifying glass, representing Perfectionism and Childhood Trauma.

But for many people whose perfectionism developed as a shield, healing also means gently exploring the “why.” Trauma-informed therapy, EMDR, Internal Family Systems (IFS), and psychodynamic approaches can create a safe space to process the original experiences that made the shield necessary in the first place.

4 ways therapy can help you set the shield down

  1. Evaluating your thinking:

    Perfectionism is built on distorted thought patterns, sometimes called “cognitive distortions.” This includes all-or-nothing thinking (believing anything less than 100% is total failure) and catastrophizing (assuming the worst will happen). A therapist helps you catch, question, and reframe these thoughts.

  2. Practicing “good enough.”:

    The antidote to all-or-nothing thinking is the gray area. You practice settling for a “good enough” job on tasks that don’t truly need to be flawless. As Dr. David Burns famously encourages, you learn to “dare to be average” in some areas so you can reclaim your time, energy, and joy.

  3. Running behavioral experiments:

    A core part of CBT is testing your fears in real life. This might mean sending an email with a minor typo, turning in a project before it’s endlessly polished, or leaving a dish in the sink overnight. Each small experiment collects evidence that the disasters you fear do not actually happen, or if there are consequences, they’re usually manageable.

  4. Practicing self-compassion:

    The opposite of harsh self-criticism is not sugary praise; it is a grounded, compassionate response. Therapy can help you practice talking to yourself the way you would talk to a struggling friend: honest, kind, and supportive rather than cruel.

Ready to experiment with “good enough”?
Try one small shift after reading our article on unburdening perfectionist thoughts. Notice how your body and mind respond when you intentionally let something be imperfect.
Want tools for gentler self-talk?
Explore how self-compassion can soften perfectionism in this post on overcoming perfectionism with self-kindness.

Building a New Inner Sense of Safety

Your perfectionism is not you. It is an echo of a time you needed it to feel safe. Healing the connection between perfectionism and childhood trauma is the process of building a new kind of inner safety, one that doesn’t depend on every email, project, or conversation being flawless.

Micro-shifts that help your nervous system feel safer

  • Taking one slow breath before you check your work “one last time.”
  • Noticing when your inner voice sounds like a critical caregiver and softly shifting the tone.
  • Allowing yourself five minutes of rest before you “earn it.”
  • Reminding yourself, “I am allowed to be human and still be safe.”

Letting go of perfectionism doesn’t mean you stop caring about your work, relationships, or values. It means you stop believing that your worth is on the line every time you act. As you set the shield down, you free up time and energy for the activities you actually find meaningful and enjoyable, from creativity and connection to rest and play.

Thinking about getting support?
You don’t have to untangle perfectionism and childhood trauma alone. Use the GoodTherapy directory to find a therapist who understands trauma, anxiety, and perfectionism and can help you build a kinder inner world.

Frequently Asked Questions


Perfectionism and childhood trauma often raise questions:

Q: How do I know if my perfectionism is linked to childhood trauma?

A: There’s no single test, but there are clues. If your perfectionism feels less like ambition and more like fear, fear of making mistakes, of being rejected, of “getting in trouble”, it may be connected to earlier experiences. Many people notice that they became highly perfectionistic in homes with criticism, emotional neglect, or unpredictable anger. A trauma-informed therapist can help you explore this link safely.

Q: If I let go of perfectionism, won’t my standards and success disappear?

A: Letting go of perfectionism doesn’t mean letting go of excellence. Research suggests that when people soften harsh self-criticism and practice self-compassion, motivation often improves rather than gets worse. You’re more likely to take healthy risks, learn from feedback, and recover from setbacks when you’re not attacking yourself for every misstep.

Q: Can CBT really help with perfectionism that started in childhood?

A: Yes. Meta-analyses show that CBT for perfectionism can reduce perfectionistic thinking and ease symptoms of anxiety and depression. At the same time, many people benefit from combining CBT with trauma-focused work, so they can both change current patterns and heal the older wounds that shaped them.

Q: Where can I start if this all feels overwhelming?

A: Begin with one gentle step. You might read an article on turning self-hatred into self-compassion, practice saying one kinder sentence to yourself each day, or schedule a consultation with a therapist. You don’t have to fix everything at once. Every small act of care is a move away from survival mode and toward feeling genuinely safe.

References

  • Galloway, R., Watson, H., Greene, D., Shafran, R., & Egan, S. J. (2022). The efficacy of randomised controlled trials of cognitive behaviour therapy for perfectionism: A systematic review and meta-analysis. Cognitive Behaviour Therapy, 51(2), 170–184.
    DOI: 10.1080/16506073.2021.1952302
  • Kelly, J. D., IV. (2015). Your best life: Perfectionism—The bane of happiness. Clinical Orthopaedics and Related Research, 473(10), 3108–3111.
    Retrieved from pmc.ncbi.nlm.nih.gov
  • Lunn, J., Greene, D., Callaghan, T., & Egan, S. J. (2023). Associations between perfectionism and symptoms of anxiety, obsessive-compulsive disorder and depression in young people: A meta-analysis. Cognitive Behaviour Therapy, 52(5), 460–487.
    Summary available at cognbehavther.com
  • MichaÅ‚owska, S., Chęć, M., & Podwalski, P. (2025). The mediating role of maladaptive perfectionism in the relationship between childhood trauma and depression. Scientific Reports, 15(18236).
    DOI: 10.1038/s41598-025-03783-1

Smartphone projecting endless spiral of news and warnings, comparing doomscrolling and hope questing.The battle between hope questing vs doomscrolling defines our digital age. We’ve all been there. With the best intentions, we head to bed ready for a full eight hours of sleep. We go through our routine, crawl into bed, set the alarm (on our phones, of course), and notice a notification. We click on it “just for a second.” Then suddenly, 20, 30, even 40 minutes later, we’re still scrolling.

The time slipped away and instead of feeling calm, we’re now more anxious. Our feed was filled with war updates, political arguments, misinformation, posts that spark comparison, or reminders that we weren’t included in a friend’s plans. By the time we put the phone down, our minds are buzzing with stress. Sleep will come, but not easily.

If this sounds familiar, you’re not alone. That late-night spiral has a name: doomscrolling. And while it often feels impossible, or worse even wrong, to look away, the toll it takes on our mental and physical health is very real.

But what if there’s another way to stay connected without getting pulled under? That’s where hope questing comes in.

Ready to transform your relationship with social media? Browse our directory of therapists who specialize in anxiety and digital wellness to get personalized support for your mental health journey.

What is Doomscrolling?

Doomscrolling is the compulsive habit of consuming an endless stream of distressing or negative content online. The name says it all, it feels heavy, frightening, and unrelenting.

To be fair, it’s not all bad. Doomscrolling does keep us informed about global and local issues we may not otherwise know about. Much of what we’ve learned about injustices, humanitarian crises, or social movements have come through social media. Doomscrolling can also make us feel less alone by connecting us with others who share our fears, perspectives, or experiences.

But the negatives often outweigh the benefits. Doomscrolling heightens anxiety, stress, anger, and hopelessness. It floods the nervous system with “threat signals,” leaving us stuck in dysregulation. And because social media algorithms are designed to keep us hooked, the cycle becomes self-perpetuating: we scroll to feel informed and in control, yet the more we consume, the more powerless and overwhelmed we feel.

Research from the American Psychological Association highlights the correlation between high social media use and poor mental health among adolescents, while systematic reviews have found that the use of social networking sites is associated with an increased risk of depression, anxiety, and psychological distress.

So, what is Hope Questing?

Hope questing is the intentional act of seeking out uplifting, inspiring, or solution-focused stories, media, and resources. This doesn’t mean pretending the hard stuff isn’t happening or putting on rose-colored glasses. Instead, it’s about choosing to balance our perspective: recognizing that while there are crises, injustices, and suffering, there are also acts of kindness, progress, innovation, and resilience happening every single day and opportunities for you to be a part of them.

Of course, there are risks if hope questing is taken too far. We might run the risk of avoidance – putting our head in the sand and pretending that the bad things aren’t happening around us. We also run the risk of toxic positivity which is truly one of this therapist’s biggest pet peeves in our current culture. Toxic positivity is the belief that people should always maintain a positive mindset no matter how difficult, painful, or complicated their circumstances are, or the circumstances of the world may be.

It’s the “just look on the bright side,” “good vibes only,” “Pollyanna,” or “everything happens for a reason” approach that dismisses or minimizes real feelings of sadness, anger, grief, or fear. At its core, toxic positivity suggests that there’s no space for “negative” emotions, and that if you just think positively enough, everything will be fine. While it’s important to find the path toward positivity, toxic positivity leaves no room for the complexity of human experience.

Struggling with social media anxiety? Learn more about how social media affects mental health and discover evidence-based strategies for healthier digital habits.

Healthy hope questing is about balance: allowing space for the hard truths and giving ourselves permission to refill our cup with reminders of joy, progress, and possibility. When we find hope, our optimism increases which in turn boosts our confidence and motivation to take action toward creating change. It also helps us to regulate our nervous systems by reminding us of joy, progress, and possibility. While doomscrolling activates the nervous system, hope questing helps regulate it, reminding us that even in dark times, there are glimmers of light and pathways forward – it can inspire action rather than paralysis.

The Science Behind Hope Questing vs Doomscrolling

Social media platforms are popular venues for sharing personal experiences, seeking information, and offering peer-to-peer support among individuals living with mental illness. However, research shows that teens who felt a lot of pressure to use social media sites experienced more symptoms of depression and anxiety, lower self-esteem, and more difficulty getting quality sleep.

The good news? Studies suggest there’s a “sweet spot” for digital media use. Well-being increases as screen time increases up to a particular point. After that point has been exceeded, well-being starts to decrease. This means that moderate, intentional use of social media can actually benefit our mental health when done mindfully, a key principle in hope questing vs doomscrolling.

Need help setting digital boundaries? Explore our resources on setting healthy boundaries with news and social media to protect your mental well-being.

Practical Strategies: From Doomscrolling to Hope Questing

The internet will always offer us an endless feed of stories. What we choose to consume matters for our mental health, our relationships, and our sense of self agency. Here are some tips for how to help balance knowledge and curate the accounts you follow:

1. Listen to Your Body

Pay attention to your body while you are scrolling – Do you feel tense? Calm? Inspired? Heavy? Happy? Your body tells you whether a feed is nourishing or draining.

2. Curate Trusted Information Sources

Find accounts that you trust for information. Follow accounts that provide accurate, thoughtful information about our country and the world. Quality journalism and fact-based reporting can help you stay informed without the sensationalism.

3. Add Joy and Lightness

Make sure you follow accounts that bring you something fun. Let’s be honest, who doesn’t love a good dog account or one with beautiful photos of places near and far. You can find the accounts that spark joy for you.

4. Seek Inspiration and Growth

Find accounts that uplift you. Identify what will inspire, encourage, expand your perspectives, or excite you. Having your feed filled with things that educate, create diversity, and share creativity might balance out the overwhelming feeling of the information you are taking in.

5. Balance Reality with Hope

Stay informed, but balance news and critical issues with accounts that highlight solutions, resilience, or everyday positivity. This is the core of hope questing – acknowledging challenges while actively seeking stories of progress and possibility.

6. Audit Your Feed Regularly

Consciously think about each account that shows up in your feed. Does it bring you joy? Does it bring you accurate information? Do you feel good when you see their posts? Is it an account of someone you love and shows you the same love back? If the answer is no, think about unfollowing, muting, or snoozing the account.

Ready to take control of your digital habits? If you’re struggling with social anxiety or FOMO, our therapist directory can connect you with professionals who understand the unique challenges of our digital age.

7. Reset Your Algorithms

Consider resetting your algorithms. Each platform gives an option for doing so and sometimes this is just what you do to shift the information you are taking in.

8. Limit Comparison Triggers

It happens to all of us, we follow the influencer with the style we want to emulate, the chef who always puts healthy meals on the table, the parent that has just the right tips to make your child do what you want, or the personal trainer who promises you will look just like them in 6 weeks. We follow these accounts looking for inspiration but instead we find ourselves in the comparison game that often leads to guilt or shame. If certain content or accounts makes you feel “less than,” consider unfollowing or muting.

9. Be Mindful of Your Engagement

Pay attention to the videos and photos you watch, like, and share. That is how your feed is defined by the apps themselves. I know I have gone down some WILD rabbit holes and then suddenly see these things popping up more. Choose to not engage with that content and they will eventually fall away.

10. Set Time Boundaries

Even the most uplifting feed can overwhelm. Use app timers or boundaries to step away and ground yourself offline. After a certain point in the evening, usually an hour or two before bedtime, winding down is your chief order of business. Avoid scrolling on social media during this time to help you fall asleep sooner and get better rest.

11. Regular Check-ins

Your needs change, what inspired you last year might drain you now. Audit your feed every few months to ensure it still serves your mental health goals.

Hands holding smartphone, reflecting choice between doomscrolling and hope questing.

Frequently Asked Questions About Hope Questing vs Doomscrolling

Q: What’s the difference between hope questing and toxic positivity? A: Hope questing acknowledges difficult realities while intentionally seeking balance with positive content. Toxic positivity dismisses negative emotions entirely and insists on maintaining positivity regardless of circumstances. Hope questing creates space for all emotions while actively choosing to include uplifting content in your media diet.

Q: How much social media use is too much for mental health? A: Research suggests limiting social media use to around 2 hours per day for optimal mental health. However, quality matters more than quantity – mindful, intentional use of uplifting content can be beneficial even within reasonable time limits.

Q: Can hope questing help with anxiety and depression? A: While hope questing isn’t a replacement for professional treatment, it can be a helpful coping strategy. By regulating your nervous system through positive content and reducing exposure to distressing material, you may experience reduced anxiety symptoms. However, persistent mental health concerns should be addressed with a qualified therapist.

Q: How do I start hope questing if I’m used to doomscrolling? A: Start small by unfollowing one account that consistently makes you feel worse, and follow one that makes you feel hopeful or inspired. Gradually audit your feeds, use platform algorithms reset options, and be mindful of what content you engage with through likes and shares.

Q: Is it okay to unfollow news accounts completely when practicing hope questing vs doomscrolling? A: You don’t need to eliminate news entirely. Instead, choose 1-2 trusted, quality news sources and balance them with solution-focused journalism that highlights progress and positive developments alongside important current events. Hope questing vs doomscrolling is about balance, not avoidance.

Q: How can I practice hope questing without becoming uninformed? A: Hope questing doesn’t mean ignoring reality. Stay informed through quality sources, but intentionally balance difficult news with stories of human resilience, scientific breakthroughs, community support, and positive change. Set specific times for news consumption rather than constant exposure.

Take Action: Your Journey from Doomscrolling to Hope Questing Starts Now

So, the next time you notice yourself doomscrolling, pause. Ask: What would hope questing look like right now? You might be surprised at how much lighter, steadier, and more capable you feel when you give yourself permission to seek out hope alongside the hard truths and curate your feeds to meet your needs. Remember: You are the curator of your digital environment. Choose content that nourishes your mental health, not just fills your time.

The transformation from doomscrolling to hope questing isn’t about perfection, it’s about intention. It’s about recognizing that in a world full of challenges, we can choose to also amplify stories of resilience, innovation, and human kindness. This doesn’t diminish the real problems we face; instead, it provides the emotional resources we need to engage with them constructively.

Ready to transform your digital wellness journey? Connect with a mental health professional who can provide personalized strategies for managing social media anxiety and building healthier digital habits. Your mental health deserves the same care and attention you give to your physical health.

External Resources for Digital Wellness

For additional evidence-based information on social media and mental health, explore:

Important Notice

GoodTherapy is not intended to be a substitute for professional advice, diagnosis, medical treatment, or therapy. Always seek the advice of your physician or qualified mental health provider with any questions you may have regarding any mental health symptom or medical condition. Never disregard professional psychological or medical advice nor delay in seeking professional advice or treatment because of something you have read on GoodTherapy.