Katie Carhart, PhD

I often work with clients who tell me they’ve tried therapy before and didn’t find it helpful. There are many reasons this can happen, and therapist fit is a meaningful one (something I’ll explore in a separate post). But another reason comes up just as often and is talked about far less: Sometimes therapy doesn’t help because the person doesn’t have the capacity for it at that moment in time. This isn’t a failure of motivation or effort. It’s a mismatch between what’s being asked and what...

You've checked all the boxes. The career is thriving, the relationships look stable from the outside, and your schedule is packed with accomplishments that would make anyone proud. Yet somehow, beneath the surface of this carefully constructed success, there's a persistent emptiness that no achievement seems to fill. If this resonates with you, you're not alone. What you're experiencing might be depression, even if it doesn't look like what you've been told depression should look like. I work...

You've checked all the boxes. The career is thriving, relationships appear solid, responsibilities are managed with precision. From the outside, everything looks perfectly aligned. Yet internally, there's a constant hum of worry, an exhausting drive to do more, be more, achieve more, and a nagging feeling that it's somehow never quite enough. If this resonates with you, you're not alone. High-functioning anxiety affects countless adults who appear successful and capable while privately...