Before starting therapy, my clients typically feel stuck, lost, or overwhelmed. They often tell me they are good at masking it, so others don’t see what’s happening under the surface. Outwardly they may be high achievers, but internally, they don’t feel like enough. Old patterns keep showing up, and wounds that they hoped would be left in the past are resurfacing. This may show up as people pleasing, burnout, perfectionism, anxiety, self-sabotaging, relationship concerns, or low self-esteem.