Specialties
- Anxiety and Overthinking
- Body Image and Self-esteem
- Disordered Eating and Eating Disorder (ED) Recovery
- Perfectionism, People Pleasing, and Boundaries
You may look like you have everything together on the outside, but internally feel overwhelmed, stuck in your thoughts, or unsure of yourself.
Many of the teen girls and women in their 20s and 30s I work with are high-functioning, overachievers, yet they also experience anxiety, overthinking, self-doubt, and relationship challenges that show up in different ways.
My area of specialty focuses on helping you understand that the patterns you struggle with including anxiety, perfectionism, people pleasing, and disordered eating are not flaws but adaptive responses shaped by your experiences and relationships. Therapy is about making sense of these patterns and creating more intentional and compassionate ways of relating to yourself, your body, and others.
- Erika Piloto, LCSW-QS
You may be here because something in your life doesn’t feel the way you want it to.
- Maybe you feel anxious more often than you’d like, and your mind doesn’t seem to slow down.
- Maybe you find it hard to enjoy the moment because you’re constantly thinking ahead or overanalyzing.
- Maybe you’re navigating a transition and feel unsure of yourself.
- Or maybe your relationships feel confusing, overwhelming, or emotionally draining.
- You might even feel like you’re carrying all of this on your own.
I am here to help you.
Do you find yourself constantly overthinking everything?
Do you have a hard time relaxing because your mind never slows down and your body feels on edge?
Are “what if” thoughts running through your head all day?
Do you feel overwhelmed, but still struggle to ask for help?
Many of the teen girls and women I work with feel this way. They are used to holding everything together, managing responsibilities, and pushing through, even when it feels exhausting.
You may be balancing school, work, relationships, and expectations, all while putting pressure on yourself to get everything right. The constant second-guessing, self-doubt, and need to be perfect can feel overwhelming.
Anxiety is not just in your mind. It shows up in your body, your thoughts, and the way you relate to yourself.
Therapy can help you feel more settled in your mind and less controlled by your thoughts.
Anxiety can feel like your mind is always trying to stay one step ahead. You think through every possible outcome, replay past situations, and try to get everything “right,” even when it is out of your control. And no matter how much you think things through, the anxiety still comes back.
It can be hard to stay present or feel connected to others when your mind is constantly racing. Social situations may feel overwhelming, uncomfortable, or even embarrassing at times, making it difficult to relax or be yourself.
Anxiety also shows up physically. You might experience headaches, digestive issues, fatigue, or feel constantly on edge. In more intense moments, it can look like heart racing, shortness of breath, or a sudden sense of panic that feels hard to control.
You are not imagining it, and you are not alone.
Anxiety is treatable. Therapy can help you dig deeper and develop a greater sense of insight, while giving you tools to manage both the mental and physical symptoms.
On the outside, you seem like you have it all together.
You stay on top of your responsibilities, show up for others, and push yourself to meet high expectations. Most people wouldn’t guess how much is going on underneath.
But internally, it can feel exhausting.
Your mind doesn’t slow down. You overthink your decisions, replay conversations, and put pressure on yourself to get everything right. Even when things are going well, it can feel hard to relax or fully enjoy it.
This is often what high-functioning anxiety looks like.
Therapy can help you understand these patterns and begin to shift them. Together, we focus on helping you feel more confident in how you show up and move through life with less pressure and more ease.
Living with anxiety can make everything feel intense or all or nothing. You may find yourself constantly trying to get things right, avoid mistakes, or prepare for every possible outcome.
My approach focuses on helping you understand your thought patterns, reduce overthinking, and respond to anxiety in a way that feels more grounded and supportive.
We also focus on building a more compassionate relationship with yourself, so you are not constantly operating from pressure or self criticism.
Over time, you will develop practical tools to manage anxiety, navigate uncertainty, and feel more confident in your thoughts, your decisions, and your daily life.
If you find yourself feeling overwhelmed, anxious, or out of control around food or your body, it can be helpful to pause and understand what is driving these thoughts and feelings.
Body image struggles often go deeper than what you see on the surface. They can be connected to anxiety, self-esteem, and the pressure to feel in control or “get it right.”
Therapy can help you develop a more stable and compassionate relationship with yourself.
Instead of your confidence fluctuating based on how you look or how you think others perceive you, you begin to feel more secure in who you are. The constant comparison, self-criticism, and pressure to look a certain way starts to soften.
If your relationship with food or exercise became overwhelming or difficult to manage, you may have already sought support.
You may have done treatment for anorexia, bulimia, binge eating, or patterns around overexercising. Or you may have worked with a therapist before, perhaps through insurance or with someone who did not fully understand your experience.
Even if things have improved on the surface, it can still feel hard internally.
You may still struggle with body image, self-esteem, or the pressure to stay in control. The thoughts, patterns, or underlying beliefs may still be there, even if behaviors have changed.
Recovery is not just about changing behaviors, it is about feeling more at peace with yourself.
Through therapy, you begin to understand the patterns that drive your relationship with food, your body, and control. Instead of feeling stuck in cycles or constantly thinking about food, you start to experience more freedom and flexibility.
You may notice less guilt, less anxiety around eating, and a greater ability to trust your body and your needs.
Over time, your focus shifts away from food and appearance, allowing you to feel more present, more balanced, and more connected to yourself and your life.
Struggling with your body or your relationship with food can feel exhausting and all consuming.
You may find yourself constantly thinking about how you look, comparing yourself to others, or feeling like your worth is tied to your appearance. At times, this can show up as restrictive eating, overeating, cycles with food, or feeling out of control around eating or exercise.
Even if behaviors have improved, the thoughts and pressure can still feel overwhelming.
These patterns often go deeper than food or appearance. They are connected to anxiety, self-esteem, perfectionism, and the pressure to feel in control or “get it right.”
My approach focuses on helping you build a more compassionate relationship with yourself while shifting the patterns that keep you stuck in self-criticism and comparison.
Together, we focus on increasing self-awareness, improving your relationship with your body, and strengthening your sense of self so you can feel more grounded, confident, and secure beyond appearance or food.
You may feel like you are always trying to get things right.
You hold yourself to high standards, overthink your decisions, and put pressure on yourself to meet expectations. At the same time, you may find it hard to say no, worry about disappointing others, or feel responsible for keeping the peace in your relationships.
People pleasing can feel automatic. You prioritize others’ needs, avoid conflict, and adjust yourself to maintain connection, even when it comes at the expense of your own well-being.
Over time, this can lead to feeling overwhelmed, resentful, or disconnected from yourself.
These patterns are not random. They are often rooted in deeper experiences related to anxiety, self-esteem, and a fear of rejection or not being enough.
My approach focuses on helping you recognize these patterns, set healthier boundaries, and feel more confident expressing your needs without guilt.
Instead of overextending yourself, avoiding conflict, or feeling responsible for others’ reactions, you begin to feel more confident in expressing your needs.
You may have tried therapy before, maybe worked with someone that took your insurance, but didn’t quite feel like the right fit. Maybe it felt surface level, too general, or like they didn’t fully understand what you were experiencing.
My work is different. I understand how these experiences show up beneath the surface, even when everything looks fine on the outside.
This is not one-size-fits-all therapy. We focus on understanding what is driving your patterns so you can create meaningful and lasting change.