Areas of Focus
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 experience anxiety, overthinking, self-doubt, and relationship challenges that show up in different ways.
My area of specialty focuses on helping you understand these patterns so you can feel more grounded, confident, and secure in yourself.
- 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 women and young 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 slow down, understand these patterns, and begin to feel more grounded, more confident, and more in control of your life.
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 understand what is driving these patterns and give you tools to manage both the mental and physical symptoms. Over time, you can begin to feel more grounded, more present, and more in control of your thoughts and your body.
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 grounded, trust yourself more, 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.
Therapy can help you step out of those patterns and begin to see things with more clarity and flexibility. Together, we work on understanding your thought patterns, identifying what triggers your anxiety, and learning how to respond in a way that feels more grounded and supportive.
My approach is integrative, trauma informed, and tailored to you. I incorporate evidence based therapies such as CBT and Solution Focused Therapy while also exploring the deeper patterns connected to self-esteem, identity, and relationships.
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 make sense of these patterns in a way that feels clear and supportive. Together, we work on building awareness, shifting your relationship with your body, and developing healthier ways to cope with stress and difficult emotions.
Over time, you can begin to feel more grounded, more confident, and better equipped to navigate the hard body image days without feeling consumed by them.
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 managing behaviors, it is about how you see and relate to yourself.
Therapy can support you in continuing that process. Together, we focus on building self-awareness, strengthening your sense of self, and helping you feel more confident, grounded, and secure beyond food, your body, or appearance.
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.”
Therapy can help you understand where these patterns come from and begin to shift the way you relate to yourself.
My approach is integrative, trauma informed, and tailored to you. I incorporate evidence based therapies such as CBT and Solution Focused Therapy while also exploring the deeper emotional and relational patterns that contribute to how you see yourself.
Together, we focus on building 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.
Therapy can help you understand where these patterns come from and begin to shift them.
My approach is integrative, trauma informed, and tailored to you. I incorporate evidence based therapies such as CBT and Solution Focused Therapy while also exploring the underlying emotional and relational patterns that influence how you show up in your life and relationships.
Together, we focus on building self-awareness, learning how to set and maintain boundaries, and helping you feel more confident expressing your needs without guilt.
Someone who can help you make sense of your thoughts, your patterns, and the pressure you carry every day
You may have considered therapy before, or even worked with someone who 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.
My approach is thoughtful, insight-driven, and tailored to you. We focus on understanding what is driving your patterns, not just managing symptoms, so you can create meaningful and lasting change.
Together, we work on helping you feel more grounded, more confident, and more secure in who you are, not just in therapy, but in your everyday life.