If you look put together on the outside, but your low self-confidence, self-esteem problems, or perfectionism make life feel harder than it should I can help. I teach people to see what’s happening and how to change their patterns even if therapy hasn’t worked before. I work with people who describe themselves as outwardly successful or high achieving but who still feel like something is missing. This shows up as anxiety, panic attacks, relationship issues, family issues even when they’re often competent and doing well at work. The mismatch can be confusing and embarrassing and mean people find it hard to articulate what’s wrong.