You’re capable, accomplished, and quietly exhausted.
Practical, insight-oriented therapy for high-achieving adults and adolescents navigating anxiety, perfectionism, self-doubt, and repeating relationship patterns.
VIRTUAL THERAPY FOR ADULTS & ADOLESCENTS IN NY, NJ & PSYPACT STATES
You understand your patterns. You just can’t seem to change them.
You may have thought about these patterns for years. You understand, at least partially, where they come from. And yet knowing why you feel or react a certain way hasn’t necessarily changed what happens in the moment.
That’s where the work starts. Therapy here isn’t just about gaining more insight. It’s about understanding why insight alone hasn’t been enough and learning how to respond differently.
— Your mind rarely turns off
— Nothing feels quite good enough
— The same patterns keep returning
Our approach draws from CBT and DBT alongside deeper relational and insight-oriented therapy, so our work together is both practical and meaningful.
What can begin to shift
A quieter mind
Less rumination, second-guessing, and mental rehearsal.
Greater emotional steadiness
More capacity to tolerate uncertainty and strong emotions.
Healthier Relationships
Clearer boundaries and less repetition of painful patterns.
Confidence that feels more secure
A sense of worth that isn’t dependent on constant performance.
Ways to work together
Different forms of support, grounded in the same thoughtful, active approach. We’ll consider what you’re navigating, what you hope to change, and which format best fits your needs.
Individual Therapy
For adults and adolescents navigating anxiety, perfectionism, relationship patterns, family dynamics, or self-esteem concerns. Therapy is practical, insight-oriented, and tailored to your goals.
Couples Therapy
For couples caught in recurring conflict, disconnection, or patterns that are difficult to change. We focus on understanding the cycle and building healthier ways of communicating and relating.
DBT-Informed Coaching
Skills-focused support for managing intense emotions, tolerating distress, and responding more effectively in difficult situations. Practical, collaborative, and grounded in DBT.
Specialties
Most people come in with one concern, whether it's anxiety, perfectionism, relationship patterns, or self-doubt, and quickly realize it's connected to several others. That's not a problem. That's exactly where the work gets meaningful.
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For the overthinker who can't turn their brain off, even when everything is technically fine.
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When nothing you do ever feels quite good enough, and the bar keeps moving.
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For people who dread social situations, overthink interactions afterward, or shrink to avoid judgment.
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When the same dynamics keep showing up across relationships, no matter how much you've tried to change them.
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For adults still navigating the lasting effects of growing up with a parent who couldn't really see them.
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For people pleasers, chronic self-doubters, and anyone who struggles to know what they actually want.
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When emotions feel too big, too fast, or completely shut down when things get hard.
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For people caught in cycles of health-related worry and hypochondriasis that Google searches only make worse.
Meet Dr. Carolyn Khanian
I’m a licensed psychologist who works with high-achieving adults and adolescents who may seem capable on the outside but feel anxious, overwhelmed, self-critical, or stuck in patterns that are difficult to change.
My style is warm, direct, and collaborative. I integrate insight-oriented and relational therapy with practical strategies informed by CBT and DBT—helping you better understand what’s happening, develop new ways of responding, and create meaningful change in your life and relationships.
Step 1. Reach out
A SIMPLE FIRST STEP
See whether working together feels like the right fit.
The consultation is simply a chance to share what you’re looking for, ask questions, and get a sense of whether this approach feels right for you.
There’s no pressure or commitment.
Step 2. Schedule a brief consultation
Step 3. Decide whether you’d like to move forward
Request a Consultation
CONTACT
Ready when you are.
You don’t need to know exactly what to say. Share a little about what brings you here, and we’ll take the next step together.
We typically respond within 48 hours.

