Next Level Performance
The standard that got you here is now the thing costing you the most.
Therapy for perfectionism and performance pressure in high-achieving adults, San Diego and online across California.
Who This Is For
People who are doing well by most measures, and rarely feel satisfied about it
Attorneys, physicians and nurses, therapists, founders, executives, fund managers. The pattern is remarkably consistent across the fields.
A win that lands for about an hour before the next target replaces it
Preparing far past the point of usefulness
Delegating badly because nobody else will do it properly
Reading a piece of feedback thirty times
Rehearsing conversations that have already happened
Treating rest as something to be earned rather than had
The Work
Three places we put the attention
Open each card to see what that part of the work involves.
The internal standardWhere 'good enough' got defined as barely acceptable.
We separate the standard you actually need from the one you inherited. Usually only one of them is answering to reality.
Performing under loadWhat your body does in the ninety seconds before it matters.
Concrete regulation work, breath, attention, and a pre-performance sequence you can run anywhere, so that the physiology is not deciding the outcome for you.
The recovery sideThe part high performers reliably skip.
How you come down afterwards, how you handle a result that disappointed you, and how you stop carrying every past performance into the next one.
Questions
What people want to know
Frequently paired with Stress and Burnout.
Is this coaching?
No. It is therapy, delivered by a licensed marriage and family therapist, that happens to focus on performance and the internal pressure around it. The distinction matters clinically and ethically.
What if the pressure is genuinely coming from my job?
Then we look at both sides, what the environment demands and what you add to it. Perfectionism usually inflates a real load rather than inventing one.
Can we work on a specific upcoming thing?
Yes. A trial, a board presentation, a funding round, a licensing exam. We work on preparation, regulation and the aftermath, without me promising you a particular outcome.
Will this dull my edge?
That fear comes up in almost every consult. Most people find the edge was never the anxiety; the anxiety was the tax on it.
Free 15-Minute Consult
You do not need to be falling apart to justify the call.
A free 15-minute consultation to talk through what you want to be different and whether this is the right work for it.
In person in San Diego, and by telehealth across California.