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Why Therapy Didn’t Work (And What You Actually Need)

Sarah, 44, a general counsel at a bustling tech firm, sits across from me, her hands wrapped tightly around a lukewarm cup of coffee. She’s just told me she’s seen 12 therapists over 15 years, investing nearly $60,000 out of pocket. Yet, here she is, still jolted by the same visceral panic response every time her CEO’s name lights up her phone on a Sunday afternoon. Her breath quickens, her chest tightens, and the familiar flood of dread washes over her like clockwork. “Maybe I’m just unfixable,” she whispers, eyes brimming with exhaustion and shame.

Therapy Guide • April 7, 2026