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The Fear of Intimacy in driven women
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Annie Wright therapy related image
A woman sitting with her back straight at a kitchen table at dusk, hands wrapped around a mug, looking out a window: Annie Wright trauma therapy

The Fear of Intimacy in Driven Women

SUMMARY

Fear of intimacy describes a pattern where closeness itself, not the absence of love, feels like the risk. This guide looks at how that pattern shows up in driven women’s lives and relationships, what the research actually says (and doesn’t say) about where it comes from, and why independence and a wish for closeness aren’t opposites. It also names when distance is a reasonable response to something outside you, not a pattern to fix.

The Woman Who Can Close a Deal But Not a Distance

It’s 9:40 on a Tuesday night, and Estela is sitting at her kitchen island with a set of blueprints spread out in front of her, even though the blueprints don’t need her attention tonight. She’s 49, a managing partner at the architecture firm she helped build from three people to forty, and she has just told her husband, again, that she’s not ready to talk about the thing he wants to talk about. He’s upstairs. The house is quiet in the specific way a house gets quiet when someone is trying not to be heard leaving a room.

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In my work with driven women, I see some version of Estela’s Tuesday night more often than almost any other scene. Not a crisis. Not a fight. Just a door that keeps closing a few inches before it’s all the way open.

“I can walk into a room of investors who don’t believe a woman should be running this firm, and I can hold my ground without blinking,” she told me, the blueprints still out on the table in her retelling. “But my husband asks me how I’m actually doing, and something in me just. Shuts. I give him a summary. I give him the headline. I don’t give him the rest, and I don’t fully know why.”

Sitting with Estela that first session, I felt the particular quiet that shows up when someone has just described a pattern out loud for the first time and heard how strange it sounds. Not a marriage in crisis. A woman who is completely fluent in risk everywhere except the one place risk actually costs her something she can’t rebuild with a good quarter.

This is what fear of intimacy often looks like from the outside: composed, capable, and quietly unreachable in the exact rooms where reachability matters most. It is not a diagnosis. It’s a description of a pattern, and like most patterns, it has more than one possible source. Before we look at where it might come from, it helps to be precise about what the term actually means, because “fear of intimacy” gets used loosely, and loose language here does real damage.

All vignettes in this post are composite characters, not real individuals.

What Fear of Intimacy Actually Is (and Isn’t)

Let’s start with what this term is not. It is not a clinical diagnosis. It does not appear in the DSM-5 as a standalone condition. It is not a personality flaw, and it is not automatically evidence of a traumatic childhood, an attachment disorder, or an unresolved history of abuse. Plenty of people who avoid emotional closeness have none of those things in their history. Some are simply private by temperament. Some are recovering from a specific betrayal. Some are asexual or aromantic and are being pathologized for a valid identity rather than understood. Some are responding, accurately, to a partner who has given them real reasons not to get closer.

DEFINITION FEAR OF INTIMACY

A descriptive pattern, not a diagnosis, in which emotional or relational closeness triggers avoidance, discomfort, or withdrawal severe enough to interfere with the connection a person otherwise wants. Sue Johnson, EdD, developer of Emotionally Focused Therapy and longtime researcher of adult romantic bonds, frames this less as fear of another person and more as fear of one’s own exposure inside the bond itself.

In plain terms: It’s the gap between wanting to be known and being able to let yourself be known. You can want closeness and still flinch when it arrives.

Sue Johnson, EdD, has spent decades studying what actually happens inside long-term couples under stress, and one of her more useful observations is how rarely the avoidant partner in a relationship is avoiding the other person. More often, they’re avoiding what closeness asks of them: being seen without being fully in control of what’s seen. That distinction matters clinically, because it changes what actually helps. The goal isn’t to force disclosure. It’s to lower the cost of being known.

It’s worth naming directly what fear of intimacy is not, because the loose, popular use of the term does harm when it collapses very different experiences into one story. It is not the same as low libido, and it is not evidence of infidelity risk. It is not automatically a trauma symptom. Someone can avoid vulnerability in a relationship because of a genuinely difficult childhood, or because of a recent betrayal, or because their current partner is controlling or unsafe and distance is the sane response, or because they are grieving, or managing a chronic illness that limits their capacity for certain kinds of closeness, or simply because they were raised in a culture that treats reserve as respect rather than as a problem to solve. Fear of intimacy, as a description, only fits when closeness is wanted and still avoided. If closeness isn’t wanted, that’s not fear. That’s a preference, and preferences don’t need fixing.

This distinction also matters for anyone in a relationship with someone whose current behavior is the actual problem. If a partner is coercive, controlling, dismissive, or unsafe, pulling away from them is not a fear of intimacy pattern to work through in yourself. It’s a boundary responding correctly to a threat. Nothing in this post is meant to encourage staying closer to someone who has given you real reasons for distance, and nothing here should be read as pressure to disclose more, want sex more, or reconcile faster than feels safe. If you are questioning whether your relationship involves coercive control, that question deserves its own careful attention, separate from anything in this piece, ideally with support from a professional trained specifically in relationship safety.

What the Research Says About Closeness and the Nervous System

Once we’ve drawn those boundaries, there’s real research worth looking at, carefully, about why closeness can register as threat for some people some of the time. None of it proves a single cause. All of it describes one possible contributor among several.

Stephen Porges, PhD, Distinguished University Scientist at the Kinsey Institute at Indiana University and the researcher behind polyvagal theory, has spent his career studying how the autonomic nervous system evaluates safety often faster than conscious thought can weigh in. His framework proposes that the body can register emotional closeness, even wanted closeness, as a cue requiring vigilance rather than relaxation, particularly for a nervous system that learned early on that closeness and unpredictability traveled together. It’s worth saying plainly that polyvagal theory remains actively debated within the field, and Porges himself has been careful to describe it as a framework for generating hypotheses, not a settled account of how safety detection works. Treat it as one lens, not the whole picture.

DEFINITION AUTONOMIC THREAT RESPONSE

The body’s largely automatic evaluation of safety versus danger, occurring below conscious awareness, that shapes whether a person moves toward connection or away from it in a given moment. As Stephen Porges, PhD, has described it, this evaluation is not a choice. It’s closer to a reflex informed by prior experience.

In plain terms: Your body sometimes decides a hug is dangerous before your mind has a chance to disagree. That’s not a character flaw. It’s a system doing what it learned to do.

Cindy Hazan and Phillip Shaver’s foundational research on romantic attachment, building on earlier infant-attachment work, established that adults carry relational expectations into partnership the same way children carry them into early caregiving bonds. Their studies were correlational, drawn largely from self-report surveys of adult couples, which means they can describe associations between early relational patterns and adult closeness-avoidance without establishing that one directly causes the other. Plenty of people with securely attached childhoods still develop closeness-avoidant patterns as adults, shaped by later betrayals, health crises, or simply the accumulated wear of relationships that didn’t go well. The research is a contributor to understanding, not a verdict on any one person’s story.

Bessel van der Kolk, MD, psychiatrist and trauma researcher at Boston University School of Medicine and author of The Body Keeps the Score, has documented how some trauma histories leave the body registering closeness itself as unsafe, independent of what a current partner is actually doing. This is real and worth naming clearly. It is also, importantly, only one pathway among many, and most people who struggle with closeness do not have a diagnosable trauma history. Citing van der Kolk here is not a suggestion that fear of intimacy always means trauma. It means trauma is one possible contributor, present in some stories and absent in most.

Richard Schwartz, PhD, founder of Internal Family Systems therapy, offers a useful way to hold the ambivalence many people feel about closeness without needing a single origin story. In his framework, a person can have one part that genuinely wants connection and another part whose job is to protect against the specific vulnerability that connection requires. Neither part is wrong. The work isn’t choosing one over the other. It’s helping both parts coexist without one having to overpower the other every time closeness gets offered.

It’s worth pausing on a limitation that applies to all four of these frameworks together. Emotionally Focused Therapy, polyvagal theory, trauma research, and Internal Family Systems all developed primarily from clinical populations, people who were already in therapy and already identified as struggling with something. That’s a meaningful sampling limitation. It means these frameworks are well suited to describing what’s happening for someone who has already noticed a painful pattern and wants to understand it. They are not population-level explanations for why any given person avoids closeness, and none of them should be used to retroactively assign a cause to someone’s life without that person’s own account of their history. A pattern that looks identical from the outside can have a different engine underneath it in every single case.

There’s also a more basic point worth naming. Needing evidence for a claim doesn’t mean the claim only counts if it’s dramatic. Ordinary temperament accounts for a great deal of variation in how much closeness someone wants and how comfortable they are with it, and temperament research, while less headline grabbing than trauma research, is just as real a contributor. Some of this is simply who a person has always been, not a wound to excavate.

How This Shows Up in Driven Women

Roshni is 41, a hospital administrator who trained as a physician before moving into leadership, and she is, by every external measure, extraordinarily good at connection. Patients trust her. Her direct reports describe her as the calmest person in any crisis meeting the hospital has. It’s a Wednesday afternoon, and she’s sitting across from her partner of six years at their kitchen table, and he has just asked her, gently, why she still hasn’t told him about her father’s diagnosis, three weeks after she found out.

“I don’t know how to explain it without it becoming a whole conversation,” she said, in session, describing the moment. “And I don’t have room for a whole conversation right now. I have room for handling it. I know how to handle things.”

Sitting with Roshni, I noticed how naturally she reached for competence as the answer to a question that wasn’t really asking for competence. Her partner didn’t need her to handle her father’s diagnosis. He wanted to be let in while she was going through it. Those are different requests, and for Roshni, only one of them felt survivable.

What I see across many driven women’s lives is a specific version of this gap: extraordinary fluency in professional vulnerability paired with real difficulty in personal vulnerability. A litigator who can admit a losing argument in front of a judge and can’t admit to her spouse that she’s scared. A surgeon who apologizes cleanly to a family after a hard outcome and can’t apologize to her sister for a decade-old rift. The skill of controlled disclosure, sharing exactly what’s useful, exactly when it’s useful, and nothing more, is often the same skill that makes personal intimacy feel unsafe, because personal intimacy doesn’t come with an agenda you get to set in advance.

This pattern is closely related to what shows up in avoidant attachment when independence becomes isolation, though the two aren’t identical. Fear of intimacy can exist without a formal avoidant attachment style, and plenty of people with avoidant tendencies in some relationships are warm and available in others. What both patterns share is the same underlying question: what happens if I let someone see me without a plan for managing what they see?

For some driven women, this connects to earlier family roles. If you were the responsible one, the one who managed everyone else’s crisis before you were old enough to have your own, closeness can feel like a return to a role you’re still shaking off. That dynamic is explored in more depth in parentification, when you were the adult before you were the child. Not everyone who fears intimacy was parentified, and not everyone who was parentified fears intimacy. But where the two overlap, it’s worth naming.

There’s a second version of this pattern worth naming separately, because it doesn’t look like withdrawal at all from the outside. Some driven women manage the risk of closeness not by pulling away but by staying extremely busy inside the relationship. Planning, problem-solving, managing logistics, always moving toward the next useful thing. The relationship gets plenty of contact and very little exposure. Estela described this version too, in a later session. “I’m not avoiding him. I’m in the room constantly. I just make sure we’re always talking about the renovation, or his mother’s health, or the schedule for next week. There’s always something to manage.” This is a subtler cousin of withdrawal, and it’s explored further in this piece on overworking as a way to avoid feeling, which looks at how busyness itself can function as a closeness-avoidance strategy without ever registering as distance.

A third version shows up as intellectualizing. Explaining the pattern fluently, citing the research, narrating the childhood dynamic with real insight, while the actual felt experience of closeness in the room stays untouched. It’s worth naming that this post itself could become an instrument of that pattern. Reading an accurate account of why closeness gets avoided is not the same as experiencing closeness differently. Insight is often necessary. It is rarely sufficient on its own.

When Distance Isn’t a Pattern to Fix

Before going further into what helps, it’s worth spending real time here, because this is the section most guides like this one skip, and skipping it causes harm.

Distance from a partner is sometimes exactly the right response to something happening right now, not evidence of an old wound asking to be healed. If your partner is dismissive of your feelings, unreliable, or actively controlling, pulling back is a boundary, not a symptom. Coercive control in particular can look, from the outside, exactly like the closeness-avoidance pattern this post describes, because both involve withdrawal. The difference is what’s driving it. If the withdrawal is protecting you from someone else’s behavior, the fix is not more openness. It’s safety, often with support from someone trained specifically in relationship abuse and coercive control, not general relationship counseling. This piece on when a marriage triggers old childhood patterns draws that line in more detail, including how to tell the difference between an old wound resurfacing and a real, current danger.

Distance can also be the right response to grief. Someone mourning a parent, a marriage, or a version of their own life they expected to have may need more space, not less, for a while, and that space is not a relational problem waiting to be solved. Distance can be the honest expression of a mismatch: two people who love each other and want fundamentally different things from closeness, neither one wrong. Distance can reflect a chronic illness or disability that changes what a person has capacity for on a given day, and treating that as an intimacy problem rather than a capacity issue adds shame to an already hard situation. Distance can be the accurate expression of asexuality or aromantic identity, and no amount of therapy should be aimed at talking someone out of who they are. Distance can be depression or anxiety showing up as withdrawal, which deserves its own care, separate from a relational framework. And sometimes, distance is simply someone’s honest preference. Not everyone wants the same degree or pace of closeness, and wanting less is not a lesser or more broken way to be in relationship.

None of this is a checklist to diagnose yourself or a partner from a distance. It’s a caution against a single, tidy explanation. If you take one thing from this section, take this: before assuming distance is a fear to overcome, it’s worth asking honestly what’s actually driving it, and being willing to sit with an answer that isn’t the one this post, or any framework, expected.

One more distinction is worth drawing carefully, because it comes up often in my work with couples. There’s a difference between a partner who is hurt by distance and a partner who uses that hurt as a pressure tactic. A hurt partner says, in effect, “this distance is painful for me, and I’d like to understand it together.” A partner applying pressure says, in effect, “your distance is a problem you need to fix, on my timeline, or the relationship is at risk.” The first invites a conversation. The second applies pressure. If you’re on the receiving end of the second pattern, that pressure itself deserves scrutiny before you assume the distance is entirely yours to solve. Wanting to be closer to someone is a reasonable thing to want. Using urgency, guilt, or ultimatums to accelerate someone else’s readiness is a different thing entirely, and it’s worth being able to tell the two apart, in either direction, whichever side of the dynamic you’re on.

It’s also worth saying plainly that a person can meet several of these categories at once. Someone recovering from a betrayal in a culture that already discourages emotional disclosure, who is also managing a health condition, is not a puzzle with one correct answer. Real lives are usually layered. The goal of this section isn’t to sort every reader into a single bucket. It’s to slow down the instinct to reach for the first available explanation, especially the trauma explanation, since it tends to be the loudest one culturally right now, before checking whether it actually fits.

Both/And: You Can Value Independence and Still Want Closeness

In my work with driven women, I hear a version of this worry often: if I need this much independence, maybe I’m not built for real closeness. That worry treats independence and intimacy as if they’re competing for the same limited space. They aren’t.

You can be someone who needs real autonomy, real time alone, real control over your own schedule and thoughts and body. And you can be someone who wants a partner who knows your interior life. These aren’t contradictory. Sue Johnson’s research on adult attachment consistently finds that securely bonded partners maintain distinct, autonomous identities. Security doesn’t erase independence. It’s what makes independence sustainable instead of isolating.

Estela’s version of this both/and showed up gradually. She didn’t need to become a different kind of person to let her husband closer. She needed permission to keep being exactly who she was. Direct, private by nature, someone who processes internally before she processes out loud. And still let him in earlier in that process than she’d been letting him in. Not instead of her independence. Alongside it.

The work isn’t trading self-sufficiency for vulnerability. It’s finding out that you can hold both without one canceling the other out, which is a harder and more honest goal than most relationship advice admits.

The Systemic Lens: Why Self-Sufficiency Gets Taught as Safety

It’s worth stepping back from any one person’s story to ask a structural question: why does self-sufficiency get taught to driven women as the safer bet, while emotional need gets taught as the risk?

Workplaces reward composure. A woman who shows uncertainty in a board meeting is read differently than a man who does the same thing, and driven women learn that lesson early and thoroughly. The professional world hands out real consequences for visible vulnerability, and those consequences don’t stay neatly inside office walls. The same nervous system that learned to keep a steady voice through a hostile negotiation doesn’t have a separate setting for a kitchen table conversation with a spouse. It’s the same system, carrying the same lesson: composure is safer than exposure.

Cultural scripts compound this. Many women are raised with the expectation that they will be the emotional manager of every relationship they’re in. The one who anticipates needs, smooths conflict, and holds everyone else’s feelings before her own get a turn. When you’ve spent a lifetime being the container for other people’s emotional lives, your own vulnerability can start to feel like an inconvenience you’re not entitled to introduce. That’s not a personal failing. It’s the predictable outcome of a structure that has never asked what it costs the person doing the containing.

None of this erases what’s happening at the individual, relational level. It sits alongside it. A driven woman’s difficulty with closeness is very often both a personal pattern worth understanding and a rational adaptation to a world that has consistently made composure safer than need. Neither cancels the other out. Naming the systemic piece doesn’t excuse anyone from doing their own relational work, and it also means that work doesn’t have to include blaming yourself for learning a lesson the world spent decades teaching.

What Actually Helps

If you’ve read this far and recognized yourself, here’s what tends to help, and what doesn’t.

What doesn’t help: forcing disclosure before it feels remotely safe, treating every instance of wanting space as a symptom, or trying to talk yourself out of needing independence in order to prove you’re capable of intimacy. None of that addresses the actual mechanism. It just adds pressure to a system that’s already working overtime.

What tends to help is slower and less dramatic. Attachment-focused approaches, including Emotionally Focused Therapy, work directly with the moment-to-moment cycle between partners, helping each person see what’s actually happening underneath a withdrawal or a pursuit, rather than just reacting to the surface behavior. Internal Family Systems work, following Richard Schwartz’s model, can help the part of you that wants closeness and the part of you that protects against exposure negotiate with each other instead of taking turns overpowering one another. Somatic approaches, informed by the nervous-system research Stephen Porges and others have contributed, can help build a felt sense of safety in the body during closeness, rather than relying on willpower to override a threat response that formed for good reasons.

For some driven women, part of the work is grief, specifically grief for the fact that competence, the very thing that built the life you have, doesn’t translate cleanly into the kind of vulnerability a relationship asks for. That grief is real and deserves space, not a quick reframe. If this pattern connects for you to a broader sense of feeling disconnected from your own inner life even when things look fine from the outside, this piece on feeling empty when your life looks good explores that adjacent territory in more depth.

If the distance in your relationship is being driven by your partner’s behavior rather than your own patterns, none of the above applies in the same way, and it’s worth revisiting the distinctions in the “When Distance Isn’t a Pattern to Fix” section above before assuming this is work you need to do alone. And if you’re not sure whether what you’re describing is fear of intimacy at all, or something closer to fear of abandonment, or the specific back-and-forth rhythm described in the pursuer-distancer dynamic, it can help to talk it through with a therapist who can help you tell the difference, rather than trying to self-diagnose from a blog post. This post is educational, not a substitute for individualized clinical assessment, and it isn’t designed to determine what’s happening in your specific relationship. If you’re in immediate danger or experiencing coercive control, please reach out to the National Domestic Violence Hotline at 1-800-799-7233 or a local emergency service. That situation calls for a different kind of support than anything described here.

Pacing matters more than most advice acknowledges. The instinct, once someone recognizes this pattern in themselves, is often to try to fix it quickly, to force a level of disclosure that feels dramatic and hope the discomfort passes. In practice, the nervous system doesn’t respond well to being overridden by willpower. Small, repeated, low-stakes moments of letting a partner see something real, a worry about a work decision, an actual fear rather than a summarized version of it, tend to build capacity for closeness more reliably than one large disclosure attempted under pressure. This is slow, unglamorous work, and it rarely photographs well as progress. It’s still the work that tends to hold.

It’s also worth naming what progress actually looks like, because it rarely looks like the absence of the old pattern. More often it looks like noticing the urge to manage or withdraw a beat earlier than before, and having, occasionally, just enough room to choose differently. Roshni described a moment months into her own work that captures this well. Her partner asked about her father again, and she felt the same reflex to summarize and move on. This time, she noticed the reflex before it finished. She said, out loud, “I want to tell you the real version, and I don’t know how yet.” That sentence was not the disclosure itself. It was the door being left open a few inches wider than it was before, which, for someone whose whole life has trained her to keep doors firmly shut, is not a small thing.

Estela is still working on this. Roshni is too. Neither of their stories ends with a tidy resolution, because this kind of work rarely does. What changes, slowly, isn’t the presence of the old pattern. It’s how much room it takes up, and how much choice you have inside it.

“I felt a Cleaving in my Mind, as if my Brain had split. I tried to match it, Seam by Seam, but could not make them fit.”

EMILY DICKINSON, Poet

If any part of what’s described here feels familiar and you’re looking for support, relational trauma therapy is one path, and for some, working through the specific relationship dynamics at play through understanding recurring relationship patterns or learning to set boundaries without losing yourself can be a useful starting point before or alongside couples-focused work. If loneliness inside an otherwise good relationship is part of what you’re carrying, this piece on the loneliness of a good marriage may resonate too.

FREQUENTLY ASKED QUESTIONS

Q: Is fear of intimacy a real diagnosis?

A: No. It’s not a diagnosis in the DSM-5. It’s a descriptive term for a pattern where wanted closeness gets avoided. Because it’s descriptive rather than diagnostic, it doesn’t tell you the cause on its own, and it shouldn’t be used to label someone without a much fuller picture of their specific situation.

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Q: How do I know if I have fear of intimacy or if I just genuinely need a lot of independence?

A: The distinction usually comes down to whether closeness is wanted and still avoided, versus simply not wanted to the same degree your partner wants it. Needing significant independence is not a problem to solve. It becomes relevant here only if you notice a real gap between what you want and what you’re able to let yourself have.

Q: Does fear of intimacy always come from childhood trauma?

A: No, and this is one of the most common misunderstandings about the pattern. Trauma is one possible contributor among several, present in some people’s stories and absent in most. Grief, current relationship dynamics, health conditions, cultural background, and simple temperament can all play a role, sometimes without any trauma history at all.

Q: What if the distance in my relationship is actually about my partner, not me?

A: That’s an important possibility to take seriously rather than dismiss. If a partner is dismissive, unreliable, or controlling, distance is a reasonable response to their behavior, not a personal pattern to fix in yourself. If you’re questioning whether coercive control is part of your relationship, that deserves focused support from someone trained specifically in relationship safety, separate from general relational work.

Q: Is it possible to be asexual or aromantic and have people assume it’s fear of intimacy?

A: Yes, and this happens often enough that it’s worth naming directly. Asexuality and aromanticism are valid identities, not fears to be treated or patterns to be corrected. If someone’s lack of interest in certain kinds of closeness reflects who they are rather than something they want and can’t access, that’s not the pattern this post describes.

Q: Can therapy actually help with this, or is it just how I am?

A: For people who want more closeness than they’re currently able to let themselves have, therapy, particularly approaches like Emotionally Focused Therapy or Internal Family Systems, can meaningfully shift the pattern over time. It’s slower work than most people want it to be, and it works best when it starts from curiosity about the pattern rather than urgency to eliminate it immediately.

Related Reading

Johnson, Sue. 2008. Hold Me Tight: Seven Conversations for a Lifetime of Love. New York: Little, Brown and Company.

Porges, Stephen W. 2011. The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-Regulation. New York: W. W. Norton & Company.

van der Kolk, Bessel. 2014. The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. New York: Viking.

Schwartz, Richard C., and Martha Sweezy. 2019. Internal Family Systems Therapy. 2nd ed. New York: Guilford Press.

Hazan, Cindy, and Phillip Shaver. 1987. “Romantic Love Conceptualized as an Attachment Process.” Journal of Personality and Social Psychology 52 (3): 511-524.

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About the Author

Annie Wright, LMFT

LMFT · Relational Trauma Specialist · W.W. Norton Author

Helping driven women finally feel as good as their résumé looks.

Annie Wright is a licensed psychotherapist (LMFT #95719) and trauma-informed executive coach with over 15,000 clinical hours. She works with driven women, including Silicon Valley leaders, physicians, and entrepreneurs, in repairing the psychological foundations beneath their impressive lives. Annie is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited. A regular contributor to Psychology Today, her expert commentary has appeared in Forbes, Business Insider, Inc., NBC, and The Information. She is currently writing her first book with W.W. Norton.

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