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Individual Therapy for High Achievers

In San Francisco, CA

Trauma-Informed Online Therapy for Adults Who Appear Successful But Struggle Internally

As a Licensed Marriage and Family Therapist serving San Francisco, Los Angeles, and Sacramento, I specialize in individual therapy for high-achieving adults who carry the hidden weight of complex PTSD and childhood trauma. If you're searching for a therapist in California who understands the exhausting disconnect between your external success and internal struggle, you've found the right place.

Who I Work With

I provide online therapy for driven professionals who are ready to move beyond just coping. My ideal clients are insightful individuals who appear to have it all together but privately battle:

  • Emotional dysregulation that disrupts your mental health and daily life

  • Persistent anxiety including generalized anxiety disorder, social anxiety, or health anxiety

  • Depression that persists despite professional achievements

  • Complex PTSD from childhood experiences that still impact your relationships and well-being

  • Overwhelming stress from constantly over-functioning to maintain control

You're someone others rely on, yet internally you struggle with self-doubt, disconnection, and intrusive memories. You want more than surface-level mental health care—you want transformation. Most importantly, you're ready to do the deep work necessary for genuine healing.

My Integrative Therapeutic Approach

Rather than using a one-size-fits-all method, I draw from several powerful modalities to support your healing. This integrative approach means your treatment is truly personalized to meet your specific needs and goals.

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EMDR Therapy: Gentle Processing Without Reliving Trauma

EMDR helps you process trauma, anxiety, and emotional pain without having to relive every detail. It's a gentle yet effective way to reduce symptoms and restore balance. During our therapy sessions, we use bilateral stimulation to help your brain reprocess distressing memories, allowing you to integrate them without being overwhelmed. This approach is particularly powerful for high achievers who've intellectualized their experiences but still feel trauma's effects in their body and relationships.

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Parts Work (IFS-Informed): Building Internal Harmony

We explore the different "parts" of you—like the inner critic, the perfectionist, or the protector—and help them work together instead of against each other. This builds self-compassion and emotional clarity. Many clients in San Francisco's high-pressure environment discover that understanding these parts transforms their internal landscape from conflict to collaboration. Rather than fighting aspects of yourself, you'll learn to appreciate how each part has tried to protect or serve you.

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Narrative & Relational Therapy: Rewriting Your Story

Through narrative and relational therapy, we examine the stories you tell yourself about who you are and what you deserve. Our therapeutic relationship becomes a safe space to practice new ways of being—expressing needs, setting boundaries, and experiencing genuine connection without your usual armor. This approach helps you re-author limiting beliefs while building the relational skills essential for authentic connection.

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Skills Building: Practical Tools for Real Life

You'll learn practical tools to manage stress, set boundaries, regulate emotions, and communicate more effectively. These aren't just coping strategies—they're life-enhancing skills that transform how you navigate both professional and personal relationships. My individual therapy approach ensures you develop skills specifically tailored to your challenges, whether that's managing anxiety in high-stakes meetings or setting boundaries without guilt.

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Emotion Processing: Creating Space for Feeling

Together, we'll create a safe space to feel, understand, and release emotions that have been buried or overwhelming. You'll learn how to stay grounded even when things feel intense. For many high achievers, this is revolutionary—finally having permission and support to actually feel rather than constantly manage or suppress emotions. This aspect of our mental health work helps you develop emotional intelligence while maintaining your professional edge.

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Symptom Reduction & Nervous System Support

Whether you're dealing with anxiety, burnout, or trauma responses, we'll work to calm your nervous system and reduce distressing symptoms so you can feel more like yourself again. This isn't just about managing symptoms—it's about helping your body understand that the danger has passed and it's safe to relax. Through somatic techniques and nervous system regulation, you'll find relief from the physical manifestations of stress and trauma.

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Beyond "Feeling Better": Building an Aligned Life

This integrative approach isn't just about feeling "better." It's about building a life that feels aligned, fulfilling, and emotionally secure. My goal is to help you reconnect with your inner wisdom, reclaim your energy, and create relationships that nourish rather than drain you. You don't have to keep pushing through. You deserve support that meets you where you are and helps you grow into where you want to be.

What Makes My Integrative Practice Different

I offer truly personalized mental health care, not a one-size-fits-all approach. By integrating multiple evidence-based modalities—EMDR, Parts Work, Narrative Therapy, skills building, and nervous system support—I create a treatment plan that evolves with your specific needs. This isn't just about applying techniques; it's about understanding which combination of approaches will best serve your unique healing journey.

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I address the whole person, not just symptoms. My integrative therapy approach recognizes that your anxiety, depression, or trauma responses don't exist in isolation. We work with your thoughts, emotions, body sensations, and relational patterns to create comprehensive healing. You're not just learning to cope—you're building a life that feels aligned and fulfilling.

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I meet you at the intersection of insight and embodiment. High achievers often excel at understanding their issues intellectually but struggle to create lasting change. My approach bridges this gap, helping you move from knowing to feeling to genuinely transforming. Whether through EMDR's somatic processing, Parts Work's internal dialogue, or practical skills application, we ensure insights translate into real-life changes.

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I understand that healing happens in relationship. Our therapeutic relationship itself becomes a healing space where you can practice vulnerability, trust, and authentic connection. For many trauma survivors in competitive environments, this is the first relationship where you don't have to perform, achieve, or maintain a facade.

Your Therapy Journey

Getting Started: Free Consultation

I offer a complimentary 20-minute consultation where we discuss what brings you to therapy and confirm we're a good fit. This isn't an evaluation—it's an opportunity for you to sense whether I'm the right therapist to support your mental health journey.

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First Session: Building Our Foundation

During our initial therapy session, we explore:

  • Your current mental health concerns and what led you to seek support

  • Your history, including both challenges and strengths

  • Your goals for individual therapy

  • A collaborative treatment plan tailored to your specific needs

There's no pressure to share everything immediately. You control the pace.

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Ongoing Support: Consistent, Transformative Work

Most clients meet with me weekly for online therapy sessions lasting 50-55 minutes. This consistency creates the safety necessary for deep work. Each session focuses on what feels most present—whether that's processing trauma, managing anxiety, navigating current stress, or exploring relationship patterns.

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We'll regularly check in on your progress, not through rigid metrics but by noticing meaningful shifts:

  • Feeling calmer in triggering situations

  • Setting boundaries without guilt

  • Accessing emotions after years of numbness

  • Treating yourself with genuine kindness

  • Trusting your own judgment again

Specialized Support Areas

Complex PTSD and Trauma

I specialize in both single-incident PTSD and complex PTSD from prolonged childhood experiences. My trauma-informed approach recognizes that symptoms like hypervigilance, emotional numbing, and trust issues are protective adaptations, not character flaws. Together, we help your nervous system understand the danger has passed.

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Healthcare & Medical Professionals

Healthcare professionals in San Francisco face unique stressors that compound existing mental health challenges. I understand medical culture's unspoken rules about vulnerability and provide confidential support where you can drop the professional mask without judgment.

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Anxiety Beyond Everyday Worry

For trauma survivors, anxiety often represents a nervous system stuck in survival mode. Through our individual therapy work, we address anxiety at its source—not just managing symptoms but helping your body learn it's safe to relax.

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Depression as Disconnection

Depression in high achievers often masks itself as exhaustion or emotional numbness. Rather than just treating symptoms, we explore what your depression protects you from and gently invite hidden parts back into connection.

Why Online Therapy Works

​Online therapy provides the same depth as traditional therapy with added convenience for busy San Francisco professionals. You can attend sessions from your space, eliminating commute stress while maintaining consistent mental health care. My online practice serves clients throughout California who value privacy, flexibility, and quality support.

The Therapeutic Relationship as Healing

Perhaps the most powerful aspect of our work is the relationship itself. For many trauma survivors, the therapeutic relationship offers a new template for connection—one characterized by:

  • Consistent, reliable presence

  • Non-judgmental understanding

  • Clear boundaries that create safety

  • Space for your full complexity

You don't have to perform or pretend. I can hold space for all of who you are—the successful professional and the wounded inner child, the part that achieves and the part that grieves.

Who Benefits Most From My Approach

My individual therapy practice is ideal for:

  • Professionals feeling trapped between external success and internal turmoil

  • Adults ready to address childhood trauma affecting current relationships

  • Healthcare workers managing burnout alongside their own mental health

  • Anyone exhausted from maintaining a perfect facade while struggling privately

  • Individuals who've tried therapy before but need deeper, trauma-informed work

You don't need to have everything figured out. You just need to be ready for genuine change.

Reaching out for therapy when you're used to handling everything alone takes courage. It's an acknowledgment that despite your considerable strengths, you deserve support. This isn't weakness—it's perhaps the bravest thing you can do.

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If you're ready to move from survival to genuine vitality, from managing symptoms to actual transformation, I invite you to connect. Whether you're in San Francisco, Los Angeles, Sacramento, or anywhere in California, I provide online individual therapy that honors both your achievements and your struggles.

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You've already proven you can survive and succeed despite what you've been through. Now it's time to heal and thrive.

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Contact me today to schedule your free consultation. Together, we'll explore how therapy can support your journey from exhaustion to empowerment, from disconnection to authentic relationship with yourself and others.

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Your mental health matters. Your well-being matters. And finding the right therapist who truly understands your unique path matters. When you're ready to begin individual therapy that addresses not just symptoms but the whole of who you are, I'm here.

The healing you seek is possible. The authentic life you crave is waiting. And the support you deserve is just one conversation away.

Robyn Sevigny, LMFT

Certified EMDRIA EMDR Therapist
IFS & Trauma-Informed Therapy for High-Achieving Adults, C-PTSD Survivors, Healthcare Professionals

Serving clients throughout California including Los Angeles, San Francisco, and Sacramento via secure online integrative therapy.

EMDR Certified Therapist Badge
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© Copyright by Robyn Sevigny. 2022-2025  All Rights Reserved.

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