--- title: "Burnout therapy for high-achieving professionals · California telehealth" description: "Burnout therapy for high-achieving professionals across California. Telehealth with Joshua Acosta-Duque, LCSW, in English & Español." lang: en json-ld: | [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://withlovewellnesstherapy.com/#website", "name": "With Love Wellness Center", "url": "https://withlovewellnesstherapy.com", "inLanguage": [ "en", "es" ] }, { "@context": "https://schema.org", "@type": "MedicalClinic", "@id": "https://withlovewellnesstherapy.com/#clinic", "name": "With Love Wellness Center", "url": "https://withlovewellnesstherapy.com", "medicalSpecialty": "Psychiatric", "areaServed": { "@type": "State", "name": "California" }, "availableService": [ "Anxiety therapy", "EMDR & trauma therapy", "Relationship therapy", "Men's therapy", "Substance use & recovery", "Life transitions & grief" ], "telephone": "", "priceRange": "$$", "provider": { "@id": "https://withlovewellnesstherapy.com/#joshua" } }, { "@context": "https://schema.org", "@type": "Person", "@id": "https://withlovewellnesstherapy.com/#joshua", "name": "Joshua Acosta-Duque, LCSW", "honorificSuffix": "LCSW", "jobTitle": "Licensed Clinical Social Worker", "worksFor": { "@id": "https://withlovewellnesstherapy.com/#clinic" }, "url": "https://withlovewellnesstherapy.com/about", "knowsLanguage": [ "English", "Spanish" ], "hasCredential": { "@type": "EducationalOccupationalCredential", "credentialCategory": "license", "name": "CA LCSW #121584", "recognizedBy": { "@type": "Organization", "name": "California Board of Behavioral Sciences" } } }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://withlovewellnesstherapy.com" }, { "@type": "ListItem", "position": 2, "name": "Services", "item": "https://withlovewellnesstherapy.com/services" }, { "@type": "ListItem", "position": 3, "name": "Burnout & high-achiever therapy", "item": "https://withlovewellnesstherapy.com/services/burnout-therapy" } ] }, { "@context": "https://schema.org", "@type": "Service", "name": "Burnout & high-achiever therapy", "description": "Depth-oriented burnout therapy for high-achieving professionals across California. Telehealth with Joshua Acosta-Duque, LCSW.", "url": "https://withlovewellnesstherapy.com/services/burnout-therapy", "provider": { "@id": "https://withlovewellnesstherapy.com/#joshua" }, "areaServed": { "@type": "State", "name": "California" }, "serviceType": "Burnout & high-achiever therapy" }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Is burnout different from depression?", "acceptedAnswer": { "@type": "Answer", "text": "They overlap. Burnout is usually context-specific — the job, the caregiving role, the relentless pace — while depression tends to color everything. Often they arrive together and we work with both." } }, { "@type": "Question", "name": "I can't take time off. Can therapy help while I'm still in it?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Most of my burnout clients are still very much in the thing that's burning them out. The work makes space to think, and to choose, from something other than fear." } }, { "@type": "Question", "name": "Will you tell me to quit my job?", "acceptedAnswer": { "@type": "Answer", "text": "No. My job is to help you see it clearly. What you do with what you see is yours." } } ] } ] --- [Skip to content](#main) [](/) [About](/about)[Approach](/approach) [Services](/services) [Who I work with](/who-i-work-with) [Insights](/insights)[Español](/es)[Contact](/contact) [Book a free call](/book) ![Cold coffee beside a closed laptop on a warm wooden desk at dusk](/assets/hero-burnout-BOmjT5CR.jpg) [All services](/services) 07 Specialization # Burnout & high-achiever therapy You are not lazy. You are not weak. You have been running at a pace no nervous system was built to hold. What this actually is ## The long version. The people who end up here are almost never the ones anyone would worry about. You're the operator. The one who delivers. The one your team, your family, your friends rely on. On paper, everything is working. Inside, something has quietly gone hollow — and the fear underneath it is that slowing down means the whole thing collapses. That fear isn't stupid. It's also not true. Burnout isn't a scheduling problem. It's what happens when the version of you that has been performing 'fine' can't hold the weight anymore. This work is about actually putting the weight down — not just optimizing how you carry it. Sound familiar? ## You might recognize — - You keep hitting the numbers and feel less and less like yourself doing it - Perfectionism dressed up as high standards — nothing is ever quite done - You're irritable, cynical, and short with the people you love - You can't rest without guilt, and you can't work without resentment - The thought of stopping is more frightening than continuing at this pace How we work ## The work itself. We start where you are, not where you should have caught this. Psychodynamic work to look at what 'high-functioning' has been protecting, CBT to interrupt the perfectionism loops, mindfulness practices when they genuinely help (and not as another performance metric), and EMDR when the drive is rooted in older material. This is not about becoming less ambitious. It's about your ambition costing you less. [Book your free 15-min call](/contact) [See full approach ](/approach) FAQ ## Questions people actually ask. Is burnout different from depression? They overlap. Burnout is usually context-specific — the job, the caregiving role, the relentless pace — while depression tends to color everything. Often they arrive together and we work with both. I can't take time off. Can therapy help while I'm still in it? Yes. Most of my burnout clients are still very much in the thing that's burning them out. The work makes space to think, and to choose, from something other than fear. Will you tell me to quit my job? No. My job is to help you see it clearly. What you do with what you see is yours. Related services ## Where this work often overlaps . [ Primary focus Anxiety & chronic stress Primary focus. EMDR, DBT, and CBT for the version of you that looks fine and feels wrecked. Read more ](/services/anxiety-therapy)[ Depth work Depression For the flat, grey version of yourself that won't lift. Read more ](/services/depression-therapy)[ Specialization Men's issues For men who were taught to figure it out alone. Read more ](/services/mens-therapy) ## Ready to actually work on this? [Book your free 15-min call ](/contact) With Love Wellness Center Depth-oriented therapy across California. Sessions in English & Español. Telehealth-only practice. Begin [Book your free 15-min call](/contact) In a crisis or emergency, call or text [988](tel:988) or [911](tel:911). Services - [All services](/services) - [EMDR therapy](/services/emdr-therapy) - [Anxiety & chronic stress](/services/anxiety-therapy) - [Trauma & PTSD](/services/trauma-ptsd-therapy) - [Relationship & attachment patterns](/services/relationship-therapy) - [Depression](/services/depression-therapy) - [Substance use, recovery & codependency](/services/substance-use-therapy) - [Burnout & high-achiever therapy](/services/burnout-therapy) - [Life transitions](/services/life-transitions-therapy) - [Grief & loss](/services/grief-therapy) - [Men's issues](/services/mens-therapy) Who I work with - [Overview](/who-i-work-with) - [Latino/a/x adults](/who-i-work-with/latino-therapy) - [LGBTQ+ adults](/who-i-work-with/lgbtq-therapy) - [Veterans & first responders](/who-i-work-with/veterans-therapy) - [High achievers](/who-i-work-with/high-achievers) Serving California - [California online therapy](/california-online-therapy) - [Los Angeles](/california/los-angeles) - [Orange County](/california/orange-county) - [San Diego](/california/san-diego) - [San Francisco](/california/san-francisco) - [San Jose](/california/san-jose) - [Sacramento](/california/sacramento) Insights - [All insights](/insights) - [High-functioning anxiety](/insights/high-functioning-anxiety) - [When therapy didn't work](/insights/when-therapy-didnt-work) - [Are my problems bad enough?](/insights/are-my-problems-bad-enough) - [Perfectionism & anxiety](/insights/perfectionism-and-anxiety) - [Can't think your way out](/insights/why-you-cant-think-your-way-out) Practice - [About Joshua](/about) - [Approach](/approach) - [Rates & insurance](/rates) - [Reviews](/reviews) - [Contact](/contact) En Español - [Inicio](/es) - [Sobre mí](/es/sobre-mi) - [Terapia de ansiedad](/es/terapia-de-ansiedad) - [Terapia de trauma](/es/terapia-de-trauma) - [Contacto](/es/contacto) With Love Wellness Center · Telehealth across California · sessions in English & Español. Individual results vary; therapy outcomes are not guaranteed. This website is for informational purposes only and is not a substitute for clinical care. Website by [Automaus.ai](https://automaus.ai) © 2026 With Love Wellness Center · Joshua Acosta-Duque, LCSW · CA LCSW #121584