--- title: "Therapy for high achievers & professionals · California telehealth · Joshua Acosta-Duque, LCSW" description: "Depth therapy for high-functioning adults, professionals, and high achievers who look fine on paper and are done with surface-level fixes. California telehealth." 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": "Who I work with", "item": "https://withlovewellnesstherapy.com/who-i-work-with" }, { "@type": "ListItem", "position": 3, "name": "High achievers", "item": "https://withlovewellnesstherapy.com/who-i-work-with/high-achievers" } ] }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "I don't have a diagnosis — should I even be here?", "acceptedAnswer": { "@type": "Answer", "text": "You don't need one. The people I do my best work with are almost never in crisis when they arrive; they're competent, functioning, and quietly exhausted." } }, { "@type": "Question", "name": "Are you going to tell me to slow down / quit / meditate more?", "acceptedAnswer": { "@type": "Answer", "text": "No. My job is to help you see the thing clearly. What you do with what you see is yours." } }, { "@type": "Question", "name": "I've done therapy before and it felt too soft. Is this different?", "acceptedAnswer": { "@type": "Answer", "text": "It's meant to be. I don't do 'how did that make you feel' as a whole modality. I do direct, depth-oriented work that respects your intelligence." } } ] } ] --- [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) ![Two facing wooden armchairs with red upholstery in a warm sunlit sitting room](/assets/hero-who-WDcz5MAT.jpg) [Who I work with](/who-i-work-with)High achievers & professionals # For the people who look fine on paper. You didn't get here by being the person who falls apart. That's part of what needs a place to land. The context ## What I actually bring to this. The people I do my best work with are almost never the ones anyone would worry about. You're the operator. The one your team, your family, your friends rely on. The one who delivers. On paper, everything is working. Inside, something has quietly gone hollow, and you're careful not to say too much about it because you don't want to be the person who complains from inside a good life. You've probably tried therapy before. Maybe once, maybe several times. If it didn't stick, it's often because "how did that make you feel" as a whole modality is not what you needed. What you needed was someone smart enough to keep up, direct enough to actually say something, and unimpressed enough by your resume to look at what's underneath it. This is depth work for people done with surface-level fixes. Sound familiar? ## You might recognize — - You keep hitting the numbers and feel less and less like yourself doing it - 'High-functioning anxiety' is basically your default state - You can't rest without guilt, and you can't work without resentment - Perfectionism dressed up as high standards — nothing is ever quite done - You've read the books, done the retreats, hired the coach — and something still hasn't landed - The fear underneath: if you slow down, the whole thing collapses How we work ## The shape of it. Psychodynamic work to look at what "high-functioning" has been protecting. CBT to interrupt the perfectionism and overwork loops. EMDR when the drive is rooted in older material — usually it is. Mindfulness when it's genuinely useful, not as another performance metric. This isn't about becoming less ambitious. It's about your ambition costing you less. And it's about being met, in the room, by someone who isn't going to treat this as a scheduling problem. [Book your free 15-min call ](/contact) FAQ ## Questions people actually ask. I don't have a diagnosis — should I even be here? You don't need one. The people I do my best work with are almost never in crisis when they arrive; they're competent, functioning, and quietly exhausted. Are you going to tell me to slow down / quit / meditate more? No. My job is to help you see the thing clearly. What you do with what you see is yours. I've done therapy before and it felt too soft. Is this different? It's meant to be. I don't do 'how did that make you feel' as a whole modality. I do direct, depth-oriented work that respects your intelligence. Services often relevant here ## Where this often overlaps . [ Specialization Burnout & high-achiever therapy For people who look fine on paper and are quietly running on empty. Read more ](/services/burnout-therapy)[ 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) 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