You don’t have to carry it all alone. 

Online therapy for high achievers and perfectionists navigating anxiety, overthinking, burnout, and the pressure to always do more.

Available throughout Michigan.

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Elizabeth Carr, LPC, NCC, ACS, Michigan therapist offering virtual therapy for anxiety, burnout, overthinking, and life transitions

What therapy with me is like

My style is warm, curious, and collaborative. I’ll meet you with compassion, ask thoughtful questions, and help you make sense of what’s happening without telling you how you’re supposed to live your life. I’ll listen, but I’m not going to silently nod at you for 50 minutes. I’ll ask questions, notice patterns, challenge you when it’s helpful, and help you develop tools you can actually use outside of therapy.

I’m trained in approaches including CBT, DBT, person-centered, and psychodynamic therapy, BUT I don’t believe people fit neatly into treatment models. We’ll pull from what works, leave behind what doesn’t, and build an approach around you.

Ultimately, I want therapy to become a place where you can hear your own voice again.

You don’t need to come in knowing exactly what you want to change.

We can figure that out together.

I’m a therapist, clinical supervisor, and firm believer that you don’t have to wait until everything is falling apart to deserve support.

For more than 15 years, I’ve worked in mental health alongside people navigating anxiety, uncertainty, relationships, career changes, burnout, and all of the complicated parts of being human. These days, I’m especially drawn to working with women who are used to being the capable ones, the professionals, helpers, caregivers, problem-solvers, and those of us carrying a little (or a lot of) oldest-daughter energy.

I know that many of the women who find their way to me don’t necessarily want to stop being ambitious, successful, caring, or dependable. Those can be wonderful parts of who you are. The problem is when being everything to everyone leaves very little room for you.

That’s where our work begins.

Meet Elizabeth

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Book a FREE Consultation

Have a question first?

Not quite ready to schedule a consultation?

That's completely okay. If you have a question about therapy, insurance, availability, or whether we might be a good fit, send me a message here.

I'll get back to you within 24 hours.


Workspace representing the everyday stress, overthinking, and burnout addressed through virtual therapy with Elizabeth Carr, LPC in Michigan.

You can be successful, capable, and genuinely proud of the life you've built…and still feel like something needs to change.

I specialize in online therapy for women across Michigan who are navigating anxiety, burnout, overthinking, perfectionism, stress, and major life transitions. Many of the women I work with are professionals, leaders, caregivers, helpers, and the people others have learned they can depend on. You may be very good at managing what's happening around you while finding it much harder to slow down, make room for yourself, or quiet everything happening in your own head.

Therapy isn't about making you less ambitious, less caring, or less driven. We'll work on helping those strengths feel more sustainable while creating space for your own needs, relationships, values, and well-being.

How I can help

Anxiety &

Overthinking

Anxiety doesn't always look like panic attacks or obvious fear. For high-achieving women, anxiety can show up as constantly thinking ahead, replaying conversations, second-guessing decisions, preparing for every possible outcome, or having a hard time truly relaxing—even when everything is technically fine.

In therapy, we can work on understanding what keeps that mental noise going, developing practical strategies for managing anxiety, and building greater confidence in your ability to handle uncertainty without having to think your way through every possible scenario first.

Boundaries, Relationships & Always Being the Reliable One

Maybe you're the person people call when something goes wrong. You remember what everyone needs. You keep things moving. You're good at anticipating problems and stepping in to help.

There can be a lot to love about being dependable. It can also become heavy when your own needs consistently come last or when saying "no" brings guilt, anxiety, or fear of disappointing someone.

Therapy can help you understand these patterns, communicate your needs more confidently, and create boundaries that protect your energy without requiring you to become someone who doesn't care.

Burnout can happen long before you reach a breaking point. You might still be getting things done, meeting deadlines, caring for other people, and showing up to work every day while feeling increasingly exhausted, disconnected, irritable, or simply tired of being needed.

Therapy for burnout isn't just about adding more "self-care" to an already impossible to-do list. We'll look at what's draining you, the expectations you're carrying, where your boundaries may need attention, and what a more sustainable version of your life could actually look like.

Burnout & Chronic Stress

Sometimes nothing is necessarily "wrong", you're simply changing.

Career decisions, relationships, family roles, aging, shifting priorities, identity changes, and other life transitions can make even very confident people question themselves. You may find yourself looking to everyone around you for reassurance because you're no longer certain what you want.

Therapy can give you room to sort through the noise, understand what matters to you now, and strengthen your ability to trust yourself when there isn't one obviously correct answer.

Life Transitions & Self-Trust

Wanting to do things well isn't inherently a problem. But when your standards leave little room for mistakes, uncertainty, rest, or simply being human, achievement can start to come with a lot of anxiety.

You may find yourself second-guessing decisions, struggling to feel satisfied with what you've accomplished, worrying about disappointing people, or moving immediately to the next goal without really experiencing the one you just reached.

Our work isn't about lowering your standards or asking you to stop caring. It's about separating healthy ambition from the pressure that tells you your worth depends on how well you perform.

Perfectionism & High Expectations

Therapy for the "Oldest Daughter" Type

You don't actually have to be the oldest daughter to recognize the feeling.

You're the organizer. The responsible one. The person who notices what needs to happen and makes sure it gets done. You're independent because you've learned how to handle things, and asking for help may feel considerably harder than offering it.

Sometimes I call this "oldest daughter energy."

Therapy can be a place to explore what happens when being capable becomes an expectation rather than a choice and to discover who you are when you aren't responsible for holding everything together.


What Does Therapy With Me Look Like?

My approach to therapy is warm, collaborative, practical, and individualized. I draw from evidence-based approaches including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), person-centered therapy, and psychodynamic therapy, but you don't need to know which type of therapy you need before you arrive.

We'll figure out what works for you.

I want therapy to be a place where we can understand the deeper patterns behind what you're experiencing while also developing tools you can use in your actual life. I'll listen, ask questions, offer perspective, notice patterns, and challenge you when it may be helpful. There can also be humor, honesty, and plenty of room for not having everything figured out.

Virtual Therapy Throughout Michigan

I provide secure online therapy to adults located anywhere in Michigan, including Metro Detroit, Royal Oak, Birmingham, Ferndale, Detroit, Ann Arbor, Lansing, Grand Rapids, Traverse City, and communities throughout the state.

Virtual therapy allows us to meet wherever you can create a private, comfortable space without adding another commute or appointment location to an already busy week.

I currently have limited Thursday evening appointments available for new clients.

You don't have to wait until life falls apart to make more room for yourself.



Mindful Consulting Services accepts the following private health insurance plans**

Aetna

BlueCross BlueShield

Blue Care Network

United Healthcare

**Mindful Consulting Services verifies insurance benefits and eligibility prior to beginning counseling sessions. It is recommended that each client also contact their insurance company to ensure their understanding of their plan deductibles, copays, co insurance and other plan limitations prior to beginning counseling sessions. Client’s will be responsible to pay in full or the remaining balance of service costs that their insurance company declines to pay due to limitations of their policy.**

FAQs About Therapy

  • ❓How do I find a virtual therapist in Michigan?

    Finding the right therapist is about more than credentials or picking the first name in a directory. I provide virtual therapy for adults across Michigan who may be dealing with anxiety, overthinking, burnout, perfectionism, relationship stress, or a major life transition. My approach is warm, conversational, and practical. You can start with a free 15-minute Zoom consultation so we can meet, talk about what you’re looking for, and decide whether working together feels right

  • ❓Do you offer online therapy for anxiety, overthinking, and burnout?

    Yes. I frequently work with adults who feel anxious, overwhelmed, burned out, or mentally exhausted from thinking about everything all the time. You may be doing well on paper while privately feeling stretched too thin, questioning yourself, struggling to turn your brain off, or wondering why everything feels harder than it “should.” Therapy can help you understand those patterns, develop practical ways to manage anxiety and stress, and create a life that feels more manageable, not just one you’re managing to get through.

  • ❓Do you work with high-achieving women, perfectionism, and people-pleasing?

    Yes. Many of the women I work with are capable, responsible, and accustomed to being the person other people can count on. Sometimes that comes with perfectionism, difficulty setting boundaries, overthinking decisions, feeling guilty saying no, or putting your own needs last. Our work can focus on quieting some of that pressure, trusting yourself more, and figuring out what you actually want—not simply becoming better at carrying everything.

  • ❓Can therapy help if I look like I have everything together but don't feel that way?

    Absolutely. You don't have to be in crisis or have a clear diagnosis to benefit from therapy. Sometimes the reason for reaching out is simply, “I'm functioning, but I'm exhausted,” “I don't feel like myself,” or “I know something needs to change, but I don't know what.” Therapy gives us room to slow things down, understand what has been weighing on you, and figure out what would actually help.

  • ❓Is online therapy in Michigan covered by BCBS, BCN, Aetna, or UnitedHealthcare?

    I accept several major insurance plans for online therapy in Michigan, including Blue Cross Blue Shield (BCBS), Blue Care Network (BCN), Aetna, and UnitedHealthcare. Coverage and your individual cost depend on your specific plan, so your benefits will be verified before your first therapy appointment. If you prefer not to use insurance, self-pay sessions are $165 per session.

  • ❓Do you see therapy clients anywhere in Michigan?

    Yes. My practice is fully virtual, so I can provide online counseling to adults located anywhere in Michigan during their appointment. That includes Metro Detroit communities such as Detroit, Royal Oak, Ferndale, Birmingham, Ann Arbor, and surrounding areas, as well as clients elsewhere throughout the state. You can attend therapy from a private, comfortable location without adding another commute to your day.

  • ❓What happens during a virtual therapy session?

    Online therapy is much like meeting with a therapist in person, except we meet through a secure video platform. In our first sessions, I'll want to understand what's been going on, what feels difficult right now, and what you'd like to be different. You don't need to arrive knowing exactly what's “wrong” or what you're supposed to talk about. Part of my job is helping you figure that out.

  • ❓What types of therapy do you use for anxiety, burnout, and life transitions?

    I draw from evidence-based approaches including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), person-centered therapy, solution-focused approaches, and positive psychology. But you don't need to know which type of therapy you need before you come in. We'll figure out what approaches and tools make sense for you, rather than trying to make you fit into one particular therapy model.

  • ❓Can therapy help me set boundaries without feeling guilty?

    Yes—and boundaries are about much more than learning how to say “no.” We can look at why setting a boundary feels uncomfortable, why you feel responsible for other people's reactions, and what happens when your own needs conflict with what someone else wants from you. The goal isn't to stop caring about other people. It's to make room for yourself in the equation, too.

  • ❓Can therapy help me trust myself and stop second-guessing every decision?

    Yes. Anxiety, perfectionism, and years of looking outside yourself for reassurance can make even ordinary decisions feel surprisingly difficult. Therapy can help you recognize when anxiety is driving the decision-making process, become more comfortable with uncertainty, and build confidence in your own judgment. You don't need to become 100% certain about every decision; we can work on trusting yourself even when certainty isn't available.

  • ❓What if I'm not sure what I need help with?

    That's completely okay. You don't need to arrive with a diagnosis, a perfectly articulated goal, or even a clear explanation for why you're struggling. Maybe you're overwhelmed, stuck, disconnected from yourself, facing a transition, or simply thinking, “I can't keep doing things exactly like this.” That's enough of a place to start. We can figure out the rest together.

  • ❓I've tried therapy before and it didn't help. How would working with you be different?

    A previous therapy experience that wasn't helpful doesn't mean therapy can't be helpful for you. The relationship and fit between you and your therapist matter. My style is warm, collaborative, conversational, and practical. I won't expect you to perform therapy “correctly,” and I don't believe every person needs the same approach. We'll talk openly about what is and isn't helping and adjust our work accordingly.

  • ❓ How long will I need to be in therapy?

    There isn't one timeline that works for everyone. Some people want short-term therapy focused on a specific problem or life transition, while others find ongoing therapy useful for deeper patterns, anxiety, relationships, boundaries, or personal growth. We'll regularly talk about what you're getting from therapy and whether continuing still feels useful to you.

  • ❓ Do you offer a free consultation before I start therapy?

    Yes. I offer a free 15-minute Zoom consultation before scheduling your first therapy session. It's an opportunity to meet me, ask questions, tell me a little about what you're looking for, and get a sense of whether I might be the right therapist for you. There is no expectation that you schedule therapy afterward.

Contact Us

Phone: (947) 957-5379

Email: ecarrlpc@gmail.com

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