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Online Therapy · California

Therapy for Perfectionism in California

You have built a life that looks impressive. The career, the home, the calendar that somehow holds it all together. But nothing you do ever feels finished.

You replay conversations, rewrite emails three times, and rest only after everything is perfect, which means you rarely rest at all. Perfectionism often gets praised as a strength. Underneath, it usually feels like pressure that never lets up.

When "Good Enough" Never Feels Good Enough

Perfectionism is not about high standards. It is about believing your worth depends on getting everything right. It can show up as procrastination, people-pleasing, harsh self-criticism, or the exhaustion of performing a version of yourself that never gets to slow down.

In our work together, we look at the rules you have been living by, where they came from, and what it would take to trust yourself without them. For nearly thirty years, I have helped high-achieving women step out of the performance and into a life that feels like their own. You were already enough before you ever proved your worth.

Melissa Russiano, LCSW, online therapist for California

How I Work

Sessions combine talk therapy with Brainspotting, a brain-body approach that helps loosen patterns that feel stuck no matter how well you understand them. I also use CBT, mindfulness and shame resilience as a Certified Daring Way™ Facilitator. The free Freedom Compass™ quiz is a simple way to see where you are right now.

Perfectionism often travels with burnout, imposter syndrome and compassion fatigue, and I work with all of them.

Serving Clients Across California

Sessions are virtual, so you can meet with me from Los Angeles, the Bay Area, San Diego, Orange County, Sacramento or anywhere in the state, on a schedule that fits around a full life.

Getting Started

Sessions are virtual only, unless otherwise agreed upon. Ask about insurance billing, superbills and private pay rates during your consultation.

Schedule a Complimentary Consultation