Anxiety and People-Pleasing
What are the signs and how can CBT help?
When You Carry More Than People Realize
Many New Yorkers carry responsibilities and expectations — from others and themselves — that aren’t always visible. You may appear steady and capable, yet privately feel overwhelmed, unsure, or stuck.
You may notice:
Constant worry or overthinking
Feeling responsible for others’ needs or emotions
Saying “yes” even when you’re already stretched thin
A critical inner voice that’s hard to quiet
Anxiety at work, in relationships, or during downtime
Feeling that your efforts aren’t “enough”
You’re not alone and change is possible
How Middle Path Can Help You
At Middle Path, we offer CBT that’s practical, reflective, and tailored to your needs. Experienced and trusted by New Yorkers to navigate life’s pressures, we help you understand both the helpful and unhelpful patterns shaping your experiences, and build observable changes so you can move forward feeling clearer, steadier, and more self-assured.
Clarity & confidence – Understand patterns that drive people-pleasing, self-doubt, and self-criticism, and learn practical ways to feel more self-compassionate and self-assured.
Strengths & skills – Recognize your existing strengths and build on what’s already working for you.
Balanced, sustainable change – Make real, lasting shifts in work, relationships, and daily life in ways that feel grounded and manageable.
Healthier boundaries – Set limits effectively while staying aligned with your values and priorities.
Flexible scheduling – Meet in-office in NoMad or online through a secure platform, with a complimentary 15-minute consultation.
No need to have it all figured out — change starts one step at a time
FAQs
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We are an out-of-network practice and do not bill insurance directly.
After each session, we'll provide a Superbill that you can submit to your insurer for any available out-of-network reimbursement.
Many clients receive partial reimbursement — sometimes a significant portion — depending on their plan.To learn about your benefits, contact your insurer and ask:
• Do I have out-of-network benefits?
• What is the reimbursement rate for CPT codes 90791 and 90834, with and without place-of-service code 10?
• What is my out-of-network deductible, and do therapy sessions count toward it?
• What is my out-of-pocket maximum (the spending cap after which many insurers reimburse 100% for the remainder of the plan year)? -
Sessions are $300.
Limited reduced-fee openings are currently available at $275.
Payment is due at the time of service. Major credit cards and FSA/HSA cards are accepted.
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Your privacy is our top priority. All sessions are strictly confidential, whether in-person or online, so you can feel safe sharing your thoughts and feelings.
Access the Privacy Practices Notice HERE
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Absolutely. Online sessions are private and fully secure on a HIPAA-compliant platform. No downloads or apps are required — you can join from anywhere you feel comfortable.
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Therapy can be both short-term and long-term, depending on your goals and needs. Some clients notice meaningful improvements in just a few sessions, while others prefer and benefit from longer-term support.
We’ll work together to address your goals and can adjust or add focus areas as needed. As goals are met, sessions naturally shift toward helping you maintain progress and feel more confident applying the skills on your own — our aim is to help you become your own therapist.
When you’re ready, we’ll transition out of therapy in a way that feels right for you, whether that means gradually spacing sessions to biweekly or monthly, or wrapping up sooner based on your preferences. You’re always welcome to return for “booster” sessions or new goals in the future.
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To honor both your time and ours, we kindly ask for at least 24 hours' notice if you need to cancel or reschedule an appointment. Missed appointments, cancellations, or rescheduling with less than 24 hours’ notice will be subject to the full session fee.
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You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059
