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What we help with

You don't need the right words for it

Most people don't arrive saying "generalized anxiety." They arrive saying "I can't switch my brain off." Both work here. Below: the concerns Sanctum therapists work with most, described the way they actually feel.

These descriptions are for orientation, not diagnosis — that's a conversation for you and a licensed professional.

Anxiety

Worry that won't clock out — racing thoughts, restlessness, a body permanently braced for something. Therapy helps you understand the alarm system and stop living inside it.

  • Constant what-ifs
  • Trouble relaxing
  • Physical tension, racing heart
  • Avoiding things that spike it
MO PR RA

3 featured therapists work with this

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Depression & low mood

More than sadness: flatness, heaviness, losing interest in things that used to matter. Therapy offers structure and company for the climb back toward color.

  • Low energy most days
  • Withdrawing from people
  • Everything feels like effort
  • Harsh inner commentary
MB

1 featured therapist work with this

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Stress & burnout

When work — paid or unpaid — has been running hot for so long that rest stops working. Therapy helps you find the leaks, renegotiate the load, and recover on purpose.

  • Exhausted but wired
  • Cynicism creeping in
  • Sundays full of dread
  • Rest that doesn't restore
MO MB EP

3 featured therapists work with this

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Relationships & couples

The same fight on repeat, distance that crept in quietly, or a new chapter you want to start well. Sessions for couples together, or for you and your patterns solo.

  • Recurring arguments
  • Feeling unheard
  • Trust in repair
  • Big transitions ahead
DR SM

2 featured therapists work with this

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Trauma & PTSD

When something that happened keeps happening — in dreams, in triggers, in a body that won't stand down. Trauma-trained therapists work carefully, consent-first, at your pace.

  • Intrusive memories
  • Feeling on guard
  • Numbness or detachment
  • Avoiding reminders
AD

1 featured therapist work with this

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Grief & loss

Loss of a person, a relationship, a health status, a future you were counting on. Grief doesn't follow stages on schedule — therapy gives it room and company.

  • Waves that arrive unannounced
  • Guilt or unfinished business
  • Others have 'moved on'
  • Loss that feels invisible
HL

1 featured therapist work with this

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OCD

Intrusive thoughts and the rituals that promise relief but bill you later. Sanctum's OCD specialists use ERP, the leading behavioral approach — structured, collaborative, effective pacing.

  • Unwanted intrusive thoughts
  • Checking, counting, repeating
  • Reassurance loops
  • Rules that keep growing
PR

1 featured therapist work with this

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ADHD support

For diagnosed and self-suspecting adults: executive function, time blindness, rejection sensitivity, and the exhaustion of masking. Therapy that works with your brain, not against it.

  • Task paralysis
  • Time slips away
  • Piles of unfinished starts
  • Shame about 'potential'
EP

1 featured therapist work with this

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Self-esteem & identity

The inner critic with a corner office, or big questions about who you are — identity, orientation, belonging. Affirming therapists help you build a self you can live in.

  • Relentless self-criticism
  • Imposter feelings
  • People-pleasing on autopilot
  • Questions about identity
MO JW

2 featured therapists work with this

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Sleep & insomnia

Nights that have become a second job: chasing sleep, dreading the clock, negotiating with your brain at 3am. CBT-I-trained therapists rebuild sleep from the ground up.

  • Trouble falling or staying asleep
  • Dreading bedtime
  • 3am wide-awake meetings
  • Days run on fumes
RA

1 featured therapist work with this

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Life transitions

New city, new role, new parenthood, empty nest, big ending, bigger beginning. Even good change is load-bearing. Therapy helps you cross the bridge with your feet under you.

  • Everything at once
  • Old anchors gone
  • Excitement tangled with dread
  • "Who am I now?"
HL SM

2 featured therapists work with this

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LGBTQIA+ support

Affirming therapy for identity, coming out, family acceptance, and everything else life brings — with therapists for whom affirming is a floor, not a specialty label.

  • Navigating coming out
  • Family acceptance stress
  • Minority stress & masking
  • Finding community
JW SM

2 featured therapists work with this

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Something else? Or several at once?

Real life rarely fits one card. The quiz lets you pick everything that applies — or "just exploring," which is also a completely valid reason to be here.

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