Resources & FAQs

It's normal to have questions about therapy. Here you'll find answers to common questions about the process, scheduling, and what to expect. If you need more information, don't hesitate to ask.

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The Young Professional's Guide to Managing Stress and Overwhelm

Feeling like you're always trying to keep up? If stress has become part of your everyday life, this free guide is for you. Inside, you'll learn practical ways to understand your stress, feel less overwhelmed, and make everyday life feel more manageable.

Frequently Asked Questions:

  • How do I know if therapy is right for me?

    You don't have to be in crisis to be in therapy. Many people start therapy because they feel overwhelmed, stuck, anxious, stressed, or unsure about what's next. If you're finding it difficult to enjoy life, manage your emotions, or cope with everyday challenges on your own, therapy may be a helpful next step. Therapy provides a space to better understand what's going on, learn practical ways to cope, and create meaningful changes that fit your life.

  • What happens during the first therapy session?

    The first therapy session is a chance for us to get to know each other. We'll talk about what's bringing you to therapy, what's been feeling difficult, and what you'd like to get out of our work together. I'll also ask questions about your background so I can better understand your experiences. You don't need to have everything figured out before you come in. We'll move at a pace that feels comfortable and begin creating a plan that fits your goals.

  • What issues do you help with?

    I work with young adults and professionals navigating anxiety, chronic stress, perfectionism, life transitions, overthinking, burnout, and self-doubt. Whether you're struggling with constant worry, feeling overwhelmed by responsibilities, or trying to adjust to a major life change, therapy can help you better understand what's contributing to these challenges and build practical skills for managing them.

  • What is your approach to therapy?

    My approach is down-to-earth, practical, and affirming. I believe therapy should be a place where you can slow down, be yourself, and talk openly without fear of judgment. Together, we'll explore what's keeping you stuck, better understand the patterns that shape how you think and respond, and develop practical tools you can use in everyday life. My goal is to help you spend less time feeling overwhelmed and more time feeling like yourself and living the life you want.


    I don't follow a one-size-fits-all formula. Instead, I tailor therapy to your goals, strengths, and what you're experiencing. My work combines practical strategies with deeper self-understanding and is informed by evidence-based approaches including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Motivational Interviewing, and Solution-Focused Therapy.


    You don't need to know which type of therapy is right for you. That's something we'll figure out together based on what you need and what feels most helpful.

  • How long does therapy usually last?

    There's no set timeline because every person's goals and experiences are different. Some people come to therapy for support during a specific challenge, while others choose to continue longer as they work on deeper patterns and personal growth. We'll regularly check in about your progress and make sure therapy continues to meet your needs.

  • How often will we meet?

    Most people begin with weekly therapy sessions. Meeting consistently helps build momentum and gives you time to practice what you're learning between sessions. As you begin reaching your goals, we may decide together to meet less often. We'll create a schedule that works best for your needs and your life.

  • How does online therapy work?

    I provide secure online therapy for adults throughout Oregon and California using a HIPAA-compliant video platform. You can attend sessions from the comfort of your home or any private space with a reliable internet connection. Many people appreciate the flexibility of telehealth because it eliminates travel time and makes it easier to fit therapy into a busy schedule.

  • Do you accept insurance?

    Yes. My current list of accepted insurance can be found on my Contact/Fee page. I also welcome private-pay clients. If you're unsure whether your insurance plan covers therapy, I'm happy to answer questions during your consultation so you can better understand your options.

  • How do I know if we're a good fit?

    A strong therapeutic relationship is one of the most important parts of therapy. During our free 15-minute consultation, you'll have the opportunity to ask questions, learn more about my approach, and get a sense of what it would be like to work together. My goal is for you to feel comfortable, heard, and supported from the very beginning.

  • How do I get started?

    Getting started is simple. Schedule a free 15-minute consultation, and we'll talk about what's bringing you to therapy, answer any questions you have, and discuss whether we're a good fit to work together. If we decide to move forward, we'll schedule your first online therapy session and begin creating a plan that fits your goals and the support you're looking for.

  • Can I call you in an emergency?

    No. Stone & Sapling Psychotherapy is not an emergency or crisis service, and I am not available for emergency support outside of scheduled sessions.


    If you are experiencing a mental health emergency, feel at risk of harming yourself or someone else, or require immediate assistance, please call 911 or go to your nearest emergency room.


    Additional crisis resources:


    • Suicide & Crisis Lifeline: Call or text 988


    • Domestic Violence Hotline: Call 1-800-799-SAFE (7233)


    • SAMHSA National Helpline (Substance Use Support): Call 1-800-662-HELP (4357)


    If your concern is not an emergency, you are welcome to leave a message, and I will respond as soon as possible during normal business hours.

Blog Posts

Insights & Inspiration

These articles offer practical tips and helpful guidance on anxiety, perfectionism, burnout, and life changes. My hope is that they help you feel understood, supported, and less alone as you face life's challenges.

Woman sits on a gray couch in a living room, looking down with a pensive expression while another person is blurred in foreground.
By Samantha Keiser June 27, 2026
If you've been thinking about starting therapy, you may have wondered: What would I even talk about? Will I just vent for an hour every week? Do I have to be in crisis for therapy to help? If you've had any of these thoughts, you're not alone. Many people know they're feeling overwhelmed, stuck in overthinking, or carrying more stress than they'd like, but they aren't sure what actually happens in therapy. The good news is that therapy isn't about having all the right words or knowing exactly where to start. We'll figure it out together. Therapy Is More Than Talking About Your Week Talking is an important part of therapy, but it's only one piece of the process. Instead of simply replaying everything that happened during the week, we'll explore what's underneath it. We'll look at the patterns that keep you feeling anxious, overwhelmed, or stuck and begin finding new ways to respond. Along the way, we might explore questions like: What situations leave you feeling the most anxious? What thoughts keep showing up? How is anxiety affecting your daily life and relationships? What would life look like if anxiety wasn't running the show? The goal isn't just to understand your anxiety. It's to help you feel more confident, grounded, and able to respond to life's challenges in a different way. Looking Beyond the Anxiety Anxiety is often a sign that something else needs your attention. Maybe you've been putting pressure on yourself to get everything right. Maybe you've learned to always put other people's needs first. Or maybe you've been carrying so much for so long that your mind and body don't know how to slow down anymore. Together, we'll make sense of what's contributing to your anxiety without judgment or pressure to have it all figured out. As you begin to understand those patterns, you'll also begin to notice new ways of responding: with more self-awareness, self-trust, and confidence.
Man in black sweater writing at a café table with a laptop, coffee, and notebook by a window
By Samantha Keiser June 26, 2026
Have you ever made it through your entire to-do list and still felt like you should have done more? Or maybe you notice that on the days you're productive, you feel good about yourself. But on the days you need to rest or things don't go as planned, you start questioning whether you've done enough. If that sounds familiar, you're not alone. Many young adults and professionals put a lot of pressure on themselves to always be productive, successful, and getting things done. While that drive can help you accomplish a lot, it can also leave you feeling like you always have to do more to be enough. Over time, that pressure can lead to stress, overwhelm, and feeling like it's never okay to slow down. How Productivity Becomes Tied to Self-Worth This way of thinking doesn't happen overnight. It often develops over time. Maybe you were praised for working hard, getting good grades, or always being the one others could count on. Maybe being productive became part of who you were, and slowing down started to feel uncomfortable. Before long, it can feel like your value depends on how much you get done. The hard part is that when your self-worth is tied to your productivity, it's easy to feel good about yourself only when you're accomplishing something. On the days you're resting, making mistakes, or simply don't have the energy to do it all, self-doubt can start to creep in. Signs You're Measuring Your Worth by Your Productivity You may notice yourself: Feeling guilty when you take a break or have time to rest. Struggling to enjoy your free time without thinking about everything you still need to do. Feeling like you should always be doing more. Being hard on yourself when you have a less productive day. Quickly moving on to the next goal instead of celebrating what you've already accomplished. Feeling uneasy or anxious when you're not busy. Letting a productive day determine whether you feel good about yourself.  If several of these sound familiar, you're not alone. Many young adults and professionals get caught in this cycle. Over time, it can leave you feeling like no matter how much you accomplish, it never quite feels like enough.
Person sitting with head in hand beside a potted plant, appearing stressed or upset
By Samantha Keiser June 26, 2026
You meet your deadlines. You show up for work. People describe you as responsible, driven, and dependable. From the outside, it looks like you're doing well. But inside, it feels different. Your mind rarely slows down. You're constantly thinking about what needs to happen next, worrying about making mistakes, and wondering whether you're doing enough. Even after accomplishing something important, relief is often short-lived before the next concern takes its place. If this sounds familiar, you may be experiencing high-functioning anxiety. While high-functioning anxiety isn't an official mental health diagnosis, it's a term many people use to describe anxiety that remains largely hidden behind achievement, productivity, and outward success. What Is High-Functioning Anxiety? People with high-functioning anxiety often appear capable and successful. They may excel academically, perform well at work, maintain relationships, and manage numerous responsibilities. What others don't see is the amount of stress, fear, self-criticism, and mental energy required to keep everything running. Instead of anxiety causing someone to avoid responsibilities, it may push them to overprepare , overwork, overthink, and constantly strive for more. The result? Success on paper, but exhaustion behind the scenes.

Still Have Questions?

That's completely okay. Starting therapy can feel like a big step, and it's natural to want more information before reaching out. Whether you're curious about the process, wondering if we'd be a good fit, or simply exploring your options, I'd be happy to connect. You can reach out through the contact form, send an email, or schedule a free consultation whenever you're ready.