The Aligned Powerhouse Podcast

19: Is Therapy Failing High-Achieving Women?


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A direct, behind-the-scenes look at the systemic issues in therapy that make it hard for high-achieving women to get the support they actually need.

Today’s episode is one I was genuinely nervous to record — not because the topic is taboo, but because it reveals the real problems inside the therapy system that almost no clinician will say publicly.

If you’re a high-achieving woman who has sought help before and walked away wondering:

  • “Why isn’t this working?”
  • “Am I asking for too much?”
  • “Is something wrong with me?”

This episode will give you the clarity you’ve been searching for.

We break down:

  • Why high performers often don’t meet diagnostic criteria even when suffering
  • How insurance requirements sabotage real healing
  • What burnout looks like behind the scenes for your therapist
  • Why clinicians unconsciously slip into the “rescuer reflex”
  • How to spot the difference between a therapist who can hold you and one who shrinks when you expand
  • Why so many high-achieving women outgrow traditional therapy
  • The red flags and green flags to look for when choosing the right support

And most importantly, how to finally advocate for the care you need- without internalizing the pressure or misunderstanding that the system often creates.

If you’ve ever left therapy feeling unseen, underwhelmed, or confused about why you’re not making progress, this episode will help you understand exactly why.


Resources:

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The Aligned Powerhouse PodcastBy Dr. Brittany McGeehan