You’re Doing Fine on Paper. So Why Doesn’t It Feel That Way?
Online therapy for adults in Rhode Island and Maryland navigating anxiety, overthinking, people-pleasing, self-doubt, and the pressure to keep everything together.
You're Responsible. Capable. The Person Other People Can Count On.
But you're also second-guessing decisions, putting pressure on yourself to get everything right, worrying about disappointing people, and saying yes when you really want to say no.
From the outside, you may look like you have everything handled. On the inside, you're exhausted from thinking about all of it.
Maybe You Don’t Need to Get Better at Holding It All Together
Maybe you’ve always been an overthinker. You replay conversations, second-guess decisions, and spend way too much time wondering whether you said or did the “right” thing. You like to know what to expect, and when things feel outside your control, your brain works overtime trying to think through every possible outcome.
Maybe you’re the person everyone relies on, which makes it hard to admit when you’re overwhelmed. You keep saying yes, avoiding disappointing people, and putting your own needs somewhere near the bottom of the list.
Or maybe something in your life has shifted, and suddenly you’re questioning things you used to feel sure about.
You may have come here looking for help with managing anxiety or stress. And yes, therapy can help with that. But sometimes the work goes deeper than learning another coping skill.
It can also be about understanding why these patterns keep showing up, figuring out what you actually need, and learning to trust yourself enough to do something differently.
Not Sure Where to Start?
You don’t need to know exactly what to call what you’re experiencing before reaching out. These patterns tend to overlap more than they fit neatly into separate boxes.
Therapy Should Feel Like a Conversation, Not a Performance
Hi, I’m Janine Gilreath, LMHC, LCPC.
I believe therapy works best when you can show up as yourself - not when you feel like you have to say the “right” thing or figure everything out before the session starts.
My own experience with anxiety and body image issues brought me to therapy when I was 17, so my connection to this work is both professional and personal.
When we work together, I pay attention. I remember the things you tell me and follow up because I genuinely want to know how you’re doing. I want to understand both what’s happening in your life right now and the patterns underneath it that may keep showing up.
I’ll encourage you, and I’ll also be real with you when I notice something that may be keeping you stuck.
Because ultimately, I want therapy to help you understand yourself better, trust yourself more, and feel more confident making choices that actually feel like yours.
What If You Didn’t Have to Question Yourself Quite So Much?
Therapy isn’t about never feeling anxious again, never caring what anyone thinks, or magically knowing exactly what to do in every situation.
It’s about noticing the patterns that keep pulling you away from yourself and learning how to respond differently.
That might look like:
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Deciding without asking three other people what they think first
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Setting a boundary without letting the guilt convince you to take it back
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Recognizing when perfectionism is setting an impossible standard
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Knowing the difference between what you want and what you think you’re supposed to want
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Feeling more comfortable trusting your own judgment
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Handling stress before you reach the point of complete burnout
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Moving through a major life change without feeling like you have to have the entire next chapter figured out
You can still be thoughtful, caring, ambitious, and someone other people count on. The goal isn’t to change who you are. It’s to make a little more room for you in the life you’re already living.
Online Therapy in Rhode Island & Maryland
Ocean State of Mind Counseling provides individual online therapy for adults throughout Rhode Island and Maryland.
Sessions are held virtually, so you can meet with me from a private, comfortable space without adding another drive, waiting room, or appointment across town to your schedule.
I currently accept Blue Cross Blue Shield, Aetna, Optum, and Tufts Health Plan.
Want to know more about how online therapy works, insurance and fees, or what to expect when getting started?
Licenses
Licensed Mental
Health Counselor
MHCO1392
Licensed Clinical
Professional Counselor
LC10685
Accepted Insurances
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Education
Master's
Clinical Counseling Psychology
Bachelor's
Psychology
What If You Trusted Yourself as Much as the People Who Count on You Do?
You spend a lot of time thinking about what everyone else needs, what they might think, and whether you’re making the right choice.
Therapy can be a place to turn some of that attention back toward yourself: to understand what you want, recognize what keeps getting in the way, and feel more confident making decisions you don’t have to immediately second-guess.
