AK Psychotherapy

AK Psychotherapy LCSW serving NY, NJ, MD & DC. Also offer: support groups, workshops, & consultation. bio.site/alyssakushnerlcsw

Therapy for anxious over-givers, high achieving perfectionists & hyper-responsible people pleasers ready to stop self-abandoning and start building self-trust.

If you grew up in an environment where love felt conditional - where you had to perform, achieve, or take care of others...
03/13/2026

If you grew up in an environment where love felt conditional - where you had to perform, achieve, or take care of others to feel wanted - your nervous system learned a very specific lesson:⁣

Your value is in what you do. Not who you are.⁣

So you became the helper, the fixer, the one who never needed anything. ⁣The one who made themselves easy to keep around.⁣

And it worked….until it didn’t!⁣ Because when your worth is tied to your usefulness, you can never actually rest. You can never just be. Every relationship becomes a transaction you’re deeply terrified of losing.⁣

This is people-pleasing and codependency at its root - not a personality trait, not “just being nice.”⁣ It’s an adaptive strategy that made complete sense before to keep you connected. And it’s exhausting to keep running.⁣

Please know: You don’t have to earn your place. In relationships, in rooms, in your own life.⁣

You are allowed⁣ to and SHOULD take up space before you ever do a single thing for anyone 🩷⁣ who you are as a human has value and worth.

This content is for educational purposes only and is not a substitute for professional mental health treatment. If you’re struggling, please reach out to a licensed mental health professional. ⁣

Follow for more on people-pleasing, nervous system healing, hyper responsibility and building self trust ⁣

I don’t know what I need” is one of the most common things I hear from my clients. ⁣⁣It’s not that you don’t actually ha...
03/11/2026

I don’t know what I need” is one of the most common things I hear from my clients. ⁣

It’s not that you don’t actually have needs btw. It’s that you’ve spent so long making sure everyone else’s needs were met that yours became background noise or you’ve disconnected from them entirely.

You learned to tune them out, to push through, to tell yourself you were fine.⁣

And now when someone actually asks - or when you try to ask yourself - they’re just…non existent.⁣

This is what chronic self-abandonment looks like. A slow forgetting of your own inner experience.⁣

So here’s a starting place! Read through and notice which ones make something in your body go yes, that. ⁣

That’s your needs trying to be heard. Start there! Which need stood out to you? Lmk 👇🏻⁣

This post is for educational purposes only and is not a substitute for individual mental health treatment. If you’re struggling, please reach out to a licensed mental health professional.⁣

For more on nervous system healing, people-pleasing, and coming back to yourself - follow along

03/10/2026

Me *yeah I’m super chill idc*⁣

Also: scanning for micro shifts in your tone, mood, expression, 24-7⁣

If you relate..it’s hypervigilance not just anxiety. ⁣

It’s constant and it can be quite exhausting! Because your nervous system is in alert for perceived danger. You’re always scanning, bracing and probably holding tension.

To learn about it download my hypervigilance freebie linked in bio ✨ ⁣
This content is for educational purposes only and is not a substitute for professional mental health treatment. If you’re struggling, please reach out to a licensed mental health professional.⁣⁣
⁣⁣
Follow for more on people-pleasing, nervous system healing, hypervigilance, and building self trust . ​​​​​​​​​​​​🩷

You’ve said “I’m fine” so many times it stopped feeling like a lie and started feeling like the truth.⁣⁣But here’s what ...
03/06/2026

You’ve said “I’m fine” so many times it stopped feeling like a lie and started feeling like the truth.⁣

But here’s what I know as a therapist: “fine” is often the word we use when we don’t feel safe enough to be honest - with others, or even with ourselves.⁣

It probably kept you from being “too much.” It kept things peaceful. It kept you protected.⁣

It also keeps you completely unseen.⁣

If you’ve been living in “fine” for a long time, that’s worth getting curious about - not judging yourself for. ⁣

Swipe through and let me know in the comments - which slide hit the hardest? 👇⁣

This content is for educational purposes only and is not a substitute for professional mental health treatment. If you’re struggling, please reach out to a licensed mental health professional.⁣

Follow for more on people-pleasing, nervous system healing, and building self trust . ​​​​​​​​​​​​🩷⁣

03/05/2026

Okay no shame… but here are 6 ridiculous things people pleasers secretly do 🤣

✔️ Hold your p*e on the plane so you don’t inconvenience your neighbor⁣
✔️ Eat the same cuisine you just had because you couldn’t speak up about it⁣
✔️ Over-apologize when someone bumps into YOU
✔️ Take the temperature of someone’s mood before deciding if you’re allowed to just… be yourself⁣
✔️ Spiral with guilt after writing 3 paragraphs explaining why you can’t make a plan you literally cannot make⁣
✔️ End with “if that’s okay?” when you tell someone you have to go home⁣

If you read this list and felt personally attacked - hi, I see you

These are just automatic responses developed from what you learned about keeping yourself connected, accepted and liked.⁣

But also…please tell your neighbor you gotta go when you’re in the window seat of a flight lol⁣

Share with your fellow people pleaser bestie if this if it hit a little too close to home….and im DYING to know resonates the most?⁣

Hi, I’m Alyssa - therapist, educator, and nervous system nerd for over-functioning, anxious, hypervigilant people-please...
03/02/2026

Hi, I’m Alyssa - therapist, educator, and nervous system nerd for over-functioning, anxious, hypervigilant people-pleasers and perfectionists who are low-key exhausted, burnt out, and stuck in the same cycle.⁣

I work with:⁣

The over-thinkers.⁣
The over-givers.⁣
The emotionally responsible ones.⁣
The high achievers who look like they “have it together” but inside are anxious. resentful. exhausted. bracing. deeply self-critical.⁣

Waiting for the other shoe to drop. Ready to fix everyone else’s problems - but disconnected from your own.⁣

If you’re the strong one…⁣
The reliable one…⁣
The one who anticipates everyone else’s needs before your own…⁣

You don’t just need to “set boundaries” or “advocate for your needs.”⁣

You need nervous system support first -⁣

Because disappointing someone or saying no doesn’t just feel uncomfortable.⁣
It feels like rejection.⁣
It feels like danger.⁣
It feels like you might lose connection.⁣

Aka..⁣
It literally feels unsafe.⁣

So that’s the work we do together!⁣

I offer:⁣

• 1:1 therapy⁣
• Extended EMDR & nervous system intensives⁣
• Women’s support groups⁣
• Workshops & workbooks⁣
• Aligned marketing & business consultation for mental health professionals⁣

But outside the therapy room, I love writing and teaching.⁣

My newsletter is where I go deeper -⁣
into hypervigilance, hyper-responsibility, attachment wounds, people-pleasing, codependency, perfectionism, and how to stop abandoning yourself while calling it “being kind.”⁣

If this sounds like you and you’re not ready for therapy yet -⁣
start with my free Nervous System Workbook. Here: https://alyssakushnerlcsw.myflodesk.com/subscribe

Disclaimer: This page is for educational purposes only and does not replace mental health treatment. If you are in crisis, contact local emergency services.⁣

—⁣

If this feels like you, follow along and tell me - what are you most tired of holding right now?⁣

You don’t have to keep doing it alone 🩷⁣
Www.ak-psychotherapy.com

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