
Chronically overwhelmed and underfulfilled?
An expert at putting others first but can't quite return the favor to yourself? People-pleaser, perfectionist, late-bloomer, "imposter" -- you're burned out and in need of some levity, release, and connection. Therapy can help.
Asking for support is inherently vulnerable. Maybe you've even convinced yourself you should be able to figure this out on your own. But if you're ready to try something new and receive the care you readily give to others, let's talk.
In life, we go through seasons.
Some seasons leave us struggling to get through the day. Others push us to answer deeper calls from within for more vitality, intimacy, and expression.
Whatever season you find yourself in, my goal is to meet you there with compassion, curiosity, and the confidence that you already hold everything you need to live the life you want, you just need help putting the pieces together.

Mid-Life Exploration
Realizing that you’ve silently crossed another threshold of adulthood can be jarring. It might also be another opportunity to level up. If you find yourself reevaluating your life from a distinctly "middle" point of view, we should talk. This isn't your parents' mid-life crisis -- they were afraid of decaying in a prison of stability, you're still waiting on stability at all. What does this middle passage uniquely look like for you? Let's explore what's changed about you since you made some of the most foundational decisions of your life, and how your next phase can include the version of you that actually arrived to it.
Individual & Collective Grief
Few things can truly propel us toward a reckoning with god, ourselves, and the illusions that fuel us like grief can. You might be aching with the deep and lonely loss of a loved one, wondering how it could be possible to move forward without this person here. You might be mourning a job, a home, a relationship, an identity. A culture. A future you imagined. A past you can't get back. And those may just the losses of your personal world. Collectively, we live in times of endless loss and trauma. Your survival, much less activism, gets more resilient if you take care to explore, express, ritualize, and transmute your grief.
Existential
Dread
Does a chronic dread about society follow you into every endeavor? Violence, pandemics, climate crises, AI -- hope for the future might be dwindling at a rapid pace, clouding your days with despair. While these feelings are valid, they don't have to become your new normal. You're still here - what's worth your effort? Curiosity might be one of the few reliable antidotes to dread. Not because it solves it, but because it keeps you relating to the world rather than retreating from it. When you ask yourself what this dread might be trying to show you, your thinking moves from attacking an enemy to heeding a messenger.
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Let's
Connect
A FREE 20-MINUTE CONSULTATION CALL LETS US SEE IF WE'RE A GOOD FIT
Briefly tell me what's bringing you to therapy now and we'll schedule a time to talk.
Have a question about working with me? The FAQ may have an answer.
Please note: You must be a current resident of California or Iowa to work with me, even though sessions are conducted online.
If you're experiencing an emergency, please call 911, visit your local emergency room, or use these resources instead of submitting this form.

Vanessa Setteducato, LMFT
Licensed Marriage and Family Therapist
California #119184 | Iowa #138015
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