High-functioning and never allowed to fall apart
Rochester’s hospitals, universities, and technology employers are full of women who are excellent at their jobs and quietly running on fumes. If you are the one who holds it together in a crisis, finishes what others leave undone, and never quite believes you have done enough, that pattern often has a history. Therapy gives you a place to stop performing and to understand where the pressure came from.
Why specialization matters
General therapy can be helpful, and it can also miss the point when the real issue is a childhood in which love felt conditional. Miriam’s work focuses on exactly that territory: the mother wound, unmet childhood needs, people-pleasing, perfectionism, and the parts of you that learned to protect you at a cost. Because she is licensed in New York, Rochester clients can access that specialization by video.
Practical details for Monroe County clients
Appointments are scheduled in Eastern Time, the same zone as Rochester, so times are exactly as written. You need a private room, a stable internet connection, and a device with a camera. Sessions run through a secure healthcare portal in your web browser. Winter weather does not cancel video appointments, which helps the work stay consistent.
Beginning at your pace
After a free consultation, early sessions focus on your present life and on grounding. When you are ready, the work may turn to childhood experiences, your relationship with a mother or mother figure, and the ways you adapted. Inner-child work, IFS, somatic awareness, and EMDR for specific memories may be part of care. You decide what is relevant, and Miriam explains each option before moving forward.