Paula Miles Anxiety Psychotherapist

03/01/2026

You might look like you’re coping.
You might even be succeeding.

But inside, it can feel relentless — the pressure, the overthinking, the self-doubt, the sense that you’re never quite allowed to rest.

I work with women who are high-achieving, capable, and deeply exhausted by carrying everything alone. Women whose anxiety doesn’t always look dramatic — it looks functional, polished, and invisible.

This 30-minute consultation isn’t about fixing you or giving quick tips.

It’s a space to slow things down, understand what’s really going on beneath the surface, and see whether working together feels right for you.

No pressure. No obligation.
Just a conversation — grounded, thoughtful, and honest.

If something in this resonates, you’re welcome to book through the link.

03/01/2026

02/01/2026

💜 I made this for you:
“Anxiety Guide: From chaos to ‘OK, I can handle this’”
📘 54 pages of grounding, in-depth, actionable tools
🧠 Simple, deep, real — no fluff, no overwhelm.

Type “GUIDE” in the comments and I’ll send it straight to your inbox today

💜 Be sure and follow for more anxiety content!

📎 This post is for reflection and education. It doesn’t replace therapy.



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01/01/2026

Don’t forget to visit the link in my bio to explore the guide. 🤍

31/12/2025

Not to reinvent yourself completely.
Not to demand impossible changes from yourself.
But to do things differently in small, honest moments.

Maybe it’s choosing to rest before you break.
Saying “no” without over-explaining.
Stopping the habit of abandoning yourself just to belong.

365 days are not a burden.
They are permission.
A quiet invitation to repeat fewer patterns that hurt you
and to create more space for what allows you to breathe.

You don’t need to know exactly how everything will change.
You only need to decide that you don’t want to stay the same.

🌿 One day at a time.
One gentler choice at a time.

30/12/2025

Therapy doesn’t always bring visible or immediate progress.

But pause for a moment and notice everything that has already changed.

Sometimes progress is quiet — but it’s within that quiet that the deepest transformations take place.

29/12/2025

Things that changed me in 2025 — at 37

A reflection from a high-achieving, autistic, ADHD woman who stopped performing and started listening.

What shifted me wasn’t productivity, optimisation, or another identity upgrade.
It was a series of quiet, structural changes — internal and relational — that altered how my nervous system relates to life.

1. I stopped using achievement to regulate my nervous system

For most of my life, success wasn’t ambition — it was survival.
Achievement gave me safety, predictability, and worth.

In 2025, I saw this clearly:

✨️Overworking wasn’t discipline; it was self-soothing.
✨️Perfectionism wasn’t standards; it was fear management.
✨️Productivity wasn’t purpose; it was nervous-system control.

Letting this go didn’t make me passive.
It made me regulated without performance.

2. I stopped masking my neurodivergence — especially when I was “good at it”

Being high-achieving while autistic and ADHD meant I was praised for coping in silence.

What changed:

✨️I stopped forcing eye contact when my body resisted.
✨️I stopped overriding sensory limits to appear “capable.”
✨️I stopped explaining myself to people committed to misunderstanding me.

Masking is expensive.
Unmasking gave me energy, clarity, and self-trust.

4. I stopped confusing hyper-independence with emotional maturity

Doing everything alone had once kept me safe.
In 2025, I saw the cost.

I practiced:

✨️Letting myself be impacted by others.
✨️Receiving without pre-emptive repayment.
✨️Asking before reaching exhaustion.

Autonomy remained — but it softened into interdependence.

A quiet truth

I’m a recovering high-achiever myself — autistic, ADHD — who understands both the nervous system and the cost of constantly performing.

Healing didn’t make me smaller.
It made my life quieter, my relationships cleaner, and my sense of self non-negotiable.

And that changed everything.

If you’re reflecting on your own shifts — especially beneath competence, success, or “having it together” — notice this:

What no longer works for your nervous system, even if it once made you impressive?

That question is often where real change begins.

28/12/2025

How's the social end of the year?



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27/12/2025

I also need a rest! Going into my cave... 🤣🤣🤣
Time to recharge and reset!

How's your end of the year going?

26/12/2025

Many believe therapists always have it together, never doubt themselves, and are always available. The truth? We are human too.

We cry. We laugh. We feel anxious. We need therapy and boundaries just like anyone else. 🌿

✨ Being a psychotherapist doesn’t mean perfection — it means walking the journey of healing alongside you.

👉 Tell me, which slide felt closest to your reality today?

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