Ambition vs. Anxiety: How Therapy Helps New Yorkers with Perfectionism

Striving Hard but Feeling Stuck?

In New York, ambition often fuels success—but it can also fuel anxiety. Striving to achieve more can be motivating, yet when perfectionism takes over, ambition and anxiety collide. Many New Yorkers describe feeling driven on the outside but overwhelmed on the inside, caught in a cycle of relentless self-criticism and pressure.

If this sounds familiar, you’re not alone. Online therapy offers a flexible, supportive space to work through perfectionism and build a healthier relationship with yourself.

 
High achieving but struggling with perfectionism in Nw York

What Does Perfectionism Look Like?

This push-and-pull between ambition and anxiety is a hallmark of perfectionism. It can look like:

  • Always feeling like you should be doing more

  • Spending hours over-preparing to avoid mistakes

  • Achieving a goal but feeling no real satisfaction

  • Comparing yourself to others and falling short

  • Struggling with high-functioning anxiety or imposter syndrome

While perfectionism can drive success, it often leaves people exhausted, disconnected, and never able to rest.

 

Why Perfectionism Is Common in NYC

New York celebrates ambition and achievement. But in such a competitive environment, that drive can easily tip into anxiety, leaving perfectionists feeling like they can never let up.

Academic pressure, career expectations, and cultural or family values can all reinforce the belief that only flawless performance is acceptable.

For many Asian American and immigrant communities, perfectionism is tied to cultural messages about working harder, proving yourself, or avoiding mistakes. As a bilingual Asian therapist practicing in NYC, I often hear clients share how these expectations shaped their inner critic.

 

How Online Therapy Helps with Perfectionism

Online therapy provides a safe and accessible way to address these patterns. Through our work together, therapy can help you:

  • Recognize and soften the harsh inner critic

  • Understand the roots of perfectionistic patterns

  • Build tolerance for mistakes and self-compassion

  • Find balance between striving and resting

  • Experience supportive, healing relationships that reduce isolation

Because sessions are online, therapy fits into busy New York schedules without the stress of commuting, making it easier to stay consistent and supported.

 

My Approach to Therapy for Perfectionism

I integrate AEDP Psychotherapy (formerly Accelerated Experiential Dynamic Psychotherapy) with somatic practices. This means we don’t just analyze your thoughts—we also notice how perfectionism shows up in your body: tension, over-preparing, or difficulty relaxing.

Together, we trace where these patterns came from so they feel understandable—not flaws, but survival strategies that once made sense. From there, we practice new ways of relating to yourself, with more compassion, flexibility, and balance.

Perfectionism doesn’t have to define your worth. Step by step, therapy helps you build an inner voice that is supportive rather than critical.

 

Getting Started with Online Therapy in NYC

If you’re in New York and struggling with perfectionism, online therapy can help you create more space to breathe, rest, and enjoy life without constant pressure. I also see clients online in Florida.

I offer a free 20-minute consultation so you can ask questions and see if this feels like the right fit.

 

You don’t have to stay caught between ambition and anxiety.
Therapy can help you harness your drive without being crushed by it.

Learn more about my Perfectionism Therapy approach in NYC & Florida, or schedule a free consultation today to begin your journey toward balance and self-compassion.

Kaori Stram, LMHC

I am Kaori Stram, licensed psychotherapist, specializing in helping high-functioning adults heal from anxiety, trauma and self-doubt. I offer culturally attuned, heart-centered online therapy designed to support your emotional-wellbeing and personal growth.

http://www.kaoristram.com
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