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Perfectionism & People-Pleasing Therapy in Texas (Telehealth)

Support for self-criticism, guilt, over-responsibility, and the pressure to get it “right”

Perfectionism and people-pleasing often look like being responsible, dependable, and high-achieving. But internally, they can feel like constant pressure, fear of disappointing others, and never feeling “good enough.”

Therapy can help you reduce self-criticism, strengthen boundaries, and build a healthier relationship with achievement—so your life isn’t run by guilt, fear, or performance.

Healing Is a Journey LLC provides therapy through secure telehealth for clients physically located in Texas at the time of session.

Request a Consultation(a brief call to confirm fit and next steps)
Schedule an Intake(begin therapy and complete paperwork)

Signs Perfectionism or People-Pleasing May Be Costing You

You may notice:

  • Harsh self-criticism or feeling like you’re never doing enough

  • Difficulty saying “no,” even when you’re exhausted

  • Guilt when resting or setting boundaries

  • Overthinking conversations or replaying mistakes

  • Fear of disappointing others or being judged

  • Procrastination (because it must be perfect)

  • Emotional shutdown, irritability, or burnout

  • Feeling responsible for everyone else’s feelings

These patterns are common in high achievers, athletes, caregivers, and those who learned to earn safety through performance.

What Therapy Can Help With

Therapy may focus on:

  • Reducing perfectionism and fear of failure

  • Boundary setting and guilt reduction

  • People-pleasing patterns and over-responsibility

  • Healthier self-talk and self-compassion

  • Emotional regulation and nervous system support

  • Learning to tolerate “good enough” and imperfect outcomes

  • Confidence and self-worth beyond productivity or approval

Who This Is a Fit For

This may be a good fit if you are:

  • A high-achieving teen overwhelmed by pressure and expectations

  • A professional managing chronic stress, responsibility, and self-criticism

  • An athlete who struggles with mistakes, confidence swings, or fear of failure

  • A caregiver or leader who feels responsible for everyone else

  • Someone who wants to feel calmer, clearer, and more grounded—without losing their standards

What Sessions Look Like

Sessions are supportive, structured, and practical. We focus on patterns that keep you stuck, build skills you can practice between sessions, and strengthen your ability to show up with confidence and flexibility.

Telehealth note: Services are provided via secure telehealth to clients located in Texas at the time of service.

Fees

Healing Is a Journey LLC provides outpatient mental health therapy services via secure telehealth across Texas. To support accuracy, efficiency, and compliance, insurance billing, intake paperwork, and medical records requests may be managed through a secure third-party insurance and billing agency. Your therapy services are still provided directly by Tiffany Johnson, MA, LPC through Healing Is a Journey LLC.

Private Pay Rates

Initial Intake / Diagnostic Assessment (90791): $195 (60–75 minutes)
Psychotherapy (90837): $175 (60 minutes)
Psychotherapy (90834): $145 (45 minutes)
Solution Focused Check-In (90832): $105 (30 minutes)

Payment is due at the time of service unless otherwise arranged. A card on file may be required to reduce billing delays and support consistent care.

Your specific session length and recommended frequency will be discussed during your consultation and intake, based on clinical need and treatment goals. Additional details (including any applicable policies) are provided during your consultation and intake.

Good Faith Estimate
 If you’re not using insurance, you can request a Good Faith Estimate of expected charges. View Good Faith Estimate →

  • Healing Is a Journey LLC currently participates with the insurance plans listed below. Coverage and client responsibility vary by plan and benefits.

    In-Network Plans

    • Aetna

    • Blue Cross Blue Shield

    • Carelon Behavioral Health

    • Cigna / Evernorth

    • First Health

    • HealthWest

    • Humana

    • Imagine Health

    • Magellan

    • Medicaid

    • Superior HealthPlan

    • TriWest

    • UnitedHealthcare (UHC / UBH)

    • Wellpoint / Amerigroup

    • Children’s Health Insurance Program (CHIP)

    Important notes about insurance

    • Insurance benefits vary widely by plan. Verification of benefits is not a guarantee of payment.

    • Clients are responsible for copays, coinsurance, deductibles, and any non-covered services as determined by the plan.on text goes here

  • If you are not using insurance (or are not submitting insurance claims), you have the right to receive a Good Faith Estimate of expected charges, as required under federal law.

  • All services are provided via secure telehealth for clients located in Texas at the time of session. Privacy practices and additional client rights are available in the practice’s Notice of Privacy Practices (NPP) and related website policies.

  • If you have questions about fees, insurance participation, or expected out-of-pocket costs, you’re welcome to request a consultation so we can confirm next steps.

  • Administrative requests (letters, forms, records summaries, and other documentation) may require additional time and may be billed separately when applicable. Medical record requests are handled through secure processes to protect confidentiality.

  • Is perfectionism a form of anxiety?
    It can be. Many perfectionistic patterns are driven by fear of failure, fear of judgment, or pressure to maintain control.

    Can people-pleasing change without damaging relationships?
    Yes. Therapy supports boundary setting and communication so relationships become healthier—not harsher.

Ready to Get Started?

You don’t have to earn rest or approval. Therapy can help you feel steady and confident—even when things aren’t perfect.

Request a Consultation

All services are provided via secure telehealth to clients located in Texas.