What We Treat
Evidence-based, individualized treatment for burnout and chronic stress from licensed clinicians, in person in San Pedro or online.
Burnout is what happens when chronic stress goes unaddressed for too long. It is not simply being tired after a hard week. It is a state of depletion that builds when the demands on you outpace your capacity to recover, often from work, caregiving, or carrying too much for too long. You can keep functioning on the outside while feeling hollowed out underneath, and many high-performing people do exactly that until the cost catches up with them.
A bone-deep tiredness that sleep does not fix and that makes everything feel like more effort.
Growing distance, irritability, or numbness toward work and people you used to care about.
Feeling ineffective or like nothing you do is enough, even when you are still delivering.
Poor sleep, headaches, tension, and a body that stays braced even when there is nothing to do.
A mind that keeps working after hours, with rest that never feels like real rest.
A sense of heaviness before the day even starts, and tasks that feel bigger than they are.
Burnout rarely shows up on its own. It overlaps with the conditions below, and our clinicians treat the whole picture rather than a single label. Each area has a page that explains how we approach it.
The worry and restlessness that often run underneath chronic stress, and that burnout tends to amplify.
When exhaustion tips into low mood, hopelessness, and loss of interest, we treat the depression underneath.
For many people, burnout builds on top of the extra effort that living with ADHD quietly demands.
Over-giving and difficulty setting limits are a fast track to burnout, especially for caregivers.
Chronic stress spills into relationships, and strained relationships feed the stress right back.
When work drains you and no longer connects to what matters, purpose-focused work helps you realign.
Burnout responds to a combination of practical change and nervous-system regulation, and our clinicians are trained in both. We build a plan with you, fit it to a demanding life, and work at a pace you can manage. This is a focus for our executive and professional clients.
A practical approach to the thinking patterns and habits that keep you running on empty, helping you set sustainable boundaries and reshape the demands you place on yourself.
Helps you reconnect with what actually matters to you, so your energy goes toward a life you value rather than obligations that drain you.
Somatic work that calms a nervous system stuck in overdrive, so your body learns to come down from high alert and rest becomes possible again.
Burnout often sits on top of anxiety and depression. We treat the whole picture so you are not just patching over fatigue.
| Approach | Best suited for | How it works |
|---|---|---|
| CBT | Unsustainable habits and self-imposed demands | Reworks the thinking and patterns that keep you running on empty. |
| ACT | Feeling disconnected from what matters | Builds willingness to act on your values instead of obligation alone. |
| Somatic & mindfulness | A nervous system stuck in overdrive | Calms the body so real rest and recovery become possible. |
| Underlying anxiety & depression | Burnout layered on a mood or anxiety condition | Treats the whole picture, not just the surface fatigue. |
Starting therapy should feel clear, not like one more demand. Here is how it works at Coastwise.
We start with a short, private conversation to understand what is depleting you and what you want to change.
We pair you with a licensed clinician who treats burnout and fits a demanding life, not whoever happens to be free.
Your clinician builds a plan with you and paces it so change feels sustainable rather than like one more thing on the list.
We work with professionals, executives, founders, clinicians, caregivers, and anyone running on empty, whether the stress comes from a demanding career, caretaking, or simply carrying too much for too long. Because burnout so often sits on top of anxiety and depression, our clinicians treat the whole picture rather than a single label.
See us in person at our San Pedro office or work with a clinician securely online anywhere in California. Therapy for burnout translates well to telehealth, which fits a packed schedule and removes the friction of one more thing to commute to.
We use evidence-based approaches including CBT to address the thinking patterns and habits that keep you running on empty, ACT to help you reconnect with what matters to you, and somatic and mindfulness work to calm a nervous system stuck in overdrive. When burnout sits on top of anxiety or depression, we treat that too. Your therapist builds a plan with you and works at a pace you can manage.
They overlap but are not identical. Burnout is a state of exhaustion, cynicism, and reduced effectiveness tied to chronic stress, often from work or caregiving. It can lead into depression or exist alongside it, which is why we assess the whole picture and treat the underlying anxiety and depression rather than just the surface fatigue.
No. Many people recover while staying in their role by changing how they relate to stress, setting sustainable boundaries, and regulating a nervous system that has been stuck on high alert. Therapy helps you make those changes deliberately rather than reaching a breaking point first.
Yes. Therapy for burnout translates well to secure video, which fits a demanding schedule and removes the friction of one more thing to commute to. We see clients in person in San Pedro and virtually across California.
We work with insurance, and many clients use their benefits toward therapy with us. Call (424) 536-3002 to learn how your insurance can help cover the cost of therapy.
Why the turn of the year can quietly raise the pressure, and how to stay steady through it.
Managing the depletion and overwhelm that come with a packed return to routine.
The evidence behind ketamine-assisted therapy for the depression and anxiety that can underlie burnout.
Burnout responds to the right support, and you do not have to wait until you hit a wall. Call us for a free, confidential consultation and we will match you to a clinician who treats it.
Call (424) 536-3002 Get Started