Relational therapy for thoughtful adults who carry too much.

You’re the one who keeps things running—emotionally and logistically—while old family patterns and a tired nervous system call the shots behind the scenes.

For the ones who hold it all:

I work with adults who are carrying more than their share—at home, at work, and in their family line. On paper, you look capable. In reality, you’re juggling:

• Invisible emotional and logistical labor

• Old loyalty binds and unspoken rules, mapped by intergenerational experiences and expectations

• A nervous system that’s been on high alert for years

Maybe you grew up in a family where certain things were never talked about—addiction, mental health, money, anger, death—and you learned to keep the peace, perform, or disappear. Those legacy burdens don’t just live in the past; they show up in your present-day relationships, boundaries, and sense of worth.

In our work, we’ll name those inherited patterns without blaming or shaming anyone, and then focus on what’s actually possible for you now.

Together, we map the legacy you inherited, the roles you’ve had to play, and what you’re ready to do differently.

How we can work together

Therapy with me is structured, conversational, and very real-life. We’ll look beneath the surface of what you’ve been carrying—across family, work, and relationships—and build concrete tools for saying what you mean, setting limits, and staying connected without over-functioning. You don’t have to bear the brunt of it all the same way you always have.

Individual Therapy

Online relational therapy for thoughtful adults who are exhausted by carrying everyone else’s emotional weight, including what you’ve inherited from your family line. We’ll slow things down, name the patterns that keep you stuck, and experiment with new ways of relating—to yourself and to the people in your life.

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Couples & Partners Therapy

Support for couples and partners who care about each other but feel stuck in the same fights, distance, or silence. We’ll look at who pursues, who pulls back, where invisible labor piles up, and how old stories and nervous system responses show up in the present—so you both feel clearer, more honest, and less alone with the hard stuff.

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Focused Relational Consultation

Short-term, focused support for a specific concern—a relationship pattern, family dynamic, boundary decision, or major transition. We’ll map out what’s happening, clarify the pressures you’re under, and explore grounded next steps so you can move forward with more clarity and less emotional static.

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If you’d like to explore working together, the first step is a short consultation. We’ll look at what’s bringing you in, what you hope for, and whether my style feels like a good fit—for you, your relationships, and your season of life.

Schedule a consultation

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Leah Rambush

About Leah

Hi, I’m Leah. I’m glad you’re here. I work with thoughtful adults who look “together” on the outside but feel quietly overrun on the inside.

My work focuses on the overlap between your history, nervous system, and current relationships—especially legacy patterns, invisible labor, and boundary guilt.

Therapy with me is conversational, practical, and honest: no forced positivity. Just a steady space to sort out what’s actually yours to carry and what you’re ready to set down.

Learn more about Leah

Contact

Interested in working together or have a question?

Use this form to get in touch and I’ll respond as soon as I can. Please don’t share private clinical details or emergencies here—this form isn’t for crisis support and isn’t a secure message portal.

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