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Anxiety-spectrum care

Pagkabalisa sa Pagganap at sa Trabaho

Ang Los Angeles ay nagtatakbo sa performance — ang audition, ang pitch, ang pulong, ang launch, ang post. Ang performance anxiety ay hindi isang depekto sa mga ambisyosong tao; ito ay ang nangyayari kapag ang mga stake na itinalaga mo sa iyong trabaho ay lumampas sa kung ano ang kayang dalhin ng iyong nervous system sa isang normal na Martes.

A man sitting on a couch recording himself with a camera, in a thoughtful posture.
In a sentence

Performance and workplace anxiety includes the chronic dread, presentation/audition anxiety, perfectionism, and burnout patterns that show up in high-output professional life. Treatment in Los Angeles combines CBT for the immediate moments with deeper work on the patterns underneath. Group therapy adds a powerful dimension: hearing other high-functioning adults describe the same private experience.

Ano ang pakiramdam nito

Hindi mo kailangang patunayan ang pinapasan mo.

Ilang kilalang sandali, sa mga salita ng ibang tao. Kung ilang bagay ang tumama — iyon ay impormasyon, hindi hatol.

01

Dumarating ang Linggo ng gabi na may isang pakiramdam. Ang mga balikat, ang dibdib, ang pangamba na walang tukoy na nasa likod nito.

02

Bago ang isang pulong o audition ay hindi ka masyadong makakain, hindi ka masyadong makapagiisip, hindi ka masyadong makahinga — at pagkatapos ay hindi ka masyadong makatigil sa pag-ulit-ulit.

03

Alinman ay hindi ka natutulog, o natutulog nang masyadong marami, o pareho sa parehong linggo.

04

Nagsimula kang sukatin ang iyong halaga sa mga deliverable. Ang mga araw na off ay pakiramdam na kabiguan.

05

Naririnig mo ang iyong sarili sa isang pulong at isang boses ang nagtatanong kung sino ang nagpapasok sa iyo sa silid.

06

Natatakot kang ang pagbagal ay magiging bagay na sisira sa streak.

07

Pinaghihinalaan mo, nang tama, na hindi ito sustainable.

Ano ang nag-aambag dito

Paano karaniwang nagde-develop ang ganitong uri ng pagkabalisa.

Performance anxiety isn't a single diagnosis — it's a pattern that often blends elements of social anxiety, GAD, and the cultural conditions of high-output professional life. Los Angeles intensifies several of those conditions: the audition cycle, the pitch process, the long stretches of public visibility, the proximity to people whose careers move differently than yours.

Common contributors: perfectionistic temperament, family-of-origin scripts that tied love or worth to achievement, early experiences of public criticism that lodged, careers with unclear feedback loops (creative industries especially), and chronic sleep debt that the work of the work doesn't permit.

What's worth knowing: high-performing people are not seeing therapists 'in spite of' their performance — many are seeing therapists *because* of it. Therapy is one of the highest-leverage interventions for sustained output. Your peers are doing it; they're just not posting about it.

"Our goal isn't to make you less driven. It's to give you a relationship with your work that doesn't cost you yourself."

Ano ito — at ano ang hindi ito

Pagkilala sa pagkakaiba mula sa magkaparehong mga pattern.

Isang maikling paglinaw, sa simpleng wika, kung paano naiiba ang kondisyong ito mula sa mga pattern na mukhang katulad.

What performance anxiety is: a recurrent pattern of pre-event dread, in-event activation, and post-event rumination, often paired with self-talk that's harsher than you'd accept from anyone else. Combined with chronic stress and sleep loss, it overlaps with burnout.

What it isn't: ordinary nerves before a high-stakes moment (which often sharpen performance and pass quickly). Imposter feelings without functional impact. Generalized anxiety not tied to performance contexts (that's GAD). A condition that requires you to be 'less ambitious' to treat — therapy here is about a healthier relationship with output, not less of it.

Paano kami tumutulong

Paano makakatulong ang therapy

Ang performance at workplace anxiety ay mahusay na sumasagot sa isang pinagsama-samang pamamaraan: praktikal na kasanayan para sa mga sandali mismo (mga presentasyon, pitch, trabahong nakaharap sa publiko), at isang mas mahabang pagtingin sa kung ano ang tahimik mong inilakip sa iyong output. Gumagamit kami ng CBT upang tugunan ang mga hula at self-talk na nagpapalakas ng anxiety, at mga pamamaraan tulad ng ACT at Internal Family Systems (IFS) upang magtrabaho sa mga mas malalim na pattern.

Ang group therapy ay isang kapaki-pakinabang na karagdagan para sa trabahong ito — bahagyang dahil ang grupo ay nagiging isang lugar para sanayin ang pagiging nakikita nang hindi nagpe-perform, at bahagyang dahil ang pakikinig sa mga high-functioning, masipag na mga matanda na inilalarawan ang parehong pribadong karanasan ay naglalagay ng isang pinsala sa pagkabukod na nagpapalakas ng mga damdamin ng imposter.

Ang aming layunin ay hindi gawing hindi ka masipag. Ito ay bigyan ka ng isang relasyon sa iyong trabaho na hindi mo ibinabayad ang iyong sarili.

Mga pamamaraang ginagamit namin

Cognitive Behavioral Therapy (CBT)

Addresses the predictions and self-talk that fuel anxiety in performance moments. Practical, present-tense skills you can use the morning of a meeting.

Internal Family Systems (IFS)

For the deeper patterns — the part of you that ties self-worth to output. Useful when CBT alone has gone as far as it can.

Group therapy

Especially useful here. Sitting in a room of other high-functioning adults describing the same private experience puts a real dent in imposter feelings.

Karaniwang mga pagbabago

Common shapes performance anxiety takes

Walang dalawang presentasyon na eksaktong magkapareho. Sa ibaba ay ang mga karaniwang anyo na nakikita namin sa aming pagsasanay — kasama para mahanap mo ang bersyon na pinaka-malapit sa iyong karanasan.

Audition / pitch anxiety

Specific to the moments where you're being evaluated. Pre-event dread, in-event physiological activation, post-event rumination.

Public-speaking anxiety

Common in early-to-mid career; can also re-emerge later when stakes shift (TED talk, keynote, board presentation).

Imposter / impostorism

The internalized sense that your competence is a fluke. Particularly common in high-achievers in their first few years of a senior role.

Perfectionism-driven workplace anxiety

Anxiety tied to a chronically high internal standard. Useful in moderation, costly in excess.

Burnout-adjacent performance anxiety

When sustained performance demands have outpaced your nervous system's recovery. Overlaps with depression.

Creative / artistic block

When the work itself becomes anxiety-bound. Particularly common in LA's creative industry clients.

Ano ang hitsura ng pag-unlad

Isang tipikal na kurso ng paggamot, linggo-linggo.

Bawat tao ay gumagalaw sa sarili nilang bilis. Ang mga yugtong nasa ibaba ay isang tapat na balangkas kung paano karaniwang nagtatagumpay ang trabaho — hindi isang reseta.

01

Weeks 1–4

Stabilize the immediate. Skills for presentations, pitches, public-facing work. Sleep usually starts shifting in this window.

02

Weeks 4–12

Deeper layer. What you've quietly attached to your output. Family-of-origin scripts about achievement. The voice in your head when you're alone.

03

Beyond 12

Building forward. Many clients describe a felt shift in how Sundays land, how they walk into meetings, how they treat themselves on off-days.

Ano ang nakikita namin sa Los Angeles

Mga pattern na partikular sa populasyon ng LA na aming pinaglilingkuran.

Performance anxiety is the most common reason high-functioning LA professionals come to therapy. The audition cycle, the pitch process, the public-facing nature of much LA work — these create a specific shape we know well. Our entertainment-industry clients often describe a long stretch between auditions where the anxiety is its own job. Our healthcare and tech clients describe a perpetual on-call quality. Our creative clients describe the inversion of imposter feelings on weeks they're producing well. We've worked with all of it.

Pagtanggap ng pag-aalaga sa Los Angeles

Kung saan nangyayari ang pag-aalagang ito sa metro area ng LA.

Our office is in Pasadena (301 N. Lake Ave, Suite 600) with parking on site and easy access from the 134, 210, and 110 — most of our in-person clients commute from the San Gabriel Valley, the Eastside neighborhoods (Eagle Rock, Highland Park, Atwater Village), the Glendale–Burbank corridor, and central Los Angeles. For clients in the Westside, the San Fernando Valley, the South Bay, Long Beach, and Orange County, telehealth is often the more practical format. California has strong telehealth parity laws (Bus. & Prof. Code §2290.5) — most major insurance plans cover telehealth at the same in-network rate as in-person care, and our clinicians see clients across the full state.

Mga karaniwang tanong

Mga tinatanong ng mga tao bago ang kanilang unang tawag.

Is this just burnout?

Sometimes — burnout, performance anxiety, and clinical depression overlap in ways that matter for treatment. Part of the early work is figuring out which of these you're carrying. The specific blend shapes the approach.

Will therapy make me less ambitious?

No. Most clients become more effective, not less, because they spend less energy fighting themselves. The internal critic doesn't go silent — it stops being the only voice in the room.

Can I keep working at full capacity during treatment?

Almost always. We typically work in weekly 50-minute sessions. Some clients use a focused stretch of more frequent sessions during a particularly intense work period; we adjust.

I'm in the entertainment / creative industry. Do you work with that?

Extensively. The audition cycle, the pitch process, the public-facing exposure, the long stretches of waiting — these are LA-specific patterns we see often. Many of our clinicians have worked with industry clients for years.

How does group therapy help with performance anxiety?

Hearing other accomplished adults describe the same private dread — the imposter voice, the Sunday-night chest-tightness, the reaction to one critical email — is a quiet kind of revelation. Imposter feelings depend on isolation; group breaks the isolation.

Hindi mo kailangang ayusin ito nang mag-isa

Ang unang pag-uusap ay maikli. Kami na ang bahala sa natitira.

Anuman ang nasubukan mo dati, gaano man katagal na ito — makipag-ugnayan sa pamamagitan ng telepono, email, o form ng pakikipag-ugnayan. Ang aming healthcare coordinator ay sumasagot ng mga tanong, nag-verify ng insurance, at tumutulong sa iyo na mahanap ang klinisyan na nababagay sa iyo.