When high-functioning anxiety and depression leave you outwardly performing but inwardly struggling, Depth & the City helps you reconnect with your true self and reclaim inner peace.
Depth therapy empowers you to move beyond coping, guiding you toward clarity, emotional vitality, and renewed confidence at the top of your profession.
High-Functioning
Anxiety & Depression
What are High-Functioning Anxiety and Depression?
High-Functioning Anxiety and Depression are not formal clinical diagnoses, but rather descriptive terms that have gained traction in recent years to name a familiar internal struggle among many high-achieving individuals. Despite the absence of these terms in the official diagnostic manuals, they have resonated with professionals who maintain outward success and productivity while silently coping with anxiety or depressive symptoms just beneath the surface.
The concept of “high-functioning” reflects individuals who appear confident, organised, and capable, often excelling in demanding roles or maintaining busy, successful lives. However, inwardly, they may battle constant worry, hidden sadness, feelings of emptiness, or chronic self-doubt. The pressure to perform, achieve, and meet high standards may mask the real emotional distress, making it harder for them—and those around them—to recognize when support is needed.
High-functioning anxiety and depression can be difficult to identify. Those affected frequently dismiss their symptoms since their outward achievements “don’t match” their internal experiences. This pattern is especially prevalent among executives, leaders, and other high-performing professionals, who may fear stigma, judgment, or risking their reputation for admitting vulnerability. The recognition of these labels in the mental health field is growing, as practitioners and clients alike realise that thriving outside doesn’t always mean well-being inside.
Is your success built on silent struggle, invisible to everyone but you?
High-Functioning Anxiety and Depression can feel like constantly balancing on a wire: outwardly composed, always achieving, yet privately weighed down by worry, fatigue, or that nagging sense that something important is missing. Even as you lead and deliver, your own satisfaction and peace remain just out of reach.
In our sessions, we’ll create a safe, judgment-free space to explore what you really feel beneath the surface. You’ll have time to slow down, reflect, and rediscover parts of yourself beyond perfectionism or relentless drive.
My approach is rooted in Depth Therapy, which means looking beyond symptoms to help you understand, process, and shift the deeper patterns behind your depression and/or anxiety. I will help you reconnect with purpose, recover vitality, and move from just coping to genuinely thriving—at work and in your life.
Why Anxiety and/or Depression Therapy with Depth & the City?
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We work with Professionals who...
• Keep performing at a high level even while feeling inner restlessness and/or emptiness
• Mask anxiety and/or sadness behind professionalism and achievement
• Struggle with chronic self-doubt and/or worry that disrupts sleep or focus
• Feel isolated because others assume everything is “fine” based on their success
• Want therapy that acknowledges their whole person beyond performance
Our clients have attained remarkable success but often carry hidden emotional burdens that affect their well-being and fulfilment. If this resonates with you, you are not alone.
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The D&tC Approach
• Bespoke Therapy: Sessions are tailored to your specific pressures, ambitions, and values. Our therapists have decades of experience in high-pressure environments. We know the challenges, the victories, and how it feels when it’s getting on top of you.
• Real Conversation: We go beyond surface fixes and dig deep, challenging old patterns compassionately. We’re not handing out platitudes - we’ve been there too and will both challenge and support you.
• Modern Strategies: Drawing on the proven strategies of depth psychology, we create sustainable change—not quick wins that fade.
• Consistent Support: Your progress matters beyond the session. We help ensure that insights translate into enduring growth in your daily life.
“High-functioning anxiety and depression can be hidden burdens, quietly shaping your daily experience.”
Depth therapy can help you navigate:
Persistent restlessness or fatigue masked by outward success
Chronic self-doubt and worry that undermine your confidence
Feelings of emptiness or emotional numbness despite achievement
The tension between maintaining your performance and honouring your emotional needs
Unwarranted anger and frustration that are eroding your work and relationships
“Managing anxiety and depression requires more than cognitive tools—Depth Therapy offers ways of engaging with what success often conceals.”
Tools & Insights You’ll Develop:
• Recognize early signs of internal struggle behind the professional facade
• Distinguish between healthy pressure and harmful stress responses
• Explore and integrate your shadow to reduce self-criticism and anxiety
• Realign with your authentic self beyond performance expectations
About Kathleen
Hi, I’m Kathleen, the founder of Depth & the City.
I hold an MBA from London Business School and spent over two decades in leadership in the tech industry. Despite a successful career, I experienced burnout and a profound loss of meaning—challenges that inspired me to become a Depth Therapist.
I believe Depth Therapy is especially powerful for Executives and High-Achieving Professionals facing emotional and psychological struggles. Cognitive approaches alone only scratch the surface, and therapy that offers just listening and gentle reflection risks keeping you stuck in the same patterns. The unconscious mind, if ignored, will continue to influence you in ways you may not understand. Depth Therapy offers a way to engage with these hidden layers, opening the door to profound transformation.
Education & Credentials
Accredited Member, BACP
Postgraduate Diploma in Psychosynthesis Counselling(with Merit) (Level 7)
Diploma in Gender, Sex, and Relationship Diversity Therapy (Level 6)
Trainee Candidate, Psychoanalysis, CG Jung Insitute, Zurich CH.
Get started in 4 steps
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Check the schedule here and choose a time that suits you for a 15-20 minute free consultation.
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Connect directly with me, ask questions, and discover if expert-led depth psychotherapy aligns with your needs.
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Schedule your first appointment at a time that suits you and begin your depth therapy journey with tailored, professional support.
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Continue your growth through ongoing, personalised sessions—building trust, insight, and lasting change with expert support tailored to your unique journey.
Let’s do this together
Experience a truly modern, expert approach to Depth Therapy—where real insight meets genuine compassion, tailored for City professionals ready for lasting change
How Depth Therapy Works
Depth Therapy is not about quick fixes or checklists. You won’t find worksheets or rigid tools here - you are treated as a thinking, feeling adult with a complex inner life. The work we do goes beyond cognition — we engage emotions and soul, honouring the full spectrum of your experience. You’ll be invited to explore the unconscious parts of yourself, which are inherently unknowable and mysterious. This exploration requires curiosity and creativity as much as insight.
The space we create together offers more time and room for you to regulate and reflect — it might be one of the few places in your life where you can pause, wonder, and even get things wrong without pressure. If you’re open to it, we might use additional tools like drawing, guided meditations, visualisation, or dreamwork to deepen the process. This is about slow, meaningful transformation, not a race to resolution.
