Are You Carrying the Mental Load? 7 Signs High-Achieving Women Need Therapy Now
Fightress Aaron
1/7/20266 min read
You're killing it at work, managing a household, and everyone sees you as the one who "has it all together." But behind that polished exterior, you're drowning in invisible responsibilities that no one else seems to notice or acknowledge. If this sounds familiar, you're not alone, and you definitely don't have to keep carrying this weight by yourself.
The mental load is that exhausting, never-ending cognitive and emotional burden of managing life's details. It's remembering when your child needs their permission slip signed, planning meals for the week, keeping track of everyone's schedules, and somehow being the default person for every family decision, even when your partner "helps" with household tasks.
For high-achieving women, especially Black women and working mothers, this load often feels insurmountable. You're already pushing yourself to excel professionally while navigating unique pressures and expectations. Add the holidays, family dynamics, and that deep-seated belief that you need to be everyone's rock, and it's a recipe for complete burnout.
Here are seven signs that your mental load has become too heavy and it's time to consider therapy support.




1. You're Exhausted But Can't Sleep
Your body is bone-tired, but your mind won't shut off when you finally hit the pillow. You lie awake mentally organizing tomorrow's schedule, worrying about that presentation next week, or replaying the day's conversations with family members who just don't seem to get it.
This isn't just regular tiredness, it's the kind of exhaustion that comes from your nervous system being stuck in overdrive. When you're constantly managing everyone else's needs and anticipating problems before they happen, your brain never gets a chance to rest. The result? Disrupted sleep patterns that leave you feeling more drained the next day, creating a vicious cycle.
3. Your Memory and Focus Are Shot
You used to pride yourself on being sharp and detail-oriented, but lately, you're forgetting important tasks, losing track of conversations, and struggling to concentrate at work. This isn't about getting older or being "scatterbrained", it's your brain's response to cognitive overload.
When your mental bandwidth is constantly consumed by managing invisible responsibilities, there's simply less capacity left for other cognitive tasks. You might delegate a task to someone else, only to end up doing it yourself because it's easier than explaining or following up. Sound familiar?


Brainspotting works with your body's natural healing capacity to release stored trauma and stress. Many clients find this approach especially helpful for addressing the physical symptoms of chronic stress and reconnecting with their body's wisdom.
Internal Family Systems (IFS) therapy helps you understand the different parts of yourself: the perfectionist, the caretaker, the achiever: and develop a healthier internal balance. This approach is particularly effective for high-achieving women who struggle with perfectionism and people-pleasing patterns.
Your Healing Journey Starts Now
You don't have to wait until you're completely burned out to ask for help. In fact, seeking support before you hit rock bottom is one of the smartest investments you can make in your future wellbeing and success.
Therapy offers you a space to:
Process the real impact of carrying everyone else's emotional and mental burdens
Develop practical strategies for setting boundaries without guilt
Address perfectionism and people-pleasing patterns at their roots
Learn to prioritize your own needs without feeling selfish
Build a sustainable approach to managing responsibilities
Reconnect with who you are beyond your roles and achievements
Remember, you didn't become this way overnight, and change takes time. But with the right support, you can learn to carry your responsibilities without carrying the weight of the world.
You deserve to feel rested, fulfilled, and emotionally supported. You deserve relationships where care flows both ways. And you absolutely deserve to pursue your goals and dreams from a place of genuine desire rather than exhausting obligation.
Take the Next Step
If you're ready to stop carrying everyone else's mental load and start prioritizing your own wellbeing, we're here to support you. To receive support, visit us at www.nbcounselingllc.com or call or text us at 334-293-1411.
Your mental health matters. Your needs matter. And most importantly, you matter: not just for what you can do for others, but for who you are as a person. It's time to start believing that and living accordingly.
7. You Feel Disconnected From Yourself
When was the last time you did something just because you wanted to, without considering how it would affect everyone else's schedule or needs? You might feel like you've lost touch with your own desires, interests, and even your identity outside of your roles and responsibilities.
This disconnection often shows up as feeling empty despite a full life, questioning what you actually enjoy versus what you think you should enjoy, or feeling like you're going through the motions without genuine engagement or joy.
2. You're the Family's Emotional Thermostat
Everyone comes to you with their problems, but who do you turn to with yours? You've become the designated "strong one", the person who holds it together when relationships get rocky, who mediates family conflicts during holiday gatherings, and who always has the right words to make others feel better.
Meanwhile, your own emotional needs get pushed aside. You might find yourself feeling resentful that nobody asks how you're doing, or guilty for even wanting that support. This pattern is especially common for Black women, who often face cultural expectations to be endlessly resilient and nurturing.
4. Physical Symptoms Are Piling Up
Your body is sending you signals that something needs to change. Maybe it's tension headaches that seem to appear from nowhere, back pain from carrying stress in your shoulders, or digestive issues that flare up during particularly overwhelming weeks.
Chronic stress from mental overload keeps your body in fight-or-flight mode, which was never designed to be a permanent state. These physical symptoms aren't just inconveniences, they're your body's way of telling you that the current system isn't sustainable.
5. You're Using Substances to Cope
Whether it's that extra glass of wine after a particularly chaotic day, relying on caffeine to push through afternoon crashes, or using other substances to numb the overwhelming feelings, you've noticed your coping strategies shifting into potentially harmful territory.
There's no shame in acknowledging this pattern. Many high-achieving women find themselves turning to substances when traditional stress management techniques feel inadequate for the load they're carrying. Recognizing this early is actually a sign of self-awareness and strength.


6. Perfectionism Has Become Your Prison
You set impossibly high standards for yourself in every area of life, and falling short feels like personal failure. During the holidays, this might look like hosting the perfect gathering while managing work deadlines and ensuring everyone's emotional needs are met. The pressure to excel professionally while being an exceptional partner, parent, daughter, and friend is crushing.
This perfectionism often stems from deeper beliefs about your worth being tied to your performance and usefulness to others. It's exhausting to live this way, but it might feel like the only option when you've been praised your whole life for being "the responsible one."
How Therapy Can Help You Reclaim Your Life
If you're recognizing yourself in these signs, please know that seeking therapy isn't admitting defeat: it's taking back control. At New Beginnings Counseling, we understand the unique pressures that high-achieving women face, and we're here to help you develop sustainable strategies for managing life's demands without sacrificing your wellbeing.
Our trauma-informed approach recognizes that carrying excessive mental load often has deep roots in family patterns, cultural expectations, and past experiences that taught you your worth depends on how much you can handle for others.
EMDR (Eye Movement Desensitization and Reprocessing) can be particularly powerful for addressing the underlying beliefs and experiences that keep you stuck in overwhelming patterns. This therapy helps process traumatic memories and negative beliefs about yourself, creating space for healthier ways of being.
