Trauma & Burnout Therapist for High-Pressure Professionals
TX, CA, UT, ID, FL, SC, ME, VT, OH, and PA (in process)
Building Possibility Together
You look fine from the outside. Inside, you’re running on empty and can’t remember the last time you felt rested, or felt much of anything.
I’m Adrienne, a licensed trauma therapist, and I know that kind of strong. I lived it.
Online therapy in Texas, California, Vermont, South Carolina, Florida, Utah, Ohio, Idaho, and Maine. Pennsylvania in process. Walk & Talk sessions in Ventura, Oxnard, and Malibu.
Adrienne M. Koller, MA, LPC, LPCC, CMHC, CCTP · $225 for 50 minutes · Sliding scale and superbill available
You handle everything. Who’s handling you?
You’re the one people call. At work, at home, at 2 a.m. You show up, you get it done, and then you sit in the car for ten minutes before you can walk into your own house.
That’s not a flaw in your character. It’s what happens when survival mode goes on so long it starts to feel like your personality.
Maybe it’s burnout. Maybe it’s something old that never got dealt with, or the weight of the last hundred calls, patients, or deadlines. Maybe you just know something is off and can’t say what. You don’t have to have it figured out before you reach out.
Who I work with
I work with people whose jobs don’t leave room to fall apart.
Burnout, compassion fatigue, moral injury, and chronic stress.
Hypervigilance, trauma, emotional suppression, and survival mode.
High pressure, responsibility, isolation, and identity strain.
High- Achieving Professionals
Perfectionism, functional freeze, imposter syndrome, and burnout.
Moral injury, ptsd, loss of identity, survival mode, hypervigilence, and flashbacks.
Spiritual Helpers
Compassion fatigue, boundaries, perfectionism, burnout, and emotional exhaustion.
Therapy That Goes Beyond Nodding and Coping Skills
This is not passive therapy.
I work directly, honestly, and collaboratively with people who are exhausted from holding everything together while silently struggling underneath it all. I’m supportive, compassionate, and grounded but I will also challenge you when needed, especially when the patterns keeping you stuck are costing you your peace, relationships, identity, or health.
Many of the people I work with are high-functioning and highly visible. They’re the ones others look up to, rely on, or expect to always have it together. Federal employees.Healthcare workers.Military service members.First responders. Pilots. Executives. Public figures.Professional athletes. Actors. Musicians. Performers. People living under pressure, scrutiny, responsibility, or constant expectations while privately struggling with burnout, anxiety, emotional exhaustion, trauma, overwhelm, or disconnection from themselves.
There’s often a disconnect between who the world sees and what’s actually happening internally.
Together, our work may include:
• Trauma processing
• Nervous system regulation
• Burnout prevention and recovery
• Emotional awareness
• Behavioral pattern shifts
• Identity and stress recovery
• Practical tools that actually work
• Lasting, meaningful change
I offer you space to vent, process, unravel, and say the things you can’t say anywhere else.
But we also work toward helping you understand what’s happening internally, break the patterns that are keeping you stuck, and create meaningful, lasting change, not just temporary relief for one hour a week.
The goal isn’t perfection.
The goal is helping you feel more grounded, more connected to yourself, and less trapped in survival mode all the time.
In addition to clinical work, I provide burnout education, professional trainings, webinars, and curriculum development for organizations, healthcare systems, and high-stress professional environments.
Nervous System Overload
Compassion Fatigue
Trauma - Informed Resilience
Sustainable Caregiving
You Don’t Have to Keep Carrying All of This Alone.
High-pressure professionals navigating trauma, burnout, stress, anxiety, and emotional overload.

