Life Transitions Therapy NYC
Support for women standing at the edge of a new chapter, whether they chose it or it chose them. Available across New York via secure telehealth.
Something has changed, or is about to, and you are quietly not okay.
Even if it is a good change.
A new job. A move. A wedding. A baby. A breakup. A diagnosis. A milestone birthday. The end of one chapter and the uncertain start of another. From the outside, some of these look like wins, the kind of thing you are supposed to feel grateful and excited about. So when the feeling that actually shows up is anxiety, grief, or a strange flatness, it can be confusing and isolating, because there seems to be no acceptable place to put it.
Transitions unsettle more than your schedule. They unsettle your sense of who you are. The version of you that knew how to do the old life does not automatically know how to do the new one, and there is often a gap in between where you feel ungrounded, like you are improvising a role you have not learned yet. You might be mourning something even as you move toward something better. Both can be true at once.
Maybe you are the one who handles everything, so you have quietly absorbed this change the way you absorb everything else, without much room to actually feel it. Maybe people keep telling you how exciting it all is, and you smile and agree while privately wondering why you feel so unmoored. Maybe you do not even know what you feel yet, only that the ground has shifted and you have not found your footing.
This in-between is real, and it deserves support.
What you might be experiencing
Anxiety or dread about a change, even a positive one
Grief for the life, role, or identity you are leaving behind
Feeling ungrounded, like you do not quite know who you are right now
Pressure to feel only excited or grateful when your feelings are mixed
Difficulty making a major decision, or second-guessing one you made
Loss of your usual routines, relationships, or sense of structure
Feeling behind, or like everyone else handles change more gracefully
A sense of standing between two versions of your life
Why women seek out life transitions therapy
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Major life changes, both chosen and unchosen
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Career shifts, moves, and new chapters
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Marriage, divorce, and changing relationships
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Becoming a parent, or facing an empty nest
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Loss, grief, and endings of all kinds
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Milestone birthdays and questions about direction
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Decisions that feel too big to make alone
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The uncertainty of not yet knowing who they are in the new chapter
You might benefit from therapy if…
The change looks good, but does not feel simple. When the world expects you to be thrilled and your inner experience is more complex, therapy offers a place where the full truth is welcome. Mixed feelings about a good thing are normal, and they deserve room.
You are grieving something you also wanted. Moving forward and mourning what you left can happen at the same time. We help you hold both without forcing yourself to pick one.
You have lost your footing and cannot find it on your own. Transitions can shake your sense of identity, and that disorientation is real. We help you steady yourself and find who you are becoming, rather than rushing to feel settled before you actually are.
How we help
At On Par Therapy, we understand that transitions are among the most destabilizing experiences a person can go through, precisely because they touch identity, not just circumstances. Our work gives you a steady place to stand while everything around you is moving.
We help you make room for the full range of what you feel, including the parts that do not fit the tidy story other people expect. Naming the grief inside a gain or the fear inside an exciting choice is often what allows you to move through it rather than around it.
Cognitive Behavioral approaches help with the anxiety and the second-guessing that transitions tend to stir up, so a hard decision becomes something you can actually sit with and make. Psychodynamic work helps you understand how you have navigated change before, and what this particular transition is touching in you.
And throughout, we help you reconnect with your own sense of self, the part of you that persists underneath the shifting circumstances, so you come out the other side feeling more like yourself, not less.
All sessions are telehealth, which means your support can stay consistent even as the rest of your life is in motion, including during a move or a demanding new schedule.
What to expect after you reach out
You book your free 15-minute consultation.
Choose a time that fits your life, or send us a note and we will happily find one together. This part is easy, and we make it that way on purpose.
We connect.
This is a warm, unhurried conversation about what has been weighing on you and how we might help. There is nothing to prepare and nothing you need to have figured out first. You can simply show up as you are.
You decide what feels right.
If we are a good fit, we will get you settled and scheduled. If not, we’ll connect you with someone in our network!
What High-Achieving Women Say About Our Work Together
About Brianna Paruolo, LMHC
Featured as an expert in
I provide virtual therapy for women in New York, New Jersey, South Carolina, Massachusetts and Florida.
CLINICAL EXPERTISE & CREDENTIALS
As founder and Clinical Director of On Par Therapy NYC, I bring elite training and specialized certification to your therapeutic journey:
Advanced Education
Master's Degree in Clinical Mental Health Counseling, St. John's University
Bachelor's Degree in Psychology, St. John's University
President of Chi Sigma Iota Counseling Academic and Professional Honor Society
Specialized Certifications
Certified Narcissistic Abuse Treatment Clinician (NATC)
SBIRT Certified
Psychological First Aid (PFA) Certified
Clinical Experience
Former Primary Therapist at one of the nation's leading eating disorder residential treatment centers
Clinical training in integrative psychotherapy, incorporating innovative approaches including play therapy, biofeedback, and neurofeedback
Featured mental health expert in major media publications and news outlets
On Par Therapy exists because I needed it myself. Before becoming a therapist, I managed social media strategy for health and wellness brands, then transitioned to a People & Culture role at a unicorn startup while pursuing my master's degree.
I understand perfectionism, burnout, and self-doubt not just clinically, but personally. This unique perspective has led major news outlets and publications to tap me as a mental health specialist, providing insights on everything from workplace stress and impostor syndrome to dating dynamics and narcissism.
My practice focuses on the challenges high-achieving women face most: the anxiety that never fully quiets, the perfectionism that both drives and exhausts you, disruptive life transitions, and relationship patterns that feel frustratingly familiar. I integrate CBT, DBT, mindfulness, and relational therapy with a real-world understanding of what it takes to excel without self-destructing.
Therapy with me feels grounded and intelligent, and I like speaking with someone who genuinely gets it because I've sat on both sides of the conversation.
You have spent years performing for a standard that keeps moving. You deserve a life where you feel good enough, because you already are.
Book your FREE 15-minute consultation today.
You've achieved success by trusting your instincts. If something is telling you it's time for support that matches your ambition, listen to that voice.
During our complimentary consultation, we'll discuss:
Your current challenges
How my approach aligns with your goals
Practical next steps
My virtual sessions offer the privacy and flexibility you deserve, with early morning, evening, and weekend appointments available.
Don’t see a time that works? Email: Admin@onpartherapynyc.com !