Licensed to practice in Massachusetts and accepts 7 insurances. Specializes in Anxiety, Depression, School Issues and 9 more.

Paige Keefe

(she/her)

LMHC, 5 years of experience
Warm
Intelligent
Open-minded
VirtualAvailable

You are the one who holds everything together. You notice what needs to be done before anyone asks. You say yes when your body is saying no. You keep the peace at work, in relationships, and in your family. On the outside, you may look calm, capable, and high functioning, but inside you often feel exhausted, anxious, and overwhelmed. Rest can feel unfamiliar and slowing down can feel uncomfortable, even when you have done enough. The parts of you that stay helpful, responsible, and emotionally aware are not flaws. They developed in response to earlier experiences where being dependable, agreeable, or highly attuned helped create safety and connection. Over time, patterns like overthinking, overfunctioning, people pleasing, and perfectionism can become automatic and draining. My work focuses on helping people understand and shift these patterns of anxiety, burnout, and self pressure. Over time, this creates more clarity, steadier boundaries, and less internal urgency. Decisions become less driven by fear of disappointing others and more guided by your own awareness. Relationships often feel more balanced, and there is more space for rest, steadiness, and a sustainable way of living.

Get to know me

In our first session together, here's what you can expect

In our work together, we look at the different parts of you that have been working hard to keep you safe. The part that avoids conflict by saying yes, the part that pushes you to get everything right, and the part that constantly tries to prevent mistakes are not flaws. They developed for good reasons and have been carrying a lot for a long time. Together we create a space where you can understand these patterns with curiosity instead of judgment. Many people begin to notice they can set healthier boundaries, quiet the constant mental noise, trust themselves more, and feel less responsible for other people’s emotions. My goal is not to make you less caring or less driven. It is to help you care for others without abandoning yourself.

The biggest strengths that I bring into our sessions

Many people I work with are high functioning, responsible, and deeply caring, yet often feel exhausted, anxious, or stretched beyond their limits. They tend to take on a lot, anticipate others’ needs, and hold themselves to very high internal standards. Alongside this, there is often overthinking, difficulty slowing down, and a persistent sense of pressure to do more or get everything right. These patterns are not signs of failure. They are learned ways of managing relationships, expectations, and uncertainty. Over time, they can become automatic and lead to burnout, self neglect, and difficulty recognizing personal needs until there is already depletion. Rest may feel uncomfortable, boundaries may bring guilt, and even small signs of disapproval from others can feel intense or consuming. In my work, the focus is on understanding these patterns rather than forcing them to change. This includes overfunctioning, people pleasing, perfectionism, and chronic overthinking. Each of these responses developed for a reason and often reflects an effort to create safety, maintain connection, or avoid conflict. As these patterns are observed with more clarity, there is often increased awareness of personal needs and more space to respond rather than react. Decisions become less driven by pressure or fear of disappointing others and more guided by internal clarity. Boundaries become easier to recognize and communicate with less internal conflict. Over time, relationships often feel more balanced, and the mental load of constantly managing everything begins to ease. The ability to care for others remains, while also allowing space for rest, steadiness, and a more sustainable way of living.

The clients I'm best positioned to serve

My goal is to provide a supportive, nonjudgmental space where clients can better understand themselves, develop practical coping skills, and build confidence in navigating life's challenges. Together, we work toward reducing anxiety, improving emotional well-being, strengthening relationships, and creating meaningful, lasting change. I particularly enjoy working with clients who are curious about personal growth and ready to gain deeper insight into their thoughts, emotions, and behaviors. My approach is rooted in psychodynamic and psychoanalytic work, so I help clients make sense of how their past, their attachments, and their unconscious patterns are shaping their current experiences. At the same time, I’m very grounded and practical. I offer tools and skills that help clients regulate, communicate, and move through their lives with more clarity and intention.

Specialties

Top specialties

Anxiety

Depression

Other specialties

ADHD

Addiction

Trauma and PTSD

I identify as

Serves ages

Teenagers (13 to 17)

Licensed in

Location

Virtual

My treatment methods

Dialectical Behavior (DBT)

DBT skills focus on helping you manage intense emotions and build better coping strategies. You will learn techniques for staying grounded during stressful moments, improving relationships, and reducing self destructive behaviors. This approach emphasizes balance. It helps you accept yourself as you are while learning concrete skills to navigate life more effectively.

, 51 ratings

2 ratings with written reviews

August 20, 2025

Too pensive and passive

Verified client, age 35-44
Review shared after session 2 with Paige

May 6, 2025

Paige meets me where I am at and encourages me to show up as my authentic self in a new way that I just could not get to on my own.

Verified client, age 45-54
Review shared after session 32 with Paige