Your life looks successful on the outside. Inside, something still feels off.

I offer private, personalized therapy for adults and couples in Durham and Chapel Hill, NC.

–      High-achieving but quietly exhausted

–      Successful career, struggling marriage

–      Numb on the outside, overwhelmed on the inside

–      Going through the motions but not feeling alive

–      Self-doubt that no amount of accomplishment seems to quiet

–      Relationships that feel distant no matter how hard you try

You’re beginning to realize that your go-to ways of dealing with stress and anxiety are coping mechanisms that no longer work but you’re not sure how to change.

I'm Arezou Paksima (she/her), a Licensed Clinical Social Worker based in Durham, serving residents all over the Triangle.

I work with adults and couples who are high-functioning on the outside but privately navigating anxiety, unresolved trauma, or relationships that don't feel as close as they'd like.

I offer thoughtful, unhurried therapy tailored to you. I work with a small, select caseload to give each client the depth of attention they deserve.

How I can support you…

Whether you're new to therapy or returning after a long time away, reaching out takes courage. I offer a complimentary 20-minute consultation so you can ask questions and get a feel for how I work before committing to a first session.

My theoretical approach…

My approach is integrative and tailored to you. I draw primarily on psychodynamic, relational, Internal Family Systems (IFS), attachment, and EMDR frameworks — meaning we will work with both insight and the body to create change that lasts.

See the Approach page for a fuller description of each modality.