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Sasha Madrigal MSW
Sasha Madrigal MSWRegistered Clinical Social Work Intern | License No. ISW22657Under the supervision of Milagros Garcia, LCSW | License No. SW19836

What this can look like

in your mind

The thinking never stops

You replay conversations, anticipate every outcome, and struggle to feel finished even after the work is done.

in your body

You stay braced for the next demand

Tension, shallow sleep, irritability, or restlessness show up even when everything appears under control.

in your standards

Competence becomes a requirement

Mistakes feel unusually costly, asking for help feels uncomfortable, and rest can trigger guilt instead of relief.

A focused, practical approach

Quiet the pressure without shrinking your ambition.

We identify the patterns that keep your nervous system activated, build tools that match how you think, and practice responding to uncertainty with more flexibility. The work is structured around the situations affecting you now.

This service may fit adults who are outwardly successful but privately dealing with overthinking, people-pleasing, sleep disruption, decision fatigue, or a constant sense that they should be doing more.

Online therapy that fits a demanding life

statewide

Meet securely online

Appointments are available to adults located in Florida, without adding a commute to an already full schedule.

clear cost

Know the fee before you begin

The standard fee is $225 per 50-minute session. A limited number of reduced-fee appointments may be available to eligible clients through Open Path.

View fees and Open Path details

start simply

Begin with a conversation

A free 15-minute consultation gives us space to discuss what you need, scheduling, and whether the fit feels right.

You do not have to keep carrying this alone.

Start with a free 15-minute consultation — no pressure, just a conversation about what is happening and what could help.