Now accepting new clients · PA · NC · MA

Successful on paper. Exhausted on the inside.

Direct, virtual therapy for high-achieving professionals who look like they have it all together — and are quietly running on empty.

Licensed inPA · NC · MA
Format100% Virtual
Sessions from$175

01

Who I work with

If your mind never shuts off, your to-do list keeps growing, and rest feels like a productivity loss — you're in the right place.

I work with executives, attorneys, physicians, and operators across PA, NC, and MA who appear composed but are dealing with relentless internal pressure, sleep loss, irritability, and the slow grind of high-functioning anxiety.

02 — What I offer

Practical, structured therapy. Not just nodding.

You'll get tools, direction, and real strategies that change how you think and operate. Three ways to start.

i

Individual Therapy

$175 / 50 min

One-on-one virtual sessions focused on anxiety, burnout, and rebuilding your relationship with rest, sleep, and ambition.

  • Weekly or bi-weekly
  • Evidence-based methods
  • Action between sessions
ii

Couples Sessions

$200 / 60 min

Support for partners navigating high-pressure careers, communication strain, or one partner's burnout reshaping the relationship.

  • For dual-career couples
  • Practical communication frameworks
  • Both partners present
Pittsburgh, PA
03

About Brooke

A direct therapist for people who are tired of nice-sounding advice.

I'm Brooke McKenzie, LCSW. I started this practice because high-achieving clients kept telling me the same thing: most therapy felt too soft, too slow, and too vague to fit their lives.

My approach is collaborative but pointed. We name what's actually happening, build something different, and check whether it's working — quickly. You should leave each session knowing what to do next.

  • CredentialLCSW
  • Licensed inPA · NC · MA
  • FormatVirtual only
  • InsurancePrivate pay
— What clients say

"I'd done therapy before and it never moved anything. Three months in with Brooke and I'm sleeping again, my partner notices the difference, and I stopped dreading Mondays."

a
Amelia R. Senior Counsel · Philadelphia
04 — How it works

Simple to start. Direct from there.

  1. Step 01

    Book your free 15-min consultation

    Pick a time. We'll talk briefly about what's going on and whether I'm a good fit. No commitment, no paperwork.

  2. Step 02

    Schedule your first session

    If we're aligned, we book your intake. You'll get a secure intake form and a video link. Weekly or bi-weekly cadence.

  3. Step 03

    Start making real moves

    Each session ends with a clear next step. We'll measure progress, adjust, and keep what's working.

06 — Common questions

Things people ask before booking.

  • How does the free 15-minute consultation work?

    You book a time, I call you on a secure video link. We spend 15 minutes talking about what's going on and what you're hoping to change. If we're a fit, we schedule your first full session. If not, I'll point you toward someone who is.

  • Do you take insurance?

    I'm a private pay practice. I can provide a superbill if your insurance offers out-of-network reimbursement, but I do not bill insurance directly. This keeps your records private and our work focused.

  • Are sessions in person or virtual?

    All sessions are 100% virtual via secure HIPAA-compliant video. This means we can work together whether you're in Pittsburgh, Charlotte, Boston, or anywhere in between — and it fits a packed professional schedule.

  • How long does therapy usually take?

    It depends on what you're working on. Most clients see meaningful change within 8–12 sessions for a defined goal (sleep, panic, communication patterns). Longer-term work is also common when goals are broader.

  • What makes your approach different?

    I'm direct and action-oriented. I won't just reflect your words back. We name what's happening, build a working theory together, and test it. You'll leave each session knowing what to do next.

Ready when you are

Stop spinning. Start making real moves.

A free 15-minute call is the simplest way to see if we're a fit. No paperwork. No commitment.