About the practice

Brooke McKenzie, LCSW

Founder of Brooke McKenzie Therapy. A direct, action-oriented therapist for professionals tired of nice-sounding advice that doesn't move anything.

Why I started this practice

For years I worked with high-performing clients who'd been through therapy before — and most told me a version of the same thing. The work was kind. It was reflective. And it didn't change anything. They were still up at 3am rehearsing tomorrow's meeting. Still snapping at the people they loved most. Still confusing exhaustion for ambition.

I built this practice for them. The professionals, executives, and operators who can run a board meeting at 8am but can't slow their mind down enough to fall asleep at 11pm. The people whose calendar looks impressive and whose internal life feels increasingly unmanageable.

You shouldn't have to translate your life for your therapist. The work should land where you actually live.

How I work

My approach is collaborative but pointed. We don't spend months mapping out what's wrong before doing anything about it. In the first few sessions, we name what's actually happening — the patterns, the costs, the moments things tip. Then we build a working theory together and start testing changes immediately.

You'll leave each session knowing what to focus on next. We measure what's working and adjust quickly. I draw from cognitive-behavioral, solution-focused, and acceptance-based methods, but the framework matters less than whether the work is actually moving your life in the direction you want.

I'm direct. I'll ask hard questions. I'll also celebrate small wins, because they're often the leading indicators of bigger changes.

Who I work with

My clients are typically high-achieving adults in their 30s, 40s, and 50s — attorneys, physicians, executives, founders, senior operators. Many are dealing with high-functioning anxiety: the kind that doesn't show up at work but leaks into sleep, relationships, and the body. Others come in for burnout, perfectionism, communication strain in dual-career marriages, or the existential weight of "I built the life I planned and I'm not okay."

I also work with couples — particularly dual-career couples whose individual stress is reshaping the relationship.

Credentials & approach

I'm a Licensed Clinical Social Worker (LCSW) with active licensure in Pennsylvania, North Carolina, and Massachusetts. My practice is 100% virtual via secure HIPAA-compliant video. I see clients on a private-pay basis and provide superbills for out-of-network reimbursement.

If you're considering reaching out, the simplest place to start is a free 15-minute consultation. We'll talk briefly about what's going on. If we're a fit, we'll book your first session. If not, I'll point you toward someone who is.

Ready when you are

Let's see if we're a fit.

A free 15-minute call is the simplest first step. No paperwork, no commitment.