Elizabeth Rennick

I specialize in treating anxiety related to performance, achievement, and high-pressure environments. Many of my clients experience persistent worry, overthinking, physical anxiety symptoms, or fear of failure despite strong ability and preparation. Using evidence-based approaches such as ACT and I-CBT, I help clients develop practical skills to manage anxiety, reduce avoidance, and build confidence so they can perform, study, and live with greater clarity and emotional balance.

I use Inference-Based Cognitive Behavioral Therapy (ICBT) to treat OCD. ICBT focuses on identifying and shifting the reasoning process that fuels obsessive doubt, rather than relying primarily on exposure exercises. As an alternative to ERP, ICBT helps clients disentangle from imagined threat scenarios and rebuild trust in their real-world perception, reducing compulsions by addressing the root of obsessive inference.

I help individuals rebuild trust and confidence in themselves when self-esteem has been shaken by setbacks, burnout, or perfectionism. Our work focuses on clarifying values, challenging harsh self-criticism, and restoring a grounded sense of competence. Rather than inflating confidence, we strengthen it at the foundation so that clients can return to themselves with renewed belief in their abilities.

As a former professional musician and professor turned therapist, I bring specialized expertise in using Acceptance and Commitment Therapy (ACT) with performers and high achievers. Research in Music Performance Anxiety shows that suppressing fear often intensifies it. I use ACT to build psychological flexibility which helps clients shift their relationship to anxious thoughts and perform with clarity, resilience, and sustained excellence under pressure.

I use Inference-Based Cognitive Behavioral Therapy (ICBT) because it addresses the reasoning process that fuels obsessive doubt. Rather than focusing primarily on exposure, ICBT helps clients recognize how imagined threat scenarios develop and gently return to trusting their direct experience. I chose this modality because it aligns with my commitment to thoughtful, insight-driven work that reduces compulsions by targeting the root of obsessive inference.

I use Mindfulness-Based Cognitive Therapy (MBCT) to help clients change their relationship to difficult thoughts rather than getting pulled into them. MBCT combines cognitive therapy with structured mindfulness practices to reduce rumination, relapse, and stress reactivity. I chose this modality because it cultivates steady awareness and emotional regulation, which are skills that are especially important for high achievers navigating pressure, setbacks, and self-criticism.