Therapy for Adults in Midlife

Support for anxiety, overwhelm, and the transitions that can reshape life in your 40s to 60s.

I work with adults who are navigating the emotional challenges and transitions of midlife. 

Something Has Shifted

You may not be able to name exactly what's wrong. You're managing your days, handling your responsibilities, showing up for the people who need you. But something feels different — heavier, flatter, or more uncertain than it used to. A sense that you've been running on empty for longer than you'd like to admit.

Midlife has a way of bringing things to the surface. It might be accumulated stress that finally caught up with you. A transition that stirred up more than you expected. A quiet but persistent feeling that the life you've built doesn't quite fit the way it once did — or the way you hoped it would.

Some people arrive here in the middle of a visible struggle. Others look completely fine from the outside and are surprised by how much they're carrying inside. Both experiences are real. Both deserve attention.

Therapy offers a calm, steady place to slow down and understand what's happening beneath the surface.

DoesThis Feel Familiar?  

*  Feeling overwhelmed or stretched thin, even when nothing is obviously wrong

*  Carrying responsibilities that leave little room for yourself

*  Navigating a major transition — and feeling more unsettled than you expected

*  A low mood, restlessness, or emptiness you can't quite explain

*  Feeling "not like yourself," without knowing exactly why

*  Wondering what you actually want — and feeling disconnected from the answer

These experiences are common in midlife. They're also worth taking seriously.

How I Work

My approach is grounded, relational, and insight-oriented. We take the time to explore your internal experience, the patterns that have shaped your life, and the pressures you've been carrying. Together, we look at what's working, what's no longer serving you, and what might support a more sustainable way forward.

Therapy in midlife isn't about quick fixes. It's about clarity, steadiness, and reconnecting with yourself in a deeper, more honest way.

A Place to Slow Down and Reconnect

In therapy, we make room for what’s been pushed aside — the exhaustion, the questions, the parts of you that haven’t had space to speak. Many people describe feeling relief simply from having a place where they don’t have to hold everything together.

Over time, you may notice:

•     More clarity about what you need

•     More compassion for yourself

•     More space to consider what actually matters

•     More alignment between your inner and outer life

This is the work of midlife — and it can be deeply meaningful.

Take the First Step

You don't have to have it all figured out to reach out. A brief consultation call is simply a chance to talk about what's been going on and whether working together feels like a good fit.

A brief 15‑minute call to see whether working together feels like a good fit.

Meet Susan Maguire, LCSW

Hello, I'm Susan Maguire, a licensed therapist and certified coach based in Old Town Alexandria. I work with adults in midlife who are navigating the emotional weight of this chapter — whether that's anxiety, depression, grief, a major transition, or simply a feeling that something important has shifted. My approach is calm, collaborative, and grounded. I help you slow down, understand what's happening beneath the surface, and reconnect with the parts of yourself that need attention and care.