Therapy for Disordered Eating, Anxiety & Perfectionism

Sandstone Counseling works with adolescents and adults navigating anxiety, disordered eating and body image concerns, perfectionism, relationship stress, life transitions, and burnout. Our therapists bring particular expertise in working with people who feel caught in patterns of overthinking, self-criticism, people-pleasing, or pressure to get things “right” — including athletes and high performers.

In-person therapy in the Boston area and virtual therapy throughout Massachusetts.

Let’s be honest:

If a lot of your mental energy goes toward your body, food, performance, relationships, or replaying interactions, it can be hard to feel present in your own life. Over time, things start to feel unsustainable and slowing down doesn’t feel possible.

Maybe you’re…

Feeling trapped by diet culture, food noise, performance expectations, or exercise rules

Taking care of everyone but yourself; saying “no” feels impossible

Wondering if your relationships could feel better

Constantly evaluating how you’re coming across or whether you’re doing “enough”

Feeling like perfectionism gets in the way of trying new things

We’re Sandstone Counseling

Hi! I’m Jana, founder of Sandstone Counseling. I started Sandstone to help people who feel stuck in cycles of overthinking, perfectionism, and pressure to meet expectations — often at the expense of their own well-being.

Today, our team works with adolescents and adults across a range of concerns, with particular expertise in disordered eating and body image, anxiety and perfectionism, relationships, life transitions, and the unique pressures experienced by athletes and high performers.

Maybe you’re constantly thinking about your body, whether you pushed yourself hard enough at your workout, what you ate today, whether that new coworker actually likes you, whether you’re disappointing someone, or if you’ll ever find the right partner. The details may look different, but that feeling of never quite being able to turn your brain off can be exhausting.

Our therapists work with folks (14+) of all genders to slow down, build more flexibility, and make choices that move them closer to their goals. We offer therapy both in person in the Boston area and virtually throughout Massachusetts.

How We Can Help:

Many people arrive here feeling unsure where they fit or whether therapy is the right step at all.

These are some of the areas our therapists specialize in. You don’t need to know exactly what you’re looking for before reaching out. A short phone consultation can help us understand what’s going on and connect you with a therapist who may be a good fit.

  • “Sharing a client with Jana is a gift. Jana approaches her clients with genuine compassion and curiosity, and every client I have ever shared with her speaks so highly of their sessions. Jana has helped to nudge clients to challenge their automatic thoughts, leading to quicker progress around identifying limiting beliefs. Clients who struggle with their relationship with movement have made particularly positive progress by working with Jana."

    Jennie Dockser, RD, LDN, CDN

  • "I’ve had the privilege of sharing several patients with Jana, and I’ve consistently seen meaningful progress in their care. Patients often describe feeling truly heard and supported, and I’ve noticed increased confidence and emotional growth as a result of their work together. Jana has a compassionate and thoughtful approach that makes patients feel both safe and empowered. Her willingness to collaborate closely with me and other providers has been invaluable to ensuring her clients’ success. I wouldn’t hesitate to refer clients to her, knowing they will receive high-quality, patient-centered care."

    Hannah Lynch, MSN, PMHNP-BC

  • "Jana is genuine, thoughtful, and a deep thinker who cares so much for her clients. I had the pleasure of working alongside her for 5 years at a higher level of care and learned so much from her. My favorite part of that time was seeing her connect with her clients in an authentic way, always putting their needs ahead of the organization's. Anyone who works with Jana is in the best of hands! I cannot recommend her enough. You will be truly and deeply seen."

    Lacey Vogel, LMHC

  • "Working alongside Jana has been an absolute privilege. She brought a rare blend of empathy and clinical skill to the case, which are qualities that made her especially effective in working with clients facing complex challenges. Jana has a remarkable ability to meet clients where they are and sit in the difficult moments without rushing the process. At the same time, she is able to gently challenge the eating disorder, but in a way that feels kind and respectful. Jana is a pivotal part of the treatment team and more importantly the client's journey towards sustainable change. I truly value working with her and learned so much from her approach. "

    Christine Laker, MS, RD, LDN