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Making the Invisible, Visible

If therapy and Fight Club have a common thread, it's their first rule: don't talk about it. This code works wonders if you're in the loop, but it's less helpful when you're on the sidelines, contemplating whether or not to step into the ring.

Think of these articles as your insider's guide to therapy.

I'll offer you a candid view of my work as a therapist, without sacrificing the sacredness of my client's confidentiality. Like your favorite reality TV show, we'll delve into the highs, lows, and 'pour-the-red-wine' moments of life for women in their 30s and 40s.

I'm pulling back the curtain on the invisible world of therapy for women who think their struggles aren't "significant enough", one blog post at a time.

KARISSA MUELLER KARISSA MUELLER

What is Eldest Daughter Syndrome? 

Can you remember when you first became “the responsible one”? Most women can’t - because there wasn’t one singular moment when they shifted from being cared for to being counted on.

The internet calls it “eldest daughter syndrome”. I call it what happens when a little girl becomes her family’s emotional shock absorber.

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KARISSA MUELLER KARISSA MUELLER

What Seven Years of IFS Therapy with Women in St. Louis Has Taught Me

Seven years ago, while in grad school to become a licensed counselor myself, I was sitting across from my therapist, intellectually spiraling about something my husband did: over-explaining, analyzing, looping through every possible angle. You know. Tuesday.

She paused and asked if I’d be willing to try something different. Instead of talking about the frustration, she asked me to speak to it. To listen to it. To let it respond. It was weird. But it also worked.

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KARISSA MUELLER KARISSA MUELLER

An IFS Therapist Explains: You Don’t Need to Calm Down

You don’t need to be less reactive—you actually need to be better at it.

Some version it always comes up with new clients: “I just want to be less reactive.” Not less hurt. Not less unseen. Just…less reactive. 

Sometimes it’s buried under paragraphs of context. Sometimes it’s the whole damn paragraph. Either way, it’s one of the most common reasons my clients cite for starting therapy—the thing they think will make everything feel more manageable. 


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KARISSA MUELLER KARISSA MUELLER

Who Is IFS Therapy Best For?

“So… what kind of clients do you see?” It’s a simple question, but I never quite know how to answer because the truth is, I don’t think in diagnoses or demographics. I think in nervous systems. I think in spirals. I think in her. Women just like you—the ones who are smart, high-functioning, and secretly unraveling.

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KARISSA MUELLER KARISSA MUELLER

Why You Can’t Decide If You Should Get a Divorce

It’s 2:14AM and your phone screen is burning holes in your face. You’ve got 17 tabs open, and none of them are helping. Why not? Because you’re not actually looking for an answer. You’re looking for relief. From the guilt. From the grief. From the whiplash of feeling one thing in the morning and the opposite by dinner.

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KARISSA MUELLER KARISSA MUELLER

What It Looks Like When Therapy Starts to Work

When she first came to see me, Brooke didn’t talk about grief or loneliness - she talked about logistics. She told me she had a good partner, a stable relationship. No real fights. No red flags. “We get along,” she said, in a way that sounded like both a celebration and a resignation. And then one day, a month or two in, she told me a story that changed everything.

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KARISSA MUELLER KARISSA MUELLER

How to Stop Over-Explaining Your Feelings (And Finally Be Heard)

From the outside, it looks like you’re just trying to communicate - to be understood. But on the inside? You’re frantically trying to outrun the ache of being met with the blank face. The defensive shrug. The moment when you realize you’ve been understood technically—but not felt. 

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KARISSA MUELLER KARISSA MUELLER

You’re Not “Confused”—You Just Don’t Like the Answer

You tell yourself you’re confused. That if you could just figure it out—run the numbers, weigh the options, script the perfect conversation where no one gets hurt—you’d finally land on clarity. But if we’re being honest? You already have clarity. You’re just scared shitless of what it means.

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KARISSA MUELLER KARISSA MUELLER

“Marriage Takes Work” Doesn’t Mean What You Think It Does

You knew marriage would be work. You expected hard conversations. “Compromise”. The constant recalibration that happens when two adults are learning how to stay connected while managing groceries, gut health, and generational trauma - never mind dodging Legos. You even braced for seasons of disconnection—because you’re realistic like that.

But what you’re feeling now? The second-guessing, over-analyzing, and soul-numbing depletion? You didn’t see that coming - and you shouldn’t have.

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