About Leah

Leah Rambush

Hi there, I’m Leah, a licensed marriage and family therapist (LMFT) providing online therapy for adults in Massachusetts, Connecticut, and Florida.

I work with people who look “together” from the outside but feel quietly overrun on the inside—often the one who keeps the household, the relationship, or the team functioning while wondering why they’re so exhausted and strangely alone.

You’re probably smart, self-aware, and good at understanding everyone else’s needs. Your own needs? They show up as burnout, resentment, anxiety, or a sense that you’re living on autopilot. My job is to help you stop organizing your life around not disappointing other people, and start orienting around what actually matters to you.

How I work

My approach is relational, systemic, and nervous-system aware:

  • We pay attention to the roles you’ve had to play in your family, relationships, and work.

  • We look at how your nervous system has adapted (hypervigilance, fawning, shutdown, over-functioning) and what it’s trying to protect.

  • We connect the dots between past patterns and what’s happening right now—without turning you into a diagnosis.

Sessions are conversational and collaborative. I’ll ask real questions, offer language for things you’ve never quite been able to name, and give you practical scripts and experiments to try between sessions. I’m direct but not harsh, gentle but not fluffy. No forced positivity, no “just think happy thoughts,” and no pressure to perform.

Is my style a fit for you?

People tend to find our work helpful when they’re:

  • Carrying a lot of invisible labor in their family, partnership, or workplace

  • Caught in pursue–withdraw or caretaking patterns, they can’t seem to shift

  • Wrestling with boundary guilt, especially with parents, partners, or adult children

  • Navigating midlife changes—health, caregiving, grief, career shifts, or “Is this really my life?” moments

  • Wanting a therapist who can hold both the emotional depth and the practical next steps

If you value clear language, nuance, and a space where your complexity (and humor) is welcome, we’ll probably work well together.

Contact

Interested in working together?

Share a few details below about what you’re looking for and where you’re located. You don’t need to tell your whole story here—just what you’re hoping to sort out and whether you’re in Massachusetts, Connecticut, or Florida.

Please don’t use this form for emergencies or time-sensitive crises. If you’re in immediate danger, call 988 or your local emergency number, or go to the nearest emergency room.