About
You look successful on paper — maybe even to everyone around you. But inside, there's a heaviness that's hard to explain. If you grew up with childhood emotional neglect, narcissistic parents, or caregivers who simply couldn't meet your emotional needs, you might know exactly what I mean. So many of the people I work with are high achievers who battle anxiety, perfectionism, people-pleasing, or a persistent sense of never being enough — yet nowhere in their busy lives do they feel truly seen. My counseling practice centers on adults navigating narcissistic family trauma and the lasting effects of growing up emotionally unseen. I also specialize in working with high-functioning individuals carrying complex trauma who want therapy that feels purposeful and results-driven, not open-ended with no clear direction. Whether you're dealing with burnout, chronic overwhelm, or a nagging sense of disconnection from yourself, we'll get to the root of it. Many of my clients come in feeling numb, stuck on autopilot, or exhausted from holding everything together for everyone else. If you were raised by critical, emotionally unavailable parents, you may have spent years pushing through without realizing those early experiences still shape how you relate to yourself and others. The foundation of meaningful mental wellness work is a genuine connection with your therapist — feeling invested in, comfortable, and genuinely understood. When that foundation exists, real change becomes possible. Take the first step toward healing, calm, and resilience. Reach out today to schedule a consultation and start creating lasting change in your life. Specialties: I specialize in working with high-functioning adults who carry relational trauma, including childhood emotional neglect and narcissistic family trauma. I offer thorough evaluations to help you understand how early experiences shaped your current struggles, and I provide EMDR therapy tailored specifically for high achievers who feel stuck despite outward success. My work focuses on emotional reconnection for those who grew up with childhood emotional neglect, helping you access and process feelings that may have been shut down for years. I am also experienced with relationship pattern reset for adult children of narcissistic parents, guiding you through breaking painful cycles and building healthier connections. Throughout our work together, I aim to provide clarity, direction, and meaningful change so you can move forward with greater confidence and self-understanding. Credentials & Experience: I am trained in EMDR and utilize advanced trauma-focused approaches including R-TEP and G-TEP to support your healing. My goal is to help you feel more whole, grounded, and empowered in your life. You deserve care that feels safe and effective, and I am committed to providing exactly that.
"I use evidence-based tools to help you heal from the past, understand your thoughts, manage difficult emotions, and move toward what matters most to you. My therapeutic approach is collaborative — we'll work together in a way that feels supportive, honest, and focused on your growth."
I work with

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Specialties
Areas of Focus
Therapeutic Approaches
Services & Pricing
Free Consultation
15 min · Online, In Person
Individual Therapy
50 min · Online, In Person
Sliding scale available.
Qualifications
Verified by Calm at Home
Licensed · MS, LAC
Cara Guderian · Verified April 2026
Additional Credentials
Membership from Emdria
2024
Insurance & Policies
I am an out-of-network provider, which gives us the flexibility to tailor your treatment to exactly what you need. My rate is $135 for a 55-minute session, and we can discuss options for longer or shorter sessions based on your needs. I'll provide payment details during our initial consultation.
Payment Methods
Location
Untangled Therapy
6424 East Greenway Parkway, Suite 113
Scottsdale, AZ, 85254
United States
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My Practice at a Glance
Available both in-person and online
6424 East Greenway Parkway, Suite 113
Scottsdale, AZ, 85254 map
I use evidence-based tools to help you heal from the past, understand your thoughts, manage difficult emotions, and move toward what matters most to you. My therapeutic approach is collaborative — we'll work together in a way that feels supportive, honest, and focused on your growth.
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Anxiety Test
GAD-7 · 7 Questions
Depression Test
PHQ-9 · 9 Questions
Stress Level
PSS-10 · 10 Questions