Therapy for High-Achieving Women
I work with high-achieving women who are tired of feeling like they have to hold everything together. You may be struggling with perfectionism, anxiety, people-pleasing, guilt, boundaries, relationships, or the feeling that you've built a successful life but aren't sure it's actually the life you want.
I have a particular focus on adult daughters of immigrants and women in the diaspora navigating cultural identity, family expectations, over-responsibility, and the complicated relationship between love, loyalty, and boundaries.
Providing online therapy to residents of New York, Louisiana, Texas, and Oklahoma.
You’ve always been the one who holds it together.
You are accomplished, responsible, and the person others count on, and you’ve worked hard to build a meaningful life. But beneath the success, you may feel exhausted from always needing to be strong.
Maybe you struggle with guilt when you choose yourself. Maybe you feel caught between honoring your family and becoming your own person. Maybe you wonder why achieving everything you were supposed to achieve still doesn’t feel like enough.
You don’t have to keep carrying these patterns alone.
You might recognize yourself here if you
Are high-achieving, capable, and used to handling things on your own, but increasingly exhausted by it
Struggle with perfectionism, people-pleasing, guilt, or feeling responsible for everyone around you
Are navigating complicated family or cultural expectations while trying to build a life that feels like your own
Have difficulty setting boundaries with family without feeling selfish or disloyal
Are going through a transition in identity, relationships, career, or adulthood and aren't sure how to move forward
Want therapy that takes both your individual psychology and your family/cultural context seriously
A Space to Understand Yourself More Deeply
My approach is warm, relational, and influenced by Internal Family Systems (IFS), an attachment lens, and trauma-informed therapy. Together, we explore the parts of you that learned to survive through perfectionism, caretaking, and self-sacrifice.
You can learn to:
Set boundaries without being consumed by guilt
Understand the roots of your perfectionism
Reconnect with your own wants and values
Build a sense of identity beyond achievement
Create relationships that feel more balanced
Therapy That Understands Culture, Family, and Identity
As someone who has lived between cultures, I understand that identity is complex. Many clients come to therapy not because they don't love their families, but because they are trying to find a way to honor their roots while creating a life that feels authentic.
Some FAQs about therapy with me:
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I primarily work with adults who may look like they have it all together on the outside, but privately feel overwhelmed, disconnected, stuck, or exhausted. Many of my clients are high-achieving professionals, executives, attorneys, entrepreneurs, and other driven individuals who are accustomed to taking care of everyone else while struggling to make space for themselves.
I specialize in working with shame, perfectionism, people-pleasing, codependency, relationship patterns, identity struggles, and the lasting effects of difficult or emotionally unsafe relationships. I also have a particular interest in working with adult children of immigrants and people navigating the complexities of culture, family expectations, and belonging.
Clients often come to me when they are ready to go beyond simply managing symptoms and want to understand themselves more deeply, change longstanding patterns, and build more meaningful relationships with themselves and others.
I welcome clients from diverse backgrounds and identities, and I believe therapy should be a space where you can bring your whole self without judgment.
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Here's a not-so-secret: all of the research clearly indicates that the best predictor of your outcomes in therapy is your relationship with your therapist. My main goal in therapy is to help you feel heard, understood, and cared for. I believe it is my job to meet you where you are, without judgment. I also believe it is my job to do more than nod and say "mm-hmm." If you are looking for a therapist who is warm, supportive, loves both a good laugh and a good cry, and also gives you honest feedback, we might be a good match. I know it is a huge investment of your time and finances to engage in therapy, and I want to honor that by being as helpful and engaged as possible. I draw on evidence-based relational, dynamic, and trauma-informed practices. My integrative approach means I do not do cookie-cutter therapy or use the same strategies for all my clients. Your sessions are tailored for you.
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I am licensed in Louisiana, New York, Texas, and Oklahoma and can work with residents in those states. Many of my clients also live in the Arab world. My practice is strictly virtual, allowing ease of access and flexibility for you.
I obtained an Authority to Practice Interjurisdictional Telepsychology (APIT) in 2024, when living in Oklahoma (a PsyPact state). This allowed me to work with clients in most states. I moved back to New Orleans, however, in 2026. Though Louisiana enacted legislation in 2026 and has joined the PsyPact, this will not take into effect until 2028. As such, I will be unable to work with PsyPact state residents until that time. Here is a map that explains more. -
For most people, I recommend starting weekly. This allows us to gain the most traction and build rapport -- and help you feel better, sooner.
Many people eventually move to meeting every other week. I also have several "long-term" clients who like to stay on top of their mental well-being with bi-monthly or monthly maintenance sessions.We will of course discuss this more in depth during your initial consultation and continue to check-in with each other over the course of therapy.
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I have a Bachelor's Degree in Psychology, Master's Degree in Clinical Psychology, and Doctorate in Clinical Psychology. I also completed a postdoctoral fellowship at Tulane University and was hired by the Tulane Counseling Center after completing my fellowship.
I am licensed by the Oklahoma State Board of Examiners of Psychologists (License #1388), the Texas State Board of Examiners of Psychologists (License #38193), the Louisiana State Board of Examiners of Psychologists (License #1336), and the New York State Education Department Office of the Professions (License #028132).
I worked in residential facilities, private and state hospitals, university counseling centers, community mental health centers, and intensive outpatient facilities prior to venturing into private practice. I have also developed group curriculums and workshops for many of these settings, other businesses, and schools. My work has been featured in online publications, and I have been the guest on several podcasts and news segments.
Fees & Insurance
Fee for Intake (the first appointment, 60 minutes): $250
Fee for Sessions (50 minutes): $210
I am a private pay provider, and I accept all major credit cards, as well as FSA/HSA cards.
For those wishing to seek reimbursement from their insurance, I provide superbills upon request. Here’s how that works: You would pay the session fee directly to me, and I will then provide you with a superbill, or a type of invoice which includes the information you need to submit a claim for reimbursement. Many who see me are reimbursed up to 70% of the cost of sessions, but this depends on your particular plan.
Additionally, If you live in the US, you have the option to use Thrizer (see below), which automatically handles the out-of-network insurance process for you. With Thrizer, you will only have to pay a copay for our sessions post-deductible, instead of paying my full fee and waiting for reimbursements.
Please note that everyone's insurance plan is different on how much may be reimbursed. Check your benefits through Thrizer below or contact your insurance if you’re interested in using your out-of-network benefits. I am not paneled with insurance and do not communicate directly with insurance providers.
You have spent years taking care of others and meeting expectations. Therapy can be a space where you begin to understand yourself, honor your story, and create a life that feels like your own.
Not ready to schedule? Explore resources here.
PLEASE READ THIS INFORMATION FOR CONSUMERS IN THE STATE OF TEXAS CAREFULLY AND IN ITS ENTIRETY.
House Bill 4224 (89th Regular Session), which went into effect on September 1, 2025, requires licensees to, per Section 181.105 of the Health and Safety Code, prominently post on their website and at any facility detailed instructions for a consumer to:
Request the consumer’s health care records from the licensee:
All records requests must be made in writing and sent to rosette@drrosette.com or via mail (USPS, UPS, FedEx) sent to Rosette M. Elghossain, Psy.D., LLC at 5030 N. May Ave #439, Oklahoma City, OK 73112.
The Texas Behavioral Health Executive Council can be contacted through various modalities:
Website: www.bhec.texas.gov
In-person: 1801 Congress Ave., Ste. 7.300
Austin, Texas 78701Phone: (512) 305-7700
Investigations/Complaints 24-hour, toll-free system- (800) 821-3205
Or, through the Office of the Attorney General, file a consumer complaint