1:1 Coaching with Leanne Astbury · CBT Psychotherapist & Cognitive Behavioural Coach
The anxiety, the overthinking, the perfectionism, the people-pleasing — you have tried to manage them for years. They keep coming back. That is not a coincidence. There is a belief at the root of all of it, and most approaches never reach it.
A free, no-pressure conversation — not a sales call.
After years of clinical work, I noticed something consistent across almost every client who sat in front of me. They were not struggling because they lacked skills, resilience, or self-awareness. They were struggling because somewhere beneath the surface, they were carrying a belief that they were not quite enough — and every strategy they had tried was built on top of that belief, rather than addressing it. That is the work I do. Not managing what is visible, but understanding what is driving it.
Leanne Astbury · CBT Psychotherapist & Cognitive Behavioural Coach
You have learnt to hold it together. To keep moving. To meet the expectations — yours and everyone else's.
From the outside, your life probably looks fine. Accomplished, even.
But inside — when the noise quietens — there is a version of you that is exhausted in a way sleep does not fix. A version that replays conversations at 2am, worries about things that never quite materialise, feels responsible for how everyone else is doing, and still — still — does not feel like enough.
You have tried to be better. More organised. More positive. More resilient. You have pushed through, managed, coped.
And yet here you are, reading this.
That is not a failure of effort. It is a sign that you have been working on the wrong level.
Not all of it. But enough of it to feel seen.
Saying yes when you desperately want to say no — and feeling guilty either way
Holding yourself to standards you would never dream of imposing on anyone else
Replaying conversations long after they have finished, searching for what you got wrong
Feeling responsible for other people's moods, reactions and happiness
Struggling to rest without feeling like you need to earn it first
Achieving things and feeling nothing, or briefly proud — then immediately raising the bar
A persistent low-level anxiety that never fully leaves, regardless of how well things are going
Worrying what people think of you, even people whose opinions you know should not matter
Doing more, giving more, working harder — and still not feeling like it is enough
Feeling like you are always performing a version of yourself — and quietly wondering who you actually are
"I know what I should do. I just cannot seem to make it stick."
You are not stuck because you are weak, resistant, or beyond help. You are stuck because most of what you have tried — the books, the strategies, the breathing techniques, the positive thinking — has been addressing the surface. The symptoms. The output of something much older and much deeper.
Anxiety is not the problem. Perfectionism is not the problem. People-pleasing is not the problem.
These are responses. Logical, understandable, human responses to a set of beliefs you formed about yourself — usually long before you had any way to question them.
Until you understand what is actually driving your behaviour, you can manage it, cope with it, and keep it in check. But you cannot truly change it.
That is not a comfortable truth. But it is a freeing one.
Think of your sense of self-worth as the sponge layer at the base of a cake.
Everything else in your life — your relationships, your work, your health, your sense of belonging, your ability to rest, to trust, to feel genuinely good about who you are — sits on top of that base.
When the sponge is solid, the layers above it hold. You can handle difficulty without it meaning something terrible about you. You can receive love without waiting for it to be taken away. You can achieve things and actually feel it. You can rest without guilt. You can disappoint someone without it feeling catastrophic.
But when the sponge is damaged — when your foundational sense of worth is fragile, conditional, or quietly missing — nothing that sits on top of it ever quite feels safe or fulfilling. Not really.
You can keep adding to the top of the cake. You can improve your productivity, work on your relationships, push yourself harder, achieve more. And some of it will help, for a while.
But if the foundation has not been addressed, the feeling underneath never truly changes. The anxiety returns. The self-doubt comes back. The exhaustion settles in again.
Not one big dramatic consequence. Just a quiet, steady erosion of the life you could have.
Most people do not reach out for support because they have hit a crisis. They reach out because they have done the maths — quietly, privately — and realised that if nothing changes, another year will pass looking almost identical to the last one.
The exhaustion does not get better on its own. The self-doubt finds new material. The pattern finds new situations to play out in.
I want to be clear: this is not a promise of a perfect life. It is something more useful than that.
When you address the beliefs that have been running the show — when the sponge at the base of the cake is repaired — what changes is not your circumstances. What changes is your relationship to yourself. And that changes everything else.
The people who find this work most powerful are often the ones who waited longest to seek it.
There is a particular type of person who is simultaneously highly competent and deeply privately struggling. Who has built a life that looks successful from the outside, while carrying something heavy on the inside. Who is, by any objective measure, doing well — and who cannot quite understand why that never seems to be enough to actually feel well.
If that sounds familiar, there are some specific reasons why capable, intelligent, high-achieving people often stay stuck longer than others. They are worth understanding.
High achievers are problem-solvers. They are used to figuring things out. Reaching out for support can feel like an admission that this particular problem has defeated them — which, for someone whose sense of worth is already tied to capability, feels particularly uncomfortable. The irony is that the belief driving the resistance is exactly the belief the work would address.
When you are functional — delivering, achieving, maintaining relationships, keeping things together — it is easy to convince yourself that the internal experience is just the price of ambition. That the anxiety is normal. That everyone feels this way. That you do not need help, you just need to push through. But coping is not the same as being well. It is the performance of being well. And it is exhausting to maintain.
When things are going well externally, it is difficult to make the case — even to yourself — that something needs to change. But the success does not resolve the underlying self-worth belief; it temporarily feeds it. The goalposts move. The next achievement needs to be bigger. The relief is always short-lived, because the belief that generated the drive has not shifted.
Intelligent people often understand their patterns intellectually. They can name the cognitive distortions. They have read the books. They know, rationally, that they are doing well. But insight about a belief and the genuine, embodied shift of that belief are two entirely different things. Knowing you should not feel this way has never been enough to stop you feeling it. That gap — between understanding and change — is where this work lives.
"I know what I should do. I just cannot seem to make it stick."
Most approaches to anxiety, perfectionism, and people-pleasing are built around skill. Boundary-setting techniques. Cognitive restructuring. Journalling prompts. Breathing exercises. Productivity systems.
And they help — in the moment. But here is what they are not designed to address:
The reason you struggle to set boundaries is not that you lack the skill. It is that you do not believe, at a deep level, that you are worthy of having them.
The reason you overwork is not that you lack productivity strategies. It is that you believe your worth is contingent on what you produce.
The reason you people-please is not that you are too kind. It is that some part of you is genuinely afraid of what happens if you disappoint someone.
The reason you cannot silence the inner critic is not that you lack self-compassion scripts. It is that the critic is voicing a belief you have carried since childhood — and no amount of reframing quietens a belief you have not yet examined.
This is the distinction that changes everything. Managing symptoms is useful. Addressing the beliefs creating the symptoms is lasting.
I am a CBT Psychotherapist and Cognitive Behavioural Coach. My work is evidence-based, clinically grounded, and built on one conviction that shapes everything I do: behaviour makes complete sense when you understand the beliefs driving it. And beliefs, once understood, can be changed.
Most approaches work at the level of behaviour and thought. Mine goes one level deeper — to the core beliefs about self-worth that generate the thoughts, feelings, and behaviours in the first place.
This is not a subtle difference. It is the difference between adjusting how you cope and changing what you need to cope with.
What most approaches treat
Difficulty setting boundaries → teach boundary-setting techniques.
What I address: the belief that you are not worthy of having boundaries in the first place.
What most approaches treat
Overworking and burnout → improve productivity and work-life balance.
What I address: the belief that your worth depends on what you produce and achieve.
What most approaches treat
People-pleasing → practise saying no and assertiveness.
What I address: the fear of rejection and the belief that love is conditional on keeping people happy.
What most approaches treat
Perfectionism → lower your standards and embrace imperfection.
What I address: the belief that getting something wrong means something terrible about who you are.
We work with the beliefs creating your struggles, not just the struggles themselves. That is what makes change durable rather than temporary.
Every client receives a personalised plan. CBT principles are applied to your specific experiences, history, and goals — never off-the-shelf.
This is intelligent, honest, warm work. There is no judgement here — only curiosity about what shaped you, and clarity about how to change it.
If this is already resonating — you do not need to read to the end to book a call. The call is free, and it is where the real conversation begins.
Book Your Free Self-Worth Assessment Call Free · 30 minutes · No obligationTwelve weeks. One question to begin: "How will your life be different when our work together is complete?"
Your answer to that question becomes the compass. Everything we do is oriented around it — not a generic process, but a structured path built around the specific beliefs, patterns, and history that belong to you.
We begin with a thorough assessment — not just of your symptoms, but of the beliefs and early experiences that created them. For many clients, this is the first time someone has helped them connect the dots between where they are now and where these patterns began. What you gain here is not just insight. It is the particular relief of finally making sense of yourself.
Based on what we uncover, I build a personalised treatment plan. Not a template. Not a standard twelve-week curriculum. A specific, structured path that addresses the beliefs at the root of your particular struggles, and works toward the life you described in that first question. You will know exactly what we are working toward and why.
Each session has purpose. We explore, challenge, and build — using CBT-based tools to examine the beliefs driving your behaviour, test them against reality, and begin constructing more accurate and kinder alternatives. This is not talking in circles. Each conversation moves you closer to understanding yourself differently, and behaving accordingly.
Understanding happens in sessions. Change happens in daily life. Between our conversations, you will be applying what you are learning — completing exercises, testing new responses, noticing patterns. This is where insight becomes a different way of living, not just a different way of thinking. The more honestly you engage with this, the faster and deeper the change.
You have direct WhatsApp access to me between sessions. Life does not hold its challenges for Tuesdays at 11am. When something difficult surfaces — a conversation that triggered something, a moment of doubt, a pattern you caught yourself in — you can reach out. You are not navigating this alone in the gaps between our sessions.
By the end of twelve weeks, most clients describe not just feeling better — but understanding themselves in a way that makes the feeling make sense. That understanding does not leave when the programme does.
Before we talk about what this costs, I want to be clear about what it is.
This is not a group programme. It is not a course with pre-recorded content and occasional check-ins. It is not a template applied to everyone who books.
It is twelve weeks of dedicated, expert, individually tailored support — with a qualified CBT Psychotherapist who has spent years working at the level of belief, not just behaviour. The kind of support that is genuinely rare, and that produces the kind of change that does not need repeating.
Investment is discussed on the call. This is not a low-cost resource to dip in and out of — it is a serious commitment to doing serious work, and it is priced to reflect that. Payment plans are available.
The call is free, takes thirty minutes, and carries no obligation. It is simply a conversation — and the right place to discuss whether this programme is the right fit for you.
This is not a criticism. It is simply an honest description of what this work requires — and what it makes possible for the people who are ready for it.
I am a qualified CBT Psychotherapist and Cognitive Behavioural Coach. I see clients face-to-face at Rosebank Wellbeing Centre in Northwich, Cheshire, and online with clients across the UK.
My background is in Cognitive Behavioural Therapy — a structured, evidence-based model that helps people understand the relationships between their beliefs, thoughts, feelings, and behaviours. I have spent years working with clients who, on the surface, appear to be doing well — and privately are exhausted, anxious, and stuck in patterns they cannot seem to shift.
I did not choose this specialism by accident. The link between early self-worth beliefs and adult anxiety, perfectionism, and people-pleasing is something I am deeply familiar with — clinically and personally. That is what makes me good at what I do.
I have written a CBT workbook — Awaken Your Worth — and developed a suite of tools, resources, and programmes built around one core belief: that lasting change is possible when you finally understand the beliefs that have been running the show.
You will not find hype, false urgency, or pressure in how I work. You will find honesty, warmth, clinical rigour, and genuine investment in the people I work with.
Real words from real people who did the work.
"Watch this client share her experience of the programme in her own words."
I couldn't recommend Leanne enough, she has completely changed the way that I think and helped me look forward to a bright future. After spending most of my life so far as a perfectionist, which was causing day to day anxiety and eventually burn out, Leanne has not only helped me understand this behaviour, but has also helped me change my thoughts. My general day to day anxiety has now gone and I feel so much lighter without the weight of constant worry or fear of failing. Leanne has helped me believe in myself again, and this has given me the confidence to chase after my life goals.
Gemma Taylor
Google Review · 5 stars
That feeling is worth noticing — because it is often the belief itself speaking. The same belief that says you should be able to manage this alone, or that your struggles are not serious enough to warrant proper support, or that investing in yourself is self-indulgent. I am not suggesting you ignore practical considerations. But if the hesitation is more about doubt than circumstances, that is worth exploring. The assessment call is a conversation, not a commitment. You do not need to have decided anything before you book it.
This is one of the most common things I hear. And it makes sense — different therapeutic approaches work at different levels. If previous therapy focused primarily on talking through experiences, processing emotions, or managing symptoms, it may not have addressed the specific beliefs driving your patterns. This work is structured differently. It is focused, goal-oriented, and designed to reach the belief level rather than remain at the surface. Many of my clients have had previous therapeutic experiences that were genuinely helpful — but that left the deeper layer untouched. If you have had therapy before, please mention that on the call and we can discuss how this differs.
I am a qualified CBT Psychotherapist, and the principles underpinning this programme are clinically grounded. However, this is a coaching programme — it is structured around your goals and forward movement. We use CBT frameworks to understand the beliefs driving your patterns, but the focus is on change, not indefinite exploration. If you are experiencing significant mental health difficulties, I would discuss with you whether coaching or therapy is the more appropriate route.
It is a free, relaxed, no-pressure conversation — usually around 30 minutes. I will ask you about what you are struggling with, what you have tried, and what you are hoping for. You will also have the opportunity to ask me anything. By the end, we will both have a clearer sense of whether this programme is right for you and what working together could look like.
The programme runs for twelve weeks with weekly sessions. Sessions take place online via video call, so you can work with me from anywhere. I also see face-to-face clients at Rosebank Wellbeing Centre in Northwich, Cheshire, if you prefer in-person work and are local to that area.
This is not a passive programme. Between sessions, you will be completing practical exercises and applying the tools we work with together. The work you do between our conversations is often where the most significant shifts occur — because that is where you are testing, practising, and integrating what you are learning in real time. I would ask you to commit genuinely to that process. The more you put in, the more you take out.
Yes. You have WhatsApp access to me between sessions. I do not want you to sit with something difficult for a week when a brief message or check-in could provide the support or clarity you need. I am not available around the clock, but I am responsive, and you will not feel alone in the process.
Many of my clients have no prior experience of therapy or coaching. You do not need to arrive knowing what to say or how it works. You only need to arrive honestly — willing to explore what has been going on, and ready to do the work. The structure of the programme will guide you through the rest.
Investment is discussed on the call — it is the right place to have that conversation, alongside everything else about whether this programme is right for you. Payment plans are available, and we can find an arrangement that works. The call is free and carries no obligation.
At some point, understanding what is actually driving them becomes the only option that makes sense.
The Self-Worth Assessment Call is a free, unhurried conversation. Not a sales call. Not a pitch. A genuine clinical conversation about what has been going on — what you have tried, what has not worked, and what a different approach might look like.
By the end of thirty minutes, most people have more clarity about their patterns than they have had in years of trying to manage them alone. That clarity is yours regardless of whether we work together.
Free · 30 minutes · No obligation · Online or by phone