See the repetition
Look beyond the latest episode and map the sequence: what tends to happen before it, where fear or protection appears, and how the pattern usually ends.
You do not need a perfect formulation. A repeating pattern is enough: anxiety before important decisions, the same relationship dynamics, inability to stop, fear of being visible, loneliness despite constant connection, or life dominated by endless obligations. These are examples of topics, not diagnoses.
Look beyond the latest episode and map the sequence: what tends to happen before it, where fear or protection appears, and how the pattern usually ends.
Consider inner prohibitions, family and relationship roles, obligation, fear of change, perfectionism and other possible factors the person recognises in their own experience.
The point is not a beautiful insight by itself, but a different conversation, boundary, decision, pause, refusal, request or way of choosing that can be tried in real life.