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By most external measures you're doing well. That's part of what makes this hard to raise.  The compensation is real, the responsibility is real, and from the outside the strategy is clearly working. But somewhere in the last year or two the returns stopped landing the way they used to, and there’s nobody obvious to say that to.
 

This comes up for anyone whose work is bound up with who they are, academics, performers, founders, people in demanding fields that measure them constantly. The job title matters less than the pattern. Senior roles are lonelier than the org chart suggests. The number of people you can be entirely honest with tends to shrink in direct proportion to your authority.

I worked in this world before I worked in this room
 

I spent years in corporate finance, including as global head of talent at an investment bank, and held senior executive roles in the US, Australia and China before training as a psychotherapist. Before that, I was a litigation attorney. So I’m not going to be naive about the relentless demands on you. You won’t need to explain what a bad quarter does to a leadership team, or why "just delegate more" isn’t a serious answer.

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What brings executives to therapy

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• Burnout — running on discipline rather than motivation

• Anxiety — including the kind that only shows up physically

• Depression — performing well while feeling nothing much

• Relationship difficulties — at home, or with the people you lead

• Isolation — nowhere to be uncertain out loud

• Loss of drive — the next milestone generates no pull at all

• Questions of identity and meaning — particularly after achieving what you set out to

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What tends to be useful is examining what role success has played in your life, and whether you're evolving past an old definition of success.
 

How the work goes

I work best as an Executive Therapist with an idea of what your best outcome looks and feels like for you, even as a dream.  Part of the work is to uncover and refine the goals as we work together.  To some extent this involves cross-pollinating the skills of tenacity, curiosity and courage that made you successful in your career, into other areas of your life.
 

Structurally I draw on relational psychodynamic work for the patterns, CBT for examining beliefs that don’t survive scrutiny, and DBT for the capacity to hold competing truths without collapsing one into the other. In practice that means we can be rigorous and analytical when that’s what’s needed, and slower and more exploratory when it isn’t.
 

Practical details
 

• In person: 125 East 23rd Street, Manhattan

• Telehealth: across New York State

• Fee: $250 per session

• Out-of-network: documentation provided for reimbursement

• Confidentiality: complete, with no exceptions involving your employer

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Start with a conversation

Fifteen minutes, for both of us to explore fit.

 

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Related reading

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Know Your Game: What It Costs to Play 
 

Therapy for Lawyers