Who I work with
I work with executives, founders, physicians, attorneys, academics, creative directors, and partners—people with demanding careers, complex lives, and high expectations of themselves and the people they choose to work with.
You don’t need to be falling apart to take something seriously. You may simply have something in your life, work, or relationships that deserves more thought than you can give it alone.
Work still gets done, and done well. But the recovery isn't happening, the irritability shows up at home first, and rest has stopped restoring anything. Burnout, overwhelm, and the sheer administrative weight of a demanding life.
ADHD and neurodivergence in adults who were never flagged, because the grades were fine and the results kept coming. Attention, initiation, time, regulation, and the exhausting compensation behind an easy-looking outcome.
Anxiety and overthinking: the rehearsal before the meeting, the rereading of the email, the standard that used to sharpen you and now just narrows the field.
Trauma and difficult past experiences, held with care rather than excavated for its own sake, and connected to how trust, conflict, and pressure land now.
Relationships, family dynamics, and the interpersonal patterns that repeat across very different rooms. Boundaries, resentment, and saying the accurate thing without first managing everyone's comfort.
Leadership stress and the psychological demands of responsibility for other people—decisions with consequences, visibility, and the shrinking number of places to think out loud.
Whether to pursue the promotion, and what it would actually ask of you—authority, visibility, the parts of the work you'd give up, and whether you want it or only think you should.
Leading organizational change: reading the politics accurately, holding a position under resistance, and staying steady when the pushback becomes personal.
Leaving the field, starting something, stepping back, or rearranging the whole thing—thought through carefully rather than decided in a bad week.
Identity and major transitions. Ambition and relationships and family, and what an arrangement that actually works would look like.
None of this is a list of diagnoses, and none of it assumes something is wrong with ambition. Most people arrive with some combination of the above and no tidy way to name it. That's a fine place to start.
Privacy
I keep psychotherapy confidential under California and federal law, with limited legal exceptions I will review with you before treatment begins. No employer, board, or organization is involved, and nothing here is a performance review.
How the work is doneA first conversation