Therapy for executives who have done everything right and still feel like something is off

You're good at your job. You know that. But somewhere along the way the cost of doing it well started to change, and no amount of delegation, time off, or strategy adjustment seems to touch it. The work gets done, the results are there, but something underneath has shifted.

For some people it's the isolation that comes with seniority. For others it's an identity that has slowly become inseparable from output, to the point where slowing down feels dangerous. Or it's the persistent feeling of being one mistake away from losing everything you've built, even though the evidence says otherwise.

These aren't problems that another offsite or another framework will solve. They tend to need a different kind of attention.

Executive therapy is psychotherapy for people in senior professional roles. Not coaching with a different label, and not a softer version of clinical work. It takes the professional context seriously rather than treating it as background noise, and it goes deeper than performance optimization into the patterns that actually drive behaviour.

It looks at things like why identity becomes inseparable from output, why success doesn't settle the internal question it was supposed to answer, and why certain interpersonal dynamics at work keep repeating.

The difference between an executive therapist and a general therapist is mostly context. If your therapist needs half the session just to understand what happened in your week, that's time spent on orientation rather than the actual work.

I'm a licensed psychotherapist with 18+ years in B2B SaaS. I've led growth strategy at startups and inside IBM's enterprise portfolio, and I've advised 50+ companies on the kind of work my clients carry into sessions every week.

That means I already understand the environment you're operating in. We don't have to spend time on context-setting, which lets us get to the real work faster.

I write about the psychology of ambition and performance at Undisguised (5,000+ subscribers). The writing explores the patterns. The private work is where we actually address them.

Founders, VPs, directors, and senior ICs in tech. People who are doing well by any external measure and still feel like something isn't working. Some common threads:

Chronic self-doubt alongside strong performance. Achievement patterns tied to early approval-seeking that were never examined. Decision paralysis that isn't really about the decision. Burnout that rest doesn't fix. Overthinking that has become a default setting rather than a useful tool.

If you're used to solving problems through effort and analysis, and this particular one isn't responding to either, it might be worth a conversation.

All sessions are remote, one-on-one, and confidential. Most clients are across Europe and the US. Sessions run weekly or biweekly.

The first session is 60 minutes and free. We use it to figure out what's actually going on and whether working together makes sense. If it doesn't, I'll say so.

The first session is free, 60 minutes, no obligations. We use it to figure out what's going on and whether working together makes sense.