Therapy for Executives

The pressure doesn’t stop at the top—and neither does the cost.

You’re the one others depend on.

You’re expected to lead with clarity, carry risk, manage people, drive results, and make the hard calls.
But no matter how strong your title or team is—you’re still human.

That part gets ignored.

You’re under constant internal and external demand:

• Meetings that drain more than they produce

• Board or investor pressure to always scale or stabilize

• A team that needs your energy—even when you don’t have it

• Decision fatigue and lack of space to think clearly

• A blurry line between productivity and personal peace

And in the rare moments alone, a quiet question shows up:

“How long can I keep doing it like this?”

At Home, It Doesn’t Let Up

It’s not just the business that needs you.

You might be dealing with:

• A partner who wants connection—but you're too mentally tapped out

• Kids who need presence—but you’re distracted or on edge

• Guilt about not being the version of yourself your family deserves

• No time or space to decompress—just more responsibilities

• A growing sense that work is bleeding into everything

You’re not alone in this. We work with executives who carry the load at work and at home—and who are ready to stop holding their breath.

What Therapy Can Do

Therapy for executives isn’t about over-analyzing feelings.

It’s about clearing the mental noise and dealing with the real internal blocks behind burnout, indecision, or disconnection.

We don’t slow you down—we help you get aligned so you can move forward with less friction.

Common benefits:

• Mental clarity when the pressure doesn’t stop

• Less reactivity, more authority—internally and externally

• Burnout recovery that doesn’t involve stepping back or quitting

• Emotional regulation without shutting down or overworking

• A way to feel present at home and competent at work

• Space to think, feel, and lead in ways that are actually sustainable

Why Work With Us

• We understand executive responsibility

• No fluff, no therapy clichés

• Strategic pacing—direct, professional, private

• EMDR + psychodynamic therapy to get under the surface without drowning in it

• Goal: alignment between your inner state and external role

This is not coaching.
This is what coaching can’t reach.

Details

• Private-pay only — no insurance

• $250 per session

• 30-minute video consultation available at no cost

• Virtual sessions offered in NY, VA, DC, CO, NC, and WA

Schedule a Free Consultation

No pressure. No obligation.

Just a confidential space to talk about what’s really going on—and whether this is the right next step.

Real Questions Executives Ask Before Starting Therapy (FAQs)

What if I don’t feel broken—just stuck? Is therapy still for me?

Yes. We work with high-functioning, high-performing people who appear “fine” on the outside. But being stuck doesn’t mean you’re weak—it means there’s a deeper pattern you’ve outgrown. Therapy helps you name it, understand it, and move past it. It’s about evolving, not fixing.

I’m successful—why do I still feel like I’m not doing enough?

That internal pressure often comes from old, invisible rules you’ve been following for decades. Achievement was probably how you created safety, earned love, or avoided chaos early on. We help you rewire that system so your drive becomes a tool—not a tyrant.

Is this going to be too “soft” for someone like me?

Therapy isn’t soft. It’s strategic. In this space, we explore the beliefs, habits, and relational blind spots that directly affect your leadership, relationships, and quality of life. Yes, emotions are part of it—but they’re approached like data, not drama.

What if therapy opens up things I’ve kept buried to stay functional?

That’s a valid concern. You’ve built a life that works—so we’re not here to dismantle it. We honor the protective strategies that helped you survive. The work is to gently make room for what’s underneath, in a way that doesn’t destabilize but strengthens you.

Can this help with decision fatigue and overthinking?

Yes. Many executives are mentally overloaded—juggling staff, family, risk, and outcomes. Therapy reduces mental noise by helping you resolve unprocessed conflicts that clutter your inner world. The result is more clarity, less self-doubt, and faster decision-making.

I compartmentalize well. Why would I want to stop?

Compartmentalization is a skill, and we won’t take it away. But sometimes, what’s locked in one box bleeds into others—resentment shows up at home, stress leaks into your sleep, intimacy feels distant. We help you integrate those boxes so you don’t live fragmented.

How do I know this isn’t just a performance too? I can “do therapy” well.

Great insight. Many high achievers show up to therapy in the same mode they bring to boardrooms—polished, efficient, in control. We create space where you don’t have to perform. And when performance shows up (because it will), we’ll work with it, not against it.

Will this actually make me better at what I do—or just more emotional?

Both—but not in the way you fear. Better emotional processing leads to better focus, resilience, and leadership presence. Emotional authority doesn’t mean getting lost in feelings. It means knowing what drives you so you lead yourself (and others) with clarity.

I understand first hand how difficult it can be to carry the weight of unresolved emotional pain. My diverse personal and professional experiences have given me a deep appreciation for how unique each individual’s journey is.

Whether it’s healing from childhood trauma, navigating relationship difficulties, or overcoming professional stress, I’m here to help you find the peace and fulfillment you deserve.

Zack Rothwell, PMHNP

Psychiatric Health Nurse Practitioner

Master of Science - UNC Chapel Hill

Accepting New Clients

What clients say:

“Zack was a patient and caring guide through a difficult time.

He provided a therapeutic relationship that offered a balance of support and challenge, helping me build a stronger foundation from which to live my life.

Through EMDR I was also able to travel to the root of many beliefs that were stifling my growth — making core changes to how I see myself and my world — opening up more love in all directions.

I’m grateful.”

-AB