Excellent at the work. Stuck in a pattern.
You can be very good at what you do and still run on strategies that cost more than they return. I coach founders, physicians, and executives on the psychology underneath how they work — deciding, delegating, leading, and what achievement is quietly standing in for.
The work is focused, time-bound, and informed by psychological science. It is professional development, not psychotherapy.
Sound familiar?
Strategies that built your success have costs.
“Everything I do is good. I just cannot tell when it is good enough to stop.”
“I delegate the task, then spend twice as long checking it.”
“I have the information. I am waiting for a level of certainty that does not exist.”
“I can have the difficult conversation in my head. I just cannot seem to have it in the room.”
“One mistake can undo a month of good work in my mind.”
“I am productive all day and still feel behind.”
“I reached the goal I built my life around. The relief lasted about a week.”
“I understand the pattern completely. But insight has not changed what I do next.”
What we work on
- Perfectionism & High standards
- Over-preparing, revising work that is already strong, and spending disproportionate time on the final details.
- Decisions under pressure
- Making consequential calls without perfect information, knowing when more research is useful, and knowing when it has become a way to delay.
- Leading people
- Delegating work, giving clear feedback, handling conflict directly, and becoming comfortable using the authority your role requires.
- Achievement & identity
- Untangling self-worth from performance, and asking what success is meant to provide when the next milestone does not change how you feel.
For people at a turning point
Micromanaging, avoiding the hard calls, a company organized around what you cannot hand off.
The machinery that built the career — perfectionism, over-preparation — now the bottleneck in it.
Rewarded for individual work, now responsible for people: feedback, conflict, authority, delegation.
Made partner, sold the company, got tenure — and it does not feel the way it was supposed to.
Coaching is not psychotherapy
Coaching
- Focuses on professional patterns: decision-making, delegation, leadership, conflict, perfectionism, and achievement
- Begins with a defined goal and ends with a review of what has changed
- Uses practical experiments between sessions, in the situations where the pattern actually shows up
- Not intended to assess or treat a mental-health condition
Psychotherapy
- Focuses on psychological distress, symptoms, relationships, and mental health
- Includes assessment and a treatment plan
- May be the better fit when anxiety, depression, trauma, disordered eating, burnout, or another concern is affecting daily life
- Can include longer-term treatment when that is clinically useful
- Explore my clinical practice instead
Common questions
Is this therapy?
No. Coaching is professional development, not psychotherapy. It focuses on how you work, lead, make decisions, and relate to achievement. It does not include diagnosis or treatment.
What happens if something clinical comes up?
If it becomes clear that clinical care would be more useful, I will say so plainly. We can pause coaching and I will help you think through the right next step.
How is this different from an executive coach?
Executive coaching often draws on business and leadership experience. My approach also draws on the psychology of behaviour change: how perfectionism, avoidance, reinforcement, and identity can keep familiar patterns in place.
How is it structured?
Coaching is a defined engagement rather than an open-ended weekly appointment. We set goals at the start, test new approaches between sessions, and review what has changed at the end.
Can my company pay for it?
Yes. Some clients pay personally; others have the engagement funded by their organization as leadership development.
Will I get an insurance receipt?
No. Coaching is professional development rather than psychotherapy, so it is not eligible for psychotherapy insurance receipts.