Executive Therapy and Coaching in London W1

Depression in high-achievers often goes unrecognised, because everything looks fine from the outside. It can present as a low-grade flatness, a loss of pleasure in things that used to matter, or a quiet sense that the colour has gone out of the work. This is a space to look at what's underneath, without the pressure to keep performing while you do.

Burnout is not tiredness scaled up. It's a depletion of the underlying systems, physiological as much as psychological, that allow you to be effective. Recovery is not a long holiday. It's a more careful piece of work: understanding what drove the over-extension, repairing what's been worn down, and building a sustainable relationship with your own capacity.

Stress in high-functioning people rarely arrives as obvious worry. It shows up sideways: shortened sleep, irritability, the inability to switch off, a body that feels braced before the day has started. Working with stress and anxiety means working with the nervous system as well as the thinking mind, because one without the other tends not to hold.

Successful people often carry a private sense of not being enough. Imposter feelings, self-criticism, and the conviction that the next achievement will finally settle things are remarkably common at senior levels. The work is to understand where those patterns came from, and to build a steadier ground that doesn't depend on the next external confirmation.

There's a particular question that arrives in mid-career for many high-achievers: is this it? The life is impressive on paper and quietly unsatisfying in practice. This work creates the space to take that question seriously, without dismissing it and without making impulsive decisions about it.

Career change, divorce, bereavement, redundancy, retirement, the move out of a long-held role. Major transitions can destabilise even the most resilient people, partly because the old identity has to be put down before the new one is ready. The work is to make that passage less disorienting, and to use it well rather than simply survive it.

A limited number of Tuesday afternoon and evening appointments are available at Queen Anne Street W1. Other availability can be discussed. Monthly contracts and rates are agreed during the assessment meeting.

The standard therapeutic hour, held at the same time each week. This is the rhythm that suits most clients: frequent enough to build momentum, contained enough to fit around a demanding diary. In person at Queen Anne Street, or by secure video where in person isn't possible.

For clients who prefer a slower cadence with greater depth, fortnightly extended sessions allow time to move past surface processing into the more substantial work: the patterns underneath, the body's role, and how change actually settles into a working life. Often suited to executives whose diaries make weekly attendance impractical, or whose work needs the kind of considered conversation that doesn't fit into fifty minutes.

For travel weeks, international clients, or simply the privacy of working from home, secure video sessions hold the same therapeutic frame as in-person work. Many clients settle into a hybrid pattern: in person at Queen Anne Street when the diary allows, online when it doesn't.