The licensing board questions on every renewal have kept you from getting help for years. There's a version of this that doesn't involve your license. $300/session. Private-pay. Evenings and early mornings available.
You're used to functioning under pressure. Patients rely on you, colleagues trust you, and there's rarely space to stop moving long enough to notice how depleted you've become. The hospital tracks productivity, documentation follows you home, and after enough years of constant cognitive and emotional load, patients can start to feel interchangeable in a way that quietly unsettles you. I understand the specific toll medicine can take on a nervous system, a relationship, and a sense of self when you've spent years being the person everyone else depends on.
Many physicians become so adapted to chronic stress that their nervous system stops distinguishing between "busy" and "unsafe." Emotional flatness, difficulty being present at home, trouble resting on days off, and feeling strangely detached from patients are often signs of prolonged overexposure to responsibility and urgency — not personal failure. When your job repeatedly requires you to suppress your own needs to care for others, eventually your mind and body stop expecting care for yourself, too.
I do written case conceptualization, a treatment plan with measurable goals, and scheduled progress reviews every 6–8 weeks. If it's not working, we recalibrate. That's how I'd want my own healthcare to work.
Available before rounds and after shift end. Designed around the reality of hospital medicine and clinic schedules, not a 9-to-5 assumption.
Working outside insurance keeps your care more directly between you and your provider. A superbill is available after each session for out-of-network reimbursement if you choose to file one.
No affiliation with your health system, your employer, your department, or your credentialing body. Fully independent.
I understand what a 7-on-7-off schedule does to sleep architecture, what an RVU model does to the patient relationship, and what it means to hold someone's death and go straight to the next room.
You might recognize yourself here.
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A hospitalist eight years out of residency, working seven-on-seven-off at a major health system. He went into medicine because he genuinely cared about people. Now most days feel like a blur of documentation, admissions, discharges, and trying to keep up.
He’s still functioning. His patients like him. His colleagues respect him. From the outside, his life looks stable and successful.
But something feels different lately.
He’s more irritable at home. More emotionally flat at work. The things that used to help him reset — exercise, friendships, hobbies — quietly disappeared somewhere along the way. He keeps telling himself he just needs a real vacation or a lighter stretch of shifts, but deep down he knows exhaustion isn’t the whole story.
He’s thought about therapy before, but part of him struggles to imagine how talking about things would actually help. Nothing is technically “wrong.” He’s just starting to realize that constantly pushing through may no longer be sustainable.
The Investment
Sessions are offered through a private-pay practice. Superbills are available for clients seeking out-of-network reimbursement, which may offset a portion of the fee depending on your plan.
Working outside insurance allows for a more personalized, flexible, and thoughtful therapeutic process.
Book a free 15-min fit call →Almost certainly not. Most state medical licensing applications ask about mental health conditions that currently impair your ability to practice — not about whether you've sought treatment. Cash-pay means no claim is filed, so there's no record in any insurance database. My practice has no connection to your hospital system, credentialing body, or medical board. If you have a specific application coming up and want to review the exact language it uses, we can do that in the fit call.
No. I have mandated reporting obligations under California law — around imminent risk of harm to self or others, child abuse, and elder abuse. Those apply to all licensed therapists and are not specific to physicians. I have no reporting obligation to the medical board, your hospital's credentialing committee, or your malpractice carrier. Standard HIPAA protections apply to everything else.
If that's a genuine concern, it's the most important thing to raise in the fit call. I'll give you my honest clinical read. If a Physician Health Program, a partial hospitalization program, or a more intensive level of care is what the situation calls for, I'd rather tell you that directly than take you on as an outpatient client when you need something different. PHPs in California have more nuanced policies than most physicians assume — there's often more flexibility and privacy protection than the worst-case scenario people imagine. We can talk through the specifics.
Sessions are $300, paid directly after each appointment. This practice operates outside insurance, which means no claim is filed with a carrier on your behalf. After each session I provide a superbill — a formatted receipt — that you can submit to your personal plan for out-of-network reimbursement if you choose. Working outside insurance keeps decisions about your care more directly between you and your provider.
Yes. I have early morning and evening slots. Sessions are virtual only, so no commute. If your schedule rotates or changes month to month, we work with it. Most physician clients prefer a consistent weekly slot that doesn't compete with clinical hours — we'll sort out logistics in the fit call.
With the fit call — 15 minutes, no commitment, low stakes. If we move forward, the first one or two sessions are primarily assessment: I'm building a clinical picture of what's going on, what's maintained it, and what the relevant context is. You'll get a written case conceptualization after that period so you can see exactly how I've understood your situation before we begin formal treatment. You don't need to know how therapy works. That's my job to explain.
Not ready to book?
A self-reflection tool built around the patterns I see most often. Scores in your browser. No email required.
Take the self-reflection tool →15 minutes. You ask questions, I ask questions. No commitment. No sales pitch.
Book a free 15-min fit call →