Therapy for Executives

Experienced CEO therapist serving executives in 42 states nationwide

  • Over a decade of experience helping high-achieving executives navigate burnout and stress

  • Firsthand insight into high-pressure environments from previous experience in management consulting and investment banking

  • PhD-level clinical psychologist with training from top institutions

  • Specialized psychodynamic approach that addresses both immediate concerns and underlying patterns

  • Completely confidential services with no in-network insurance reporting

  • Flexible virtual sessions that accommodate demanding executive schedules

For many executives, chronic stress feels like part of the job description.

You've grown used to high-pressure environments throughout your career. Maybe you've pulled yourself through by putting your head down through the tough times and telling yourself that things will get better once you reach the next milestone in your business, secure that new investor, or hit that revenue target–only to find that the relief is fleeting, and the pressure just keeps getting more and more. The goalposts keep moving, and so the stress keeps mounting, leaving you running on fumes, all while feeling like you have to outwardly look like you’ve got it all together.

But each time you achieve those goals, nothing really changes. The pressure doesn’t let up–it just shifts to something else. You still find yourself feeling constantly drained, exhausted, overwhelmed, disconnected, and even questioning your passion for the work that once energized you.

 

You've worked incredibly hard to build a successful career. You're not only a high achiever, but also used to functioning at peak performance despite pushing yourself to extreme limits. But after maintaining this pace for so long, it’s all too easy to lose touch with your own health and well-being on so many axes–be it physical, mental, emotional, personal, and professional. 

Your role as an executive has become so intimately tied to your identity and self-worth, that now it can feel incredibly unsettling and anxiety-provoking when you notice burnout creeping in. On the surface, you may no longer be satisfied with work and all your professional accomplishments. But on a deeper level, you might be questioning whether your obsessive focus on achievement and accomplishments still brings you meaning. It’s not just fatigue–it’s a deep-seated fear that something essential may be slipping away. 

therapist for executives

When they first come in, my clients struggle with many signs of executive burnout. They feel like they were barely holding it together. Not just tired, but profoundly exhausted. Utter exhaustion and overwhelm: physical, mental, and emotional. Decision fatigue weighs heavily on them. What once felt like strategic challenges to overcome now just feels like endless obligations and demands. Cynicism is creeping in–towards colleagues, stakeholders, and even teams and direct reports they once loved leading. 

At home, things aren’t much better. They feel disconnected from loved ones and that there's no time or energy to give to anyone else, much less themselves. No time to come down from the adrenaline of the day. Sometimes, things feel so bad that they wonder what life would be like if they stepped down from their executive leadership position.

Before they came to see me, they worried that CEO therapy would be yet another stressful, time-consuming commitment to add to their already-packed schedule. The idea of carving out one more obligation in an already overloaded schedule felt almost impossible. They dreaded the idea that they would spend more time having to explain the unique pressures of executive leadership to their therapist than actually addressing the problems they were there to work through.

That's where I come in.

My executive clients struggle like you do—and therapy has helped them.

therapist for executives
therapy for executives

Meet Annia Raja, PhD

Executive therapist serving California, Texas, and 42 states nationwide

Whether you're a CEO, founder, C-suite executive, or other high-level leader, I'm here to help. I’m here to offer support that actually meets you where you’re at–with insight, respect, and a deep understanding of the world you operate in. I believe that working with mental health professionals who truly understand your reality and lived experiences is key to forming a strong therapeutic connection to facilitate your personal growth.

I'm a clinical psychologist with over 10 years of experience helping high achievers struggling with anxiety, burnout, and many other concerns–including the quieter, more complex struggles that success often masks. 

But before becoming a psychologist, I worked as a Management Consultant at Boston Consulting Group and as an Investment Banking Analyst at Morgan Stanley, giving me firsthand insight into high-pressure professional environments. So trust me, I know what it’s like to operate under relentless pressure, to live by client demands and performance metrics, to chase results at all costs while silently ignoring what it’s costing you.

This dual lens of clinical expertise and prior experiences in high-pressure corporate environments allows me to bring something different to the table. It has prepared me to understand the unique challenges faced by executives and other high-performing professionals. 

I don’t need you to explain the realities of board meetings, investor expectations, or the constant tension between visionary leadership and daily operations–I already get it. That means we can get to the heart of the matter more deeply: what’s not working, what’s keeping you stuck, and how to create meaningful change—both in your work and in your personal life. I've developed deep familiarity with the systemic realities, pressures, and demands of executive leadership and helped numerous professionals navigate the unique professional challenges you experience.

My approach to executive therapy

Executives are highly vulnerable to burnout. Not just because of external demands, but also because of internal dynamics that often go unnoticed over time. Yes, organizational and environmental stressors play a part, but they're often only one piece of the puzzle. 

There are also individual patterns, beliefs, and stuck points that may make you more susceptible to getting burned out. Deeply ingrained patterns like perfectionism, overfunctioning, overresponsibility, a relentless drive to always be proving, or early experiences that taught you to equate success and achievement with self-esteem and self-worth. Therapy is an opportunity to dive deep into your unique patterns and beliefs as a means for your personal growth and healing.

My mental health services for executives draw on an in-depth, psychodynamic approach. Therapy in my practice allows a rare but necessary opportunity to pause and step outside the constant urgency, instead turning your attention and focus inward. Together, we'll gain a deeper understanding of the internal patterns, traits, and formative experiences that may be fueling your struggles. 

This isn’t about surface-level bandage fixes. It’s about getting to the roots of what’s happening so that real, lasting change can become possible. From there, we can forge a path forward to help you be more present, secure, fulfilled, and more.

I also forge a deep therapeutic relationship with my clients, where we go beyond simply targeting symptoms or trying to "fix" our way out of hard stuff. In my work with executive clients, I prioritize a strong, collaborative, and trusting therapeutic relationship where we can be deeply curious together. 

From a space of deep curiosity, reflection, and exploration, we will discover how certain patterns and experiences may be hurting you, keeping you stuck, and getting in the way of leading a richer and more fulfilling life—both personally and professionally. Over time with this process, my executive clients start to feel more grounded, more connected, and more aligned–not just in their careers, but in their whole lives.  

How to get started

Step 1

Schedule a complimentary consultation

The first step is to book a free 15-minute consultation call. Taking that first step toward therapy can feel like a risk, I know, especially when you’re used to being the one who is expected to have all the answers. This consultation call is our chance to connect with no pressure or commitment. We’ll briefly discuss what's bringing you to therapy, what you’re looking for, and start feeling out whether it feels like the right fit for both sides in working together. Schedule yours here.

Step 2

Complete initial paperwork

If we decide to move forward after our consultation, I'll securely send you electronic intake forms to complete before our first session. These forms gather important background information about your history, current concerns, what you’re hoping to get out of therapy, etc. before we begin our work together.

Step 3

Attend your first session

During our first full session, we'll dive deeper into your current struggles, your background, and what you hope to achieve. Don’t worry, you don’t have to have it all figured out; therapy will be a space where it’s okay to show up exactly as you are. I'll explain more about my approach and answer any questions you may have. This session is a two-way conversation: just as I begin to understand your world, you’ll get a feel for whether this space feels right for you. Our time together will be as much about you getting to know me as it is about me getting to know you.

Step 4

Establish a regular schedule

If we both feel like things feel aligned for starting therapy together, then we’ll talk more nitty-gritty about scheduling. Most of my executive clients find that weekly sessions provide the consistency and momentum needed for meaningful progress, though more frequent sessions are also both possible and common. And something to know, too, is that I do require a minimum once-a-week commitment to starting and maintaining therapy together.  

Common reasons why people start executive therapy

therapist for executives
  • The relentless pace and high stakes of executive positions often lead to burnout that goes beyond ordinary fatigue. The pressure to perform, decide, lead, and deliver–day after day, quarter after quarter–can quietly erode even the most resilient leaders. 

    Many executives come to therapy when they notice they're depleted of their usual mental and emotional resources, find themselves emotionally exhausted, or feel a sense of cynicism about work that wasn't there before. 

    You might find yourself just going through the motions like an automaton, feeling increasingly disconnected, or snapping more at people you genuinely care about. The very traits that made you so successful, like drive, grit, and high standards, can end up turning against you. 

    Together, we can identify the specific factors contributing to your burnout and develop strategies to restore your energy and engagement, both at the office and at home.

  • Many executives reach a point where life starts to feel muted. Executives often describe a sense of emotional numbness or disconnection that develops gradually. Wins don’t feel like wins. Time with loved ones feels distant. You may be showing up, performing, achieving, but inside, there’s a growing sense of detachment or emotional numbness. 

    This emotional flattening is often a protective response to chronic stress, so it makes sense–but it doesn’t have to keep being this way. Therapy can help you explore what’s been buried or pushed aside. Together, we’ll work to reconnect with your inner landscape in a supported way to help you feel more present, alive, and grounded.

  • Whether you're selling a company, entering into a new leadership role or stepping down from an old one, starting something new, or experiencing major life events like divorce, parenthood, or an illness/health scare, these transitions challenge and rattle even the most grounded executives. 

    When so much of who you are has been defined by what you do, these changes can trigger profound questions about purpose and meaning, as well as surface unexpected feelings like grief, anxiety, depression, or overall disorientation. 

    Executive therapy offers a space to explore these changes with care and curiosity. Together, we’ll examine what’s shifting–not just externally, but internally–to help you reconnect to meaning, purpose, and fulfillment. Together, we’ll create space to navigate these transitions and discover who you are beyond your professional achievements.

  • Many executives struggle with being constantly "on," unable to relax or rest, and finding themselves catastrophizing or struggling to delegate control. Even off the clock, your mind may still be racing: replaying meetings, running through scenarios, anticipating worst-case outcomes. You might struggle to delegate, feel agitated during downtime, or lie awake at night thinking about everything that could go wrong. 

    This vigilance may have served you well in building your career, but it comes at many costs. It takes a significant toll on your mental and physical health by wearing down your nervous system, clouding your decision-making, and creating a life where rest feels impossible and joy feels fleeting. 

    In therapy, we’ll explore the deeper roots of this mental intensity–not just how to manage it, but why it developed in the first place. Together, we’ll explore how you can create more internal space to quiet the noise, release control when appropriate, cultivate a kind of grounded leadership that doesn’t constantly require you to sacrifice your peace, and create boundaries that support both your career and your well-being.

  • You’ve checked all the boxes–the titles, the compensation, the accolades, the prestige, and social reputation–and yet, something feels off. The victories that once fueled you now feel empty and hollow. You might find yourself asking, “Is this it?” or “What now?”,  wondering why each new achievement fades so quickly into the background noise of your never-ending to-do list.

    For many executives, the goal posts keep moving, and the drive that got them to the top has now become an unending hamster wheel that they can’t step off. This internalized drive for constant achievement and recognition can leave you feeling aimless and unfulfilled, no matter how high you climb. These are really common experiences among successful executives. 

    In therapy, we create space to pause that relentless motion and listen inward. Together, we’ll explore what actually lights you up, what values feel true (not just impressive), and what kind of life feels worth living even (and especially) when no one else is watching.

  • Work demands often strain personal relationships, leading to partner resentment, children feeling neglected, or work stress bleeding into home life. You may find yourself distracted during dinner, emotionally unavailable with your partner, or missing key moments in your children’s lives. Over time, this can lead to distance, resentment, and a painful sense that the people you love most are getting what’s left of you, not the best of you.

    Many executives seek therapy when they realize their professional success has come at the cost of their most important relationships. They come to therapy when professional success has quietly started to cost them the closeness and connection they long for. Together, we’ll explore how to create more sustainable boundaries between work and home, repair strained relationships, be more emotionally present with loved ones, and help you show up more fully, not just as a leader, but as a partner, parent, and human being.

  • For many executives, perfectionism isn’t just a trait–it’s a survival strategy. But over time, obsessive standards, problems celebrating wins, anxious rumination about setbacks, and constantly moving goal posts can trap executives in cycles of dissatisfaction despite objective success. 

    Holding yourself to impossibly high standards may have fueled your professional success, but it can also leave you feeling like nothing is ever enough. Celebrating wins feels fleeting or undeserved, while even minor missteps spiral into harsh self-criticism and sleepless nights.

    While high standards may have driven your achievement, unchecked perfectionism can lead to chronic stress and diminished joy. Together, we’ll unpack the deeper roots of these patterns: where they come from, what they protect, and how they might be limiting you now. Executive therapy can help you maintain excellence while developing more self-compassion and a healthier perspective on achievement and setbacks.

  • Many executives experience profound loneliness at the top. When you feel responsible for everything, it can seem like there's no safe place to fall apart, question things, or just speak honestly—certainly not with colleagues, sometimes not even with loved ones. 

    With few peers to confide in and the need to maintain professional boundaries with team members, leaders often lack safe spaces to process their thoughts, feelings, and professional or personal challenges. 

    Executive therapy provides a confidential, judgment-free space where you don’t have to lead, fix, or perform for anyone. It’s a space where you can just be human and be met with understanding, not expectations.

  • For many executives, work doesn’t just bleed into personal life–it instead swallows it whole. The demands of executive positions often lead to significant imbalances between professional and personal life. 

    Many leaders come to therapy when they realize they've been missing important family moments, neglecting personal relationships, or sacrificing their own health for work responsibilities.

    Long hours, constant availability, and the pressure to always be "on" can slowly erode connection, joy, and even your sense of self outside of work. Therapy can help you recalibrate these priorities and create sustainable boundaries.

  • Even the most strategic career moves can stir up unexpected uncertainty. Whether you’re stepping into a new executive role, preparing to exit, navigating an organizational shake-up, or considering a career pivot, major professional transitions can often trigger significant identity questions and stress.  Who are you without this title, this team, this mission? What does it mean to stay… or to walk away? 

    Executive therapy offers a steady, thoughtful space to navigate the emotional and psychological terrain of these transitions, while also helping you maintain your effectiveness and well-being. Together, we’ll explore what’s being lost, what’s emerging, and how to move forward with clarity, purpose, and self-alignment. 

  • Even highly accomplished executives can struggle with self-doubt, perfectionism, and fears of being "found out" as inadequate.  These anxieties often live in silence because vulnerability can feel like a liability in leadership. 

    Therapy offers a space to address these feelings and develop more self-compassion and confidence in your capabilities. Together, we’ll explore the origins of that critical inner voice, challenge the harsh narratives that keep you stuck, and work to build a deeper, more grounded sense of self-trust that’s based on who you actually are as a whole person–not on what you “do”.

executive counselor

How an executive therapist can help you

  • High-level leadership often rewards relentless drive, yet it rarely makes room for being kind to yourself. You're used to pushing hard through exhaustion, holding yourself to impossible standards, and carrying the weight of everything and everyone. While that’s admirable and completely understandable, that internal pressure can take a serious toll on your mental health–fueling more guilt, shame, and burnout over time. 

    Therapy can help you boost your self-compassion without sacrificing professional effectiveness by offering a space to unlearn the belief that being hard on yourself is the only path to success. Being kinder to yourself can help you reduce shame for mistakes, delegate tasks without guilt, take time off work for meaningful rest, or put your own needs first. Because leadership rooted in self-compassion isn’t weakness—it’s wisdom.

  • When you’ve spent years (or decades) leading at the highest level, being an executive can become central to how you see yourself. It’s all too easy for your identity to become inseparable from your title, your company, or your next big milestone. It fundamentally shapes how you think about the world and how you interact with others. 

    This isn't inherently problematic. However, it adds significant pressure and can make it challenging for leaders to prioritize their personal lives. The constant, unrelenting pressure to keep firing on all cylinders at work can leave little room to ask deeper questions like: Who am I when I’m not succeeding at work? What matters to me outside of this?

    Together, we’ll explore what brings you meaning beyond the bottom line. In executive counseling, we’ll look at how to honor your ambition without being consumed by it. Together in executive therapy, we’ll explore what other areas of your life can give you pleasure and meaning, and how you can create a secure, well-rounded sense of self beyond your career achievements and responsibilities. And we’ll help you build an identity rooted not just in what you produce, but in who you are, especially in moments when no one is watching.

  • Even the most successful leaders hit invisible walls, whereby they repeat patterns that keep them stuck despite their intelligence and drive. Many executives discover that their leadership effectiveness is limited by personal dynamics that therapy can help address. Whether it's difficulty delegating, challenges with emotional regulation during stress, or struggles with clear communication, therapy can help you identify these patterns and develop more effective approaches.

    Executive therapy creates a space to look beyond what’s on the surface and instead work to examine how your personal history and psychology influence your leadership style, helping you leverage your strengths while addressing areas that may be holding you back.

  • Burnout for executives rarely looks like total collapse. Instead, it often shows up as quiet depletion–you may still be high-functioning on the outside, but inside, you’re running on fumes. In executive therapy, we’ll look beneath the surface to understand what’s driving the overwork and perfection. 

    We’ll identify unconscious patterns (e.g., internalized expectations, fear of losing ground, lifelong patterns of tying your self-worth to productivity, and more). From there, we’ll begin to reshape your relationship to work to be more human, sustainable, and reasonable. 

    Through our work together, you'll discover how to engage with your leadership role from a place of choice rather than compulsion, allowing you to perform at your best without depleting your internal resources. The goal isn’t to abandon ambition altogether; it’s instead to stop letting it run you into the ground.

  • When success leaves you feeling oddly empty or questioning "what's next," therapy helps you reconnect with your core values and deeper sense of purpose. Together, we'll explore what truly matters to you beyond external markers of success and develop a more expansive definition of meaningful living. 

    This process allows you to build fulfillment across multiple dimensions of your life, creating a sense of wholeness that doesn't depend solely on professional accomplishments. Many executives find this expanded sense of meaning enhances both personal satisfaction and leadership effectiveness.

  • Executive roles often require high-stakes decision-making, difficult conversations, and calm in the face of chaos. These constant demands can trigger high stress responses that cloud judgment and strain relationships. 

    In executive therapy, you'll develop greater awareness of your emotional patterns and practical strategies for maintaining calm and clarity when both stakes and tensions are high. This could include things like defensiveness during conflicts, impatience under pressure, shutdown when things feel out of control, or lashing out at loved ones at home to release the pressure valve. 

    Together, we will explore these patterns deeply to better help you regulate your nervous system, increase your mindfulness, and better equip you to respond with intention instead of reactivity. This emotional mastery translates directly into better decision-making, more authentic communications, and improved ability to inspire and support your team through challenges.

  • Even at the executive level, many leaders privately struggle with feelings of inadequacy, fear of being "found out" despite their accomplishments, and other feelings and experiences reminiscent of imposter syndrome. These impostor feelings often stem not from incompetence, but from unrealistic internal expectations and the isolation that comes with leadership.

    Therapy helps you recognize these impostor experiences as common among high-achievers and transform them into opportunities for authentic leadership. Together, we’ll unpack where these doubts come from, be it early experiences, excessively high internalized or externally imposed standards, or environments where vulnerability was seen as weakness., We’ll also challenge the myth that leadership requires perfection, and build a more grounded sense of worth that’s not tethered to constant achievement.

    By embracing appropriate vulnerability and acknowledging both strengths and limitations, you can develop a more genuine leadership presence that builds trust and psychological safety within your organization at work, as well as with your loved ones and community in your personal life.

FAQs about working with a CEO therapist

  • An executive therapist is a mental health professional who specializes in working with high-level leaders, understanding the unique pressures, leadership challenges, and responsibilities they face. Their services go beyond traditional therapy, which is more broadly focused on mental health and well-being, and hone in on the specific experiences and unique psychological landscapes of high-powered professionals, CEOs, founders, and top-tier leaders. The pressures faced by executives—from the constant demands of decision-making to the emotional weight of responsibility in high-stakes situations–can require a different kind of therapeutic support rooted in trust alongside directness, honesty, frankness, emotional exploration, and more.

    As a therapist for CEOs, I have both clinical expertise and professional experience that allows me to understand the realities of leadership roles and high-pressure corporate environments. Having worked within those systems myself, I understand how isolating the weight of success and failure can feel. I provide a confidential space where executives can process their stress and emotional toll, navigate challenges, explore their identity beyond their professional role, and develop strategies for maintaining both well-being and effectiveness. We'll also look beyond the professional facade by exploring who you are outside of your title and how you can reclaim a more balanced, authentic sense of self.

  • Executive therapy and executive coaching serve different purposes, though there can be some overlap. Executive coaching typically focuses on professional development, leadership and communication skills, and achieving specific business objectives. It's primarily future-oriented and action-focused. While executive coaching typically focuses on performance, leadership strategies, and achieving external goals, executive therapy goes deeper. It creates space to explore the internal world that drives how you show up — not just at work, but in your life.

    Executive therapy, on the other hand, addresses the psychological and emotional aspects of leadership. Executive therapy invites you to look at the deeper emotional undercurrents of your life and mind–the self-doubt, the perfectionism, the burnout, the identity struggles that are silently shaping your leadership and your overall quality of life. 

    As a licensed clinical psychologist, I’m also trained to help with complex mental health issues that can quietly erode leadership effectiveness—anxiety, depression, chronic stress, relationship difficulties, and trauma (to name a few). I help my executive therapy clients explore how personal patterns, past experiences, and psychological factors influence their leadership style and well-being. While we certainly discuss professional challenges, executive therapy also examines how these connect to your overall mental health, relationships, identity, and life satisfaction. And unlike coaching, therapy is bound by strict healthcare privacy and confidentiality laws, which can offer a deeper sense of safety when discussing sensitive or personal matters.

    Many executives find value in both services at different times—coaching for specific professional skill development and therapy for deeper personal growth and well-being.

    Therapy also offers something executives rarely get: a space where you don’t have to perform, solve, or strategize. Where you can be uncertain, overwhelmed, or even lost while still being met with empathy, clarity, and insight. Executive therapy helps you both to feel better and understand yourself more deeply.

  • Yes, I provide executive counseling exclusively online. This allows me to offer mental health care to a wide range of executives across the states of California, Texas, and more through secure video conferencing technology. 

    For many executives, time is your most limited and fiercely protected resource, and so my executive clients appreciate online therapy for its convenience. Between back-to-back meetings, travel, and high-stakes decision-making, carving out space for yourself can feel nearly impossible. 

    I recognize that your busy schedule doesn't allow for much extra time, so being able to quickly join virtual sessions from your office, home, or on the road can be invaluable. Virtual therapy makes that space more accessible without sacrificing depth, quality, or privacy. All sessions take place via a HIPAA-compliant platform to ensure that your privacy is protected.

therapist for executives

Start working with an executive therapist today

Whether you feel increasingly detached from your work due to stress, or you struggle to make time for anything other than your professional responsibilities, executive counseling can help. Therapy won't necessarily change all the stressful situations in your life, but it can transform the way you handle them.

I recognize that seeking therapy can be difficult for anyone, especially those in high-powered positions where privacy is a particular concern. That's why I offer complimentary 15-minute consultations so you can get a better feel for who I am and how we can work together to process your feelings and experiences, improve your interpersonal relationships both inside and outside of work, and explore your identity beyond being a leader.

Whether you're navigating burnout, longing for more balance, or simply ready to take a closer look at what’s beneath the surface—I’m here to help. You don’t have to figure it out alone. I look forward to hearing from you and joining you on your path toward greater balance, self-care, and personal and professional fulfillment.

Through online therapy, I am able to see clients based anywhere in California, Texas, and any of the following states:

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