Leadership 1:1
Not another framework.
The leaders I work with don't need another framework. They need a room, once a week, where the answer isn't already expected of them.
Clinical psychology. PhD. 20 years. Not coaching.
“It's lonely at the top. The room here doesn't fix that. It just stops being one of the places where the loneliness is performed.”
— Dr. Jenny Starosta, PhD
Coach or psychologist.
A coach can keep you accountable to a plan. A clinical psychologist can also diagnose and treat the anxiety, ADHD, perfectionism, intrusive thoughts, and family-of-origin patterns that quietly degrade decision quality.
Some leaders need a coach. Some need a clinician. Some need both, in that order. This practice is the second one.
What I see in the work.
What I see most often in this work:
Decision quality under load
The 4 a.m. spiral that becomes a 9 a.m. judgment call. Anxiety patterns. Decision-fatigue. The small misjudgments that compound when sleep and recovery are the variables under-invested in.
The isolation of the role
Boards have agendas. Peers have agendas. Family carries the weight without the context. The room here has no agenda. That is the entire point of it.
The underlying clinical picture
ADHD that has been managed by sheer pace until the pace stopped being enough. Perfectionism that used to be the engine. Intrusive thoughts at 2 a.m. about the company. Family-system patterns that show up in how a leader runs a company, often without knowing it. Treated clinically, not coached around.
How the engagement is paced.
Fifty-minute sessions, weekly or every other week, with extended 75-minute sessions when the work calls for it. Telehealth across PA and NJ. In person in Conshohocken when preferred.
The cadence is set with the leader, not imposed. Brief 15-minute consultations between sessions are available for active clients when something can't wait.
Where do we begin?
The first appointment is fifteen minutes, and it's free. No paperwork, no diagnosis. Just enough time to see whether the work fits the way you actually move.
- 15 min
The first call
The first 15 minutes is on me. No commitment, no diagnosis. Just enough time to see whether this is a fit.
- intake
If we're a fit, the consult turns into intake
If we're a fit, the consult turns into intake. If we're not, I'll point you toward who can help.
- 50 min
The first session
Fifty minutes, by secure telehealth across PA and NJ, or in person at the Conshohocken office when preferred. We start where you are, not where a coach left off.
- weekly
Cadence in practice
Weekly or every other week, with extended 75-minute sessions when the work calls for it. Out-of-network self-pay or organization-sponsored retainer. Fees are discussed in the call. Monthly superbills go out for clients submitting for reimbursement.
- first month
After the first month
By the fourth or fifth session, the room has a shape. What I notice tends to settle. The work is usually quieter than the leader expected — and more useful.
Most first calls are scheduled within the same week — no insurance-referral chain to wait through.
If after the 15 minutes it's not a fit, that's a real outcome, not a failure. The whole point of the call is to find out.
When a company funds a leader's engagement, the work is still 1:1. Nothing about session content reaches the sponsor — that's documented in writing before the first session, not promised verbally.
Most leaders in this work had a coach first. That's not a wasted step. It's often the step that surfaces what coaching can't reach.
Two billing structures.
Self-pay
The leader pays directly. Out-of-network. Monthly superbill provided for reimbursement. Fees are discussed during the first call.
Organization-sponsored retainer
The company funds the engagement. The work itself is 1:1 and confidential. Nothing said in the room reaches the sponsor — that is documented in writing before the first session, not promised verbally. Inquiries: 2evolve@gmail.com.
Decision quality degrades months before it shows in outcomes.
A confidential first conversation.
The first appointment is fifteen minutes and doesn't cost anything. We see if the work fits.
Book a free 15-min call