Virtual psychotherapy for leaders and high-responsibility professionals across California navigating exhaustion, grief, identity shifts, transition, deconstruction, and the psychological weight of carrying significant responsibility.

You may be accustomed to being the person others rely on. The one expected to remain clear, capable, composed, and decisive. Therapy offers a private place to examine what is happening underneath that responsibility and how it is shaping the way you live, lead, relate, and make decisions.

Therapy for Leaders: An Overview

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Licensed Marriage & Family Therapist · Virtual therapy for California residents

The Inner Life of Leadership

Leadership does not exist separately from the person doing the leading.

The beliefs, fears, losses, expectations, and adaptations we carry influence how we make decisions, respond to pressure, relate to others, and shape the systems around us.

Unexamined grief can become rigidity. Fear can become control. Exhaustion can become culture. A need for approval can influence decisions long after it stops being conscious. Inherited beliefs can quietly shape what is rewarded, what is tolerated, and what becomes possible for the people around us.

What May Bring You Here

You do not need to arrive with a perfectly defined problem. Often several things are happening at once.

Executive Burnout

Years of being relied upon can make it difficult to recognize your own limits, desires, resentment, or exhaustion.

This work may include chronic responsibility, decision fatigue, difficulty disengaging, relational strain, loss of motivation, perfectionism, and the pressure to remain functional even when something internally is asking for change.

Some seasons alter more than your circumstances. They change your relationship to who you have been.

This may include career transitions, relationship changes, loss of a loved one, aging, family shifts, changes in ambition, loss of faith or community, or the realization that a life you worked hard to build no longer fits in the same way.

Identity, Transition & Loss

Trauma & EMDR

Earlier experiences can continue to influence present-day choices, relationships, emotional responses, and leadership patterns.

When appropriate, I incorporate EMDR into treatment to help process unresolved experiences that continue to carry emotional or physiological charge.

Deconstruction As part of the work

Sometimes it involves faith. Sometimes it involves family roles, professional identity, cultural expectations, leadership norms, relationships, or beliefs about what makes a person worthy, successful, good, or safe.

It is the process of examining what you have inherited, what you have adapted to, and what you continue to believe because it is actually true for you.

That process often includes grief. There may be relationships, identities, ideals, communities, or versions of yourself that cannot come with you unchanged.

My role is to help you think more freely, tolerate the complexity of what you discover, and develop greater authority over the life you choose to build with the information.

How I work

My approach is integrative, relational, trauma-informed, and systems-oriented.

I do not organize treatment around a single modality. The person in front of me, the systems around them, their history, and the realities of their current life shape how we work together.

I value depth and movement. Insight matters when it changes how you understand yourself, make decisions, relate to others, and participate in your life.

Our work may include: 

  • Cognitive and behavioral strategies
  • EMDR (if appropriate)
  • Existential work
  • Somatic re-experiencing
  • Practical decision support
  • Attention to relational and systemic dynamics.

The goal of therapy is not simply to help you tolerate a life that no longer fits.

Our work is often about developing greater clarity, discernment, self-trust, and freedom from the narratives or patterns that constrain how you live.

I often think of this as learning to live, lead, and create from a more liberated self.

What we're working toward

Who I Work With

I work with leaders and high-responsibility professionals, including executives, founders, clinicians, entrepreneurs, and organizational leaders whose work requires sustained responsibility, judgment, visibility, and decision-making.

Many are deeply capable people accustomed to functioning while carrying a great deal internally. Therapy offers a place where you do not have to manage perception, perform competence, or remain the person who has everything handled.

Logistics

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Location
Virtual therapy for clients located in California.

Sessions
50 minutes. typically bi-weekly.

Investment
$225 per session.

EMDR
Available when clinically
appropriate .

Payment
Private pay. HSA.
I do not accept insurance.

FORMER CLIENT

What started as work around self-compassion and acceptance eventually led me to a truth I didn’t expect: I was ready to leave my marriage and forge a new path. Nichomi created a space where I could own that truth—even when it scared the hell out of me.

FORMER CLIENT

Much of my career was spent rising through the leadership ranks—but I never expected that stepping into an executive role would stir up so many fears and insecurities. I’ve worked with plenty of therapists and coaches over the years, but working with Nichomi has been the most transformative by far.

FORMER CLIENT

What I loved most about working with Nichomi was the phrase "now that you're aware of that, what do you wanna do about it?".  It's become my mantra, lol. She isn't pushy; but she will always challenge you to remember your authority. She's just compassionately real! 

FORMER CLIENT

Listen if folks are not really committed to honest engagement with themselves, they may not be ready for Nichomi. But if they are, they are in for life altering insights and realizations.

Nichomi Keeps it 100!

Here's What My Clients say...

KIND WORDS FROM MY CLIENTS

For confidentiality purposes, client names have been withheld. 

FAQs

Is this therapy or coaching?

Do you accept insurance?

I do not accept other insurance directly, but many clients receive reimbursement through out-of-network benefits.  I work with Mentaya to help you understand your out-of-network benefits and if eligible, get reimbursed for therapy. We can discuss during consult. 

Can I use my Health Savings Account (HSA)?

Yes. If I am providing licensed therapy services, HSA funds can typically be applied toward your sessions. We can confirm the details during your consultation.

How Often Do We Meet?

To allow space for deep integration my practice operates on a bi-weekly model focused on deep integration. If you are currently navigating a crisis that requires acute stabilization or weekly support, this container may not be the right clinical fit for your current needs.

Do you work with international clients?

For therapy, I am licensed in California and can only provide clinical services to clients located within the state. For executive coaching and consulting, I work with clients across the U.S. and internationally, including the UK and Europe. Visit the coaching and consulting page to learn more.

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