Individual Therapy · San Francisco & Telehealth
One-on-one therapy for founders, entrepreneurs, and high-achieving professionals. In-person in San Francisco and via telehealth throughout California.
Why This Matters
There's an unspoken rule in startup culture: stay confident, project certainty, don't show weakness. Investors, employees, and co-founders are all watching. So you keep the real weight of it to yourself.
The anxiety, the doubt, the exhaustion that doesn't go away after a weekend off, these things don't resolve on their own. They compound. And at some point they start affecting how you lead, how you think, and who you are outside of work.
In a 2026 survey of 200 U.S. tech founders by Wilbur Labs, 87% said building a startup was lonelier than they expected.
Therapy gives you a place to be completely honest. Not to vent, but to actually work through what's happening and make sustainable changes in how you operate.
Is This You?
You push through, but it's getting harder. The energy you used to have for the work and the people in your life isn't there the way it used to be.
The anxiety follows you everywhere. Into meetings, into evenings, into sleep. The mental chatter doesn't turn off when you need it to.
The version of you that exists outside the company feels distant. You're not sure who you are when you're not working.
The more you've built, the more exposed you feel. Praise doesn't land. The fear of being found out is a constant background noise.
The people who matter most are getting what's left over after work. You know it. You don't know how to change it.
The mission that felt clear at the start feels harder to hold onto. You're not sure if the trade-offs are still worth it.
"Most founders I see are high-functioning and quietly struggling. Individual therapy for founders is not about crisis intervention. It is about making the work sustainable before something breaks."Ana Zedginidze, LPCC
The Work
Sessions are one hour, typically weekly. However, I know that a lot can change in a week, I meet with founders where they are and we made an individualized plan on how often you need to meet, understanding that it can vary.
We are here to understand what is driving what is happening now, and to change it. I work with founders on the specific pressures of building: the identity questions that come with being the one in charge, the anxiety that does not improve when the company does well, and the relationships strained by the weight of it.
You will be challenged. You will also be supported. The goal is not to manage symptoms but to create real, lasting change in how you think, lead, and show up in work and in life.
01
A 15-minute call to understand what's happening and whether we're a good fit. No commitment, no intake forms.
02
We start with what's most pressing. I'll ask questions, you'll talk. We'll figure out together what the work should focus on.
03
Ongoing sessions, usually weekly, one hour sessions. The cadence and focus evolve as things shift. We set a goal of the type of change you'd like to see.
04
Therapy isn't indefinite. When you've gotten what you came for, we wind down. You'll know when that is, and so will I.
What We Work On
Every founder's situation is different. The presenting issues vary, but they tend to cluster around a few core areas.
Not just tiredness — the kind of depletion that doesn't recover with rest. We work on what's driving it and how to build something more sustainable.
The startup environment rewards hypervigilance. At some point it stops being useful. We work on what the anxiety is actually protecting and how to turn the volume down.
The external evidence says you're doing well. The internal experience says otherwise. We go beneath the surface on why the gap exists and what keeps it there.
Who are you when the company isn't doing well? Who are you outside of founder? These questions matter and they're worth answering before they answer themselves.
Not balance — that's a myth for founders. Integration. How to be fully present in the parts of life that matter without the company consuming everything.
Building in a country that isn't yours. The pressure to perform, the cultural navigation, the isolation that can come with being first. This has its own particular weight.
Common Questions
The free 15-minute consultation is designed to answer exactly that. There's no commitment involved. It's a conversation to see if this kind of work makes sense for where you are right now.
Yes. Telehealth sessions are available throughout California. If you're in San Francisco, in-person sessions are available at 220 Montgomery St #600 in the Financial District.
I'm a private pay therapist. Many clients use out-of-network benefits or FSA/HSA funds to offset the cost. I provide a superbill for reimbursement on request. See the Fees page for details.
It depends on what you're working on. Some clients come for a focused stretch of a few months around a specific challenge. Others work with me longer as things evolve. There's no prescribed length. We go as long as it's useful.
Yes. Everything discussed in sessions is confidential and protected by standard therapeutic privilege. The only exceptions are narrow legal requirements that I'll explain at the start.
Currently Accepting New Clients
A free 15-minute call. No intake forms, no commitment. Just a chance to see if this is the right fit.
Book a Free Consultation