High-level leadership can look like confidence on the outside while feeling stressed and unsure behind the scenes. Constant decisions, long hours, pressure to perform, and little room to be uncertain can take a toll. At The Midtown Practice, we offer therapy for executives who want a private space to think clearly, reset, and move forward with greater balance.
Who we work with
The Midtown Practice works with professionals whose careers demand focus, judgment, and sustained responsibility. Many are successful by traditional measures but feel increasingly stretched, isolated, or unsure how long they can keep operating at the same pace.
- Founders and entrepreneurs managing the weight of a growing business.
- CEOs, C-suite leaders, and senior executives carrying high-stakes responsibility.
- Attorneys and finance professionals navigating demanding hours and intense performance pressure.
- Newly promoted managers adjusting to leadership and changing workplace relationships.
- Physicians and healthcare leaders making difficult decisions under chronic stress.
- Creative, media, and public-facing professionals balancing visibility with personal pressure.
- Leaders moving through career transitions, mergers, exits, relocations, or job loss.
- High achievers managing anxiety, depression, ADHD, burnout, or relationship strain alongside work.
Therapy for high-achieving executives in NYC offers a confidential place to step outside the role, speak openly without judgment from staff, superiors, and stakeholders, and address what may be getting harder to carry alone.
Meet our NYC therapists for executives
Cliff Sobel
Before becoming a therapist, I spent decades as the CEO of an e-learning company and launched several start-ups. That experience gives me firsthand insight into the pressures executives face, from difficult leadership decisions to career obstacles and work-life balance. Today, I combine that business background with psychodynamic, existential, and cognitive-behavioral approaches. For executives who want a therapist who understands both the emotional and practical realities of leadership, I bring experience from both sides of the table.
- Offers therapy for executives ✓
- Credentials: Mental Health Counselor – Limited Permit #P138957
- Specialty Areas: Executive coaching, career obstacles, work-life balance, anxiety, depression, relationship difficulties, “gray divorce,” dating in NYC
- Location: 18 East 48th Street, Suites 1104 and 1202 Midtown East, Manhattan
- Virtual Therapy?: Yes
Dan Goodman
I bring more than two decades of psychiatric experience to my work with executives, along with firsthand experience as an entrepreneur. I founded three biotechnology companies that raised more than $80 million in private capital, so I understand the pressures of raising money, building teams, and leading through uncertainty. My approach is warm, practical, and highly individualized, combining psychotherapy, expert psychopharmacology, and, when appropriate, work that may feel more like executive coaching.
- Offers therapy for executives ✓
- Credentials: Psychiatrist
- Specialty Areas: Supportive psychotherapy, expert psychopharmacology, entrepreneurship and leadership pressure
- Location: 18 East 48th Street, Suites 1104 and 1202 Midtown East, Manhattan
- Virtual Therapy?: Yes
Jackie Siegal
I bring years of corporate experience and an MBA from NYU Stern to my work as a therapist for executives, giving me firsthand insight into office politics, career pressure, and the challenge of balancing leadership with life outside of work. My style is supportive, collaborative, and practical, with room for humor when it helps. I combine psychodynamic psychotherapy with cognitive behavioral strategies to help executives better understand patterns, manage stress, and navigate demanding professional and personal relationships.
- Offers therapy for executives ✓
- Credentials: Licensed Clinical Social Worker #089237
- Specialty Areas: Career challenges and workplace dynamics, anxiety, depression, trauma, grief, substance use, relationship and family issues, couples
- Location: 18 East 48th Street, Suites 1104 and 1202 Midtown East, Manhattan
- Virtual Therapy?: Yes
Julia Samton
As a psychiatrist board-certified in both Neurology and Psychiatry, I bring a distinct understanding of how sustained pressure can affect both the brain and emotional well-being. I tailor therapy for executives using psychodynamic therapy, ACT, CBT, mindfulness, and, when appropriate, medication management. My extensive mindfulness training and experience teaching corporate audiences also allow me to help leaders strengthen self-awareness, communication, and performance while finding healthier ways to manage the demands of professional life.
- Offers therapy for executives ✓
- Credentials: Psychiatrist
- Specialty Areas: Psychopharmacology, mindfulness and meditation training, executive stress, corporate wellbeing
- Location: 18 East 48th Street, Suites 1104 and 1202 Midtown East, Manhattan
- Virtual Therapy?: Yes
Jared Sossin
I work with adults navigating the modern pressures of career, identity, and relationships — including the ones that never make it onto a résumé, like screen time quietly eroding your focus and your evenings. My approach is grounded in Acceptance and Commitment Therapy, existential and emotion-focused work, and a decade of meditation practice. Sometimes our work means compassionately challenging the contradictions in how you’re currently living.
- Offers therapy for executives ✓
- Credentials: Licensed Mental Health Counselor #017902
- Specialty Areas: OCD, mindfulness and meditation, burnout, psychological flexibility, career and identity
- Location: 18 East 48th Street, Suites 1104 and 1202 Midtown East, Manhattan
- Virtual Therapy?: Yes
Eve Josephson
I began my career in Human Resources, where I worked closely with employees and saw how often high performers were carrying stress privately. That background gives me a practical understanding of workplace dynamics, competing demands, and the pressure to keep functioning even when something feels off. In therapy for executives, I use CBT, DBT, ACT, and supportive therapy to help clients define what feeling better looks like, set actionable goals, and make meaningful changes with warmth and encouragement.
- Offers therapy for executives ✓
- Credentials: Licensed Clinical Social Worker #102208
- Specialty Areas: Work/life balance, life transitions, anxiety, depression, clients from diverse backgrounds and cultures
- Location: 18 East 48th Street, Suites 1104 and 1202 Midtown East, Manhattan
- Virtual Therapy?: Yes
Ariella Dagi
I work with executives who want to better understand the patterns influencing how they think, relate, and respond under pressure. My background across medicine, psychotherapy, and both the public and private sectors helps me appreciate the complexity of demanding professional lives. I combine psychoanalytic and cognitive behavioral therapies with psychopharmacology when appropriate, taking a warm, candid, and collaborative approach. Together, we clarify what is getting in the way and develop treatment around your individual values, goals, and needs.
- Offers therapy for executives ✓
- Credentials: Psychiatrist
- Specialty Areas: Depression, generalized anxiety, panic, OCD, relationships, self-perception, life transitions, loss, psychopharmacology
- Location: 18 East 48th Street, Midtown Manhattan
- Virtual Therapy?: Yes
How executive therapy can help
A place where you don’t have to perform
Executives are expected to project confidence, even when they feel uncertain, frustrated, or overwhelmed. Therapy for high-achieving executives in NYC offers a private setting where you can step out of that role. You can talk honestly about doubts, difficult decisions, resentment, burnout, or fear without worrying about how your reactions will affect the team, board, or investors.
Sustainable performance instead of burnout
Burnout can develop gradually through overwork, perfectionism, difficulty delegating, or feeling responsible for everything. An executive therapist can help you recognize the patterns that keep you operating at an unsustainable pace and develop healthier ways to manage responsibility without sacrificing your effectiveness, relationships, or well-being.
Think more clearly under pressure
When stress becomes chronic, it can make it harder to focus, weigh options, and respond thoughtfully. Our clinicians may use approaches such as CBT, ACT, and mindfulness to help you recognize stress responses and create more space between pressure and action. The goal is greater flexibility and clearer decision-making when the stakes are high.
Protect your relationships outside of work
A demanding career can leave little energy for the people who matter most. You may be physically home while still thinking about work, or find that stress makes you more impatient and withdrawn. Counseling for professionals in New York can help you establish realistic boundaries, communicate more effectively, and be more present in your relationships outside the office.
Common reasons why executives seek therapy
- You keep replaying conversations or decisions long after the workday ends.
- A promotion or major career milestone brings more anxiety than satisfaction.
- You have little patience left for your partner, family, or friends after work.
- Everyone turns to you for answers, but you have few places where you can be fully honest.
- You worry that your success is temporary and that eventually you will be exposed as not good enough.
- You rely more on alcohol, work, screens, or other habits to decompress at the end of the day.
- Your focus, motivation, or ability to make decisions feels noticeably different than it used to.
- You have achieved many of the goals you worked toward but still feel disconnected, restless, or unsure what comes next.
- You are concerned about how your current pace will affect your health long-term.
What to expect from the therapy process
1. Schedule a free consultation call
Start with a free consultation, where you’ll speak with our Clinical Coordinator about what’s bringing you in, what you’re looking for, and practical considerations such as scheduling, virtual sessions, or in-person care.2. Get matched with the right clinician
We consider clinical expertise, personality fit, and your specific goals when recommending a therapist. You’ll have the opportunity to speak with that clinician and decide whether the fit feels right.
3. Set a plan and a pace that fits your life
In your first sessions, you and your clinician will clarify your goals and determine the right pace for treatment. Because we offer psychotherapy and psychopharmacology within the same practice, your care can evolve as your needs change.
FAQs about therapy for executives
Therapy for executives is psychotherapy that takes the realities of leadership into account, including high-stakes decisions, visibility, long hours, isolation, performance anxiety, and sustained pressure. The clinical work is evidence-based, but the context matters. Working with a therapist who understands executive life can make it easier to get to the issues that need attention without spending sessions explaining the demands of your role.
Executive coaching typically focuses on performance, leadership skills, communication, and professional goals. Therapy goes deeper into the emotional and psychological patterns that may affect how you function under pressure, such as anxiety, burnout, perfectionism, trauma, or relationship difficulties. Some Midtown clinicians, including Cliff Sobel and Dan Goodman, have experience working across both therapy and executive coaching.
Yes. Therapy is confidential and protected by law, with limited exceptions that your clinician will explain at the beginning of treatment. We don’t share information with your employer, board, colleagues, or other third parties without your permission unless legally required. For many executives, therapy offers a rare space where there is no audience, agenda, or professional role to manage.
No. The Midtown Practice is a private-pay practice, which means we’re not constrained by insurer requirements around session length, frequency, or diagnosis. We can provide an invoice that you may submit to your insurance company for possible out-of-network reimbursement. Our Clinical Coordinator can also answer questions about fees and help you understand the practical details before you begin.
Yes. Many of our clinicians offer extended hours, along with in-person, virtual, and hybrid appointments. This flexibility can make executive, professional, or CEO therapy in NYC more manageable during busy periods, travel, or changing work schedules. You don’t need to commit permanently to one session format.
