The people I see run companies, lead teams, and make decisions that affect many lives. It might be the sense that the drive that got them here is starting to cost too much, or the gap between who they are at work and who they want to be at home. It might be grief, a transition, a marriage under strain, or the weight of always being the capable one.
Often, they haven’t really talked about it with anyone. Therapy is where they finally do.