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jj almond

THERAPY FOR Executives, Leaders & C-Suite Professionals

You lead teams. You make decisions that shape organisations, livelihoods, careers. From the outside, the picture is one of competence, composure, and success. Inside, it can feel very different.  Perhaps you're waking at 3am turning over a problem you can't solve. Perhaps the isolation of leadership — the loneliness of being the person everyone else looks to — has become quietly suffocating. Perhaps you've achieved everything you set out to achieve, and you're not sure what to do with the fact that it hasn't made you feel the way you expected.
 

You are not failing. You are human. And this is exactly the kind of work that therapy is for.

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Therapy from my
Lived Experience

Most therapists understand high performance from the outside.

I understand it from the inside.
 

Before I trained as a psychotherapist, I spent two decades in high profile commercial roles and as a C-suite executive — leading international teams, navigating boardrooms, managing the weight of multimillion-pound projects, and living with the particular pressure that comes when an entire organisation is looking to you.
 

I know what it is to perform certainty when you don't feel it. To make decisions that affect real people, with incomplete information, under scrutiny. To achieve something significant and feel strangely empty about it. To wonder, quietly, whether the version of you that shows up at work has started to crowd out everything else.
 

That experience doesn't make me your coach or your peer. It makes me a therapist who doesn't need things explained. You won't spend your sessions translating your world for me — we can get straight to what matters.

The particular pressures of senior leadership

High-performing professionals face pressures that are rarely spoken about — and even more rarely understood by people who haven't been in the room.
 

There is the relentlessness of always being "on." The weight of decisions that affect real people. The question of identity: who are you when you step away from the role? The grief, sometimes, of sacrifices made along the way — relationships strained, things missed, a self that may have been set aside in the pursuit of ambition.
 

There is also the performance of certainty. As a leader, you are rarely afforded the luxury of doubt. You are expected to know. To be steady. To project confidence even when you don't feel it. Over time, that gap — between the person others see and how you actually feel — can become exhausting to maintain.
 

Therapy offers somewhere to set it down.

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A confidential space that matches the weight of your world

My approach is psychodynamic, relational, and deeply attuned to the realities of life at the top of an organisation. I don't offer coaching frameworks or performance optimisation techniques. I offer something more lasting: a space to understand yourself — what drives you, what costs you, and what you want your life, not just work, to look and feel like from here.
 

Working with executives and senior leaders, I regularly support people through:
 

  • Chronic stress, burnout, and the erosion of motivation

  • Imposter phenomenon and the anxiety of visibility

  • Leadership identity — transitions, succession, and what comes after

  • Loneliness, disconnection, and the isolation of seniority

  • Difficult relationships at board level or with stakeholders

  • Questions of meaning, purpose, and legacy

  • Life beyond the role — redundancy, retirement, reinvention

  • The personal cost of professional ambition

Direction as standard

I understand that for many senior professionals, the decision to seek therapy carries additional complexity. Concerns about confidentiality, about perception, about what it might mean to admit you're struggling — these are real. Everything discussed in our sessions is held in complete confidence, within the ethical framework of my professional body.
 

Many of my clients prefer to work online, allowing them to access sessions from anywhere in the world, without the visibility of attending a clinic. Others value an in-person setting. Both options are available, and we will find an arrangement that works for you.

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Who I work with

I work with founders and co-founders, CEOs and managing directors, C-suite and senior leadership teams, board members and trustees, partners in legal, financial, and professional services, and senior professionals across the creative, media, and cultural industries.
 

I am particularly experienced in working with leaders from underrepresented communities — including LGBTQ+ executives, leaders of colour, and professionals navigating intersecting identities in spaces that weren't always designed with them in mind.

Investment

Sessions are 50 minutes and available at a rate of £120–£150, reflecting the specialist, senior-level nature of this work. This is an investment in the most consequential asset in your professional and personal life: yourself.
 

Where appropriate, sessions may be billed through a company or personal development budget. Please get in touch to discuss.

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the next step...

The most capable people I know are also, often, the ones who have waited longest to ask for support. If something in this page has resonated, that's worth paying attention to. I offer an initial intro session to explore whether we are the right fit. There is no obligation, and no judgement — only a conversation.

JJ Almond is an experienced therapist, working with individuals across the UK and internationally. All sessions are fully confidential.

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