Executives & senior leaders
When decisions and professional visibility follow you home and there are few places to be fully candid.
High performance · Focused work
Counseling for Executives & CEOs
Direct work for the problems success does not solve.
Private-pay counseling for executives, entrepreneurs, attorneys, physicians, business owners, pastors, and other professionals who want focused help with a consequential pattern.
The context matters
Strong performance does not mean unaffected.
You may be making good decisions, meeting obligations, and appearing composed while stress, irritability, depleted attention, sleep problems, conflict avoidance, or a private behavior is taking more of a toll than you want to admit.
A demanding professional life changes the context of counseling. Privacy may matter more. Time may matter more. Generic advice may be less useful. The goal is not to treat your work as the problem; it is to identify the patterns creating unnecessary cost elsewhere in life.
Who this often includes
Different professions. Similar need for discreet, focused work.
The page is organized around fit and the realities of demanding professional roles—not prestige. You do not need a particular title to use the practice.
Entrepreneurs & business owners
When the business depends heavily on you and stress, chronic pressure, or relationship spillover is becoming expensive.
Attorneys & physicians
For professionals working inside high-demand systems where competence can hide depletion for a long time.
Pastors & public-facing professionals
When private struggle intersects with reputation, faith, family, or a public-facing role.
Faith & professional life
Christian counseling for professionals.
For executives, business owners, attorneys, physicians, pastors, and other professionals who want Christian faith understood and integrated without reducing every concern to a spiritual answer.
Explore Christian counseling for professionals →Focused concern pathways
Start with the problem that is actually costing you.
BurnoutPerformance is intact, but your reserves are not
For depletion, loss of margin, diminished motivation, and the growing cost of sustaining the current pace.
Stress & pressureThe pressure follows you homeFor chronic mental load, difficulty switching off, and stress spillover into family life.
Sleep & overthinkingYour mind will not fully power downFor racing thoughts, late-night problem solving, anticipatory pressure, and disrupted recovery.
Anger & irritabilityYour shortest fuse shows up with the people closest to youFor reactivity, impatience, emotional spillover, and patterns that are beginning to damage relationships.
Conflict avoidanceYou can handle hard decisions—until the conversation is personalFor avoidance, over-accommodation, delayed conversations, resentment, and relational indecision.
Not sure what this is?Burnout vs. depressionA practical guide to overlap, differences, and when a focused outpatient practice may or may not be the right fit.
The counseling model
Insight Fueled Action
The work can be collaborative and exploratory, but it does not need to be passive. We define the concern, identify the mechanism beneath it, and translate insight into changes that can be tested in work, relationships, habits, boundaries, and recovery.
Sessions are $275 for 50 minutes. The usual cadence is biweekly or monthly when that fits the goal. New Pathways does not accept or bill insurance.
1Name the actual problem
Clarify what is happening, what it is costing, and what would be meaningfully different if the work succeeds.
2Find the pattern underneath it
Look for the emotional, behavioral, relational, family-of-origin, or performance dynamics sustaining the problem.
3Change what is transferable
Use direct feedback, processing, experiments, and practical shifts that carry into the rest of your life.
Fit matters
Strategic counseling
This is counseling for adults with a defined concern. It is separate from Brian's executive coaching work.
Request ConsultSt. Louis & Missouri
Private counseling with regional access.
Meet in person at the Ballwin office or by telehealth anywhere in Missouri. Standard sessions are $275 for 50 minutes. Limited on-site appointments at an appropriate public or professional office may also be available for $375.
See the St. Louis private-pay counseling overview for rates, practice fit, and access throughout the region.