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 Professionals in St. Louis
Direct work for the problems success does not solve.
For executives and CEOs, business owners and entrepreneurs, physicians, attorneys, sales professionals, managers, pastors, and other adults carrying substantial responsibility. You may be good at your work and still struggle with stress, anger, overthinking, boundaries, relationships, parenting, or a sense that something is missing.
$275 per 50-minute sessionIndividual counseling · Private pay · Ballwin or Missouri telehealth
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.
People count on you. That does not mean you always know what to do with your own frustration, exhaustion, or relationships. You do not need a particular title to work with me; bring the part of your life you want help understanding or changing.
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
Imagine a woman who runs a team well but cannot ask her family for an uninterrupted hour, or a man who negotiates contracts but avoids telling his spouse that he feels lonely. Competence is not missing from their lives. Something about these particular relationships makes the conversation harder. I want to understand that difference.
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.
1Start with a recent example
What happened, what did you think it meant, and what did you do next? An ordinary moment can tell us more than a label.
2Find the pattern underneath it
Does disagreement feel like rejection? Is your workload genuinely unsustainable? Do you feel valuable only when someone needs you? The answers change the work.
3Try something in your actual life
That might mean asking for help sooner, negotiating a workload, or apologizing for your delivery without abandoning a reasonable request.
Fit matters
Strategic counseling
This is counseling for adults working through personal, relationship, family, or professional concerns. 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 appropriately private office may also be available for $375.
See the St. Louis private-pay counseling overview for rates, practice fit, and access throughout the region.