Therapy for Executives, Founders
& High-Achieving Professionals
Regina Abayev, JD, LMFT·Licensed Marriage & Family Therapist #148775·Hermosa Beach, California
A demanding career can be deeply satisfying. Work can provide intellectual challenge, financial security, competition, purpose, autonomy, and opportunities that would have been difficult to imagine earlier in your life. As a career develops, the demands tend to change with it. A larger company, a more senior role, greater wealth, increased visibility, or responsibility for more people can require different ways of managing time, relationships, expectations, and yourself.
The effects extend beyond work. A spouse or partner may want more of your attention. Children need different things from you as they grow. Exercise, sleep, friendships, medical care, and interests outside work compete for time that already feels allocated. You may find yourself drinking more than you want, staying at work because it is easier than dealing with what is happening at home, agreeing to things you resent, or remaining remarkably responsive to other people’s expectations while paying less attention to your own.
These are relational questions as much as professional ones. They concern how you want to function as a spouse or partner, parent, friend, leader, and person with a body and a life outside work. They also include your relationship with yourself: what you expect from yourself, how much of your identity depends on being productive or needed, how you respond when you disappoint someone, and whether the life you have built still reflects what you want.
Before becoming a therapist, I spent nineteen years in law, structured finance, investment banking, technology, leadership, and entrepreneurship. I worked in demanding professional environments and later co-founded and helped build a company through its sale to private equity. I understand much of the professional context already, which leaves us more time to understand you.
"Not everything that is faced can be changed. But nothing can be changed until it is faced."
James BaldwinWhat We Work On
People seek therapy at very different points in their professional and personal lives. Work may be going extremely well while a marriage is struggling, a relationship with a child has become difficult, health has received too little attention, or a coping strategy has become harder to control. At other times, professional growth itself creates new questions about responsibility, identity, relationships, and how you want to live.
How Therapy Differs From Executive Coaching
Executive coaching generally begins with a professional objective, such as leadership, performance, communication, organizational effectiveness, or navigating a new role. Psychotherapy has a broader clinical scope, allowing professional concerns to be considered alongside relationships, anxiety, coping, identity, family history, grief, trauma, and other aspects of a person’s life.
I am a licensed therapist, and the work we do together is psychotherapy. Some clients also work with an executive coach, with each relationship serving a different purpose.
I listen closely, ask challenging questions, offer interpretations, and share what I see. I pay attention to contradictions, avoidance, resistance, and the places where change becomes harder than expected. Our work may involve examining your contribution to a painful relationship, reconsidering a behavior that provides temporary relief, staying with an emotion you would prefer to resolve quickly, or accepting consequences that cannot be eliminated through further analysis.
Many of the people I work with are exceptionally good thinkers and have spent considerable time trying to understand themselves. You may know where a response came from, recognize it while it is happening, and explain accurately why it continues without being able to respond differently.
We use insight to understand the history and function of a behavior, then pay close attention to what happens when you try to change it. Understanding yourself and taking responsibility for your choices belong in the same process.
My practice is private pay, and I do not submit claims directly to insurance companies. Treatment does not pass through an employer-sponsored health plan unless you choose to submit documentation for reimbursement yourself. I maintain a discreet private office in Hermosa Beach and provide secure telehealth throughout California.
My professional background includes nineteen years in law, finance, technology, leadership, and entrepreneurship before I became a therapist.
M.A., Marriage and Family Therapy, Pepperdine University
Ph.D. coursework in Clinical Sexology
A private practice space designed for serious work, with a view of the Pacific.
Questions From Executives, Founders & Professionals
Do I need to be struggling at work for therapy to be useful?
No. Professional success and personal difficulty readily coexist. People come to therapy to work on marriages and other relationships, parenting, health, drinking or other coping behaviors, anxiety, major decisions, questions about identity and ambition, and periods of transition. Work may be central to what is happening, one influence among several, or going exceptionally well.
Is this therapy or executive coaching?
It is psychotherapy. Professional decisions, leadership, and performance can be part of our work, along with relationships, emotional health, coping, identity, family history, and other aspects of your life. If you already work with an executive coach, the two relationships can serve different purposes.
Will my company, partners, board, or investors know I am in therapy?
Not from me. Psychotherapy is confidential, subject to limited legal exceptions that I review with you at the beginning of treatment. Because my practice is private pay, treatment does not go through an employer-sponsored health plan or employee assistance program unless you choose to submit documentation for reimbursement.
Can sessions accommodate travel and an unpredictable schedule?
Sessions are available in my Hermosa Beach office and online while you are physically located in California. Clients who travel frequently can use both formats depending on their schedules.
Can my partner join a session?
Yes, when it would be clinically useful. A joint session can help when an issue you are addressing individually directly affects your partner. If the relationship itself becomes the focus, we can discuss whether couples therapy would better serve the work.
Further Reading
The relationship between achievement, self-worth, and the pressure to continue proving yourself.
How intelligence can provide insight while also creating distance from emotional experience.
How burnout develops in people who continue functioning while exceeding what they can sustain.
How intelligence can become exceptionally useful in explaining why a principle that readily applies to other people does not quite apply to you.
Therapy in Hermosa Beach and Across California
I work with executives, founders, business owners, attorneys, physicians, finance professionals, and other high-achieving adults in person in Hermosa Beach and through telehealth throughout California.
Let’s Begin Regina Abayev, JD, LMFT · Hermosa Beach, CA · info@reginaabayev.com