Common questions, answered directly.

Because both things are true, and only one of them is in front of you this year.

I am not going to argue the point. I have published it. Organizational interventions reduced burnout about two and a half times more than interventions aimed at individuals (compared across studies, not head-to-head), and the burnout gap between women and men in medicine largely disappears once you adjust for working conditions and exposure. It is an exposure gap, not a resilience gap. Nothing is wrong with you.

I have also written, in a peer-reviewed journal, that institutions do not hold the time and space for physicians to use what we already know prevents disease — and I recommended that chairs and deans fund coaching for exactly this reason. Most have not.

So no, I am not asking you to fix your hospital. I am holding the time and space it has not held, for the part that is yours: your biology, your sleep, your recovery, your boundaries, and the terms of your return. That part has the smaller effect. It is also the part you control — and the one that lets you live with purpose, and feel free.

Therapy is clinical care delivered by a licensed mental-health provider. It treats diagnosable conditions, often using DSM-based frameworks, and is regulated, confidential, and prescribed.

HER PRISM™ is a structured coaching and educational program. It is not diagnostic, not prescriptive, and not a substitute for therapy. It uses self-report instruments and evidence-based frameworks — but its purpose is realignment practice, not clinical treatment. You can work with a therapist alongside the program; the two complement each other.

Most executive coaching is built on leadership development, performance, and goal-setting frameworks. It works on the symptoms (overcommitment, burnout, identity drift) without meeting the underlying biology — cumulative stress load, the natural brain remodeling of the menopause transition, and the neurochemistry that accompanies it. That is why it can feel useful in conversation and yet not produce sustained change.

HER PRISM takes burnout seriously as a real, physiological experience first — with values and structural work layered on top. It is also designed specifically for women in medicine at midlife, not for general executive populations. If you work in medicine or health care — clinical, academic, allied health or administrative — you are in.

A weekend resets your stress signal briefly. It cannot rebuild a regulated nervous system, sleep architecture, or sustained behavioral change. The reason wellness retreats feel powerful and then fade is that they deliver a peak experience, not an integrated practice.

Feel You Again™ is a 16-week structured program, one module about every four weeks, with three measurement points; Group adds six 1:1 coaching calls, and Private adds eight. It is built for what happens on Tuesday at 7am, not what happens on a Saturday afternoon in Sedona.

About 30–40 active minutes per week, plus 5–10 minutes of daily intentional practice. For Group, add six biweekly one-hour 1:1 coaching sessions across the 16 weeks; Private adds eight one-hour sessions. A new module opens about every four weeks so you absorb material at the pace your nervous system can hold, not all at once.

There is also a Minimum Viable Practice — a stripped-down version for your worst days, when even five minutes is too much. Realignment does not require perfect adherence. It requires consistent return.

This is the most common concern, and a fair one. The honest answer: yes, briefly. Realignment requires effort. What I can tell you is what it asks — about 30–40 active minutes a week, plus 5–10 minutes of daily practice — and that Module 2 begins with sleep and nervous-system regulation, because that is where effort tends to repay soonest. I am not going to promise you a timeline. The first group has not run yet; when it has, I will publish what we actually measured.

You will. Realignment is not graded on attendance. Content remains accessible throughout the program and afterward — Self‑Guided is lifetime access, self‑paced. For Group and Private, if you miss a 1:1 coaching session it can be rescheduled within the program window. The Minimum Viable Practice exists specifically for the weeks you cannot do anything else.

The framework is the same across all three tiers — the HER PRISM Pyramid, the same 16‑week arc, and the same self‑report measurement suite (the Copenhagen Burnout Inventory, plus the HER PRISM Self‑Assessment). What changes is the depth of contact. Self‑Guided is the methodology in your hands, on your timeline. Group adds small-group calls and 1:1 coaching. Private is bespoke pacing with the most 1:1 access. Your biology, your values, your call schedule, and the depth you are ready to go all shape how the work meets you.

The program is calibrated for the menopause transition window, which most women experience between the ages of 35 and 60 — though individual timing varies. The framework is tuned to the biological window, not to chronological age, and the 15-minute fit conversation is the right place to discuss whether the program is right for you.

If you work in medicine or health care, you are in. That population is far broader than physicians alone. It includes nurse practitioners, physician assistants, registered nurses, residents and fellows in training, healthcare leaders and administrators, and women who have left active practice. The conditioning that produces midlife depletion runs through all of these roles in different forms.

The HER PRISM Circle is open to all women at midlife, in medicine and beyond. If you are not a physician and are unsure whether the program fits your role, the 15-minute fit conversation is the place to ask.

HER PRISM was built for women in medicine at midlife, and the program is written around their shared training, language and clinical rhythm. The underlying work — biology, values, systems, integration — meets women wherever they are in midlife, so women outside medicine who feel this calls to them are welcome. Self-Guided is open to you at checkout, like everyone; Group and Private begin with a conversation, as they do for everyone. If you would like to talk it through before choosing Self-Guided, a 15-minute conversation is open to you.

You can take part in the program while in active treatment with a therapist or psychiatrist. The program is educational and coaching-based and does not interfere with clinical care. We strongly encourage open communication with your treating clinicians about your participation.

If you are in acute psychiatric crisis or active suicidal ideation, this is not the right setting. Please reach out to a clinician immediately. The program is not diagnostic or prescriptive and is not a substitute for emergent mental-health care.

Self‑Guided is a single payment; its price is published when it opens on November 17, 2026. Group and Private pricing is shared during the enrollment conversation and matches the depth of engagement. Group is available as three instalments. Private is structured by individual engagement. All payments are non-refundable once enrollment is complete — see Program Policies.

Not in the accredited sense, and I will not imply otherwise. Feel You Again™ is not a CME-accredited activity, and nothing in it awards you credit.

What it contains is roughly nine to ten hours of structured reflective work across the sixteen weeks — about 30 to 40 active minutes a week. The 5–10 minutes of daily practice is regulation rather than learning, so it is deliberately excluded from that figure. Coaching sessions and group calls are excluded too — they are coaching, not self-directed learning.

Those hours are yours to report. Three systems accept self-directed learning, and none of them requires anyone to accredit anything. In each, you are the one who designates and records:

• Royal College MOC Section 2 — as a Personal Learning Project, at 2 credits per hour, logged in MAINPORT. Roughly 18–20 credits at the hours above.
• CFPC Mainpro+ — Linking Learning to Practice, at 5 credits per exercise, logged in your Mainpro+ account.
• AMA PRA Category 2 Credit™ — 1 credit per hour, self-designated, kept in your own record. Accredited providers are in fact prohibited from certifying Category 2, which is precisely why no one can hand it to you.

Check your own annual caps before planning around any of it.

You will receive a Reflection & Learning Hours Log with the program — a per-module record of hours, the filing steps for each system, and a map showing where the writing you have already produced answers what the systems ask. Your Clinical Self-Note is the question from your practice. Your Boundary Architecture is the practice decision. Your Revised Clinical Note and the Copenhagen Burnout Inventory are how you evaluated the impact. The reflection is already written; the log points you at it.

I would rather state the boundary than blur it: the credit attaches to your reflection, not to the program. If a program tells you it “carries CME,” ask two questions — who accredits it, and which credit type. The answer should be immediate.

Self-Guided is a one-time payment. Group is available as three instalments. Private is structured by individual engagement. Because access to all program materials — modules, the toolkit, the self-report assessments, and the peer community — is granted at enrollment, all payments are non-refundable.

For Group and Private, this is why the 15-minute fit conversation matters. It exists precisely to confirm fit before any financial commitment. If after that conversation we both feel the program is right for you, you will receive a written enrollment offer with the full payment terms. If either of us has reservations, we say so before money changes hands.

Online. Module content is delivered through a private learning platform. Coaching check-ins are by video call. The peer community, The HER PRISM Circle, runs on Kajabi’s built-in community, with a mobile app — not on Facebook. The program is open to women in medicine and health care anywhere in the world.

No. HER PRISM has no relationship with your employer, hospital, or academic institution. Nothing about your participation, instrument scores, or coaching content is shared with anyone other than you and your coach. The HER PRISM brand is also intentionally separate from any institutional appointment held by the founder.

Your individual scores belong to you. Aggregate, fully de-identified outcomes from a group may be reported on the Research page of this site — whole-group figures only, never broken down by role, specialty, age or region, because a group this small could otherwise identify you. This is program evaluation for my own practice. It is not a research study, it carries no research-ethics approval, and no academic publication is planned. You can ask for your data to be excluded from any reporting, or deleted entirely, at any point and without affecting your participation.