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Onboarding
Welcome & Getting Started
Orientation and baseline measurement. In Group, you also meet me as your coach and the other women in your small group.
Sixteen weeks. Built for the woman in medicine who is exhausted in a way her chart notes do not capture, who has tried the obvious things, and who is ready for an approach that starts with her biology. If you work in medicine or health care, this program is for you. Clinical, academic, allied health or administrative — physicians and surgeons, nurse practitioners, physician assistants and registered nurses, residents and fellows, academic faculty, allied health professionals and healthcare leaders among them.
Open to women in medicine and health care, anywhere in the world.
Not sure which tier fits? See the three ways in →
If you are reading this between Monday rounds and a 3 a.m. wake-up, if brain fog has shown up during procedures you used to do half-asleep, if your hormones are shifting, and if you come home at night with less of yourself left than you used to — this program was built for you.
Same methodology in all three. What changes is how much of me you get, and for how long. Each card carries a “best fit if…” line. Start there.
Primarily for women in medicine at midlife. 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.
For women in medicine: Self-Guided is self-serve; Group opens by application and a 15-minute fit conversation; Private by Clarity Conversation.
$997 — the founding price, held through January 11, 2027.
From January 12 it is $1,297.
Small by design. Group and Private are each capped at eight women. Two intakes a year, for now. Group and Private investment is shared during the application conversation.
The program helps you recover from depletion and rebuild the physical health, daily routines, and boundaries that support a sustainable career and life. Over sixteen weeks you move from understanding why change matters, to clarifying what you want, to planning how to make it happen. The work draws on preventive neuroscience, lifestyle medicine, values-based positive psychology, and the biology of chronic stress.
Biology comes first. The program starts with the body, not the mindset. The sixteen weeks address how you feel and function now; the curriculum also prepares you for long-term brain health — the cardiometabolic changes the menopause transition accelerates, and the habits that protect you for decades.
Coaching, not clinical care. This is a coaching program. My clinical background informs the framework; it does not turn the program into medical care. You bring your clinical relationships with you — we do the coaching work that runs alongside them. The conversations you need with your own clinician (about hormones, biomarkers, vascular risk) are conversations the program prepares you for, not conversations the program replaces.
Until the institutions catch up. Burnout in medicine is a connection and biology problem, not a resilience problem, and most of the fix belongs to institutions, not to you. I have made that argument in the peer-reviewed literature, addressed to chairs and deans, and I will keep making it there.
This program is not institutional reform, and it will not ask you to take that on. You cannot restructure your department, and advocacy is not a treatment for depletion.
What it gives you is the time and attention institutions have not: for your biology, your sleep, your recovery, your boundaries, and the terms you set. Module 4 examines your workplace and your home not as your personal failings, but as conditions your body is living in.
The aim is not only to make the work survivable, but to help you live with purpose and freedom.
Module 1 is orientation. Modules 2–5 are the four phases: Reset, Reclaim, Rise, Integration. Module 6 is closing and transition. A new module opens about every four weeks.
The same in all three ways in.
The whole methodology, on your own timing.
About every four weeks, across the sixteen weeks.
Paced to you, across six months.
Coaching sessions are always one-on-one, never on a group call, and are tailored to your biology and your life. The HER PRISM Circle, the peer community, comes with every way in, including Self‑Guided.
The same self-report instruments at the start, at the end of Module 3, and at the end of Module 6.
The same in all three ways in. See the measurement framework →
The program runs for 16 weeks, but the pace within it is yours. A new module opens about every four weeks, so you have time to absorb it rather than receiving it all at once. Coaching calls are scheduled around clinical life. On harder weeks, even five minutes of practice counts. What matters is coming back to the work consistently, not perfect attendance.
Two onboarding pathways within the same curriculum.
Our needs assessment found two roughly equal groups of women in medicine, each experiencing depletion differently. The first weeks of the program are sequenced to match where you start.
Both pathways converge at Module 4 and move through Rise together. The HER PRISM Self-Assessment at intake identifies which sequencing fits.
Orientation and baseline measurement. In Group, you also meet me as your coach and the other women in your small group.
What your body has been doing while you weren’t looking. The biology of depletion, and the first practical steps: sleep and breathing practices. Includes evidence-based menopause health literacy — the questions and frameworks to bring to your own clinician. The program educates; it does not prescribe, recommend, or interpret hormone therapy decisions for any individual.
What you make: the Clinical Self-Note, written on yourself as if you were the patient. Your Week-1 baseline.
Whose values are you living? Structured self-assessment, and guided writing that shows which values actually drive your choices.
What you make: the Moment I Knew — your turning point, in your own words.
Why what you have tried before did not hold. The science of movement and lifestyle for the menopause-transition brain: what the evidence shows, what you bring to your own clinician. And your environment — workplace, home, relationships — examined as conditions that affect your biology, not as personal failings. That includes whether your workplace supports you through the menopause transition: its policy, your flexibility, the physical environment, and whether there is a leader you can safely talk to.
What you make: the Workplace + Home Environment Audit, what you finally name — starting from the Workplace section of your Self-Assessment. The Boundary Architecture, what you build on top of it.
Integration. Where you take things next: your career, your leadership identity, your future self. You review your measurement results alongside your own account of what has changed.
What you make: the Revised Clinical Note, written next to your Week-1 original so you can see what has changed.
Closing. The transition into the rest of the work: The HER PRISM Circle, the retreat, or simply the life you have rebuilt.
What you make: the Look How Far You’ve Come retrospective, intake to Week 16, instrument by instrument.
There is a structured Minimum Viable Practice for your worst days: a shorter version of the week's work that keeps you on track when you have little time or energy.
Coaching calls (Group and Private) are 60 minutes each, in your own time zone, and are scheduled around the realities of clinical, professional and personal life — at your discretion.
Two continuation pathways, designed to prevent the post-program drift that most coaching leaves unaddressed.
The ongoing membership community, open to any woman in medicine or health care, graduates included: continued peer community and, from January 12, 2027, monthly Office Hours.
Included with every way in, at no extra cost for 12 months, and it does not end when your sixteen weeks do. After that you continue at the founding member rate, locked in while your membership stays active. The membership fee is for women joining The Circle on its own. See The Circle.
Five days in Costa Rica with eight women. A retreat grounded in Blue Zones research that puts the methodology into practice in person. Alumni-only.
Dates released to alumni first. Investment shared with the invitation.
For institutions bringing the methodology to women on staff, and for graduates extending the work into embodied retreat.
For institutions interested in bringing HER PRISM to women on staff, or in inviting Aleksandra to speak. Three ways to engage:
Priority for program graduates and Private clients. Remaining seats open to HER PRISM participants of any tier. Two locations, both Blue Zones:
This is the work group members do together: with each other, with the curriculum, and with me. Done well, it builds the five facets of HER PRISM, whose initials spell the name:
Payment plans & terms. Self-Guided is a single payment. Group is available in three installments. Private is structured by individual engagement. Because access to all program materials is granted at enrollment, all payments are non-refundable — see our Refund Policy and full Program Policies. All prices in USD; Stripe processes payment in your card's currency.
The literature is unambiguous: women do not experience the menopause transition uniformly. Black women, on average, enter the transition approximately two years earlier and experience symptoms longer; Black, Indigenous, and socioeconomically disadvantaged women face compounding barriers to preventive care. The curriculum is designed to account for these differences rather than assume a uniform midlife. The first group collects voluntary demographic data at intake so the program can be refined with equity in mind from one group to the next. This is built in from the start, not added later.