Dear Yitzi and Wanda,

I'm a licensed marriage and family therapist, mother of two, and founder of Mycelia Therapy in San Francisco. I work with high-achieving women carrying a pile-up that's usually discussed in isolation: disproportionate mental load, being a high earner and the primary caregiver, and navigating perimenopause and menopause while leading teams, companies, or families. These women aren't looking for basic advice. They need to optimize when the demands aren't going to shrink.

I work with these women from two perspectives most therapists don't combine. Before training clinically, I spent 15 years as a management consultant — advising Fortune 500 companies, making equity partner at a firm, and running teams across three continents. I know the world they live in because I lived in it, which changes what I notice in the room: the patterns, the pressure points, the places where ambition and depletion quietly intersect.

I've developed a framework I call “Emotional Wealth”: the clarity, self-trust, and relational grounding that create a resilient internal structure. That's the reframe I'd bring to the series — health and wellness isn't just recovery from depletion. It's the infrastructure that lets ambitious women move toward their biggest goals and become the mentor they wished they'd had.