Therapy for Tech Executives, Start-Up Professionals, &
High Achievers

Dr. Josh Altman

As Seen In:


 I am a PHD / MBA providing specialized therapy for high achieving professionals in New York & New Jersey.

Are you a startup professional, tech executive, or high-achiever ages 27-40s in the prime of your career? Struggling to maintain peak performance amidst the mental health demands of your high-stakes environment or trying to figure out your next career move? 

You're not alone. Many high achievers feel the strain of intense work environments, miscommunication, lack of clarity, and unresolved stressors. It can reach a point where even minor issues trigger significant anxiety, or the drive that once fueled your success feels distant.

Maybe you're replaying old patterns, finding yourself stuck in unproductive cycles, or struggling to move past challenges that you or others think you should have already overcome. Perhaps you achieve a goal and suddenly find yourself asking, “Is this all there is?”

Professionals often come to me because they are: 

  • Successful but it didn’t bring happiness

  • Successful but feeling alone

  • Successful but burnt out

  • Successful but unfulfilled

  • Successful but making unforced errors

  • Successful but comparing yourself to others

  • Successful but experiencing imposter syndrome

  • Successful but… now what?


The Best Time To Start Therapy Is As Soon As You’re Thinking About It 

As a high achiever, you carry the weight of current responsibilities and past experiences. Everything that has happened influences how you handle stress, communicate with your team, and connect with loved ones. There’s no set timeline for overcoming these challenges.

You might have faced early pressures, career setbacks, or unresolved personal challenges. These issues can unexpectedly impact your performance and well-being. Recognizing the need to address them proactively helps regain control and achieve peak performance.

I use evidence-based techniques tailored to high achievers, ensuring you receive reliable and effective support.

But High Achievers Can Have Trouble Asking For Help

Many outwardly successful professionals struggle to seek help. Reasons vary from thinking it's a sign of failure, a belief that they should “tough it out,” self-reliance, or thinking “it’s not that bad, yet.”

They suffer in silence even though...

  • They’re core relationships have gotten rocky

  • They’re feeling stressed & anxious 

  • They’re having a major transition like a liquidity event, career pivot, or retirement

  • They’re finding it hard to manage emotions

  • They’re grieving from a significant loss

  • Their physical or mental health is deteriorating


Therapy for Professionals That Has Results

My therapy offers a space to explore deeper issues and take actionable steps toward healing and growth.

We'll work together to:

  • Understand the Root Causes of Stress and Anger
    Stress and anger often mask deeper emotions like fear, hurt, or frustration. By identifying and understanding these root causes, we can develop healthier ways to manage and express emotions, reducing their impact on your life.

  • Unpack and Rewrite Negative Patterns
    Past experiences shape current behaviors and relationships. Together, we’ll gently unpack old wounds and rewrite the narratives holding you back, fostering personal growth and improved relationships.

  • Build Resilience and Coping Strategies
    High achievers face high expectations. Developing resilience and effective coping strategies is essential to manage these demands without compromising your mental health. Therapy provides tools and techniques to build resilience, enabling you to handle stress, setbacks, and challenges more effectively.


About Dr. Josh Altman

I specialize in therapy for startup professionals, tech executives, and high achievers in New York and New Jersey. 

With a PhD, MBA, and a Master’s in Social Work, I understand the unique pressures faced by driven individuals because I am one myself. For over 15 years, I’ve guided individuals through life's challenges, focusing on those who strive for excellence in their careers and personal lives.

I specialize in working with startup professionals, tech executives, and entrepreneurs. These careers come with unique pressures and demands, and my therapy is tailored to address these specific challenges. 

Whether you’re dealing with perfectionism, imposter syndrome, relationship struggles, or work-life balance, I’m here to provide the support and guidance you need. Reach out for a consultation today to begin your journey forward.

Education, Trainings, & Affiliations

  • Smith College School for Social Work (PhD)

  • Adelphi University (MBA)

  • New York University Silver School of Social Work (MSW)

  • The New School (BA)

  • EMDR I & II - EMDRIA approved - Parnell Institute

  • Seminar Training in Field Instruction (SIFI)

  • Supervisor of Psychologists, Social Workers and Mental Health Interns


Beginning Therapy With Me

I provide every new client with a free phone consultation.

We will talk about what’s bringing you to therapy and answer any questions you may have. Together, we’ll determine if we’re a good fit and if you’d like to begin working together.

If we are not a good fit, I am happy to make a referral to another therapist in my network.