— from Between Stories
About This Work
What if this isn't a problem to solve, but a threshold to cross?
The mental health field is in transition — and so is the broader world that surrounds it. The conditions we trained for no longer fully match the conditions we now face. For some, the answer is to leave the field entirely. For others, it is to reshape the work in ways that better fit who they are. For still others, it is to weave clinical experience together with other callings — writing, teaching, building, creating, things that do not yet have names.
There is no single right path. But there are questions worth asking, possibilities worth imagining, and ways to think about what's next that go beyond the narrow set of options most of us were taught to see.
This work is, in large part, an invitation to imagine more honestly. To listen to what has been quietly calling. To consider what becomes possible when we stop performing a role that has stopped fitting — and trust the deeper thread that has been there all along.
A Quieter Question
Often, the path forward is not entirely forward. It is also a return.
To the thing you used to do for hours as a child without knowing it was a thing. To the questions you asked before you learned which questions were acceptable to ask. To the practice you loved before the world told you it would never pay the bills.
The work of finding what is truly yours often runs through what was always yours — the curiosity, the obsession, the strange particular thing you cared about when no one was watching.
Part of this work is excavating that thread. Not as nostalgia, but as evidence. The places we were most alive before the world shaped us tell us something important about where we might come alive again.
I'm a psychiatric nurse practitioner with experience beyond clinical care. I work with people who sense there may be more for them, and haven't quite found the words for it yet.
How We Work Together
At the heart of it is a conversation — one to one, fully focused on where you are and what wants to happen next: your career, a creative project you've been circling, or the wider question of what else might be possible. At your pace, with no answer required before you're ready.
And sometimes a conversation opens into wanting to make something real — a project you can finally see clearly, a body of work, something you couldn't quite name before. When it does, we can bring it into being together. Or, if you'd rather hold the tools yourself, I can teach you to make it — one patient step at a time.
— a practice for mental health professionals at a threshold —
For therapists, prescribers, and new graduates who feel the pull toward something truer — and are curious what else might be possible for their work, and their life. It's arranged by request, not by calendar. Reach out with a little about where you are, and if it's a fit, we'll find a way in.
Enquire →Is This You?
If you're a mental health professional reading this, you may recognize yourself in some of these — not as problems to fix, but as quiet signs you're ready for what comes next.
None of these are signs that something is wrong.
They're signs that you're paying attention.
What's Possible
Some reshape the practice they already have. Some weave clinical experience together with something else — writing, teaching, building, work that doesn't have a name yet. Some leave entirely. The point was never the destination. It's that the choice becomes a choice, instead of a drift.
Also — the writing
Alongside the one-to-one work, I've written two books about the changing shape of the field you trained for — one about what's arriving, one about what was quietly set aside.
A Few Honest Answers
It is the opposite. The riskiest thing right now is staying welded to a path that is quietly eroding. Nothing here asks you to ignore your finances or to leap without a runway. Meaning and a realistic living are not enemies.
Then that is where this starts. Most people arrive with the itch, not the answer. Finding the direction is the work, not the prerequisite for it.
No. This is a conversation, not a program — a lens rather than a set of instructions. The point is to help you think clearly enough to determine what's right for you. The goal is your own discernment, not dependence on mine.
Not at all. Many readers stay in the field and transform their practice within it. The question isn't necessarily about leaving — it is about clarity, alignment, and sustainability. An entrance ramp, not an exit ramp.
Burnout is the premise, not a disqualifier. You're exactly who this is written for — the exhaustion you're carrying is not a personal failing, and a good deal of it is the entirely reasonable response to a field asking something of you it can no longer justify. That's where the writing begins.
Friends are not neutral. Career sites give everyone the same advice. This is written by a licensed clinician who saw the shift in work coming a decade and a half early and has thought about little else since — for the specific position you're standing in, not for everyone.
— by request —
If something here has resonated, tell me a little about where you are — where you feel stuck, what's stirring, or what you're hoping to make. If it feels like a fit, I'll be in touch, and we'll find a time. No live calendar to wrestle with.
Prefer to simply write? hello@kairosmind.org