Private Therapy for Silicon Valley Founders · CEREVITY
Knowledge Base / Therapy Privacy / August 2026
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Therapist Insights / Therapy Privacy

For Silicon Valley founders, private therapy turns on what never enters a record rather than on who is in the room.

A founder's week is a sequence of conversations with people who hold a stake. Investors, the board, an acquirer, a reporter, a leadership team reading every hesitation for signal. Off the record is not a mood inside that week. It is an administrative arrangement with a specific shape, and this is what the shape actually consists of.

THE QUICK TAKEAWAY

Private therapy for Silicon Valley founders is settled by what never gets created rather than by what gets promised. Working private-pay means no insurance claim is filed, so no diagnosis reaches a payer file and no benefit administered by a company the founder owns sits anywhere in the arrangement. The limits that remain are published and narrow: suspected abuse of a child or a dependent adult, a serious and imminent safety threat, and lawful court process. None of the three run to a board or a cap table. CEREVITY works entirely private-pay, by secure telehealth, nationwide across all 50 states.

§01 / 09 / Definition

What off the record actually means.

Off the record, described precisely, is a list of absences: no insurance claim, no diagnosis on a payer file, no benefit administered by a company the founder owns, and no third party holding a contractual reason to look. CEREVITY builds those absences deliberately, because secrecy is not a promise any licensed clinician can honestly make.

Every serious conversation a founder has during a working week is with someone who has a position. The investor is a shareholder. The board member has a fiduciary duty that is not to the founder personally. The co-founder shares the same liability and the same downside. The head of people reports to the founder and is also the person who would administer any benefit the founder used. A reporter is doing a job that is not the founder's job. Even the friend from the last company is now three degrees from someone in the current round. None of these people are hostile. All of them are positioned. That is the actual problem, and it is a structural one rather than an emotional one, which is why it does not resolve when the round closes or the numbers turn. What a founder is looking for when they type a search like this one is not sympathy and not a coach. It is one hour a week with a person who has no position, and an arrangement that leaves nothing behind for anyone with a position to find later. CEREVITY is a nationwide network of independent licensed clinicians working private-pay by secure telehealth across all 50 states, and the reason this article is about administration rather than about feelings is that administration is the part that actually decides whether founders start. Readers who want the service page rather than the argument will find confidential therapy with no investor trail set out there. What follows is general information about how confidentiality is constructed and where it stops. It is not legal advice, and a question about a specific subpoena, an employment agreement or a diligence request belongs with an attorney.

Five places a founder's decision usually leaves a trace

01

The plan the company buys

A benefit exists because an entity purchased it, and that entity is the company. Using it means the founder's care is routed through a commercial relationship the founder is also a party to on the other side. Nothing improper has to happen for that to feel unusable.

02

The claim, and the code inside it

An insurance claim carries a diagnosis code because it has to. That code is the object that persists: in a payer's system, in a benefits database, in whatever downstream analytics the plan supports. Founders rarely fear a leak so much as they dislike the existence of a durable file they cannot see.

03

The person who administers the benefit

In a company under a few hundred people, benefits administration sits with a head of people or an office manager who reports, directly or at one remove, to the founder. Asking that person a question about mental health coverage is a disclosure, even when the answer is routine and the person is entirely discreet.

04

The company calendar and the company device

A recurring hold on a shared calendar is read by everyone with the link. An executive assistant sees the pattern before they see the content. A laptop under device management is not the right place to open anything a founder would not want summarized. Most founder exposure is logistical rather than clinical.

05

The transaction sitting on the horizon

A raise, a secondary, an acquisition or a credit facility puts a founder in a period where every question sounds like a diligence question. Anxiety that runs ahead of that scrutiny is its own clinical pattern, and CEREVITY treats it as anticipatory anxiety attached to a specific, dated, high-consequence event rather than as a personality trait.

▶ Research

The sharpest published line in this area sits in the federal rule governing group health plans. A plan may not disclose protected health information to a plan sponsor for the purpose of employment-related actions or decisions, and the plan documents must require the sponsor to restrict its use to plan administration and to report any misuse by the people who can reach it. Separately, the rule defines summary health information as data that summarizes claims history, claims expenses or types of claims, with identifiers removed except geography aggregated to five-digit zip codes. Read together, those two provisions describe a system that is carefully fenced and still fundamentally built around a record that exists. Where a fund would rather solve this at the portfolio level than leave every founder to reason it out alone, CEREVITY runs CEREVITY's founder mental health partnership for VC firms, and companies that want the same thing for their own senior leadership can review the executive mental health benefit for companies.1

What the absence of a record buys, and what it does not

A rule you cannot inspect is weaker than a record that was never made

Founders spend their working lives evaluating counterparty risk, and they apply the same instinct here without being able to name it. A regulation that forbids a use is only as good as the compliance of an organization the founder has no visibility into. An arrangement in which no claim was ever filed does not require that trust, because there is nothing to be careless with.

The only person who can create the disclosure is the founder

Once no claim exists, every remaining route to disclosure runs through the founder's own hand: a form answered, a sentence said in a board dinner, a benefit used, a calendar entry left visible. That is an uncomfortable amount of control and it is still control, which is more than most of the fear in this area assumes.

Confidentiality is what makes the hour different from every other hour

Startup Snapshot's report The Untold Toll, drawn from more than 400 startup founders, records that 76 percent turn to a spouse or family member for support and 49 percent turn to co-founders. Both groups care, and both hold a position. An hour with no position in it is the reason the arrangement is worth constructing carefully, and it is the same reason why the seat gets lonelier the higher it goes is a clinical problem rather than a personal failing.

A rule that forbids your company from using the information is not the same thing as your company never receiving any. Private pay removes the object, not just the permission.

Three parties who could one day want to look, and what each can actually reach

Founder privacy questions get easier once the vague fear of being found out is broken into the three parties who could plausibly do the finding. They have different powers, different incentives and different legal routes, and the arrangement that protects against one of them is not necessarily the arrangement that protects against another. Most of the confusion in this area comes from treating them as one undifferentiated audience.

01

The company, acting as plan sponsor

An employer that sponsors a group health plan is not permitted to receive protected health information for employment-related actions or decisions, and the federal rule says so in those words. What a plan sponsor may receive is summary health information: claims history and expenses, summarized and stripped of most identifiers. Real protection, and still a category of data that exists only because a claim was filed.

02

Investors, the board and the cap table

No investor has a legal route to a founder's clinical record. There is no diligence mechanism that reaches it and no board resolution that produces it. What investors actually observe is behavior: a missed week, a change in tone on a call, a founder who suddenly sounds rehearsed. The exposure here is inference, which is a reason to get treated rather than a reason to wait.

03

A counterparty in a transaction or a dispute

Litigation is the one route with real force behind it, because a court can order production of records through lawful process. That risk is not specific to therapy and it is not removed by paying privately. It is worth understanding accurately rather than vaguely, and it is the reason the phrase total privacy should be treated as a marketing claim rather than a description.

§02 / 09 / Telehealth

Where a benefits trail is actually created.

A benefits trail begins the moment a claim is submitted, because the claim is what carries a diagnosis into a payer's systems and makes summarized claims data available to the company that sponsors the plan. Founders who work private-pay with CEREVITY never create that object, which is a different and stronger position than having a rule that restricts how it may be used.

A

The plan sponsor rule restricts use, it does not create absence

Federal regulation is genuinely protective here. A group health plan may not disclose protected health information to a plan sponsor for employment-related actions or decisions, and plan documents have to require the sponsor to keep the information inside plan administration functions. That is a rule about permitted use. It presumes the information exists, that someone holds it, and that compliance is being observed by people the founder cannot audit from the inside.

B

Employment records were never covered in the first place

The Department of Health and Human Services states plainly that the Privacy Rule does not protect employment records, even where the information in them is health-related, and that in most cases the rule does not apply to the actions of an employer at all. The protection attaches to the plan and to the provider, not to the company. For a founder who is simultaneously the employer, that distinction stops being academic.

C

No claim means there is no object to summarize

Private-pay care removes the artifact rather than restricting its use. Nothing is submitted, so no diagnosis code is transmitted, no claims history accumulates, no summary health information can be compiled from it, and no utilization reviewer forms a view about whether a twelfth appointment is warranted. The number of parties who hold anything drops to the clinician and the founder.

§03 / 09 / Mechanism

What a clinician must disclose, and to whom.

Confidentiality has published limits that bind every licensed clinician regardless of fee, and founders are entitled to know them precisely. Disclosure is required or permitted in three broad situations: suspected abuse of a child or dependent adult, a serious and imminent threat to safety, and lawful court process. None of the three point at an employer, an investor or a board.

Start with what the federal rule actually allows. The Privacy Rule sets out a defined list of uses and disclosures that do not require a client's authorization, and the categories relevant to a founder are narrow. A covered entity may use or disclose protected health information to the extent that the disclosure is required by law. It may disclose in the course of a judicial or administrative proceeding in response to an order of a court or administrative tribunal. And it may disclose where it believes in good faith that doing so is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. Those are permissions written for the whole health system, not carve-outs invented by any one clinician, and the important structural point for a founder is what is absent from the list. There is no category for shareholders, no category for a board of directors, no category for a party conducting commercial diligence and no category for an acquirer. A clinician who received a polite call from a lead investor asking how a portfolio founder was doing would be required to decline to confirm that the person was even a client.

State law adds the two obligations most people have actually heard of. Licensed clinicians are mandated reporters of suspected abuse or neglect of a child, and in most states of a dependent or elder adult, which means a report is made to a designated agency rather than to anyone in the client's professional world. Separately, most states impose some version of a duty to protect where a client presents a serious threat of violence against an identifiable person. The federal rule permits disclosure in that situation; state law is what can make it mandatory, and the details differ enough between jurisdictions that a clinician licensed where the founder sits is the right person to state them. Worth noticing, again, is the direction all of this travels. Mandated reporting runs to a protective agency. A duty to protect runs to an identified person at risk and to law enforcement. Neither runs toward the people a founder is actually worried about.

The third limit is the one that deserves plain language, because it is the only one with real institutional force behind it. Courts can compel production of records through lawful process, and paying privately does not change that. What paying privately changes is how much there is to produce and how many separate custodians hold a copy: no payer file, no claims history, no benefits vendor, no utilization review notes, no employer-adjacent administrator anywhere in the chain. Founders tend to find this framing more reassuring than a blanket assurance, because it is the kind of statement they can evaluate. A chief executive weighing the same question in a public company or a late-stage private one is doing an almost identical calculation, and what changes when the client is the person the whole organization reports to covers that version of the seat. The honest summary is that confidentiality is strong, its edges are published, and every one of those edges faces away from the cap table.

► Standard advice vs. CEREVITY's approach

Standard therapy

"Ask whether the therapy is confidential"

CEREVITY

"Ask what record is created, and who is entitled to request it"

Standard therapy

"Use the benefit the company already pays for because it is there"

CEREVITY

"Decide first whether you want your own company anywhere in the arrangement"

Standard therapy

"Wait for the raise to close before opening the question"

CEREVITY

"Treat the pre-transaction months as the period the work is most useful"

► Standard insurance-based therapy vs. CEREVITY's specialized approach for Venture-backed founders and chief executives
Standard insurance-based therapyCEREVITY's specialized approach
"Ask whether the therapy is confidential""Ask what record is created, and who is entitled to request it"
"Use the benefit the company already pays for because it is there""Decide first whether you want your own company anywhere in the arrangement"
"Wait for the raise to close before opening the question""Treat the pre-transaction months as the period the work is most useful"

A break from the page

The arrangement is the part you can actually decide.

A first exchange is confidential and commits you to nothing. CEREVITY is a nationwide network of independent licensed clinicians working entirely private-pay, with no insurance claim submitted, no diagnosis on a payer record and no benefit administered by anyone you employ. If the useful next step is an hour with nobody in it who holds a position, start with a private inquiry.

§04 / 09 / Cases

Common challenges we address.

The founder who has booked and cancelled twice

The patternTwo appointments made late at night and cancelled inside forty-eight hours, both times for a reason that sounded operational. Underneath the reasons is a specific loop: where does the appointment live on the calendar, whose card pays, what happens if the assistant asks, and what does the recurring hold look like to a leadership team that reads everything. The clinical need was never in doubt. The administrative question was never answered, so the booking kept dissolving.

What we addressThe work starts by answering the administrative question first and completely, because the founder cannot engage with anything else until it is closed. Where the exhaustion underneath has stopped responding to time away and has become chronic rather than cyclical, that is a distinct clinical picture and it is treated as confidential burnout treatment for senior leaders rather than as a scheduling failure.

The founder who has decided to wait until after the close

The patternA term sheet is signed, diligence is running, and the founder has privately resolved to deal with the sleep, the four in the morning waking and the flatness once the money is in. The plan is coherent and it is also a plan to be least resourced during the period of highest load. Six months later the close has moved twice and the same decision gets made again about the next milestone.

What we addressNaming the postponement out loud is usually the intervention, because the milestone is not a date, it is a category, and there is always another one. Where the picture underneath has settled into persistent low mood and worry that never switches off while the outward performance stays flawless, that pattern belongs in treatment when performance stays intact and everything else does not.

§05 / 09 / Methods

Evidence-based treatment approaches.

CEREVITY clinicians match the approach to what venture-backed founders actually bring: dread that arrives before a board meeting or a raise, sleep that breaks in the small hours with the cash position already loaded, low mood underneath a strong quarter, and the particular flatness that follows a company being sold or shut.

Modality 01

Cognitive behavioral therapy

Targets the forecasting loop directly, including the rehearsal of a board conversation that runs for two hours at four in the morning and the conviction that one bad metric will be read as a verdict on competence. Structured and time-limited, which suits founders who want to know the shape of the commitment before the first appointment.

Modality 02

Acceptance and commitment therapy

Builds the capacity to act while the discomfort is still present rather than waiting for the uncertainty to resolve, which is useful in a role where the uncertainty is the job description. Often the better fit where a founder has already tried to argue themselves out of the anxiety and found the argument does not move it.

Modality 03

Psychodynamic and exploratory work

Follows the longer pattern underneath the current company: what achievement has been asked to prove, whose approval the work is still organized around, and why a good outcome produces relief rather than satisfaction. Slower, and frequently the material that matters most for a founder on a second or third company.

Modality 04

Relational and interpersonal work

Addresses mood in the context of the relationships driving it, including a co-founder disagreement that became a disagreement about respect eighteen months ago and has been routed around ever since. Also the place where the strain a company puts on a marriage gets treated as a real clinical variable instead of a cost of doing business.

Modality 05

Assessment first, in every case

Before an approach is chosen, a clinician establishes whether the presentation is depletion from sustained load, a depressive episode, an anxiety disorder as defined in the DSM-5-TR, a sleep problem sustaining both, or more than one at once. Founders often arrive convinced they already know. The assessment is quick, it changes the plan more often than expected, and it happens without a diagnosis leaving the room.

§06 / 09 / Investment

Understanding the investment in private-pay care.

Private-pay, nationwide, and built so that nothing is created

At CEREVITY, our online individual therapy sessions are structured as a direct investment in your mental agility and overall well-being. The investment includes:

  • Licensed mental health professional specializing in confidential private-pay therapy for venture-backed founders
  • Evidence-based, one-on-one approaches proven effective for anxiety, burnout, and leadership isolation
  • Flexible online scheduling including evenings and weekends
  • Complete privacy with no insurance involvement or red tape
  • Venture-backed founders and chief executives expertise and understanding
  • Outcome tracking and progress measurement
View rates & investment options

The cost of private therapy for founders going unaddressed

Consider what is at stake when private therapy for founders goes unaddressed:

What private-pay costs and what it removes

Working outside of insurance means no claim is submitted, no diagnosis reaches a payer, no utilization reviewer decides whether treatment continues and no benefits correspondence is generated for anyone to receive or file. The trade is direct: the full fee is paid by the client rather than partly by a plan, and in exchange the number of parties who hold anything falls to two. For a founder heading into a raise or a sale, that trade is usually the entire reason the arrangement is chosen rather than a feature on top of it. View our current rates here: cerevity.com/our-pricing-for-therapy/.

Formats and access built for a week that changes without notice

Care is delivered by secure telehealth nationwide across all 50 states, which means a founder joins from wherever the day put them and no journey to an office exists to be observed. Many hold a standing 50-minute slot early enough in the morning that nothing else has claimed it. Where a single event needs finishing in one sitting rather than being resumed a week later, a 90-minute session is the better container, and where a fundraise has compressed a quarter into three weeks the cadence is agreed rather than assumed. Founders who want the operational detail before anything else can read common starting questions.

§07 / 09 / Evidence

What the research shows.

The published founder data does not measure privacy directly, and it describes the conditions that make privacy decisive. Startup Snapshot's report The Untold Toll, drawn from more than 400 startup founders, records that 72 percent report an impact on their mental health, with 44 percent naming high stress, 37 percent anxiety, 36 percent burnout, 13 percent depression and 10 percent panic attacks. Asked who they turn to for support, 76 percent name a spouse or family member and 49 percent name co-founders. Sifted's survey of 138 founders, published in February 2025, found that only 6 percent said they had experienced no mental health issues at all in the preceding year, and that 83 percent had experienced high stress. Read as a set, these figures say two things at once. The experience is close to universal in this population, and the support that exists is concentrated almost entirely among people who are inside the founder's own life and inside the company's outcome. That is not an argument against spouses or co-founders. It is an argument for adding one relationship that carries neither a household stake nor an equity stake, and for constructing it so that using it costs the founder nothing outside the hour.

► Who founders actually tell

76%

of founders name a spouse or family member as who they turn to for support.

Startup Snapshot, The Untold Toll, 2023 (400+ founders)

37%

of founders reported anxiety among the effects on their mental health.

Startup Snapshot, The Untold Toll, 2023 (400+ founders)

6%

of founders said they had experienced no mental health issues at all in the previous year.

Sifted founder mental health survey, February 2025 (138 founders)

Two founder surveys with small self-selected samples, different questions and different years. The figures describe one pattern rather than one comparable scale, and each is attributed to the organization that collected it.

On the regulatory side the record is unusually clear, and it rewards reading rather than paraphrasing. The federal Privacy Rule provides that a group health plan may not disclose protected health information to a plan sponsor for the purpose of employment-related actions or decisions, and requires plan documents to bind the sponsor to plan administration uses only. The same rule defines summary health information, the category a plan sponsor may receive, as information summarizing claims history, claims expenses or types of claims with identifiers removed except geography at five-digit zip code level. The Department of Health and Human Services separately states that the Privacy Rule does not protect employment records even where the information in them is health-related, and that a provider asked directly by an employer for information about a person cannot supply it without authorization unless another law requires them to. The list of disclosures permitted without authorization is likewise defined rather than open-ended, covering situations such as disclosures required by law, judicial and administrative proceedings under a court order, and prevention of a serious and imminent threat to health or safety. Every one of those provisions is worth knowing exactly, and none of them creates a route from a founder's clinical hour to a board seat, an investor update or a data room.

§§ / 09 / Recap

Key takeaways.

Six things to remember

  1. Off the record is a set of absences, not a promise The useful question is not whether a clinician will keep a confidence. It is which records get created, by whom, and who is entitled to ask for them later. Absences can be verified. Assurances cannot.
  2. The employer question is different when you are the employer Federal protection attaches to the health plan and to the provider rather than to the company. A founder who is also the plan sponsor sits on both sides of that line, which is precisely why routing personal care through a company benefit tends to feel wrong even when it is technically protected.
  3. No claim means there is nothing to summarize Private-pay care does not restrict how a record may be used. It prevents the record from existing. That is a categorically stronger position and it is available to anyone willing to pay the full fee directly.
  4. The published limits all face away from the cap table Mandated reporting runs to a protective agency. A duty to protect runs to a person at risk. A court order runs through lawful process. There is no provision anywhere in the rule that points at an investor, a board or an acquirer.
  5. Waiting for the milestone is a decision to be least resourced at peak load There is always another close, another board meeting, another quarter. Founders who start during the pressure rather than after it consistently get more out of the first three months of work.
  6. CEREVITY provides this through online individual therapy nationwide, with full privacy through its private-pay concierge network and no insurance involvement.

§08 / 09 / FAQ

Frequently asked questions.

Can my employer see my health insurance claims?

Employers do not receive individual claims for named employees under the federal Privacy Rule, and the picture is more layered than a simple yes or no. A group health plan may not disclose protected health information to a plan sponsor for employment-related actions or decisions, and the plan documents must restrict the sponsor to plan administration uses. What a plan sponsor may receive is summary health information: claims history, claims expenses or types of claims, summarized and stripped of identifiers except geography at five-digit zip code level. So aggregated data about the plan can reach the company, while the founder's individual diagnosis is not supposed to. Founders who dislike relying on a compliance boundary they cannot personally inspect generally choose private-pay care, which prevents the claim from existing in the first place. CEREVITY works entirely private-pay for that reason.

Is an employee assistance program confidential from my employer?

Employee assistance programs are confidential at the level of clinical content, and the structural question a founder should ask is a different one. An EAP is a contract between a company and a vendor, selected by the company, paid for by the company and administered by whoever handles benefits internally. The counselling itself is not reported back with names attached. For most employees that arrangement is genuinely fine. For a founder or chief executive it is unusual, because the founder is on the purchasing side of the same contract and the internal administrator is a direct or near-direct report. Nothing improper needs to occur for that to be the wrong instrument. A private-pay arrangement outside the company removes the question rather than answering it.

What are the exceptions to therapist confidentiality?

Confidentiality exceptions for licensed clinicians fall into three broad groups, and founders should know all three precisely. First, mandated reporting: state law requires clinicians to report suspected abuse or neglect of a child, and in most states of a dependent or elder adult, to a designated protective agency. Second, a duty to protect where a client presents a serious threat of violence toward an identifiable person; the federal rule permits disclosure to prevent or lessen a serious and imminent threat, and state law is what can make it mandatory. Third, lawful court process, where a court order or administrative tribunal compels production. Paying privately does not remove any of the three. What it removes is the payer file, the claims history and the benefits administrator, which is where most of the realistic exposure for a founder actually sits.

Is therapist confidentiality real?

Therapist confidentiality is real, legally structured and narrower than the phrase total privacy suggests. Licensed clinicians hold confidentiality as a professional obligation enforced by their licensing board, and the federal Privacy Rule sets out a defined list of situations in which information may be used or disclosed without authorization. That list is finite and published rather than discretionary. What it contains are categories such as disclosures required by law, judicial proceedings under a court order, and prevention of a serious and imminent safety threat. What it does not contain is any provision for employers, shareholders, boards or commercial counterparties. For venture-backed founders that distinction is the whole answer: the limits are genuine, and none of them face the people a founder is usually worried about.

Do you need insurance for therapy?

Insurance is not required for therapy, and for founders it is frequently the thing worth deliberately avoiding. Paying privately means no claim is filed, so no diagnosis code enters a payer's systems, no claims history accumulates, no utilization reviewer decides whether a course of treatment continues and no benefits correspondence is produced. The cost is that the full fee is paid directly rather than partly by a plan. CEREVITY connects founders with independent licensed clinicians on a private-pay basis nationwide across all 50 states by secure telehealth. Current rates are published rather than quoted case by case, so the arithmetic can be done before any contact is made.

I am the CEO and our health plan is administered by someone who reports to me. Does that change anything?

A reporting line changes the practical calculation for a founder even where it does not change the legal one. Federal rules attach protection to the health plan and to the provider, and the Department of Health and Human Services is explicit that the Privacy Rule does not protect employment records and in most cases does not apply to the actions of an employer. A founder sits on both sides of that boundary at once: the person whose care is at stake and the person the plan sponsor answers to. Even with a scrupulous head of people, routing personal treatment through an entity you control introduces a relationship into the arrangement that does not need to be there. Most chief executives in this position conclude that the cleanest structure is care purchased personally, outside the company entirely.

Who is allowed to contact my clinician, and what happens if someone does?

Nobody is entitled to information about a founder's care without that founder's written authorization, and the answer to an unauthorized approach is a refusal to confirm anything at all, including whether the person is a client. A clinician contacted by an investor, a board member, a co-founder, a journalist or an executive assistant has no route to respond that does not begin with authorization from the client. The rules that permit disclosure without authorization are specific and are aimed elsewhere: protective agencies, an identified person at risk, and lawful court process. Founders who want a written record of the boundary can ask for the clinician's confidentiality policy in advance, which is a reasonable request and a good use of the first exchange.

How does your private-pay pricing structure work?

As a private-pay concierge network, we offer structured investments in your mental health without the restrictions or privacy risks of insurance. You can review our full fee schedule and specific session lengths directly on our website. While this costs more than insurance copays, it provides the flexibility, total privacy, and highly specialized care that standard options cannot offer. View our current rates here.

How do you protect my privacy?

Privacy is foundational to our network. As a private-pay network, your sessions never appear on insurance records or EOBs that could be seen by employers, boards, or family members. We use HIPAA-compliant nationwide telehealth platforms, and you can attend sessions from anywhere with a private internet connection.

§09 / 09 / Begin

Settle the administration. Then do the actual work.

If the reason you have not started is the trail rather than the hour, that reason can be closed today. CEREVITY is a nationwide network of independent licensed clinicians providing confidential, private-pay care across all 50 states, with no claim filed and no employer anywhere in it. Call (562) 295-6650 or send a private inquiry.

Available by appointment 7 days a week, 8 AM to 8 PM (PST)

§§ / Author

About Maria Gonzalez, PsyD.

Maria Gonzalez, PsyD

Maria Gonzalez, PsyD

Dr. Gonzalez is a Licensed Psychologist offering therapy for executives, entrepreneurs, and high-achieving professionals. Her work integrates cognitive behavioral therapy, acceptance and commitment therapy, and psychodynamic approaches, calibrated to the demands of high-responsibility careers. She sees clients via CEREVITY's nationwide telehealth network. View full bio →

CredentialPsyD, Licensed Psychologist
Years in practice10+ years
SpecializationTherapy for executives, entrepreneurs, and high-achieving professionals
ModalitiesCBT, ACT, EFT, psychodynamic
Author licensureLicensed by the California Board of Psychology
Who you would seeA clinician independently licensed in your own state, through CEREVITY's nationwide network across all 50 states

§§ / Sources

References.

  1. U.S. Government Publishing Office, Electronic Code of Federal Regulations. 45 CFR 164.504: Uses and disclosures, organizational requirements (group health plan disclosures to a plan sponsor). 2026. ecfr.gov
  2. U.S. Government Publishing Office, Electronic Code of Federal Regulations. 45 CFR 164.512: Uses and disclosures for which an authorization or opportunity to agree or object is not required. 2026. ecfr.gov
  3. U.S. Department of Health and Human Services, Office for Civil Rights. Employers and Health Information in the Workplace. 2020. hhs.gov
  4. Startup Snapshot. The Untold Toll: The Impact of Stress on the Well-Being of Startup Founders and CEOs. 2023. startupsnapshot.com
  5. Sifted. Founder mental health survey 2025. 2025. sifted.eu
  6. CEREVITY. Leadership isolation therapy. cerevity.com/leadership-isolation-therapy
  7. CEREVITY. High-functioning anxiety and depression therapy. cerevity.com/anxiety-and-depression-therapy
  8. CEREVITY. Executive burnout therapy. cerevity.com/executive-burnout-therapy

⚠ Crisis resources

If you are experiencing a mental health crisis or having thoughts of suicide, please reach out immediately. 988 Suicide & Crisis Lifeline · Call or text 988 Crisis Text Line · Text HOME to 741741 National Alliance on Mental Illness · 1-800-950-NAMI (6264)

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