Some problems don't yield to expertise.

You've mastered your field. The relationships, the health, the sense of meaning you've deferred — they deserve the same quality of attention.

Integrative Health Coaching for physicians, executives, couples, and families ready to build something more sustainable.

I work at the intersection of personal health, relational complexity, and professional identity — with people who are used to solving hard problems, and who have arrived at one they can't solve alone.

My clients are physicians who entered medicine to heal and are now navigating what it costs them. Executives whose leadership is strong and whose closest relationships are suffering for it. Couples who are competent everywhere except with each other. Families facing a decision — about aging parents, about estrangement, about what they owe one another — that no one wants to get wrong.

What they share is this: they're not looking for someone to tell them what to do. They're looking for a rigorous, trustworthy process that helps them think more clearly, act more intentionally, and build something more sustainable than what they have right now.

How this works

I offer five distinct but interconnected areas of work:

• Integrative Health Coaching — individual, forward-leaning coaching for physicians, executives, and leaders navigating burnout, transition, and the gap between professional identity and personal wholeness.

• Couples Work — a structured coaching process for partners who want to understand each other more clearly and build something more durable than their current patterns allow.

• Family Conversation Circles — facilitated, restorative conversations for families carrying decisions or ruptures too complex to resolve on their own.

• Mediation & Conflict Resolution — joint sessions for individuals, couples, families, and workplace partners where conflict has outlasted everyone’s ability to resolve it internally.

• Organizational Coaching & Workplace Engagement — leadership coaching, Circle facilitation, and conflict resolution for teams and organizations navigating the human side of institutional life.

Each engagement is shaped around what you actually need — structured but responsive, and grounded in family systems thinking, restorative practice, and deep experience with high-capacity lives. The work is confidential, and it’s serious.

Change is incremental. It compounds. And it is absolutely possible — even when the people around you aren’t changing, even when the system is slow, even when you’re not sure you believe it yet.

The work is rigorous. The process is structured. The outcomes are real.

Nationally board certified (NBC-HWC) and a Professional Fellow at the Institute of Coaching, McLean Hospital — a Harvard Medical School affiliate — I bring the same rigor to this work that your field demands of you.

What my clients say about working with me...

"Meeting with Ricka has been transformational for me! When I started meeting with her years ago, I was burned out, spending my free time charting, and stuck in roles that were not aligned with my goals and values. Ricka helped me to define and align my work with my personal and professional goals. I have transitioned to a new job that is exciting, meaningful, and creative while making progress with setting boundaries and prioritizing time with my family. I started meeting with Ricka with the assumption that it would be temporary, but we have continued meeting regularly which is so helpful for continuing efforts at reaching my goals. I value her wisdom and guidance so very much."

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T.G., MD, Pediatric Psychiatrist