Executive Psychotherapy • 1-1 • 360° Method

Dynamic Equilibrium for leaders and entrepreneurs

Work 1-1 with an MD, PhD (psychiatrist). 10–12 weeks.
In-person or online, confidential. RU / EN.

Start 1–1 Your requests How it works

MD, PhD • 19 years of practice • 100+ peer-reviewed papers in mental health • leadership roles at top European universities • Full privacy

Who this is for right now

High stakes and public roles require resilience without paying the price of burnout. We work toward clarity, energy, and harmony with life’s rhythms.

Founders / Investors

  • Burnout, cognitive noise (too many contexts), procrastination on key decisions
  • Disrupted sleep, sharp anxiety spikes
  • Relationship tension at home → no emotional foundation

C-level / Top management

  • Attention fragmentation, decision fatigue, micromanagement
  • Difficulty with delegation and boundaries
  • Ethical stress and “heavy” decisions

Serial entrepreneurs / Public leaders

  • Reputation crises and legal risks → chronic tension and insomnia
  • Loss of meaning and “emotional drying” after major wins
  • Fear of error when stakes are high → avoiding key decisions

Common reasons leaders reach out

Frequent requests and states among leaders and entrepreneurs. Concrete tasks addressed in a confidential format.

  • Chronic anxiety & hyperarousal — tension, irritability, mental “grinding,” decision paralysis.
  • Burnout — exhaustion + cynicism + lower effectiveness; “I’m pulling, but not living.”
  • Sleep disruption — insomnia, early awakening, jet lag/late calls → attention lapses.
  • High-functioning depression — you perform, but "nothing brings joy"; drive and motivation drop.
  • Perfectionism & impostor syndrome — procrastination, micromanagement, fear of delegating.
  • Attention fragmentation / decision fatigue — endless notifications, context switching, no “deep work.”
  • Addictive patterns — caffeine/nicotine/alcohol “to take the edge off,” sleeping pills/benzos; sometimes stimulants.
  • Somatic stress — headaches/neck-back, IBS, skin, palpitations.
  • Leaders’ isolation, relationship strain — loneliness, conflicts at home, lower closeness/libido.
  • Existential emptiness — “I achieved a lot — what’s next?”
  • Ethical stress & guilt — layoffs, reputation risks → intrusive ruminations.
  • PTSD-like reactions to business traumas — hypervigilance, outbursts, avoidance.
  • Neurodiversity — ADHD/autistic spectrum: strengths × friction with routine/communication.
  • Metabolic risks — weight gain, high blood pressure, baseline inflammation (stress + flights + chaotic diet).
  • Over-control and responsibility — “it’s all on me,” fear of letting go → bottlenecks in the org system.

If this sounds like you — let’s discuss goals in a short call.

Send a confidential brief

Is this program a fit?

If you recognize even one item below, this program will likely help.

  • < 7h sleep ≥3 nights/week?
  • Alcohol >7 drinks/week or a “mandatory” evening drink?
  • < 6h of deep work/week due to calls/chats?
  • 2+ weeks in a row — morning “emptiness”/anhedonia?
  • Partner/family say: “You’re not with us even when you’re here”?

360° methodology: Five domains

From the body and nervous system to psyche, relationships, and meaning. A mismatch at one level affects others — we find the root and restore wholeness.

Body

Sleep, biorhythms, nutrition, physical health. Rebuilding the energy base.

Nervous system

Stress balance, skills to downshift into calm.

Psyche

Emotions, thinking, beliefs. Cognitive schemas, trauma work, inner critic.

Relationships

Family, partnership, circle. Healthy boundaries and constructive dialogue.

Meaning

Values and “why”. Bringing back a sense of purpose.

Ready for systematic work across the five domains?

Send a confidential brief

Tools & modules

Only validated practices; the plan adapts to you and follows measurement-based care.

Sleep optimization

CBT-I (6 weeks), sleep architecture, light hygiene, caffeine timing.

Anxiety management

Short behavioral loops, exposures, grounding skills.

Mindfulness (MBSR/MBCT)

Stress resilience and relapse prevention for depression.

Breathwork & HRV biofeedback

Quick shifts into calm.

Personal between-session support

Short personal check-ins (as agreed) in secure channels.

Progress trackers

PHQ-9, GAD-7, sleep/energy/HRV. We track trends and calibrate/adjust the plan.

About the author

I’m Alexander Lebedev, MD, PhD — psychiatrist, neuroscientist, entrepreneur. I combine private practice and entrepreneurship with cutting-edge research in mental health and wellbeing.

Scientific expertise

  • 100+ peer-reviewed publications in neuroscience, psychiatry, and data science.
  • Research on neuroplasticity, cognition, and transformational states; a series of foundational and clinical studies on novel therapeutic approaches.
  • Scientific Director of the Open Dialogue School — an evidence-based method of healthy communication.

Entrepreneurship & products

  • Author and lead of medically supported retreats; programs ranked among Europe’s top transformational retreats.
  • Co-founder; Scientific & Creative Director of Dreamseer.
  • Author of House of Ouroboros; co-author of the podcast “Breathe”.
  • Consultant and C-level advisor for WellTech & FinTech companies.

Professional path

  • 19 years of therapeutic practice — individual and group work.
  • Certifications: existential-humanistic (2007), Ericksonian hypnosis (2007–2008), integration of non-ordinary states (Fluence, 2019).
  • Personal therapy & supervision (CBT, hypnotherapy, psychodynamic); leadership roles at leading European universities.
  • PhD in psychiatry & data science (University of Bergen, Norway).

Approach & mission

  • Evidence-based, interdisciplinary: integrating science and spirituality for durable personal change.
  • Interest in traditions that weave dreams and transformational states into community life.
  • Lifelong martial artist. Brown belt in Brazilian Jiu-Jitsu, European champion.

1-1 Individual Program

I work personally. 360° assessment and guidance with metrics and a playbook. No more than 3–5 clients at a time.

Executive Core

€10k • 10 weeks

  • Kick-off 360° diagnostics (90–120 min) across the five domains
  • Weekly 60-min sessions (online or in-person)
  • Sleep & stress: protocols + tracking (optional wearables)
  • Cognitive modules: perfectionism, impostor thoughts, rumination
  • Personal playbook “Operating Code”, v1.0

Executive Deep

€15k • 12 weeks

  • Everything in Core + imagery and dream work
  • Prep for key meetings/negotiations (up to 2×/week)
  • Short check-ins between sessions (as agreed)
  • Family module: 1–2 sessions with your partner
  • Crisis protocols (emergency "red-button"), debriefs, and integration
  • Playbook v2.0 + 3-month maintenance plan

What stabilizes in 10–12 weeks

  • Sleep (duration, depth, minimal awakenings)
  • Decisions and negotiations — without the emotional toll
  • Return of focus and “deep work” to your life

Options on request

  • Personal regulation and recovery protocols
  • Standards for meetings and constructive feedback (ready-made templates for team and family)
  • Exclusive access to Dreamseer
  • Individual “Operating Code” playbook
Send a confidential brief See the process

Selected publications

Key works; links point to PubMed.

Full texts and DOIs are available via the links.

How the engagement works

Transparent and personal: you work directly with me, no intermediaries.

1

Diagnostics

90–120 min. Questionnaires, interview, a balance map. Review of physical status, diet, and lab work.

2

Individual plan

Combination of modules across the five domains, with clear metrics and agreements.

3

1-1 sessions

Weekly 60 min. Tasks and exercises with light gamification.

4

Between-session support

Short personal check-ins (as agreed) in secure channels.

5

Integration

Final session, consolidation of skills, and a 3-month maintenance plan.

Client results

Real cases, anonymized.

IT company founder, 40+

Point A (before)

  • “Deconstructed” state, emotional exhaustion.
  • Disappointment at work and at home; no support.
  • Low energy, “nothing brings joy.”

Point B (after)

  • Return of vital tone; energy for key decisions.
  • More clarity and stability in the relationship at home.
  • Sleep/rest routine restored; less internal noise.
Client quote “I came in a very broken state… almost without strength or energy. I didn’t expect how much inner power would open in therapy. Your grasp of physiology plus refined psyche work creates a rare synergy.”

Serial entrepreneur, founder, 32

Point A (before)

  • Uncertainty about the company’s and family’s future.
  • Many parallel tasks, no focus on the main thing.
  • Decisions feel heavy, confidence is low.

Point B (after)

  • “Big” decisions made; steps to implement are aligned.
  • More confidence and aligned priorities as a couple.
  • Anchor in values and a long-term horizon of action.
Client quote “Under his guidance we resolved issues critical for the future. We gained confidence and clarity on where we want to go. Alexander is incredibly professional and reliable.”

Entrepreneur facing a major decision, 30+

Point A (before)

  • “Dead end”: any decision feels wrong.
  • Confusion, fear of error, endless mental grinding.
  • Stuckness — no movement forward.

Point B (after)

  • Defined criteria for an authentic decision and clear boundaries.
  • Clarity and inner compass emerged; anxiety decreased.
  • A deliberate choice made; feels right.
Client quotes “I was in an absolute dead end — any decision felt wrong.”
“With Alexander I saw a path that seemed impossible before — and made a deliberate choice that’s right for me.”

Entrepreneur couple, 30+

Point A (before)

  • Conflict escalation, circular conversations.
  • Loss of “we”, low closeness.
  • Considering separation as a real scenario.

Point B (after)

  • Communication and boundaries restored; dialogue rules agreed.
  • Deeper reasons for conflicts understood; steps for change laid out.
  • Marriage preserved; shared plan and support regained.
Client quotes “When our relationship hit a wall, working with Alexander became a turning point. He helped us see what’s behind the conflicts and why communication fails — and which steps actually drive change.”
“It’s not just talk — a real instrument that delivers results. We’re very grateful for the care, support and precise direction to what truly matters.”

Similar situation? Share the context — I’ll come back with a proposed format.

Send a confidential brief

Peer reviews

What colleagues in science, medicine and business say.

Alexander is one of the most inspiring and outstanding specialists I’ve met. His empathy and innovative approach change lives.

— Jonathan Dekle, entrepreneur

A brilliant psychiatrist, scientist and leader. The ability to listen, analyze and mentor with deep understanding of work processes is rare.

— Tatiana Santini, psychotherapist, clinical psychologist

Alexander skillfully combines science, psychology and behavioral economics to create highly effective and inspiring environments.

— Luigi Espasiano, physician, coach

His expertise was crucial in a number of significant projects at our University.

— Christoph Abé, PhD, researcher, analyst

He blends technical precision, creativity and speed — nothing is impossible for him.

— Ivan Dimoski, entrepreneur, founder

An excellent researcher and developer with warmth, empathy and exceptional productivity.

— Pierre de Boer, investor, entrepreneur

Alexander Lebedev is a conscientious researcher who approaches scientific problems creatively, and a competent clinician skilled in both psychiatry and psychotherapy.

— E. Yu. Abritalin, psychiatrist, MD, professor

Confidential brief

Describe context and goals. I’ll reply within a business day and suggest a short intro call.