Over and over, I saw the same pattern.

Capable, thoughtful, ambitious women who were managing a lot — and doing it well — while slowly losing touch with themselves and their dreams.

For years, I worked with women in clinical settings — listening to symptoms, reviewing charts, doing what the system asks you to do.  And yes, symptoms matter.

But what stayed with me weren’t the lab values. It was the women themselves.

Women who were technically “fine” — and clearly not fine.
Women carrying stress, responsibility, decision fatigue, and emotional weight that didn’t fit neatly into a diagnosis.

They weren’t just asking, “What’s wrong with me?”
They were really wondering, “How am I supposed to live like this?”

She  wasn't asking for another test.
She was trying to make sense of her life.

She was navigating decisions that didn’t have a right answer.
She was balancing responsibility, ambition, relationships, and her own needs — often for the first time in a long time.

About how tired she was — not just physically.
About the decisions she kept putting off.
About how she felt pulled in ten directions and didn’t know which one was hers.
About how she loved her life and felt strangely disconnected from it at the same time.

Those were never questions with a neat answer.

My two girls

I'Warm. Honest. Thoughtful. And occasionally uncomfortable in the best way.

I don’t pretend there’s a one-size-fits-all answer.  I also have a special skill for getting to the bottom of the issue.

I ask a lot of questions — usually starting with, “Can I ask you a question?”

Clients laugh when I say that, because they know what’s coming next.
A deep reflection, an honest answer and zero judgement. That's the moment where things often shift.  Some people call it “getting Rishma’d.”  One called it my "Walji whammie".  I think of it as finally looking at your life clearly — without judgment, pressure, or pretending.