The Silicon Valley squeeze
There is a very particular kind of Silicon Valley paralysis I see all the time. The comp is real, the RSUs are real, the mortgage is real — and so is the sense that you have quietly disappeared into a role that no longer has anything to do with the person who first learned to code. The exit ramp costs money you can see, and the price of staying is charged in a currency you don't have great names for yet.
Layered on top of that: on-call rotations that shred sleep, performance-review cycles designed to keep you anxious, and an ageism that is spoken about privately and never officially. If your visa is tied to your employer, everything above gets multiplied. You are not paranoid. Your body has correctly identified the risk profile and is trying to keep you safe.
This work is not career coaching. It's a place to look at what your ambition has been protecting you from, what a life outside the compensation structure could look like, and whether the version of you that has been optimizing for exit is the same version that will actually be there when the exit comes.
You might recognize —
- Your body cannot tell the difference between a Slack ping and a threat anymore
- You've quietly stopped enjoying the work and are afraid what that means for the paycheck
- Immigration status is doing background stress in your body every day
- You look at engineers in their 20s and feel dread you don't say out loud
- You've been about to leave for two years and have not left
Services that fit this work.
Questions people in San Jose actually ask.
I'm on an H-1B or dependent visa. Does that change anything about therapy?
No — therapy records are confidential and this work does not affect your immigration status. Many of the people I sit with in this seat carry visa-linked stress; it is a real, non-abstract weight and we treat it that way.
How do I fit therapy around on-call and long hours?
Weekly matters more than perfect timing. We build a schedule that survives your calendar — early mornings, evenings, and honest conversations about the weeks where on-call breaks the rhythm.
Do you have an office in San Jose or Palo Alto?
No. Telehealth-only, statewide California.
What if I'm in crisis and my session isn't for a few days?
Call or text 988. Santa Clara County's 24-hour Behavioral Health Call Center is 800-704-0900 (option 1 for crisis).
Local and California crisis resources.
If you or someone you love is in immediate danger, call 911. Otherwise, these lines are free, confidential, and answered by trained humans.
Santa Clara County Behavioral Health Call Center
24/7 access to crisis support, screening, and referrals for Santa Clara County residents.
Bill Wilson Center Crisis Line (Santa Clara County)
24-hour suicide and crisis hotline serving Santa Clara County.
988 Suicide & Crisis Lifeline
Call or text 988 — free, confidential, 24/7, English & Español.
California Peer-Run Warm Line
Non-crisis peer support for anyone in California. 24/7.

