The Hidden Cost of Leadership: Sarah Buino on Lonely at the Top
About this episode
Sarah Buino discusses the loneliness of leadership and the hidden costs associated with it, reflecting on her personal experiences with burnout and recovery.
Sarah reflects on selling her therapy practice, surviving burnout, and discovering that healing sometimes means walking away. This week we're sharing a conversation that originally aired on Lonely at the Top, hosted by Rachel Alexandria. Rachel works with CEOs, founders, executives, and high performers navigating the emotional weight of leadership, so it makes sense that this conversation was about one of the most transformative—and painful—chapters of my professional life. In this episode: Why leadership can become profoundly lonely—even when you're surrounded by people The hidden relationship between trauma, workaholism, and burnout Navigating residential treatment and recovery during COVID What suicidal ideation can reveal about feeling trapped and overwhelmed Why asking for help may be one of the most important leadership skills we develop If you've ever felt trapped by success, isolated by leadership, or overwhelmed by the pressure of holding everything together, I hope this conversation reminds you that you're not alone and that healing doesn't require perfection. Originally aired on Lonely at the Top in 2025. Special thanks to Rachel Alexandria for hosting valuable…
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