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Sarah Swain @ Fulcrum Shift

Sarah Swain @ Fulcrum ShiftSarah Swain @ Fulcrum ShiftSarah Swain @ Fulcrum Shift

Therapy for High-Functioning Professionals

Working with ambitious professionals who appear in control but feel quietly overwhelmed

You’ve built a life that works.
 

Successful career. People who rely on you. A sense of control you’ve worked hard to maintain.
 

You’ve always been the steady one — capable, resilient, the person others turn to when things get tough.


But lately, something’s changed.
 

The drive that once energised you feels heavier. The satisfaction you used to get from achieving has thinned. You still deliver, still show up, but inside there’s a quiet unease that’s hard to explain.


You find yourself thinking, I should be fine. I’ve built everything I wanted.
 

Yet you wake up feeling flat. Disconnected.
 

The part of you that’s always managed is starting to feel tired. And beneath that tiredness sit fears you rarely voice.

  • The fear of losing control — of no longer being the one who holds everything together.
  • The fear of being exposed — of admitting you’re struggling in a world that rewards composure.
  • The fear of redundancy — wondering who you’d be if you weren’t the achiever.
  • The fear of becoming irrelevant — that your edge might fade.
  • The fear that if you stopped, even for a moment, everything might fall apart.


And the quietest fear of all: that you’ll look back one day and realise you lived efficiently, but not meaningfully.


I understand that world. Fifteen years in the corporate environment taught me how easily identity can become fused with performance — how being valued for results can quietly erode your sense of self.


You’re not broken. You’re at a pivot point.
 

A moment that asks you to stop managing and start listening — to what your body, your feelings and your life are asking of you now.


Imagine waking without the mental list already running.

  • Eating a meal and actually tasting it.
  • Feeling calm in your body, not just looking composed.
  • Being fully present with the people you love, not half elsewhere in your mind.
  • Speaking honestly without fearing it’ll make you look weak.
  • Feeling alive, connected, and genuinely at ease in who you are — not just what you do.


This is where our work begins at Fulcrum Shift.
 

Creating a life that feels aligned, grounded and sustainable — where strength comes from authenticity, not effort.  A way of being that honours both your success and your humanity.

Ready to take action?

 

If you’re looking for a therapist  who offers warmth, clarity, and gentle challenge — and who understands the complex worlds ambitious professionals live in — I’d love to hear from you.

Book here

Sarah Swain @ Fulcrum Shift

Therapy for high functioning professionals

Online in the UK, London, South East and Kent.

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