Lonely at the Top

Rachel Alexandria

The podcast for high-level leaders carrying the invisible weight of the world.
If you’re a founder, executive, or high-ranking leader, you already know this truth: the higher you rise, the fewer people you can safely talk to. 
Lonely at the Top is a sanctuary in the storm—a space where the emotional cost of leadership is named, and where relief, clarity, and grounded support are always on the table. Hosted by Soul Medic and former psychotherapist Rachel Alexandria, this podcast dives into the unspoken realities of high-level decision-making: the pressure, the isolation, the doubt, and the fatigue. Each episode offers insight, emotional tools, and conversations with seasoned leaders who’ve learned to navigate the weight of responsibility without losing themselves.

  1. Leaders Shouldn't Have All the Answers with Jeff McAuliffe

    5D AGO

    Leaders Shouldn't Have All the Answers with Jeff McAuliffe

    After decades moving between corporate leadership, consulting, and academia, Jeff McAuliffe has seen leadership from every angle. From sitting at executive tables to building his own consulting practice from scratch, he’s learned that “the top” isn’t a fixed place—and that loneliness shows up in ways most people don’t expect. This episode of Lonely at the Top is about the quiet realities of leadership that no one prepares you for. It’s about navigating influence when you don’t have control, the tension between authority and authenticity, and what it really costs to hold both. It’s also about redefining leadership as something more human: less about having answers, and more about creating space for truth. Episode Highlights Why “the top” is relative—and why loneliness can exist at every levelThe hidden isolation of entrepreneurship and solo consultingMoving from corporate leadership to building something on your ownWhy great leaders don’t need to be “the one in charge”The challenge of influencing without authorityWhat leaders wish they could say out loud (but usually don’t)Why “I don’t know” might be the most powerful leadership toolThe role of emotions in leadership—and why most leaders avoid themNavigating environments where authority doesn’t workLeading through uncertainty while holding information you can’t shareConnect with Jeff Jeff's Linkedin  ★ Support this podcast ★ ★ Support this podcast ★

    50 min
  2. Rewiring a Hustle-Driven Nervous System with Lauren Goche

    APR 3

    Rewiring a Hustle-Driven Nervous System with Lauren Goche

    Lauren Goche has cracked the code on something most leaders never admit they need: community. A principal real estate broker, micro-influencer, and self-described love bully, Lauren built her career by staying connected — and then discovered that even she had a chaos habit she didn't see coming. In this episode, she talks with Rachel about the expensive sabbatical lesson that revealed she didn't know how to be calm, what it looks like to lead a team with radical care as the operating principle, and the strange isolating side effects of becoming someone people recognize in restaurants, on front porches, and at lunch while accidentally stealing your phone. Episode Highlights •⁠  ⁠She nearly took a job she dreaded — and a chance conference encounter changed everything•⁠  ⁠Why Lauren deliberately chose never to own her own brokerage ("it's more headache and more lonely")•⁠  ⁠The Mexico property: how a sabbatical got too quiet and she manufactured chaos to escape the calm•⁠  ⁠Scarcity to abundance: growing up with housing instability and what it meant to be able to lose big without losing everything•⁠  ⁠The love bully philosophy — why care for each other comes before care for clients, and why she'll bring you a sandwich whether you consent or not•⁠  ⁠The parasocial side of Instagram fame: being recognized at her own front porch, and having a fan sprint away with her phone•⁠  ⁠Lost friendships, nervous system repair, and learning to say no as a complete sentence•⁠  ⁠Why community isn't soft — it's the infrastructure of a sustainable business Connect with Lauren Lauren's Instagram ★ Support this podcast ★

    38 min
  3. Leading Beyond Medicine in a Broken Health System with Dr. Mark Vossler

    MAR 20

    Leading Beyond Medicine in a Broken Health System with Dr. Mark Vossler

    Dr. Mark Vossler spent 30 years as a cardiologist before most people retire from their first career. He was medical director of cardiac services for a decade, managed physicians, navigated hospital politics, and learned the hard way that medicine is really just people work with better equipment. Then he retired. And got busier. Now he leads Physicians for Social Responsibility, a national organization built on a striking premise: 80% of health outcomes have nothing to do with medical care. They're determined by your zip code, your income, your race, your environment. So if you actually care about keeping people alive, you have to go upstream to legislators, policy, and power. This episode is about what it takes to lead when you can't fire anyone, when the stakes are existential, and when caring too much can paralyze the very people you need to move. It's about knowing when to say no, how to protect what's yours, and why likability — real likability, not performed likability — might be the most underrated leadership asset there is. Episode Highlights Why 80% of health outcomes are determined by factors medicine can't fixManaging physician egos vs. managing volunteers — and which is harderThe fine line between being worried enough to act and so worried you shut downWhy facts don't persuade people — and what actually doesWhat Fred Rogers' congressional testimony teaches every leader about influenceThe 8pm Saturday call that signals your job is falling apartConnect with MarkMark's Linkedin Email: wpsr@wpsr.org ★ Support this podcast ★ ★ Support this podcast ★

    37 min
  4. When the Role You Worked For No Longer Fits with Emma Whittard

    JAN 16

    When the Role You Worked For No Longer Fits with Emma Whittard

    In this episode of Lonely at the Top, Rachel sits down with Emma Whittard, a former senior executive in global children’s publishing turned transformational coach for women leaders in midlife. Emma shares what it was really like to rise through the ranks at companies like Disney, DreamWorks, and Warner Brothers, including the invisible loneliness of being the only person in the room who knew how to build something entirely new. From running international publishing businesses to launching a startup-within-a-studio at DreamWorks, Emma reflects on the emotional cost of responsibility, especially when success quickly turned into loss and layoffs. Together, Rachel and Emma explore the isolating reality of leadership decisions that affect livelihoods, the lack of mentorship for innovators inside large organizations, and how women in particular are conditioned to carry enormous pressure quietly. Emma also speaks candidly about midlife transitions—shedding inherited stories of worth, productivity, and self-sacrifice—and why the best leaders are those who stay curious, ask great questions, and allow themselves to remain human. Episode Highlights “I was the only person in the entire company who had ever done this before.”Emma describes the profound loneliness of building a new business inside DreamWorks with no roadmap and no peers.Creating a global business plan while sitting on her bed with a toddler nearbyA striking image of how leadership, motherhood, and pressure collided in real time.The moment everything changed from expansion to contractionBeing asked to dismantle the very team she had just built—and how close that brought her to burnout.“That’s the closest I’ve ever come to a breakdown.”Emma’s most vulnerable admission about the emotional toll of leadership without support.The spa certificate that saved her nervous systemA small but profound example of how self-care—not strategy—was what she actually needed.“Leaders who ask great questions are the best leaders.”Emma reframes leadership as humility, curiosity, and connection rather than certainty.What she would do differently nowNaming mentorship and embodied support as non-negotiables for anyone at the top.Connect with Emma: EmmaWhittard.com ★ Support this podcast ★

    36 min
5
out of 5
19 Ratings

About

The podcast for high-level leaders carrying the invisible weight of the world.
If you’re a founder, executive, or high-ranking leader, you already know this truth: the higher you rise, the fewer people you can safely talk to. 
Lonely at the Top is a sanctuary in the storm—a space where the emotional cost of leadership is named, and where relief, clarity, and grounded support are always on the table. Hosted by Soul Medic and former psychotherapist Rachel Alexandria, this podcast dives into the unspoken realities of high-level decision-making: the pressure, the isolation, the doubt, and the fatigue. Each episode offers insight, emotional tools, and conversations with seasoned leaders who’ve learned to navigate the weight of responsibility without losing themselves.

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