Lonely at the Top

In this solo episode, Rachel Alexandria shares the origin story of Lonely at the Top. She reflects on her two decades of work with high performers, the blend of therapeutic, coaching, and spiritual practices she brings to leaders, and the repeated moments that sparked the podcast’s creation. Rachel describes why she felt called to make space for honest conversations about the invisible burdens of leadership, the unique isolation that comes with power, and the need for a sanctuary where leaders can feel understood and less alone.
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What is Lonely at the Top?

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.