One-to-One Work: A Different Kind of Accompaniment

  • Parts of this may resemble coaching, but it goes farther. Many physicians believe their struggles stem from personal shortcomings, when in truth they’re often grappling with a mismatch between their values and a broken system. This work is about recognizing how your reactions — your coping, burnout, numbness, over-functioning — may be normal, physiological and intelligent responses to a dehumanizing context. From there, we begin the deeper work: reclaiming your original intention, restoring internal alignment, and making personal changes that also contribute to systemic healing. Each of us can become a starting point for change.

  • While I’ve trained for several years as a Jungian analyst and bring over three decades of experience in the human arena of medicine, this is not formal therapy—even if it may be deeply therapeutic.

    Having spent decades in personal psychotherapy, I also know its limitations. When I was navigating high-stakes questions about professional identity, credibility, and cultural change, therapy didn’t always meet my needs. I often found myself explaining the subtleties and risks of working inside medical institutions—even to psychotherapists and “physician wellness” professionals—only to realize they couldn’t fully grasp the implications of their recommendations.

    This work is different. It doesn’t pathologize your struggle. Instead, it honors your instincts and aims to restore alignment between your inner compass and the work you were called to do.

    Please note: I do not offer support for addiction or boundary violations. If those are present, I believe licensed therapy or specialized intervention is the more appropriate path.

  • Doctors often hesitate to seek support because they’ve internalized the idea that the problem lies with them. But much of what we call burnout or dysfunction is really a mismatch between personal values and a broken system—or a slide into the depleting expressions of the very prosocial traits that, in right measure, make us the kind of doctors patients hope to meet.

    When we work together, there’s less explaining required. You don’t have to translate the hidden curriculum or the unspoken rules of medical life. I understand the culture, the pressures, the sense of duty and entrapment, because I’ve lived it too.

    That shared understanding allows us to move more quickly into the deeper work: reclaiming original intention, making values-aligned decisions, and creating space for a version of medicine that feels more human—for you, and eventually for others.

  • Our one-to-one work typically takes place remotely, via video or audio calls. The initial session is 90 minutes, with subsequent sessions lasting 60 minutes. Because it takes time to map the landscape of your experience and begin meaningful change, I ask that you commit to an initial series of three conversations within the span of one month. After that, sessions can be scheduled individually or in blocks, depending on your needs and pace.

  • Every journey begins with a conversation.
    Use the contact link in the footer—or simply send me an email (laurenkosinskimd@metamorphosismedicine.com)—to set up a brief 20-minute call. This is a chance to sense into the fit and ask any questions. If the alignment feels right, we’ll find time together to begin.

This isn’t coaching, at least not in the way we usually mean it.

I’m not here to optimize you for a dysfunctional system. I’m here to hold space for what’s been quietly growing inside you. If you’re sensing that something deeper wants to come through—something more honest, more aligned, more you—you’re not alone.

Together, we’ll explore what your inner compass is pointing to, how to reclaim your original intent, and what small, practical shifts can help you live more fully in integrity.

This is work that opens the door to cultural change—because it begins with what’s most human, most relational, and most alive.

I bring a surgeon’s precision, a seeker’s humility, and a companion’s steadiness. Like the owl in flight, I offer perspective and presence.

If you're ready to begin again—or begin differently—let's talk.

I discovered that my ‘inner doctor’ knew I still have something to offer medicine.
— JK