The Affirming Minds Podcast
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Episode 74 | The Inner Life of Leaders: Burnout, Mental Health and the Psychological Cost of High Performance with Drs. Julian Barling & Simon Rego

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Course Information: https://canva.link/hiv9ont8fgrhgzt

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Episode Summary: Leadership often demands sustained performance under pressure—but what is the psychological cost?

In this episode, I’m joined by Dr. Simon Rego and Dr. Julian Barling to explore burnout, stress, and the internal experiences of high-performing leaders. Drawing from CBT, ACT, and related evidence-based approaches, we examine how common traits like perfectionism, over-responsibility, and emotional suppression can both drive success and maintain distress.

We also discuss practical strategies to support more sustainable, values-aligned functioning in leadership and high-demand roles.

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Guests:

Simon A. Rego, PsyD, ABPP, A-CBT – Chief of Psychology at Montefiore Medical Center and Professor at Albert Einstein College of Medicine

Julian Barling, PhD – Distinguished University Professor and Borden Chair of Leadership at Queen’s University

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Resource:
The Cognitive Behavioral Therapy Workbook for Leaders
https://www.amazon.com/Cognitive-Behavioral-Therapy-Workbook-Leaders/dp/1648484778

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Conflict of Interest Disclosures:

The host, Shaina Siber-Sanderowitz, LCSW, is the Founder of Affirm Mental Health, an accredited CE provider. She receives financial compensation from Affirm Mental Health for the development and delivery of continuing education content. No other financial conflicts of interest were reported.

Disclaimer: This podcast is for educational purposes only. It is not a substitute for clinical training or treatment. If you or someone you know needs mental health support, please reach out to a licensed professional.

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Find Us Here: https://www.affirmmentalhealth.com

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