Specialized Therapy for Healthcare Professionals
You spend your days caring for everyone else. This is a space where someone finally cares for you.
Hi, I'm Dr. Lori Runge
I'm a PhD therapist who works with healthcare professionals across North Texas - physicians, nurses, surgeons, PAs, NPs, therapists, and other medical providers who are carrying more than anyone around them realizes. Before becoming a therapist, I spent twenty years in corporate leadership as a Senior Vice President, so I understand high-pressure environments, the weight of responsibility, and what happens when your professional identity starts to overtake everything else. I'm also Gottman Method trained (Level I & II certified), which brings a research-backed framework to my work with couples navigating the strain that healthcare careers put on relationships. My approach is grounded in mindfulness, helping you step out of survival mode and reconnect with the parts of yourself that got buried under the demands of your career.
In-Person & Online Therapy Options
My offices are in Frisco (5300 Town and Country Blvd) and McKinney (207 E. Virginia Street), convenient for medical professionals working at Medical City Plano, Baylor Scott & White McKinney, Texas Health Frisco, or practices along the 75 and Tollway corridors. I also offer secure online therapy for providers with unpredictable schedules, between shifts, or on days off. Evening hours are available Monday through Wednesday.
What Healthcare Professionals Bring to Therapy
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Compassion Fatigue That's Changed Who You Are
You went into medicine to help people. But somewhere along the way, the emotional weight of what you see and carry every day started to numb you. You feel less. You care less. And the guilt of feeling that way makes it worse. Compassion fatigue isn't a character flaw. It's what happens when you pour from an empty cup for too long without anyone noticing, including yourself. Therapy helps you process what you've been absorbing and reconnect with the compassion that brought you to this work in the first place.
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A Relationship Suffering Under the Weight of Your Schedule
12-hour shifts. On-call weekends. The emotional depletion that follows you home. Your partner may understand logically why you're unavailable, but emotionally, the distance is real. Many healthcare couples I work with describe a growing resentment on both sides: one partner feels abandoned, the other feels unappreciated for the sacrifices they're making. Using the Gottman Method and mindfulness-based couples therapy, we work on rebuilding connection within the real constraints of a medical career, not some idealized version of work-life balance that doesn't exist in healthcare.
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Burnout That Looks Like Success From the Outside
You're still performing. You're still showing up. But you're running on fumes and you know it. The passion is gone, replaced by a mechanical going-through-the-motions that scares you. Healthcare burnout doesn't always look like breaking down. Sometimes it looks like going quiet, withdrawing from the people you love, or fantasizing about walking away from a career you spent a decade building. Therapy gives you a space to be honest about where you are and figure out what needs to change before something breaks.
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The Inner Critic That Demands Perfection
In medicine, mistakes can cost lives. That reality trains your brain to be hypervigilant, self-critical, and terrified of getting it wrong. But that same inner critic doesn't shut off when you leave the hospital. It follows you into your parenting, your relationship, your sense of self-worth. You hold yourself to an impossible standard and then punish yourself for falling short. Mindfulness-based therapy helps you recognize the difference between healthy diligence and destructive self-criticism, so you can ease the pressure without lowering your standards.
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Moral Injury and the Things You Can't Talk About
Not everything that happens in healthcare can be processed over dinner with your spouse or at happy hour with colleagues. Some experiences sit inside you without anywhere to go: the patient you couldn't save, the decision you second-guess, the system that failed someone who trusted it. Moral injury is different from burnout. It's a wound to your sense of right and wrong. Therapy provides a confidential space to name those experiences, process the grief and anger they carry, and find a way to keep doing meaningful work without being destroyed by it.
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Identity Beyond the White Coat
When "doctor" or "nurse" becomes the entirety of who you are, losing any part of that identity feels existential. Whether you're approaching retirement, considering a career shift, recovering from an injury that changed your capacity, or simply realizing that your career has consumed every other part of your life, therapy helps you explore who you are beyond your professional role. You are more than your title, and rediscovering that can be one of the most freeing experiences of your life.
Why Healthcare Professionals Need a Different Kind of Therapy
Most therapists don't understand what it's like to hold someone's life in your hands, to make split-second decisions under pressure, or to carry the emotional residue of a 14-hour shift into your home. Healthcare professionals need a therapist who gets the culture: the stoicism, the dark humor, the unspoken rule that asking for help means you're weak.
I don't approach therapy that way. I understand high-stakes environments. I understand what it costs to perform at a high level day after day. And I understand that the very qualities that make you excellent at your job - attention to detail, emotional control, putting others first - are often the same qualities that erode your personal well-being and relationships over time.
Mindfulness-based therapy is especially effective for healthcare professionals because it doesn't ask you to stop being who you are. It helps you develop awareness of when your professional wiring is running the show in spaces where it doesn't belong, like your marriage, your parenting, or your relationship with yourself.
Frequently Asked Questions for Healthcare Professionals
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Yes. I offer evening appointments Monday through Wednesday, and online therapy is always available. Many of my healthcare clients schedule sessions on their days off or between shift rotations. We'll find a rhythm that works with your schedule, not against it.
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Seeking therapy is confidential and is not reported to licensing boards, employers, or credentialing organizations. Many physicians and nurses worry about this, but therapy is a private health decision. The only exceptions to confidentiality involve imminent safety concerns, which I would explain in our first session.
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That's one of the most common things healthcare professionals say in a first session. The shift from provider to client can feel uncomfortable, and that's OK. We'll go at your pace. You don't have to be vulnerable all at once. My job is to create a space where it's safe to let your guard down gradually.
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Yes. Healthcare couples face specific challenges: schedule conflicts, emotional depletion, and the difficulty of being present after intense workdays. I use the Gottman Method and mindfulness-based approaches to help couples reconnect within the real constraints of a medical career.
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Burnout is about depletion: emotional exhaustion, cynicism, and reduced effectiveness. Compassion fatigue is specifically about the cost of caring. It's what happens when your capacity for empathy erodes because you've been absorbing other people's pain without adequate support or recovery. Both are common in healthcare, and they often overlap. Therapy helps you identify what you're experiencing and develop sustainable strategies for recovery.
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Individual sessions are $210 and couples sessions are $260. I am a private-pay practice and do not bill insurance directly, but I can provide a superbill for potential out-of-network reimbursement. Many healthcare professionals have strong out-of-network benefits through their employer plans.