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.

All Episodes

Latest Episodes

All Episodes
S2 #3

Leading As an Act of Community Service with Bennett Peji

After growing up as one of the shyest kids—constantly moving, constantly adapting—Bennett Peji never imagined he would become a leader responsible for bringing entire communities together. From feeling like an outsider to leading large-scale, community-centered design projects, Bennett’s journey is a testament to the power of adaptability, empathy, and intentional growth.This episode of Lonely at the Top is about redefining leadership through service, not control. It’s about learning to navigate uncertainty without needing to predict the future, building trust across diverse perspectives, and turning what once felt like weaknesses into your greatest strengths. It’s also about embracing change—not resisting it—and discovering how leadership can be a shared experience rather than a solitary burden.Episode Highlights How Bennett transformed extreme shyness into a leadership superpower  Why adaptability is one of the most valuable skills a leader can develop  The challenge of leading diverse communities with competing perspectives  What it really means to “share the load” as a leader instead of carrying it alone  Why predicting the future isn’t necessary—and what to focus on instead  The power of listening and letting others co-create solutions  How constant change in childhood shaped Bennett’s leadership style  The hidden cost of leadership: losing touch with your original craft  Why preparation—not spontaneity—is the key to confident communication  How meditation and intentional routines support long-term leadership wellbeing Connect with BennettBennett’s LinkedIn Bennett’s Website★ Support this podcast ★
S2 #2

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 HighlightsWhy “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 JeffJeff's Linkedin ★ Support this podcast ★
S2 #1

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 businessConnect with LaurenLauren's Instagram
S1 #23

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 HighlightsWhy 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 LinkedinEmail: wpsr@wpsr.org★ Support this podcast ★