When Sam, the founder of a fast-growing tech company, came to see me, he was exhausted. For over a dozen years, he had poured everything into his startup, building it up to hundreds of employees and revenues nearing a hundred million. But as market shifts and new technologies gave rise to fierce competitors, growth had stalled... and so had Sam. In our sessions, Sam vacillated between two poles. At times, he would slump in his chair, shoulders collapsed, voice flat: "I'm thinking of just quitting."