Los Angeles Metropolitan Area
I help therapists, social workers, and healthcare professionals recover from burnout by restoring capacity, not just teaching coping strategies. You work inside systems that run on understaffing, productivity quotas, emotional labor, and constant demand. If you’re still showing up but feel depleted, disconnected, and stretched beyond what’s sustainable, this is for you. You are the one people rely on. You care deeply. You’ve pushed through exhaustion, paperwork backlogs, insurance demands, and impossible caseloads because that’s what the job requires. But lately the cost feels too high. Emotionally drained. Physically worn down. Less patient. Less clear. Less like yourself. And the question you don’t say out loud keeps surfacing... How much longer can I keep doing this? I get it because I lived it. I’m Nancy Gallegos, a licensed psychotherapist and burnout recovery coach. After more than 20 years in community mental health, nonprofit systems, leadership roles, and private practice, my own burnout forced a turning point I could no longer ignore. Recovery did not come from a vacation. It did not come from productivity hacks. It did not come from surface level self-care. It came from rebuilding my nervous system capacity, redefining my relationship with work, and learning how to function without constantly overriding myself. That is the work I do now. MY APPROACH Burnout is not about resilience. It is about load exceeding capacity. My work focuses on: ➡️ Nervous system stabilization for clinicians in high-demand environments ➡️ Rebuilding cognitive, emotional, and physical capacity ➡️ Repairing over-functioning patterns and blurred boundaries ➡️ Creating sustainable structures that fit real-world clinical settings I work with therapists and social workers in hospitals, nonprofit agencies, community mental health, and private practice who want to stay in the work they care about without losing themselves in the process. My style is direct, practical, and grounded in lived experience. No vague wellness advice. No performative self-care. You do not have to leave your profession to feel like yourself again. If you're still functioning but feel less like yourself, start here ⬇️ Join my weekly newsletter for honest, nervous-system based burnout recovery for clinicians working in high-demand systems. nancygallegos.kartra.com/page/newsletter
After two decades working as a licensed psychotherapist in community mental health and private practice, I now work with helping professionals who are still functioning, but depleted by chronic demand. I support therapists, social workers, nurses, and other healthcare professionals who want to recover from burnout without walking away from their careers. My work focuses on capacity restoration rather than surface level coping, with an emphasis on: ➡️ Burnout recovery for professionals in high demand systems ➡️ Nervous system aware strategies that fit real world constraints ➡️ Compassion fatigue and chronic overfunctioning ➡️ Sustainable routines that don’t require more time, energy, or perfection Clients I work with often come in exhausted, disconnected, and questioning how long they can keep going. The work helps them stabilize, rebuild capacity, and relate to their work and roles in a more sustainable way.
I worked as a business mentor supporting therapists and social workers in translating their clinical expertise into ethical, values-aligned online coaching businesses. I guided professionals who wanted to reduce unsustainable caseloads, diversify income, and build careers that aligned with their skills and long-term goals, while navigating the practical realities of marketing, pricing, and offer creation. Scope of Work • Supported therapists and social workers transitioning into coaching roles • Provided strategic guidance on business foundations, messaging, and systems • Helped clients design offers that complemented, rather than replaced, their clinical work Outcomes • Many clients doubled monthly income while reducing caseloads • Coaching businesses were launched alongside existing therapy practices • Professionals reported increased confidence in business development and decision-making What this work revealed Through hundreds of conversations with mental health and social work professionals across the U.S. and internationally, a consistent pattern emerged: burnout and compassion fatigue were present regardless of income level, caseload size, or business success. This realization became a turning point in my work and ultimately led me to shift my focus toward burnout and capacity recovery for helping professionals working under chronic demand.
For over a decade, I’ve provided psychotherapy to adults navigating trauma, depression, anxiety, chronic stress, burnout, relationship challenges, and major life transitions. My clinical work integrates Cognitive Behavioral Therapy (CBT), mindfulness-based interventions, and solution-focused therapy within a strengths-based, trauma-informed framework. Sessions are collaborative and practical, with a focus on emotional regulation, insight, and meaningful, sustainable change. Clients often describe my style as warm, direct, and grounding...a space where they feel supported while being thoughtfully challenged. Across years of practice, I’ve supported individuals in moving from survival mode toward greater stability, clarity, and confidence in their lives and relationships.
As Assistant Vice President of Community-Based Services, I provided executive leadership for multiple large-scale mental health programs supporting children and families throughout Los Angeles County. My focus was on expanding access, strengthening service delivery, and ensuring clinical and fiscal excellence across community-based operations. I oversaw a portfolio of programs including Wraparound, Full Service Partnership (FSP), Therapeutic Behavioral Services (TBS), Intensive Field Capable Clinical Services (IFCCS), and In-Home Family Services (IHFS) collectively impacting hundreds of families annually. Collaborating with the Los Angeles County Department of Mental Health (SPA 7) and community stakeholders, participated in the launch of the region’s first Health Neighborhood initiative, integrating behavioral health, primary care, and community supports to enhance family well-being. Key highlights include: ➡️ Program Innovation: Designed and implemented a strengths-based, consumer-driven care coordination model, empowering families through short-term, goal-focused interventions. ➡️ Leadership Development: Built and mentored a high-performing leadership team, fostering accountability, collaboration, and professional growth across programs. ➡️ Fiscal Management: Prepared and presented comprehensive budget and performance reports to senior leadership, identifying challenges and ensuring financial sustainability. ➡️System Collaboration: Partnered with public agencies and local providers to streamline service access, align care systems, and improve outcomes for high-need populations. This role deepened my expertise in mental health administration, strategic planning, and cross-sector collaboration, while reinforcing my passion for advancing accessible, high-quality care for children and families across Los Angeles County.
As Director of In-Home Family Services (IHFS) and Intensive Field Capable Clinical Services (IFCCS), I provided strategic and clinical leadership for multiple community-based programs supporting children and families across Los Angeles County. My focus was on delivering high-quality, trauma-informed care while ensuring alignment with county standards and agency goals. I oversaw multidisciplinary teams managing IHFS, IFCCS, and Multidisciplinary Assessment Team (MAT) programs, ensuring services were accessible, family-centered, and outcomes-driven. I emphasized a supportive, high-performing team culture, resulting in staff satisfaction scores that consistently exceeded agency averages. Key highlights include: ➡️ Program Innovation: Partnered with DMH and DCFS to co-develop a county pilot program and create the Clinical Care Coordinator role for Katie A. subclass members, improving coordination and access for high-need families. ➡️ Operational Oversight: Managed budgets, developed annual goals, and produced monthly line-of-sight reports to maintain fiscal accountability and program efficiency. ➡️ Quality Assurance: Conducted internal audits to ensure compliance with DMH and Joint Commission standards, leading to strong outcomes during Program Improvement Reviews (PIRs). ➡️ Strategic Leadership: Co-led SWOT analyses and Improvement Projects as part of the agency’s strategic planning process, identifying growth opportunities and enhancing service delivery. ➡️ Organizational Excellence: Contributed to the California Awards for Performance Excellence (CAPE) application, supporting agency-wide recognition for service quality. This role strengthened my expertise in program development, team leadership, and cross-system collaboration, and deepened my commitment to building responsive, effective mental health services for children and families.
As Assistant Director of In-Home Family Services (IHFS), I provided clinical and operational leadership to multidisciplinary teams delivering intensive community-based mental health services for children and families across Los Angeles County. My role centered on maintaining high-quality care, supporting staff development, and ensuring program compliance with Department of Mental Health (DMH) standards. I supervised clinicians, care coordinators, and support staff providing weekly clinical supervision, case consultation, and performance feedback. I conducted chart audits and DMH documentation reviews to ensure accuracy, compliance, and adherence to best practices in service delivery. Key contributions include: ➡️ Leadership & Supervision: Oversaw day-to-day clinical operations, offering directive supervision and hands-on guidance to staff managing complex cases and crisis situations. ➡️ Workforce Development: Participated in hiring, onboarding, and training new clinicians, promoting professional growth and retention through consistent mentorship and coaching. ➡️ Program Quality: Ensured all services met DMH and Joint Commission standards, strengthening audit readiness and overall program performance. ➡️ Client-Centered Service: Screened and assigned new referrals to ensure optimal clinician-family match, improving engagement and treatment outcomes. ➡️ Collaborative Problem-Solving: Partnered with clinical teams to assess and respond to emergencies, maintaining safety and continuity of care for high-need families. This position deepened my expertise in clinical supervision, staff development, and program compliance, laying the foundation for my continued leadership growth within community-based mental health services.
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