Group vs. Individual Therapy for Physician Burnout: What the Research Shows
Group and individual therapy for physician burnout are not competitors. They address different layers of the same wound. Group therapy reaches the isolation and shame through peer witness in a way no individual therapist can. Individual therapy reaches the developmental history and identity questions that no group can fully hold. This post explains the clinical case for both. And when to sequence them.
Last reviewed: June 2026 by Annie Wright, LMFT
- A Hand Goes Up in a Chicago Conference Room
- What Group and Individual Therapy Actually Are
- The Neurobiology: Shame, Isolation, and Co-Regulation
- When Group Therapy Has Specific Value for Physicians
- When Individual Therapy Is What Physicians Actually Need
- Both/And: Most Physicians With Burnout Need Both
- The Systemic Lens: Why Hospitals Offer Wellness Webinars Instead of Real Therapy
- How to Begin: A Practical Framework for Women Physicians
- Frequently Asked Questions
A Hand Goes Up in a Chicago Conference Room
| Dimension | Group Therapy | Individual Therapy |
|---|---|---|
| Primary mechanism of change | The group itself. The normalizing experience of realizing other physicians share the same internal reality is often among the most powerful things that happens in treatment. | The dyadic relationship. One-on-one attunement, sustained attention to your specific history and presentation, and the experience of being fully known by a trained clinician. |
| What it uniquely offers | Witnessing and being witnessed by peers. The particular shame of physician burnout often dissolves fastest in the presence of colleagues who understand the culture, the demands, and the professional identity stakes. | Depth and specificity. Individual therapy can go where group therapy doesn’t, into the particular history, family system, and nervous system patterns that are driving this specific physician’s burnout. |
| Confidentiality considerations | Group confidentiality requires trust in the group’s discretion. For physicians concerned about professional reputation, this is a real consideration that I address directly before recommending this format. | Clean confidentiality. Only between you and your therapist; for physicians with legitimate concerns about professional identity and HIPAA, individual therapy carries no group confidentiality risk. |
| What the research shows | Group interventions for physician burnout show meaningful efficacy. The peer-normalizing effect and the community-building reduce isolation that individual therapy can address but not replicate. | Individual therapy has a broader evidence base across burnout and depression presentations. And is the right format when the presentation is complex, individual, or involves significant psychiatric comorbidity. |
| Cost and access | Group therapy is typically more affordable per session than individual. An important consideration when physicians may be paying out of pocket and need sustained support. | Higher cost per session. But for complex presentations, the individualized attention and depth make it the more efficient investment. |
| My clinical recommendation | Group therapy for physician burnout is genuinely underutilized. I often recommend it as a complement to individual work, or as a starting point when peer normalizing is clearly what’s most needed. | Individual first when there’s significant trauma, identity crisis, or psychiatric complexity. The depth of individual work can’t be replicated in a group, even a skilled one. |
Ana is 47, an academic hospitalist at UCSF. She’s at a CME meeting in Chicago, seated in a small-group session optimistically titled “Physician Resilience.” Seven attendings in the room. The facilitator poses a question: “Who here feels like they’re not doing enough?” Before she can think, Ana’s hand shoots up. So do all six others.
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Then, to her utter shock, tears begin streaming down her face. She hasn’t cried in front of a physician peer in 22 years of medicine. The raw unexpectedness of that moment. The collective confession, the shared admission of inadequacy from people she respects. Leaves her undone. She doesn’t know what to do with what just happened. Or what it means for the carefully constructed facade of resilience she’s maintained for decades.
What Ana experienced in that room was the beginning of what group therapy can offer physicians. Not a wellness webinar. Not resilience tips. Something more fundamental: the experience of not being alone in this. That experience. Neurologically, clinically, psychologically. Is different from anything individual therapy can provide. And for many physicians in burnout, it’s what makes everything else possible.
What Group and Individual Therapy Actually Are
The terms get conflated with peer support, CME wellness sessions, and informal debriefing. And the conflation matters, because those other things aren’t the same as therapy. Let’s be precise.
Individual therapy for physician burnout is one-on-one psychotherapy tailored to the physician’s specific presentation: their developmental history, professional identity, relational patterns, specific moral injuries, and how their history intersects with the demands of medicine. It is widely considered the gold standard for deep introspective work. It offers a private, confidential space to unpack complex emotions and experiences without the perceived judgment of peers or the institutional pressures of the professional environment.
Group therapy for physician burnout is a structured group psychotherapy setting, typically 6, 10 participants, facilitated by a licensed clinician. This is not informal peer support. It’s not a Schwartz Round. It’s not a CME wellness session. It’s clinical group therapy with defined therapeutic goals and processes, conducted by someone trained in group dynamics and trauma-informed care.
Irvin Yalom, MD, professor emeritus of psychiatry at Stanford University and one of the most influential figures in group therapy research, identified eleven therapeutic factors inherent to group psychotherapy that don’t operate in individual therapy. These include universality (the realization you are not alone), altruism (healing through helping others), instillation of hope, imparting of information, and cohesiveness. The felt sense of belonging and acceptance. Yalom documented these in his seminal work, The Theory and Practice of Group Psychotherapy.
In plain terms: Group therapy works partly because other people who share your experience reflect something back that no single therapist can. When seven attendings raise their hands in a conference room, something shifts that months of individual therapy might not reach. You are not the only one. That realization. Genuinely felt, not just intellectually acknowledged. Changes the shame equation.
Physician burnout is a syndrome characterized by emotional exhaustion, depersonalization (cynicism or detachment from patients), and a reduced sense of personal accomplishment. A response to chronic workplace stress, first described by Herbert Freudenberger, PhD, and later operationalized by Christina Maslach, PhD, professor emerita at UC Berkeley. Moral injury, as applied to medicine, refers to the psychological distress that results from actions. Or inability to act. That violate one’s deeply held moral beliefs. Unlike PTSD, which is fear-based, moral injury is a wound to the conscience, often producing guilt, shame, and a sense of betrayal by the institution.
In plain terms: Burnout is about being worn out. Moral injury is about being wounded in your soul by what you had to do. Or couldn’t do. In the service of patients. Both are rampant in medicine and often co-occur, but they require distinct approaches to healing and are frequently conflated in institutional wellness programs.
The Neurobiology: Shame, Isolation, and Co-Regulation
Shame thrives in concealment and dissolves in the presence of empathy. This isn’t just a therapeutic observation. It’s a neurobiological reality. And medicine, with its inherent demands for stoicism and unwavering competence, creates an environment where burnout is implicitly perceived as weakness. Physicians in this environment often suffer in profound isolation, which amplifies the shame and compounds the burnout in a loop that can run for years.
Stephen Porges, PhD, distinguished university scientist at Indiana University and founder of Polyvagal Theory, describes co-regulation as the neurobiological process by which one nervous system uses proximity to another regulated nervous system to modulate its own state. In an individual therapy relationship, this co-regulation happens between client and therapist. Which is significant and valuable. But in a group of physician peers who genuinely understand the moral weight of a patient death, the ethical impossibility of a specific system constraint, or the particular isolation of being a woman in a male-dominated specialty, the co-regulation is qualitatively different. The nervous system recognizes something it can’t fake: I am not the only one. I am not broken. This is a legitimate response to a genuinely impossible situation.
Irvin Yalom’s research on universality. The therapeutic factor of realizing that one’s experiences are shared. Provides the scientific basis for this. The collective recognition within a physician-specific group can dismantle internal narratives of inadequacy in a way that individual therapy, by its nature, cannot fully replicate. The therapist can tell you that you’re not the only one. A room full of physicians raising their hands tells you in a language the body actually believes.
There is a third layer to this neurobiological picture that gets less attention in the literature on physician burnout: the chronic suppression of emotional response that medical training explicitly conditions. Physicians learn early that displaying distress. In front of patients, colleagues, supervisors. Is professionally dangerous. Over years, this suppression becomes automatic. The nervous system is still generating the response; the body is simply becoming increasingly efficient at routing it somewhere other than conscious awareness. That somewhere is often the body itself: gastrointestinal symptoms, chronic headaches, unexplained fatigue, cardiovascular dysregulation. Christina Maslach, PhD, professor emerita of psychology at UC Berkeley and pioneer of burnout research, has documented how emotional suppression and depersonalization. The dissociative numbness that appears in burnout’s second stage. Are adaptive responses to environments that punish emotional authenticity. They’re not character flaws. They’re survival strategies.
In my work with physicians, I see the co-regulation that happens in a peer group as doing something that individual therapy cannot fully replicate: it interrupts the isolation at the systemic level. When a burned-out cardiologist hears a burned-out oncologist describe an identical internal experience and use identical words, something neurobiologically significant happens. The shame that has been living in the body. The shame that says I am uniquely broken, uniquely inadequate. Begins to metabolize. That metabolization is the beginning of healing, and it often requires witnesses who carry the same credential, the same institutional history, the same clinical moral weight.
When Group Therapy Has Specific Value for Physicians
Angela is 44, an oncologist. Everyone in her life. Her husband, her department chief, her own internist. Has told her she needs therapy. The thought of sitting alone with a therapist and articulating the depth of her emotional exhaustion feels intolerable. The vulnerability required seems too enormous; the potential for judgment too high. She reluctantly joins a group for women physicians in her city.
Within three sessions, something shifts. She’s sharing experiences and fears with seven other women that she’s never voiced to anyone. The specific isolation she’s carried for years. The isolation of being a high-status woman who can’t publicly admit she’s suffering. Begins to fracture. Group therapy isn’t a stepping stone in this case. It’s the initial safe harbor that makes deeper healing possible.
Group therapy offers specific advantages for physicians that individual therapy can’t provide:
- Cohort-specific universality: When your peers raise their hands, the experience of “not the only one” lands at a neurological level that a therapist’s assurance can’t replicate. Shame dissolves in the presence of people who truly understand your specific world.
- Peer witness and validation from equals: Physicians are accustomed to being the expert. Receiving care and validation from colleagues they respect. Not from someone who’s never worked a 24-hour call. Produces a different quality of healing.
- Reality-testing of moral injury claims: In a group setting, physicians can discuss specific ethical dilemmas and systemic injustices and receive confirmation that their moral injury is not a personal failing. It’s a legitimate response to a broken system. This naming changes the shame equation profoundly.
- Developing the capacity to receive care: Physicians are in the caregiver role continuously. Group therapy offers a structured opportunity to practice receiving care from people perceived as equals. A different relational experience than receiving it from a therapist in a clearly hierarchical relationship.
- Reduced shame through collective disclosure: Shame thrives in secrecy. The act of sharing in a group of understanding peers can significantly reduce the power of shame and open a pathway for deeper healing that might not otherwise have been accessible.
For many physicians, group therapy is the necessary first step. The one that creates enough psychological safety and relational scaffolding to make any subsequent individual work possible. It addresses the immediate, overwhelming isolation and provides a collective container for the shared burdens of the profession.
When Individual Therapy Is What Physicians Actually Need
Group therapy reaches the isolation and shame at the social level. Individual therapy reaches what’s underneath. And that underneath layer is often where the burnout is actually rooted.
What individual therapy can do that group therapy cannot:
- Process developmental wounds: Many physicians enter medicine carrying pre-existing relational patterns. The child who learned that love was conditional on achievement, the daughter who became her parents’ emotional caretaker. When medicine activates and amplifies these patterns, individual therapy can trace them to their origin and address the root rather than the branch.
- Targeted trauma work: Specific traumatic events. A harrowing residency rotation, a patient death that still lives in the body, a devastating medical error. Require specialized trauma processing modalities like EMDR or Somatic Experiencing. These interventions need individual focus; they can’t be adequately done in a group setting.
- Identity integration: When burnout strikes, or when a physician contemplates leaving medicine, it often triggers a profound identity crisis. Individual therapy provides the consistent therapeutic relationship necessary to disentangle the person from the role, facilitating a more integrated and authentic sense of self outside of “physician.”
- Personalized moral injury processing: Group therapy can validate that moral injury is real and systemic. Individual therapy allows for deep processing of how specific moral dilemmas have impacted this particular physician’s values, conscience, and sense of self. Material that often needs a private container.
- The depth of the one-on-one therapeutic relationship: The consistent, secure relationship that develops in individual therapy becomes its own healing attachment. A corrective relational experience that, for physicians whose early attachment was conditional, can be profoundly transformative.
Individual therapy is essential for the physician whose burnout is rooted in deeper psychological terrain than the professional environment alone can explain. It addresses the layer of experience that makes medicine feel unbearable in a way that goes beyond workload and systemic failure.
Both/And: Most Physicians With Burnout Need Both
The “group vs. individual” question is often a false dichotomy. For most complex presentations. Which physician burnout almost always is. The most effective path integrates both modalities, using each for what it uniquely offers.
Carmen is 49, chief of surgery. She initially sought individual therapy to address what medicine had activated in her: the echoes of her father’s conditional approval, the way she’d merged her identity with her chief resident role, leaving her personal self behind. Her individual therapist provided a consistent space to explore these deep patterns, allowing her to disentangle her worth from her professional achievements. In the second year of her individual therapy, she joined a physician-specific group. The group provided community. A space where she could share the daily realities of surgical leadership with peers who understood. She found that the two modalities didn’t compete; they illuminated different facets of the same experience.
The group offered the felt sense of not being alone. Collective validation and a space to reality-test the systemic pressures. Her individual therapy continued the depth work: processing the personal impact of those same systemic issues, rebuilding her sense of self from the inside out. Together, they addressed physician burnout at both the social-shame level and the developmental-wound level.
This integration is often the most robust and sustainable path to healing. It allows physicians to reclaim their well-being without sacrificing their professional identity. Because the work is happening at every layer simultaneously.
My practice specializes in working with driven women across physician, tech, legal, and executive contexts. If you’re navigating burnout and wondering where to start, I offer individual therapy across eleven jurisdictions. The free consultation is a good place to think through the right sequencing for your situation.
There’s a particular presentation I see repeatedly in physician clients: the woman who came to medicine with an already-existing wound around worth and performance, and then spent 15 years in a system that both activated and amplified that wound. She may have entered medicine to prove something. To a parent, to herself, to a world that told her she wasn’t quite enough. Medicine gave her a structure within which she could perform worth almost continuously. And then burnout arrived, and the structure she’d built her identity inside began to collapse. What emerges when the performance stops isn’t just fatigue. It’s a profound identity crisis and the reactivation of the original wound. The question of who she is when she can no longer demonstrate her worth through competence and caring for others.
This is why the both/and approach matters for physicians with burnout specifically. The group can hold the professional dimension. The systemic context, the moral injury, the specific isolation of being a high-status woman who’s struggling. The individual therapy can hold the developmental dimension. The wound that medicine didn’t create but activated, the identity question that’s older than the burnout, the relearning of worth outside of performance.
If you’re a woman physician reading this and recognizing yourself. The 3 a.m. ceiling staring, the growing cynicism that frightens you, the sense that the person who chose medicine is somewhere underneath all of this but getting harder to locate. I want to name that what you’re experiencing is a genuine injury. Not a character flaw. Not insufficient resilience. An injury to a nervous system that has been asked to give continuously without adequate replenishment, in a system that was not built to support your well-being.
The Strong & Stable newsletter is written specifically for driven women navigating exactly this kind of complexity. The intersection of professional identity, relational history, and the quiet cost of always being the one who holds everything together. It’s free, and it arrives Sunday mornings when there’s finally a little space to think.
The Systemic Lens: Why Hospitals Offer Wellness Webinars Instead of Real Therapy
Hospitals and healthcare systems commonly offer wellness initiatives: educational webinars, brief CME content on resilience, peer support programs. These aren’t provided because the system has determined they’re clinically optimal. They’re provided because they’re cheaper, faster, and. Perhaps most importantly. They don’t produce the kind of physicians who set limits or demand change.
Individual psychotherapy, especially depth-oriented trauma work, costs money and requires time away from clinical duties. It’s not productivity-positive in the short term. And effective trauma therapy produces something deeply inconvenient for institutions: physicians with a heightened capacity for self-advocacy. Physicians who may set healthier limits, demand systemic changes, or leave toxic environments.
The wellness webinar keeps physicians productive and quiet. The individual trauma therapist produces physicians who may leave, set limits, or demand systemic change. The institutional preference for the former is not accidental.
This systemic context matters for how physicians think about seeking help. The system’s inadequate response to burnout is not evidence that burnout is a personal failing to be managed with individual resilience. It’s evidence of a structural choice to prioritize institutional productivity over the psychological well-being of the physicians providing the care.
When driven women physicians internalize the system’s message. Push through, be more resilient, attend the webinar. They often spend years in a holding pattern that compounds the burnout rather than addressing it. Naming the systemic dynamics explicitly is, in my experience, one of the most relieving interventions available. You didn’t fail to be resilient enough. The system failed to provide what you actually needed.
This is also why confidentiality is paramount. Private, self-pay therapy does not generate insurance records, doesn’t connect to EAP systems, and is protected by therapist-client privilege. For physicians concerned about professional standing, licensing, or fitness-for-duty evaluations, working with a private-pay therapist outside institutional channels is often the right clinical and practical choice.
This systemic lens also reframes the question of which modality to choose. When physicians ask whether they should pursue group or individual therapy, the question itself reflects an internalized scarcity mindset. A belief that they must ration their access to care, choose the most efficient intervention, and demonstrate the right answer. This is, itself, a symptom of the burnout. The physicians who need the most care are often the least able to advocate for full and comprehensive access to it.
What the system offers instead. Peer support programs, brief EAP sessions, wellness apps. Is calibrated to keep physicians functional and present, not to heal them. These offerings cost little and demand nothing from the institution. They produce no inconvenient questions about scheduling, supervision ratios, or the moral weight of practicing in an environment that generates preventable harm. In my clinical experience, physicians who do receive adequate, sustained, individual trauma-focused therapy often become the most effective advocates for systemic change. Because they’ve developed enough internal stability to name what’s wrong without being destabilized by the naming. The institution knows this, even if it can’t say it. Executive coaching alongside therapy can help physicians hold both personal healing and systemic advocacy simultaneously, without one collapsing under the weight of the other.
How to Begin: A Practical Framework for Women Physicians
Navigating the path to healing from physician burnout requires understanding both the individual and systemic dimensions of your experience. Here’s the practical framework I use when thinking about sequencing with physician clients.
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If shame and isolation are primary. Start with group. If the most overwhelming aspects of your burnout are the sense that you’re the only one, the belief that no one could understand, and the profound isolation of suffering at high status. Physician-specific group therapy can be a powerful first step. The Physicians Support Line, local physician wellness groups, or structured group therapy with a physician-informed clinician can provide immediate universality and peer witness that breaks through isolation.
If developmental trauma, identity crisis, or specific moral injury is primary. Start with individual therapy. If your burnout is rooted in deeper terrain. In patterns that predate medicine, in an identity that got completely fused with the physician role, or in specific events that still live in your body. Individual therapy is the essential vehicle. The depth, consistency, and tailored approach of one-on-one work is necessary for this layer.
Embrace the both/and when you’re ready. For most physicians with significant burnout, the optimal path integrates both modalities. The sequence is negotiable and depends on your specific presentation. But ultimately, the combination of group community and individual depth offers the most comprehensive healing.
Seek out physician-informed clinicians. Not every therapist understands physician culture, the unique demands of the healthcare system, or the specific confidentiality concerns related to licensure. When evaluating a potential therapist, ask directly: “Do you have experience working with physicians? Do you understand the implications of therapy for licensure and fitness-for-duty evaluations?” A clinician who has to Google the question isn’t the right fit.
Healing from physician burnout is not a sign of weakness. It’s an act of profound self-preservation that ultimately protects both you and your patients. You deserve support that actually reaches the root. Not the institutional substitute for it. Healing from physician burnout doesn’t mean leaving medicine, lowering your standards, or becoming less of the clinician you are. It means building the internal foundation that lets you stay in this work without continuing to pay the price you’ve been paying. If you want to explore whether working together makes sense, I’m licensed across eleven jurisdictions and specialize in exactly this context. My approach draws on executive coaching and trauma-informed therapy, with physician-specific experience and full confidentiality outside institutional channels.
Q: Is group therapy confidential for physicians?
A: A licensed clinician-facilitated group operates under different confidentiality protections than an informal peer support group. Licensed therapists adhere to strict ethical and legal guidelines regarding privacy. Absolute confidentiality can’t be guaranteed in any group setting. Participants aren’t bound by therapist confidentiality laws. But a well-run group establishes explicit confidentiality agreements. The specific policies are worth discussing with your group facilitator before joining.
Q: Can I be in group therapy and individual therapy at the same time?
A: Yes. And for many physicians with complex burnout, engaging in both simultaneously offers the most comprehensive approach. The two modalities often complement each other richly. Group therapy provides peer support, universality, and reality-testing of systemic dynamics. Individual therapy offers deeper, personalized processing of the developmental and identity material. When both are running at once, each stream can inform and enrich the other.
Q: Will other people in my group be from my hospital?
A: This depends on the specific group. Many physician-specific groups are intentionally designed to be geographically or institutionally diverse to protect confidentiality and reduce conflicts of interest. It’s a legitimate question to ask the group facilitator during the intake process. For physicians with specific concerns about colleagues, groups recruiting from a broader geographic area or online groups may be better suited.
Q: What’s the difference between a support group and group therapy?
A: A support group is typically peer-led and informal, focused on shared experience and mutual encouragement. Group therapy is facilitated by a licensed mental health professional, has defined therapeutic goals, and uses clinical interventions to promote healing and structural change. The distinction matters: CME wellness sessions and Schwartz Rounds are not group therapy. They may provide some value, but they’re not the same thing.
Q: Is group therapy effective for physician burnout?
A: Yes. The research supports its efficacy, particularly for addressing shame, isolation, and moral injury. Balint groups have a long history in medicine specifically for processing the emotional weight of clinical work. Physician-specific group therapy that explicitly addresses burnout and moral injury has shown consistent benefits for reducing shame and improving well-being. The peer-witness dimension is uniquely powerful in physician populations.
Q: Can I do group therapy online as a physician?
A: Yes. Many physician group therapy programs are now conducted online, which is often the only feasible format for physicians with demanding or unpredictable schedules. The key is ensuring the platform is secure and that the facilitator is licensed in your jurisdiction. The therapeutic benefits of universality and peer witness translate effectively to well-facilitated online groups.
Q: Does my hospital’s EAP provide real group therapy?
A: Most EAPs offer limited, brief, educational, or support-group-style formats rather than long-term, depth-oriented group psychotherapy. They’re also not confidential in the way private therapy is. Records may connect to institutional systems. Worth inquiring about the specific nature and duration of any group offerings, and worth understanding the confidentiality limitations before engaging.
Q: How do I find physician-specific group therapy?
A: Start with professional organizations, local mental health directories, or referrals from individual therapists who work with physicians. The Physicians Support Line is a starting point for immediate peer support. For ongoing group therapy, look specifically for licensed-clinician-facilitated groups with physician populations and explicit focus on burnout and moral injury. Not general mental health groups that happen to include physicians.
Related Reading
Yalom, Irvin D. The Theory and Practice of Group Psychotherapy. 5th ed. Basic Books, 2005.
Tsatiris, Dimitrios. Physician Burnout: How to Rise Above a Broken Healthcare System. Health Communications, 2021.
Li J, Jiang H, et al. “Effectiveness of Balint Group Interventions for Physician Burnout: A Systematic Review and Meta-Analysis Protocol.” BMJ Open 16, no. 4 (2026): e116435. PMID: 41985952.
Khan A, Kim D, Atwater R, Reddy R. “Individual-Focused Interventions for Physician Burnout: A Meta-Analysis of Mindfulness, Coaching, and Peer Support.” Medicina 62, no. 1 (2025): 39. PMID: 41597325.
Tutty MA, West CP, Dyrbye LN, et al. “Moral Distress and Occupational Burnout in US Physicians.” JAMA Network Open 9, no. 3 (2026): e263161. PMID: 41874502.
References
Peer-Reviewed Research (Vancouver)
- Porges SW. Polyvagal Theory: Current Status, Clinical Applications, and Future Directions. Clin Neuropsychiatry. 2025;22(3):169-184. doi:10.36131/cnfioritieditore20250301. PMID: 40735382.
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Annie Wright is a licensed psychotherapist (LMFT #95719) and trauma-informed executive coach with over 15,000 clinical hours. She works with driven women. Including Silicon Valley leaders, physicians, and entrepreneurs. In repairing the psychological foundations beneath their impressive lives. Annie is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited. A regular contributor to Psychology Today, her expert commentary has appeared in USA Today, Forbes, Business Insider, Inc., NBC, and The Information. She is currently writing her first book with W.W. Norton.
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