00 — Executive coaching · Advisory · Speaking

Columbus, Ohio · Working anywhere

Integration doesn’t
stop at the edge
of you.

Leadership is never contained in the leader. What you carry into the room shapes decisions, relationships, and culture. The system responds — and shapes you back.

I know that loop from both sides. I spent twenty years leading technology at scale, then trained as a clinician to understand what happens underneath performance: the patterns people build to succeed, protect themselves, and keep going.

Now I work where those two worlds meet.

Operator
Twenty years leading technology at scale. 50+ person teams · multiple locations · $2B+ portfolios
Clinician
Clinical work since 2019. A second education in how people adapt under pressure.
The work now
Executive coaching · advisory · speaking Leader, relationship, and system in the same frame.
Open — Q4 2026

01 — The role you inhabit

The PATH

The patterns that protect you also shape your leadership.

They show up in decisions, relationships, and culture. The system answers back — and shapes you in return.

The PATH is how we see that loop clearly enough to work with it.

The PATH: nested layers of influence Self is nested within Patterns, Relationships, and Systems. Each layer shapes and is shaped by the others. Patterns Relationships Systems Self
Influence moves both ways.
Self How you understand yourself and the role you inhabit.
Patterns How you respond to pressure, uncertainty, conflict, and change.
Relationships How your way of leading shapes, and is shaped by, the people around you.
Systems How culture, structure, power, and history set the conditions for all of it.

Movement i

Protect

Respect comes before change. Every pattern protects something. Understand the job it is doing — and what feels at risk without it.

Movement ii

Adapt

Patterns are adaptations that outlived their conditions. Trace how yours formed, what it solved, and where the system still rewards it.

Movement iii

Transform

Transformation is the return of range. The old pattern becomes one possible move — not the move that runs the room. Practice new responses and change the conditions that keep the old one necessary.

Movement iv

Heal

Healing is integration: the new range holds under pressure. You remain yourself, stay connected, and carry the change into decisions, relationships, and culture.

Integration is the capacity to remain fully yourself while participating responsibly in the systems you help shape.

02 — The work

Coaching · Speaking · Advisory

This is not self-optimization. Your organization is in the room with us, because you are part of its nervous system and it is part of yours. Clinically informed, deliberately not therapy, and I know these rooms from the inside. I hold a few engagements at a time; it costs me volume and protects the depth.

Coaching

The Engagement

Six months · Twice monthly · 90 minutes

For the pattern that keeps reasserting itself, the one feedback hasn’t touched and effort hasn’t outrun. Six months is long enough to run the full PATH: map what the pattern protects, loosen it where it constrains, and consolidate a wider range that holds after we stop meeting. Contact between sessions is part of the container; we set its bounds together at the start.

12 sessions · Contact between sessions

Fee set in the fit conversation, scoped with the container.

Coaching

The Intensive

Two sittings · Three hours each · One block

For the challenge that is current and expensive: the decision you keep deferring, the conflict that has stopped moving, the role you have outgrown but still perform. The first sitting works the block: what it protects, how it formed, where it gives. The second consolidates what moved, back in the pressure of real work. A compressed PATH, built to produce movement rather than a plan to move.

2 × 3 hours

$5,000, inclusive of both sittings.

Field

Speaking

Keynotes · Workshops · Offsites

Talks and working sessions on leadership as ecology: what organizations do to the people in them, and what those people do back. The material comes from both careers, twenty years building technology organizations and seven in clinical depth work, so a room gets the systems view and its human cost in the same hour. Sessions run from a 45-minute keynote to a half day with an executive team.

45–75 min keynotes · Half-day working sessions

Fee by format and audience.

Org

Advisory

Teams · Boards · Practices

For executive teams and boards at the moments where a structural decision quietly becomes a human one: a reorganization, a succession, a product that reaches into people’s inner lives. I also advise founders and practices building in psychedelics and AI, where business design and clinical reality share a room, on program design, practice operations, and the ethics that keep both defensible.

Program design · Practice operations · Ethics review

Scoped and priced per engagement.

Jay Karr in an olive shirt, seated cross-legged on a concrete floor between two plants

03 — Background

Two careers. One field of study: how people adapt inside systems.

I spent twenty years leading technology inside complex organizations — building global e-commerce infrastructure, leading distributed teams, and operating at the scale of billion-dollar portfolios.

Then I changed rooms.

Since 2017, my clinical work has taken me beneath performance and into the patterns that sustain it: overcontrol, overfunctioning, vigilance, avoidance, self-silencing, and the other adaptations high-performing people build to keep moving. These were some of the same patterns I worked to understand in my own therapy.

That work changed how I understand leadership. I now see organizations less as hierarchy and structures, and more as living systems shaped by what people protect, repeat, reward, and avoid.

The second career gave me a different lens on the first. Coaching, now, is where the two finally meet.

20
Years in technology leadership
50+
Person teams across multiple locations
$2B+
Portfolio scale supported
7
Years of clinical work

04 — In the field

Clinical thought leadership · ACA 2026

Therapeutic Love

Half my working life is clinical, and I lead there too. Therapeutic Love is the ethical framework I developed for that field and presented at the American Counseling Association’s 2026 national conference: a case for depth work as a relational and ecological responsibility, made while psychedelics and AI scale faster than the ethics around them. It’s the same thinking that became the PATH, built where the stakes are highest.

Read the framework →
Selected talks and training, most recent first
Year Title Venue
2026 Therapeutic Love: Ethics in Ketamine-Assisted and Trauma Therapy ACA Conference & Expo
2025 Ketamine-Assisted Psychotherapy: Evidence-Based Insights Ohio CSWMFT Board
2024– Preparation & Integration in KAP — monthly clinician cohort Journey Clinical
2024 Integrating KAP and Internal Family Systems Columbus IFS Network