Leadership can be lonely, but it doesn’t have to be, says Business Coach Matthew Bartolo

Running a mental health clinic is more than managing appointments and providing therapy – it’s about holding everything together, says Matthew Bartolo, Managing Partner at Willingness and Business Coach Specialist, on LinkedIn.

“Leading a mental health clinic like Willingness means carrying the weight of every decision, every conflict, and every step forward. It’s far more than providing therapy or creating an environment where therapists can succeed – it’s about holding it all together.”

For Mr Bartolo, leadership is a daily commitment, not a burden. It involves making difficult choices that affect not just clients but also staff and the business itself. From guiding a team through complex cases to ensuring ethical, legal, and financial responsibilities are met, every decision ultimately rests on his shoulders.

The financial and emotional struggles

The challenges of leading in mental health extend beyond the therapy room. Financial pressures are constant, and sacrifices are often required to keep the clinic running smoothly.

“There have been months without a paycheck, dipping into savings to ensure taxes were paid, salaries met, and suppliers kept happy. Bills don’t stop just because times are tough.”

Attracting top talent while maintaining affordable, high-quality care means making daily tough decisions, ones that many do not immediately understand.

The loneliness of leadership

Leadership can feel isolating. Tough conversations, such as letting a team member go or explaining why a friend wasn’t hired, weigh heavily on leaders.

“Late at night, I often replay decisions, wondering if I could have done better. The balancing act can seem impossible at times.”

And yet, despite the struggles, Mr Bartolo wouldn’t trade this role for anything.

“Seeing a client’s life change for the better or watching a team member grow into their potential is a unique and powerful joy.”

Leadership doesn’t have to be lonely

Many business leaders struggle in silence, often misjudged as workaholics or greedy. Mr Bartolo has learned the importance of seeking mentorship, prioritising mental health, and embracing support.

“Leadership, no matter the field, is tough. But it doesn’t have to be faced alone.”

Ultimately, leadership is a choice. And it’s one best navigated with the right support system.