Burnout
The most common message I get, and the one people apologize for sending. It usually arrives as a question about whether to quit, and it is almost never a question about whether to quit.
The first two sessions are arithmetic. We write down a normal week: the hours, the evenings, the weekend where you "just checked one thing." The number is always bigger than you think and it is the first honest thing on the table. Then we find the two or three places where the hours are yours to move, and we move them, before we talk about the job at all.
By session four most people can say which part of the exhaustion is the role, which part is the company and which part is a habit they brought with them. That is the decision point. Some leave. More stay, on terms they wrote themselves, and the week looks different by the time the block ends.