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The Threshold
Helm is not off-the-shelf wellbeing.
We do not scale. We do not compete with EAPs, group health schemes, or executive medicals. Helm exists because, at a certain altitude of responsibility and compensation, the person carrying the weight is effectively irreplaceable – and the consequences of their deterioration extend far beyond themselves.
Who Helm Is For
Seniority
Chief Executives, Founders, Chairs, Managing Partners, Fund Principals, Group Heads.
Compensation
Total annual compensation typically from US$1.5m upwards. This is a proxy rather than a rule. The determining factor is always irreplaceability.
Sector
The highest-paying career environments internationally. Global finance, law, and adjacent disciplines.
Geography
London, New York, Zurich, Geneva, Singapore, Hong Kong, Dubai, and the international circuit that interlinks them.
The Proposition
One service. One standard. One clinical relationship.
Helm provides a named, world-leading consultant psychiatrist and dedicated clinical team, available on a private and continuous basis to a single individual. The relationship begins with a full psychiatric and psychological formulation and continues for the duration of their post.
Where required, the service extends to the full Harbor London residential pathway in central London – the only privately held facility of its kind in the United Kingdom. There is no triage, no waiting, no escalation pathway to navigate. The senior clinician is already in place.
The Proposition
One service. One standard. One clinical relationship.
A TYPICAL DAY WITH HARBOR HELM
A TYPICAL DAY WITH HARBOR HELM
Who We Consider
Where the pressure is unrelenting and the people at the top are genuinely irreplaceable
For managing partners and heads whose departure would materially reprice the firm.
Helm is designed for individuals whose relationships, commercial influence, and authority are inseparable from the firm’s position. The day-to-day pressures of a role like this, such as cross-border transactions, client demands, partnership dynamics, and financial exposure, are well understood by our team.
Where one individual’s judgement directly shapes the performance of an entire fund.
In a lean investment team, even one impaired decision-maker introduces risk. Helm supports founding and managing partners as well as senior deal leads, operating across private equity, growth capital, infrastructure, private credit, fund-level responsibility, LP relationships, and the psychological weight of portfolio company crises they cannot discuss outside the firm.
Where cognitive acuity is inseparable from group effectiveness.
For CIOs, senior portfolio managers, and founding principals responsible for significant capital. In these environments, the margin for impairment is zero, and help-seeking may be resisted. With Helm, confidentiality is foundational. Nothing enters the organisation. Ever.
For the people running the institution – not the people running the desk.
Supporting CEOs, division leaders, and C-suite executives within global banking institutions. Regulatory pressure, board scrutiny, transformation cycles, and reputational exposure can create a sustained load that standard provision is not designed to absorb. We exist for those at the apex of this structure.
Where the individual and the institution are indistinguishable.
Within single-family offices and founder-led structures, the separation between person and enterprise doesn’t materially exist. Helm is engaged directly via a private office, general counsel, or trusted advisors, and operates with the unerring levels of discretion, continuity, and precision that this context demands.
Engagement
Every engagement begins with a deep-dive assessment conducted by Harbor London.
We do not onboard organisations. We assess them – and the individual in question – against a standard we define. The decision to proceed rests entirely with us.
01
Private Enquiry
A confidential approach directly from the organisation or a trusted advisor – no portal.
02
Organisational Deep Dive
Harbor London conducts a detailed review of the organisation, its environment, and the specific context in which the individual operates.
03
Individual Fit Assessment
A private, clinician-led assessment of the individual intended for Helm. The question is whether Helm is the right instrument for this person, at this time.
04
Invitation
Where there is a clear clinical and contextual alignment, an invitation may be extended.
The Harbor team
Drawn from the top tier of global psychiatric and therapeutic practice, the Harbor Helm team combines deep clinical expertise with an understanding of the pressures carried at the very highest levels of leadership.
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Paul Flynn
Founder & CEO
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Dr. Farrukh Alam
Medical Director -
Janine McNab
Chief Development Officer
