Why High-Achieving Leaders Feel the Ache (and What to Do With It)

You know the feeling. From the outside, you look steady — the one everyone can count on. You’re praised as “calm in the storm,” “always reliable,” “impressive under pressure.”

But inside? There’s a hum. A restlessness. A quiet ache you can’t quite name.

It shows up in different ways:

  • You laugh at the right times in a meeting but feel oddly outside yourself.

  • You say yes to another project while silently wondering where the space for you went.

  • You scroll your calendar on Sunday night and feel consumed before the week has even begun.

The ache isn’t burnout. Burnout is collapse. The ache arrives earlier — as a signal. It tells you something’s off. And here’s the most important shift: the ache isn’t weakness. It’s direction.

The Ache as Feedback

Most high-achieving leaders ignore the ache. We override it with busyness, grit, or polish. We tell ourselves:

  • If I just get through this quarter, it will ease.

  • If I hit the next milestone, I’ll feel steady again.

  • If I perform my way into belonging, maybe the ache will quiet down.

But it doesn’t. Because the ache isn’t trying to stop you from leading. It’s trying to call you back to yourself.

From Performance to Integration

For years, I believed leadership was about performance: how polished I sounded, how much I carried, how calm I appeared. I thought if I played the role well enough, I’d feel whole.

I didn’t.

What shifted everything was learning to treat the ache as feedback, not failure. Instead of trying to outwork or outshine it, I began listening. And what I found was this: the ache wasn’t a problem to solve. It was a compass pointing me back to presence, purpose, and alignment.

That’s when I developed what I call the Integration Compass.

The Integration Compass

The compass has four quadrants, each with a simple practice designed to bring you back when the ache flares:

  • Presence – The Reset. Am I here, or am I performing?

  • Power – The Root. Am I grounded in my authority, or hustling to prove it?

  • Purpose – The Filter. Am I saying yes because it matters, or because it looks good?

  • Alignment – The Check. Did I act from wholeness, or fracture myself for belonging?

It’s not about perfection. It’s about orientation. Just like a compass doesn’t hand you a detailed map but always points north, this framework doesn’t promise an easy path — but it will remind you of your direction.

What This Looks Like in Practice

Take Maria, a department chair who described herself as “successful but exhausted.” The ache was everywhere in her leadership: endless emails, late-night prep, creeping resentment.

I invited her to try one practice: the Presence Reset. For one week, before she responded to anything — an email, a question, a meeting — she paused for a single breath and asked: Am I speaking from clarity, or from fear of being misperceived?

Here’s what happened:

  • On Monday, she rewrote a defensive email into one that was clear and calm.

  • On Wednesday, she declined a committee role that didn’t fit her priorities.

  • On Friday, she closed a meeting with one grounding question instead of rushing through.

By week’s end, Maria told me: “I didn’t get less done. I felt more like myself while I did it. And people noticed.”

The ache didn’t disappear, but it no longer defined her.

Three Ways to Respond to the Ache

If you’ve been feeling it lately, try one of these this week:

  1. The Presence Reset. Before you answer, breathe. One conscious breath, then respond.

  2. The Purpose Filter. At the end of the day, name one choice that was urgent and one that was aligned. Notice the difference.

  3. The Alignment Check. Each week, write down one decision where you acted from wholeness. Reward integrity, not just output.

Small moves, but over time they create a very different kind of leader.

Final Word

The ache isn’t weakness. It’s wisdom.

It’s your body, your spirit, your clarity whispering: Come back.

And when you begin to lead from that place — present, rooted, aligned — you don’t just perform leadership. You embody it.

Call to Action

If this resonates, I’d love for you to join my subscriber community, where I share weekly practices and reflections that won’t appear anywhere else. amandasarratore.com

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The Cost of Either/Or Leadership (and the Compass That Brings You Back)

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The Lie of Either/Or: Reclaiming Wholeness in Leadership