A physician-led wellness partnership built on DistressRx™
For health systems, employers, health plans, and medical training programs ready to treat burnout as the stress and metabolic condition it is, rather than a willpower problem.
Book a Consult →WITH MAZZY ORBAN · 30 MINUTES · NO OBLIGATIONYour high performers are dysregulated, not underperforming.
The clinicians, executives, and trainees inside your institution were selected for their ability to perform under pressure. They are burning out from sustained nervous system overload that accumulates over years and stays invisible until it costs you a retention, a safety event, or a leader.
Most institutional wellness programs treat this as an individual issue with meditation apps, EAP referrals, and resilience training. The intent is good. The frame is wrong. Burnout is a physiological condition layered on top of a systemic one, and generic content delivered to individuals addresses neither layer.
We work at the nervous system level, with physician credibility, at the scale your organization needs.
DistressRx™ is the backbone of every engagement.
DistressRx™ is a clinical framework developed by Dr. Ali Novitsky over a decade of practice. It rests on one observation: every person under chronic stress falls into one of six dominant patterns, and each pattern has its own physiology and its own intervention.
At the individual level, DistressRx™ is how a person learns to recognize and regulate their own stress response. At the institutional level, it is how an organization understands why its people are breaking down and what to do about it.
Every engagement starts with a framework your people can name, recognize in themselves, and apply in the moment.
What your people are running on.
Every person under sustained pressure defaults to one or two of these. Most institutional wellness misses them entirely.
The Assertive Type
High-functioning, action-oriented, often praised. Pushes through stress until the body pushes back with inflammation, sleep loss, and irritability with peers.
The Isolation Type
Withdraws when pressure mounts. Reads as low engagement or checked out. It is nervous system protection, and it gets missed in 1:1s.
The Control Type
Manages stress by micro-managing the environment. High output, low collaboration. Often the highest performer on the team, and the one who exhausts everyone around them.
The Validation Type
Stress shows up as people-pleasing, over-extending, and an inability to set limits. The team's emotional regulator, until they collapse.
The Impulsivity Type
Dysregulation shows up in decision-making, communication, and emotional reactivity. The pattern often labeled personality when it is physiology.
The Catastrophizing Type
Chronic threat-scanning, anticipatory anxiety, and rumination. High intelligence turned against the self. Often the hidden cost of a perfectionism culture.
Start with a talk, or build it into your benefits.
One talk. Optionally, a full workshop day.
A single physician-delivered keynote introducing DistressRx™ to your team, board, medical staff, or training program. Delivered virtually or in person.
For organizations that want more than an introduction, the keynote extends into a workshop day: the morning keynote, followed by facilitated sessions where your cohort identifies their own stress pattern and builds an implementation plan they can use the following week.
Common formats:
- Grand Rounds and medical staff meetings
- Leadership retreats and partner meetings
- Residency and fellowship wellness days
- Employer all-hands and executive offsites
This is the most common entry point, and the conversation that often leads to the benefits partnership.
Book a Keynote →A custom wellness platform for organizations and health plans.
For employers and payers ready to offer members something more than an app subscription: a physician-designed wellness platform built around DistressRx™ and configured for your population.
Every platform is custom-built for your organization or plan. A typical proposed scope includes:
- DistressRx™ Stress Type assessment for every member, so each person starts with their own pattern and their own plan.
- A structured, self-paced curriculum on stress regulation, strength, nutrition, sleep, and sustainable performance, designed by physician faculty.
- Guided practices members can use in the moment: movement, breathwork, and nervous-system regulation tools built for people with no spare hour in the day.
- Progress and stress tracking so members can see their own patterns change.
- Your branding and your language so the platform reads as part of your benefits, not a third-party add-on.
- Engagement and utilization reporting to your benefits or population health team at quarterly checkpoints.
- Rollout support including member communications, launch materials, and coordination with your existing EAP or wellness infrastructure.
Investment is discussed in the consult.
Explore Employee Benefits →Four kinds of buyers.
HEALTH SYSTEMS
Hospitals, health systems, and large practice groups facing clinician burnout, retention pressure, and the workforce cost of dysregulation in patient-facing roles.
Often delivered to physician cohorts, advanced practice teams, or leadership.
EMPLOYERS
Law firms, consulting firms, financial services, tech, and other performance-culture organizations where the top of the pyramid burns out fastest.
Usually engaged for partner-track, executive, or leadership populations, or offered plan-wide as a benefit.
HEALTH PLANS
Payers and plan sponsors looking for a physician-designed wellness benefit their members will use, with the reporting their population health team needs.
Configured for commercial, employer-sponsored, or specialty populations.
MEDICAL TRAINING PROGRAMS
Residency programs, fellowships, and medical schools building wellness curricula where physician burnout begins and prevention is most efficient.
Common delivery: Grand Rounds, retreat days, and longitudinal wellness modules.
A physician-built framework.
DistressRx™ has been refined over a decade in private practice, group programs, and institutional engagements. The framework holds because the physiology underneath it does not change. Only the population changes.
Dr. Ali Novitsky, MD
I built DistressRx™ because I watched the people I trained alongside, physicians, executives, and high performers across every field, burning out in a way no wellness program could reach. The interventions were not wrong. They were aimed at the wrong unit of analysis.
Burnout does not happen in the head. It happens in the autonomic nervous system, the HPA axis, and the metabolic and inflammatory cascades that respond to chronic load. Address that, and the cognitive and emotional symptoms follow. Address the cognitive symptoms alone, and you get the wellness industry we have now.
I bring clinical credibility your organization can defend to physicians, boards, and budget committees, delivered through a framework simple enough that a busy executive can use it in the next thirty seconds.
MASTER CERTIFIED COACH · FOUNDER, THE FIT COLLECTIVE®
From consult to launch.
Consult
30 minutes with Mazzy Orban, our COO. We learn about your organization, the population you want to serve, your current wellness or benefits infrastructure, and the outcomes you are looking for.
Custom Proposal
After the consult, you receive a scoped proposal with the recommended path (keynote, workshop day, or benefits platform), delivery format, timeline, and investment.
Launch
Once signed, we co-design the rollout with your team: communications, scheduling, content configuration, and any integration with your existing benefits or EAP.
Before the consult.
Book a consult.
30 minutes with Mazzy Orban. You learn whether this is the right fit before any pricing conversation begins.
Mazzy Orban
Book a Consult →OR EMAIL MAZZY@THEFITCOLLECTIVE.COM FOR INSTITUTIONAL INQUIRIES