
You’ve tried to get ahead of it. You’ve tried cutting back, limiting drinks to weekends, switching to “just beer,” filling your calendar with workouts, meditations, podcasts, and productivity hacks. You’ve promised yourself you’d just “take it easy,” that you’d do a dry month, that you’d reset on Monday. Some of those attempts helped for a moment - but the stress always returned, and so did the familiar pattern of pouring a drink to soften the edges that never seem to smooth out on their own.
And now, if you’re honest, you’re tired. Tired of feeling split in two - successful and capable on the outside, overwhelmed and fraying on the inside. Tired of pretending that your stress is normal, or that your drinking is “just a phase,” or that you can keep performing at this level without something eventually cracking. You’re starting to feel the weight of it: the foggy mornings, the guilt, the shame, the fear that you’re becoming someone you don’t recognize.
You’re also wondering — quietly, privately — if there’s a different way to live, one that doesn’t require alcohol to cope, decompress, or survive the pressure you’re under. You’re hoping for a blueprint, a structure, a path forward that respects your intelligence, your ambition, your roles, and your responsibilities. Something that doesn’t demand you start over, “surrender,” “admit powerlessness” but helps you rebuild from within.
And the good news is that structure can be rebuilt.
What most high-functioning adults need isn’t more willpower or more shame — it’s a framework that reduces overwhelm, organizes recovery, and gives their brain an actual path out

For more than 34 years, I have lived in long-term recovery — uninterrupted, intentional, and deeply integrated into who I am. My story is not one of decades-long struggle. I got sober young, and I stayed sober. That early transformation shaped the trajectory of my entire personal and professional life. It allowed me to build a career of service, leadership, and innovation in the behavioral-health and recovery industries while holding tight to the clarity, integrity, and identity sobriety gave me.
Professionally, I’ve spent the last three decades serving in senior leadership roles that demanded both clinical mastery and operational excellence. I’ve been a Clinical Director, Director of Family Services, Program Manager for Intensive Outpatient Programs, consultant, curriculum architect, and executive leader responsible for creating, implementing, and elevating full treatment systems. I’ve trained clinicians, supervised teams, designed programs, and guided thousands of professionals, families, and leaders through meaningful and evidence-based recovery.
My path has always been driven by a single question: How do high-achieving people recover — and stay recovered — inside real lives filled with pressure, responsibility, and complexity?
Over the years, I’ve studied and taught neuroscience, stress regulation, identity reconstruction, co-occurring care, nervous-system stabilization, and the unique psychology of high-functioning adults. I’ve sat with professionals who "look fine" on the outside but feel like they’re unraveling internally. I’ve walked with executives, physicians, first responders, entrepreneurs, military personnel, therapists, and leaders who were carrying more than their nervous systems could manage.
Those decades of work — combined with my own lived experience — shaped what became the INTEGRATE™ framework and the Executive Sobriety BLUEPRINT™. These models bring structure to the chaos, language to the overwhelm, and strategy to the internal load that alcohol temporarily softens but ultimately worsens.
What I know is this:
High achievers don’t fail because they’re weak. They struggle because no one ever taught them how to regulate, decompress, or rebuild from the inside out.
That’s why I built this program.
Today, my work is devoted to helping professionals, executives, and high-functioning adults create sober lives that support their responsibilities, protect their identity, and strengthen their long-term wellbeing — without shame, stigma, or disruption.
If you’re carrying a life that looks impressive but feels unmanageable, I’m here to help you build something different. Something stable. Something sober. Something you don’t need to escape from.
"Joanne is brilliant. Her combination of science and holistic recovery tools is masterful."

"Dr. Jo’s approach provides unparalleled tools for lasting recovery and personal growth."

"I have witnessed her deep knowledge of multi-modal therapies delivered with compassion and clarity. She’s empathetic but cuts right to the heart of the issue."

"Dr. Ketch’s curriculum has been invaluable in my work with individuals seeking to become the best version of themselves."

"I was at my lowest point. Her compassionate, evidence-based approach changed everything. I’ve quit substances, rebuilt my mental health, found professional success, and am training for my first marathon."
