The new book arrives January 2027 — Join the list for first access & an exclusive discount →
Dr. Terry Hagan MDPsychiatrist · Author · Coach
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Coming January 2027

Forty years of insight.
One readable book.

Why capable people underperform — and what a psychiatrist discovered about actually changing it. Not therapy. Not self-help. A clinician's honest account.

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MD
University of Louisville School of Medicine
Rx
Board-Certified Psychiatrist
16
Yrs Neurosurgery + 17 Yrs Psychiatry
C
Cincinnati Psychoanalytic Institute
Cover
Coming Soon
The New Book

Coming January 2027

Forty years of psychiatric practice, neurosurgery, and coaching distilled into a single readable guide. Dr. Hagan's new book examines why intelligent, driven people underperform — and what actually changes that.

Written for high achievers who are tired of effort without results. Not therapy. Not self-help. A clinician's honest account of the patterns that keep capable people stuck.

“Everyone on this list gets first access and an exclusive discount.”

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What's Inside

The patterns behind underperformance — examined honestly.

Why effort is rarely the problem

High achievers work harder when stuck. The research — and the pattern — point elsewhere.

How your early history shapes performance today

Psychodynamic insight, made practical — without the jargon or the couch.

The cognitive patterns that block execution

Why intelligent people make the same limiting decisions repeatedly, despite knowing better.

What actually changes things

A clinician's account of interventions that move people — not motivational shortcuts.

Is This Book For Me?

Written for a specific kind of reader.

This book is for you if…

  • You are intelligent, capable, and still not where you should be
  • You have tried productivity systems and found they do not fit how your mind works
  • Progress feels slower than your capability warrants
  • You want understanding, not just another framework
  • You are ready to look honestly at what is beneath the effort

Not the right fit if…

  • You want quick motivational tactics
  • You need a rigid productivity formula
  • You need clinical mental health treatment
  • You prefer external accountability without reflection
Dr. Terry Hagan MD
The Author

A neurosurgeon who became a psychiatrist — because insight mattered more.

I practiced neurosurgery for 16 years. By every external measure, I had succeeded. And yet I was not happy — and I could not have told you why.

It took years of my own psychotherapy to understand the pattern. Today I bring that same process to coaching and writing — helping capable professionals move past the patterns that quietly limit them.

  • MD, University of Louisville School of Medicine (1979)
  • Neurosurgery residency & 16 years of practice
  • Board-Certified Psychiatrist · 17+ years
  • Psychodynamic psychotherapy & CBT trained
  • Cincinnati Psychoanalytic Institute
Previous Book

The Little Success Book

The Little Success Book

Dr. Hagan's first book. A compact, practical guide to the habits and mindsets that separate people who succeed from people who stay stuck. Written for busy professionals who want results without the noise.

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For Founders & Professionals

You built something real. Why does it still feel this hard?

Most executive coaching treats performance as a matter of habits and hacks — sharper goals, better calendars, more accountability. If you run a practice, a firm, or a growing business, you have probably tried most of it already. Some of it worked, briefly. Little of it lasted.

The frustrating part is rarely a lack of effort. It is that the same patterns resurface under pressure — intense focus some days, gridlock on others; decisions second-guessed into paralysis; growth that plateaus not for lack of ideas, but follow-through.

Dr. Hagan's coaching starts from a different premise, informed by four decades in neurosurgery, psychiatry, and psychoanalytic training. Before building new habits, we look at the patterns underneath them — how your mind actually operates under pressure, and why the standard advice has not stuck. Insight first. Execution follows.

This coaching is for you if…

  • You are an owner, executive, or senior professional already performing at a high level
  • You sense a gap between your capability and your day-to-day results
  • You have tried generic productivity systems and found they do not fit how your mind works
  • You want to understand the pattern, not just adopt another framework
  • You are ready to reflect honestly, not only execute faster

Not the right fit if…

  • You are looking for psychotherapy, psychiatric evaluation, or medical treatment
  • You want a quick motivational boost
  • You prefer a rigid, one-size-fits-all formula
  • You want external accountability without personal reflection

A focused engagement

Twelve core sessions plus two follow-up sessions, structured across up to six months — a complete arc, not an open-ended subscription.

Insight, then execution

We start with how your mind operates under demand, then build the structures and habits around that reality — not a generic template.

By application, not open enrollment

Dr. Hagan works with a small number of clients each cycle so every engagement gets real attention. This is a deliberate limit on capacity, not a marketing device.

Apply for a coaching conversation →

This is a coaching relationship, not a doctor–patient relationship. Dr. Hagan does not diagnose, prescribe, or provide medical treatment through this program. If you are experiencing a mental health crisis, please contact a licensed mental health professional or call 988.

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