A therapist shares insights on the unique challenges faced by clients worth over $30 million, highlighting feelings of isolation and guilt.

One client, an elderly father, felt overwhelmed by his adult children’s expectations for financial support. They had already spent their inheritances and wanted him to keep funding their lavish lifestyles. This pressure drove him to drink heavily, highlighting how wealth can complicate family dynamics.
Hokemeyer also points out that the ultra-rich can feel very isolated. With only about 627,000 ultra-wealthy individuals globally, they often retreat from society due to constant demands for money. One client even stopped going out because he felt bombarded by requests for donations, leading to severe depression and health issues.
Substance abuse is another common issue among wealthy clients. With easy access to drugs and alcohol, many only seek help when their situation becomes dire, like after a health crisis or a significant loss. Hokemeyer helps them confront their guilt and shame about their wealth, guiding them toward healthier perspectives on their lives and relationships.