"It's lonely at the top."
We human beings benefit from being able to share our thoughts, ideas, experiences, concerns, downfalls – and progress and victories – with others who can relate to them. Secrecy and shame, and fears about impacts on others, all add additional burden to things we carry and further perpetuate problems.
Fulfilling the human need for fellowship does not mean this is "therapy" or based in pathology or brokenness. Friendship, comradery, shared experience and wisdom are all good enough reasons to participate. You have my blessing if you take this idea and simply organize something locally. Isolation is not good for individuals or in many of the roles we face.
I have personally benefitted from anonymous confidential groups that operate without a professional at the head. Alcohol has never been a central factor in any of my difficulties, but Al-Anon (the sister group of Alcoholics Anonymous) has been an eye-opening experience for me. It has shown me why Jesus would rather hang out with people whose lives are marked by sin, humiliation, loss, and repentance than with people in official positions of righteousness.
Incidentally, the word "alcohol" in Step 1 of AA and Al-Anon can easily be substituted with other things over which we may lack healthy control or indifference. Plus life need not get as "unmanageable" as happens for many spouses and children of alcoholics. Fill in the blanks with your own struggles: "We admitted we were powerless over (lust, bureaucracy, food, gambling, power, people-pleasing, money) — and that our lives (or organizations) had become unmanageable" (or could be better run).
Burnout is everywhere. I don't know if a certain saint originated this idea or was quoting someone else when he said something like, "true rest is not merely sleeping or withdrawing from activitiy. It involves finding inspiration." Thus, I am moving more towards teaching and working in groups and answering questions and fostering rich discussions.
MAXIMIZING ANONYMITY AND COMFORT
I do not mix people who might have a conflict of interest. My goal is to gather bishops with bishops, priests with priests, CEOs with CEOs. I also need to be able to "vet" out imposters or doers of harm and so will need to make sure people are who they say they are.
Cases involving absolute discretion can always contract me for one-on-one discussions.
If a person has lost former standing, I will not mix them with others who are currently in public positions with good standing. No one should feel in any way compromised in these gatherings.
GROUP SIZE
I have had very rich discussions with as few as 2 members, and I also cap groups at 5 + myself unless we jointly decide otherwise.
I maintain waiting lists and then send invitations when there are at least 2 people interested.
FEES
This format allows individual members to pay less while still allowing me to earn a living. We will discuss your situation personally and agree on a per-visit or per-month rate.