Transform®: The DistressRx™ Method for Women Doctors
A 12-Month Experience to Regulate, Rebuild, and Reclaim
Transform® is a neuroscience-backed coaching experience for women physicians who are ready to regulate their nervous system, reconnect to purpose, and lead with grounded confidence.
Learn your DistressRx™ Type with our validated assessment tool and discover how you respond to stress — so we can help you turn that insight into strength, balance, and sustainable change.
Over 12 months, you’ll move through a framework designed to strengthen your body, regulate your mind, and restore your energy — without burnout, pressure, or perfectionism.
This is the work medicine never taught you — how to care for yourself with the same precision, compassion, and science you give to your patients.
Be the first to hear when enrollment opens.
One Pillar Per Month.
One Profound Shift at a Time.
Each month inside Transform®, you’ll dive deeply into one facet of regulation — exploring it through neuroscience, movement, mindset, and reflection.
This deliberate pacing gives your nervous system what it’s been missing: TIME.
- Time to integrate.
- Time to test new tools.
- Time to feel the change instead of forcing it.
By the end of the year, you’ll have explored every dimension of yourself — from emotional regulation to longevity — ultimately honoring the most authentic version of you.
Be the first to hear when enrollment opens.
The 12 Pillars of Transformation
Each pillar in the Transform® framework builds on the last — guiding you from regulation to resilience, one phase at a time.
Your immersive 2-day retreat to identify your Distress Type, map your stress patterns, and create your personalized Regulation Blueprint.
- Personalized Distress Type assessment
- Stress pattern mapping and emotional stabilization training
- Your custom Regulation Blueprint for yearlong growth
Result: Clarity and calm foundation to transform every other pillar of your year.
Rebuild physical resilience through efficient movement, intuitive nourishment, and energy-aligned strength training.
- Progressive strength programming (10-, 20-, 30-min options)
- Mindful Macros® framework and Intuitive Eating
- Optional InBody Analysis and GLP-1 integration
Result: A strong, steady body that thrives without burnout.
Decode your physiology and align with your hormonal landscape — not against it.
- Menopause and hormone transition support
- Genetic individuality and nutrient optimization
- GLP-1 and metabolic precision coaching
Result: Renewed energy, mood stability, and physiological balance.
Calm mental chaos with cognitive frameworks that release perfectionism and restore clarity.
- CBT and DBT tools tailored for physicians
- Mindset reframing and journaling
- Weekly reflection prompts for focus and calm
Result: Clear, confident thinking under pressure.
Meet your emotions with compassion and transform reactivity into resilience.
- Somatic grounding and breathwork techniques
- Emotional containment and stabilization tools
- Personalized Distress Type coaching
Result: The ability to feel everything — without falling apart.
Heal in community with women physicians who understand, and learn co-regulation through support and shared reflection.
- Private Transform® community
- Weekly group coaching and reflection pods
- Relationship mapping and co-regulation training
Result: Belonging and authentic connection.
Rediscover joy in your calling while honoring your humanity — not just your credentials.
- Career alignment and fulfillment tools
- Burnout recovery and boundary mastery
- Leadership communication and delegation coaching
Result: Work-life harmony that sustains your purpose.
Restore natural rhythms and prioritize rest that renews body, mind, and soul.
- Personalized energy recovery plans
- Yoga, meditation, and breathwork library
- Sleep and circadian rhythm optimization
Result: Deep restoration and sustainable vitality.
Train for the decades ahead with evidence-based movement and metabolic repair.
- Muscle preservation and mobility coaching
- Longevity-focused exercise strategies
- Body composition tracking and education
Result: A body that’s powerful, capable, and built for life.
Lead with calm authority and model emotional regulation in every interaction.
- Physician-as-Coach communication model
- Motivational interviewing & stress-informed leadership
- Real-time feedback for confident presence
Result: Leadership that inspires safety, trust, and balance.
Transform progress into identity through consistent integration and reflection.
- Monthly integration sessions and success tracking
- Personal resilience blueprint
- Accountability for long-term calm and consistency
Result: Unshakable steadiness — growth that lasts.
Bring your transformation full circle by modeling calm and compassion in clinical practice.
- “See One. Do One. Teach One.” transformation model
- Stress-informed patient care frameworks
- CME-accredited physician wellness education
Result: The joy of medicine again — healing others without losing yourself.
The Foundation: The DistressRx™ Virtual Retreat
Before diving into the 12 Pillars of Transformation, you’ll begin with a powerful, physician-designed experience — the DistressRx™ Virtual Retreat.
This immersive 2-day event introduces the full DistressRx™ framework: how to identify your stress type, understand how it shows up in relationships, and integrate evidence-based tools for lasting regulation.
What You’ll Learn
- Phase 1: Identify and understand your Distress Type (Assertive | Isolation | Control | Impulsivity | Validation | Catastrophizing).
- Phase 2: Explore how your type interacts in relationships through the Distress Interaction Matrix.
- Phase 3: Integrate your subtype with the 12 Neuropsychological Stress Lenses to build sustainable emotional regulation and leadership balance.
What We Provide
- Personalized Distress Type assessment using our validated tool
- Stress pattern mapping and emotional stabilization training
- Your custom Regulation Blueprint for yearlong growth
- Community grounding and shared reflection with other women physicians
What You’ll Gain
- Clarity about how your nervous system responds to stress
- Confidence in your ability to regulate in real time
- The calm foundation to transform every other pillar of your year
This retreat gives you everything you need to succeed in Transform® — your roadmap, your regulation tools, and your renewed belief that sustainable change is possible.
The Transform® Support System
Real structure. Real support. Real transformation.
Throughout all 12 pillars, you’re supported by an integrated system designed to keep you consistent, connected, and grounded — no matter how busy life gets.
Coaching & Workshops
- 2/week Group Coaching Calls (with replays)
- DistressRx™ Monthly Workshop with Dr. Ali Novitsky
- Written mindset, nutrition, and exercise coaching for high-touch guidance
- Private physician community to connect with peers who share your growth mindset
Monthly Specialty Calls with The Fit Collective® Coaches
- Menopause Support with Dr. Komal Patil-Sisodia
- GLP-1 Weight Loss Coaching with Dr. Daisy Ramirez & Dr. Sara Ayers
- Relationship Coaching with Dr. Sonia Wright
- Leadership & Career Coaching with Dr. Brooke Buckley
Fitness & Movement Programming
- 52-week Strength Training Program (10-, 20-, and 30-minute options)
- 52-week Core & Floor Series
- 52-week Yoga Series
- 52-week Meditation Series
- 14-Day Emotional Regulation Breathwork Series
- Monthly Body Composition Analysis (optional)
Nutrition & Supplementation
- Fitness and nutrition programs customized to your goals
- Mindful Macros® nutrition framework
- Evidence-based supplement recommendations
- The Fit Collective® Recipe Books
- The Fit Collective® Custom App with integrated nutrition & fitness tracking — all your content in one place
Education & CME Accreditation
- CME-accredited physician wellness modules
- Completion tracking and certificate system
- Educational resources for clinical application and leadership development
This support system ensures that no matter where you are in your journey, you’ll always have a structure — and a sisterhood — to lean on.
Be the first to hear when enrollment opens.
Meet the Transform® Physician Coaching Team
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Dr. Ali Novitsky
Obesity Medicine, Neonatology, Pediatrics
Creator of Transform® & DistressRx™, Lead & Master DistressRx™ Coach & Guide, Nutrition & Exercise StrategistDr. Ali is the visionary behind Transform® and the DistressRx™ Method™ — a framework that helps women physicians regulate their nervous systems, rebuild their health, and reclaim their joy in medicine.
She will personally guide you through the DistressRx™ Programming throughout the year, beginning with our 2-day virtual retreat in January.
Her coaching blends science, strategy, and soul — helping you become the regulated, confident leader you were always meant to be. -
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Dr. Bridget Godwin
Pediatric Gastroenterology
Lead Nutrition Coach, Mindset & DistressRx™ CoachDr. Bridget brings her deep understanding of the gut-brain connection and her expertise in nutrition science to Transform®.
You’ll find her leading group coaching calls, providing written nutrition feedback, and supporting you through our Mindful Macros® and metabolic health frameworks.
Her compassionate and evidence-based approach helps women physicians reconnect to food as nourishment, not control. -
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Dr. Sonia Wright
Pediatric Radiology
Lead Relationship Coach, Mindset & DistressRx™ CoachKnown as “The Intimacy Coach for Women Physicians,” Dr. Sonia is a pioneer in helping doctors rebuild connection — with themselves, their partners, and their purpose.
She leads our monthly Relationship Coaching Call, where she weaves the DistressRx™ framework into powerful, real conversations about love, communication, and emotional safety.
Her work helps women physicians rediscover joy, intimacy, and authenticity in every relationship they hold. -
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Dr. Ashley Sandeen
Pediatric Critical Care, Peds APD
Lead Community Development, Intuitive Coach, Mindset & DistressRx™ CoachDr. Ashley is the heartbeat of Transform’s community — ensuring that every physician feels seen, supported, and valued.
She brings her deep intuition and experience from pediatric critical care into her coaching, creating safe spaces for healing, authenticity, and self-discovery.
You’ll find her inside our Transform® community and on weekly group coaching calls, helping you reconnect with your inner strength. -
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Dr. Brooke Buckley
Lifestyle Medicine, General Surgery, CMO & C-Suite Executive
Lead Executive Leadership & Career Coach, DistressRx™ Master CoachDr. Brooke brings her extraordinary leadership experience from the operating room to the executive boardroom.
In Transform®, she leads our monthly Career & Leadership Call, using the DistressRx™ framework to help physicians align professional success with personal wellbeing.
Her coaching supports you in reclaiming authority, building boundaries, and leading with calm confidence — without burning out. -
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Dr. Kristi Angevine
Obstetrics & Gynecology
Lead Mindset Coach, DistressRx™ Coach, Internal Family Systems ExpertDr. Kristi is a master at helping physicians break free from perfectionism, self-criticism, and emotional overwhelm.
Through the lens of Internal Family Systems and the DistressRx™ framework, she teaches you how to understand and work with your inner parts — not against them.
You’ll find her leading mindset threads and weekly coaching calls, helping you rewire your thoughts with compassion, curiosity, and confidence. -
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Dr. Sara Ayers
Pediatrics, Obesity Medicine
Lead GLP-1 & Weight Loss Coach, Mindset & DistressRx™ CoachDr. Sara helps physicians find freedom from the scale by restoring balance between biology, behavior, and belief.
Through her work in our weekly group calls and monthly GLP-1 coaching sessions, she helps women doctors build consistency, muscle, and confidence — without burnout or shame.
Her blend of clinical knowledge and heart-centered coaching makes every breakthrough feel safe and sustainable. -
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Dr. Komal Patil-Sisodia
Endocrinology, Obesity Medicine, Menopause Expert
Lead Menopause & Hormone Coach, DistressRx™ CoachDr. Komal is Transform’s trusted hormone and metabolism expert — integrating endocrine science with compassion and clarity.
You’ll see her in our monthly Menopause Coaching Call, where she provides practical, personalized strategies to support your hormonal transitions, energy, and vitality.
She helps women physicians navigate midlife and menopause with knowledge, strength, and self-trust. -
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Dr. Daisy Estrada
Family Medicine, Obesity Medicine
Lead GLP-1 & Weight Loss Coach, Mindset & DistressRx™ CoachDr. Daisy is Transform’s expert in metabolic health and sustainable weight management, offering science-based, shame-free guidance for women using GLP-1 medications or pursuing natural weight loss.
You’ll find her in our weekly group coaching calls and monthly GLP-1 sessions, providing clinical insight and compassionate support every step of the way.
Her approach combines physiology and emotional regulation to help you achieve results that last.
Transform® 10.0 Investment
Your commitment to calm, strength, and sustainable transformation.
Physician-led. Evidence-based. Life-changing.
Pay in Full
Deposit: $1,000
Final Payment: $6,000
due December 1, 2025
Total: $7,000
6-Month Payment Plan
Deposit: $1,000
6 Monthly Payments: $1,100
starting December 1, 2025
Total: $7,600
12-Month Payment Plan
Deposit: $1,000
12 Monthly Payments: $550
starting December 1, 2025
Total: $7,600
*Transform® cohorts open yearly and are limited to maintain personalized support and coaching intimacy.
CME-eligible hours are included in all payment options.
You Are the Medicine.
Your body already knows how to calm.
Transform® helps it remember.
You’ve spent years fixing, leading, and caring for others — often at the cost of your own calm.
Transform® exists to bring that calm back, through science, strength, and self-compassion.
This is your time to lead differently — from regulation, not reactivity.
To rebuild strength from the inside out.
To live your purpose without burning out.
“Regulated women doctors heal themselves — and everyone they serve.”
Be the first to know when Transform® 2026 enrollment opens.
Your DistressRx™ quiz reveals how you uniquely respond to stress — and how to transform it into strength.
Take the Quiz
Validation of the DistressRx™ Assessment Tool
Development and Psychometric Evaluation of a Framework to Identify Distress Tolerance Subtypes Among Women Physicians
Authors
Ali Novitsky, MD — Triple Board-Certified Physician; Master Certified Coach; CEO, The FIT Collective®; Creator of the Transform® Model and DistressRx™ Assessment Tool
Brooke Buckley, MD — Dual Board-Certified Surgeon and Lifestyle Medicine Physician; Specialist in Trauma-Informed Leadership and Workforce Resilience
Mark Novitsky, MD — Dual Board-Certified Psychiatrist; Diplomate, American Board of Obesity Medicine; Expert in Emotional Regulation and Cognitive Behavioral Integration
Abstract
Background: Physicians experience persistent cognitive and emotional load, yet few instruments capture the nuanced ways they internalize and transform distress. The DistressRx™ Assessment was developed to address this gap by operationalizing six distinct distress-tolerance subtypes within the Transform® Model.
Methods: Item development drew on eight years of qualitative coaching data from women physicians, guided by established emotion-regulation and stress-coping models. The instrument was refined to 18 items representing six subtypes and tested with N=350 women physicians using EFA/CFA for validity.
Results: Analyses supported a coherent six-factor structure with excellent fit indices (CFI=1.00, RMSEA=0.004) and strong subscale reliabilities (α=.73–.86).
Conclusions: The DistressRx™ demonstrates exceptional factorial validity and reliability, offering a developmental lens to interpret distress as data for transformation.
Theoretical Framework
The DistressRx™ integrates three foundational theories — stress appraisal (Lazarus & Folkman, 1984), emotion regulation (Gross, 1998), and distress tolerance (Simons & Gaher, 2005) — within a developmental coaching lens. Distress is treated as adaptive feedback, guiding awareness and evolution toward self-regulation and balance.
Subtypes Identified
- Isolation Distress: Emotional withdrawal as protection.
- Assertive Distress: Control or intensity as a guard against vulnerability.
- Validation Distress: Seeking reassurance to affirm worth.
- Control Distress: Overplanning to reduce uncertainty.
- Impulsivity Distress: Rapid action to avoid discomfort.
- Catastrophizing Distress: Anticipating worst outcomes to feel prepared.
Methods & Analysis
Sample: 350 women physicians from The FIT Collective® programs.
Design: Exploratory and confirmatory factor analyses confirmed a six-factor solution explaining 57% variance; subscale reliability α=.73–.86.
Results Summary
| Criterion | Benchmark | Result | Outcome |
|---|---|---|---|
| KMO | .70+ | .75 | Acceptable |
| Bartlett’s Test | p < .001 | < .001 | Pass |
| Variance Explained | ≥ 55% | 57% | Strong |
| Subscale α | .65–.85 | .73–.86 | Excellent |
| CFA Fit (CFI/RMSEA) | ≥ .94 / ≤ .06 | 1.00 / .004 | Excellent |
Discussion
The DistressRx™ bridges clinical psychology and coaching science, reframing distress as adaptive intelligence. It integrates psychometric precision with practical tools for leadership, coaching, and clinical growth.
Implications for Practice
- Individual Insight: Increases self-awareness and emotional agility.
- Coaching Integration: Enables subtype-specific reflection and regulation strategies.
- Organizational Leadership: Informs culture-wide well-being initiatives through real emotional data.
- Clinical Use: Enhances therapeutic frameworks such as CBT and DBT with subtype precision.
Conclusion
The DistressRx™ Assessment provides an evidence-based, developmentally grounded framework to transform distress into insight. It validates that resilience is not the absence of stress — but the integration of it.
Proceed to the next page to explore each DistressRx™ Type and its transformation pathway.