The Mack Podcast

Mental Health and Decision-Making in Family Systems

Feb 10, 2026
Dr. Dave Marcovitz, psychiatrist and co-founder of Valence who blends clinical care with leadership coaching. He discusses how mental health and leadership shape multigenerational family systems. Conversations cover cascading leader effects, human capital as asset, identity and addiction risks, assessment dashboards, integrated care models, and scaling with tech and AI.
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ADVICE

Begin With A Confidential System Diagnostic

  • Start with a discreet, system-level diagnostic mapping who should be involved.
  • Use assessments and a green/yellow/orange/red dashboard to align the family before action.
INSIGHT

Integrate Personal, Relational, And Professional

  • Effective work must integrate individual, relational, and professional domains.
  • A vertically integrated approach maps how personal issues interact with relationships and work.
ADVICE

Use Quarterly Plans For Measurable Progress

  • Use quarterly cycles to propose and evaluate interventions.
  • Combine psychiatry, executive coaching, family coaching, and life coaching in tailored quarterly plans.
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