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On today’s episode, I’m joined by Sandeep Acharya — Founder and CEO of Octave, a company that’s quietly but powerfully transforming how we experience mental health care in America. WATCH IT ON YOUTUBE.
Under his leadership, Octave has partnered with major insurers to make high-quality, affordable therapy accessible across 23 states. It’s been named a LinkedIn Top Startup and one of the best places to work in the country.
Before founding Octave, Sandeep wore many hats: investor at Bain Capital and Insight, consultant at Bain & Company, and executive at One Medical, where he helped scale the company nationwide and saw firsthand how deeply unmet our mental health needs are.
In this conversation, we go far beyond the bullet points — talking about his battle with cancer, the role of spirituality and music in his life, and what it really takes to build a company that’s both mission-driven and sustainable. He shares unfiltered insights on leadership and navigating uncertainty.
This one’s for the builders, those fighting their own battles, and the believers.

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