Leadership at the Top of My Lungs explores the unseen side of leadership-pressure, politics, identity, grief, self-doubt, and accountability. Through candid vignettes, Wendy C. Familia introduces The 6 Rituals(TM) Framework for Mental Hygiene, Voice, and Power, a reflective practice for examining what is happening internally before deciding what comes next. Each story includes lessons, takeaways, steps forward, and journal prompts, inviting readers to examine their own patterns and lead with greater clarity and intention