People often move onto other positions after 20 years or so in a work environment, whether that's being promoted, or just moving to a different field entirely. But 20 years is often the period of time it takes for someone to change gears so to speak. So you're right around that time. 15 years is a long time to be in any field or job. Is there any growth opportunities you could pursue in your field? Any positions open or any other branches off from what you're doing right now that you could pursue? Since you have so much experience in the mental health field, I would recommend that you stay in that field, but there are tons of different jobs you could look into in that field other than what you're currently doing. Like administration, office work, client work, research work, managerial work, etc.