Actually, back in the day Andersens (and EDS) were some of the few companies that could deliver really big systems (for all their faults) e.g. https://accountancyage.com/2000/03/16/andersen-consulting-to... . Each year a number of analysts had nervous breakdowns, I worked with one of them.
I worked on some very large very emergency contact tracing, disease surveillance, and vaccine management implementations during covid. Someone on one of my teams ended up in an inpatient facility after a breakdown. Having senior leadership break down in tears on calls was unusual but not unheard of during that time either. Analysts and others at that level went from ok to very not ok in about 90 days. No one cares about consultants, they get ground to dust and then replaced with another team. I was paid well but it was a tough time.
