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What happens when you press pause on making financial decisions in your group practice?In this solo episode, Linzy digs into the reasons why group practice owners often make reactive, emotionally driven decisions in business. She also uncovers the three most common financial mistakes that group practice owners make and shares what it takes to make grounded financial decisions in group practice.Whether you run a group or solo practice, this episode offers valuable insights to give you the clarity and confidence you need to make intentional, strategic choices in your business that allow you to build a healthy, sustainable practice.Doors are open for the Fall 2026 cohort of Money Skills for Group Practice Owners, which starts in October. Visit moneyskillsfortherapists.com/msgpo to learn more or register today to save your spot in the Monday or Thursday session.Timestamps:02:48 - Emotionally driven decision making in group practice08:37 - The three most common financial mistakes group practice owners make16:45 - Grounded decision making in group practice18:41 - Anchoring financial decisions to your top three values21:05 - Being with your numbers at three different levels26:47 - Pressing pause on financial decisions in private practiceMentioned in this Episode: Ep 223: Give Every Dollar a Job: Creating Meaning & Purpose for Your MoneyWant to feel more calm and confident about your money? Join one of Linzy's online workshops for private practice owners to shift your money mindset, transform your relationship with money, and gain practical tools and strategies to manage your business finances with greater clarity and ease. Explore upcoming workshops and sign up to save your spot or register to receive the replay.You can also join the private WhatsApp community to connect with other therapists, health practitioners, and listeners of Money Skills for Therapists: The Podcast. Submit your request to join the community today.For dedicated coaching and support with your group practice finances, register for our October 2026 cohort of Money Skills for Group Practice Owners.For dedicated coaching and support with your solo practice finances, join the Money Skills for Therapists waitlist to hear when enrollment opens for our January 2027 cohort.About Linzy Bonham:Linzy Bonham is a therapist turned money coach who helps private practice owners and health professionals feel calm, confident, and in control of their finances through her podcast, workshops, and comprehensive programs: Money Skills for Therapists and Money Skills for Group Practice Owners. You can learn more about Linzy here.Connect with Linzy:LinkedInInstagramFacebook
What would happen if you stopped trying to market your practice everywhere and focused only on what actually works? In this episode, I'm joined by Laurel van der Toorn, a therapist and group practice owner who has built a successful virtual, trauma-focused practice by doing less, but doing it strategically. We talk about why she chose to stay virtual, how niching around EMDR has helped bring in the right clients, and why she decided to stop focusing on social media and podcasting after looking at the numbers. Laurel also shares how she approaches SEO, backlinks, networking, email marketing, and even uses AI to help nurture referral relationships. We talk about what has actually moved the needle for her practice, what she's stopped doing, and how focusing on a few strategic efforts can protect your time while still growing your business. Topics Covered in this Episode: 2:45 - The unexpected source of Laurel's best-fit clients 5:10 - Why she stopped trying to be everywhere online 7:02 - The networking system that keeps relationships going 10:18 - How she uses AI to make networking easier 14:06 - What actually makes referrals turn into clients 17:24 - The SEO strategy that helped her virtual practice grow 20:11 - How she built hundreds of backlinks If you've been wondering whether you really need to be on every platform, create endless content, or try every marketing strategy out there, tune in! Resources Mentioned: Connect with Laurel: www.laureltherapy.net Find out more about Alma here: helloalma.com/danielle Take 50% off your first 3 months of Simple Practice + a 7 day free trial using the link: simplepractice.com/danielle Fill Up Therapists: $0-$60k If you are needing more private pay clients in your practice in 2026, the Practice Accelerator is the perfect fit for you. Use the code ALLIN as a podcast listener to get $100 off at checkout. Scale Up Therapists: $60-$200k+ Group practice owners, content creators and therapists scaling beyond 1-1. Apply here for the next round of Scale Up Mastermind where I help therapists create additional revenue streams and scale to multi six and seven figures.
Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech. In our latest episode, we chat with Julie Herres of GreenOak Accounting about how there's still good money to be made in private practice, and what you need to know to make it. We discuss: Profitability and intentionality, and what it takes to stay on track Rate changes and cost of living changes impacting group practices How Julie would respond to practice owners who are feeling the squeeze right now Setting up the financials for a healthy practice Compensation for pre-licensed vs. fully licensed clinicians Julie and Liath's predictions for the trend to swing away from VC-backed therapy platforms and back to smaller group practices What group practices can bring to the table that these platforms can't Metrics to track to be able to make informed and aligned decisions in the short, medium, and long-term The value, in time, money, and cognitive overhead, in outsourcing to a trusted expert Julie's upcoming event in September for group practice owners, Group Practice Con Listen here: https://personcenteredtech.com/group/podcast/ For more, visit our website. Resources: Therapy for Your Money Podcast — Hosted by Julie Herres, founder and CEO of GreenOak Accounting, this podcast helps private practice owners understand their finances, improve profitability, and make confident, data-informed business decisions. GreenOak Accounting for Mental Health Professionals — Specialized accounting and financial guidance for therapists and mental health practices, with services designed to support solo practitioners, group practices, and practice owners navigating growth and expansion. Profit First for Therapists by Julie Herres — Julie's practical, therapist-specific adaptation of the Profit First framework, designed to help practice owners build profitability into their financial systems, pay themselves appropriately, and create a more sustainable practice. Group Practice Con 2026 (Sold Out!) — A tactical, growth-focused conference for established group practice owners, co-hosted by Julie Herres and Joshua Brummel. The 2026 event takes place September 9–11 in Chicago and is currently sold out, but practice owners can join the waitlist through the conference website. PCT Resources: Group Practice Care Premium weekly (live & recorded) direct support & consultation service, Group Practice Office Hours — including monthly session with therapist attorney Eric Ström, JD PhD LMHC Device Security Suite: assignable staff HIPAA Security Awareness: Bring Your Own Device training + access to Device Security Center with step-by-step device-specific tutorials & registration forms for securing and documenting all personally owned & practice-provided devices (for *all* team members at no per-person cost) Remote Workspace Security Suite: assignable staff HIPAA Security Awareness: Remote Workspaces training for all team members + access to Remote Workspace Center with step-by-step tutorials & registration forms for securing and documenting Remote Workspaces (for *all* team members at no per-person cost) + more HIPAA Risk Analysis & Risk Mitigation Planning service for mental health practices — care for your practice using our supportive, shame-free risk analysis and mitigation planning service. You'll have your Risk Analysis done within 2 hours, performed by a PCT consultant, using a tool built specifically for mental health practice, and a mitigation checklist to help you reduce your risks. PCT's Comprehensive HIPAA Security Compliance Program (discounted) bundles: For Group Practices For Solo Practitioners Comprehensive HIPAA Security Policies & Procedures Forms & Logs for documenting implementation and maintenance of Policies & Procedures in practice Device & Workspace Security Suites Direct Support & Consultation from PCT team + therapist attorney Eric Ström, JD PhD LMHC (live & recorded + searchable library) Includes the Risk Analysis & Risk Mitigation Planning service + tool HIPAA Security & Privacy Ethics training
Does your practice look busy, but the numbers tell a different story?In this episode, Linzy is joined by Elana Sures, creator of the Client Retention System (and recent Money Skills for Group Practice Owners graduate), to talk about client retention — a key metric in both group and solo practice.Together, they discuss what retention actually measures, why it can feel so uncomfortable for therapists and practice owners to talk about, and how improving retention benefits both the clinical relationship and the financial health of the practice.Elana also shares the four C's of client retention and practical strategies to help keep clients coming back to do the meaningful work they set out to do in therapy. Want to join Linzy and Elana in British Columbia on August 15th for the Pacific Northwest Meet-Up for Group Practice Owners? Register here to save your spot.For a full transcript and more takeaways from the episode, check out this post. Connect with Elana Sures:Elana Sures is a Registered Clinical Counsellor, Approved Clinical Supervisor, and the founder of Open Space Counselling, a Vancouver group practice with two locations and a team of 20+ therapists. Elana supports practice owners through her consulting company, Group Practice Performance, and in her training program, Client Retention System. Get the Client Retention System here, and use code MONEYSKILLS10 for 10% off.Website: grouppracticeperformance.comInstagram: @elana.suresFacebook group for group practice owners: The High Performing PracticeFree guide: The First Session Want to feel more calm and confident about your money?Join one of Linzy's online workshops for private practice owners to shift your money mindset, transform your relationship with money, and gain practical tools and strategies to manage your business finances with greater clarity and ease. Explore upcoming workshops and sign up to save your spot — or register to receive the replay.You can also join the private WhatsApp community to connect with therapists, health practitioners, and listeners of Money Skills for Therapists: The Podcast. Submit your request to join the community today!About Linzy BonhamLinzy Bonham is a therapist turned money coach who helps private practice owners and health professionals feel calm, confident, and in control of their finances through her podcast, free workshops, and comprehensive programs: Money Skills for Therapists and Money Skills for Group Practice Owners.Learn more about Linzy at moneyskillsfortherapists.com/about.
Urologist Ben Lowentritt (Chesapeake Urology, Baltimore), pops into the studio today while passing through Melbourne. We chat about life in a large urology group practice (a huge part of urology service delivery in the USA), why there appears to be a drop in interest in Fellowship training, and his experience of managing advanced prostate cancer in a large urology group practice. Ben, who is also Secretary of the Large Urology Group Practice Association in the USA, has a lot of interest in gathering real world data from large urology group practices, and shares with us some data on the use of ARPIs in mHSPC which has recently been accepted for publication. This is a Themed Podcast supported by our Gold Partners, Johnson & Johnson.
Are you building a business that can thrive without sacrificing its culture? Is every dollar you spend moving your practice closer to its long-term vision? Who should be with you […] The post The Financial Team Every Group Practice Needs with Danielle Hayden | GP 339 appeared first on How to Start, Grow, and Scale a Private Practice | Practice of the Practice.
Donna Sky on Employee Ownership, Legacy, and the Future of Private Practice. Lemme ask the group practice owners a question: What's your business plan for the end of capitalism? OK, so we're not quite there yet, but "something" is pushing private practices closer to the cliff's edge of capitalism, the inevitable collapse of unbridled growth for no other reason than greed. Group practice owners who want to land safely should prepare for what comes next. Employee ownership (EO) could be what's next. Donna Sky is senior manager of business and engagement and partnerships at Project Equity. This national non-profit helps business owners explore EO and build more equitable, resilient workplaces and communities. "There have been a lot of success stories," Donna says. "The first step is to think about what's important to you and then educate yourself." Group Practice (R)evolution is a podcast series offering insights from owners, employees, and experts, and resources to support this wildly ambitious vision for the future. Become a part of the (R)evolution in our Authentic Leaders Group. Join the waitlist for the next Authentic Leaders Group cohort. This is a journey of self-discovery and leadership mastery, where you'll not only enhance your leadership skills but also forge meaningful connections with fellow therapists who are committed to their own growth and the betterment of the therapy field. Apply now! UPCOMING EVENTS Check the calendar for opportunities to connect with Sarah and earn CEs. SUPPORT THE SHOW Sarah's Downloadables Join our Patreon for gifts & perks Shop our Bookshop.org store and support local booksellers Share a rating & review on Apple Podcasts *** Let's be friends! You can find me in the following places… Website Facebook @headheartbiztherapy Instagram @headheartbiztherapy
Opening a group practice can feel like the obvious next step once your private practice is full and you're turning away potential clients every week. But too often, therapists make that decision from a place of scarcity instead of strength, and that's exactly why it backfires.In today's episode, I'm sharing the three questions I wish every therapist would answer before hiring their first clinician. If you can't confidently say yes to all three, opening a group practice probably isn't your next best move—at least not yet.I'm diving into whether you genuinely have an abundance of time and money (or just enough demand to feel busy and stretched), what consistent long-term demand really looks like, and the identity shift from clinician to business owner that catches so many therapists by surprise.If you're thinking about expanding into a group practice, these three questions will help you decide whether you're truly ready and give you a roadmap for what needs to happen first.Topics covered on Opening A Group Practice:The one financial question that decides whether you're expanding from strength or scarcityFull private practice isn't always the green light for opening a group practiceThe uncomfortable gut check: would you feel excited or a little sick handing your favorite clients to someone elseThe identity shift nobody warns you about, and why it lights some therapists up and wrecks othersResources from this episode:Liberated Business: www.thebadtherapist.coach/liberatedbusinessWebsite: www.thebadtherapist.coachConnect with Felicia:Get my freebie & join the email list: The Magic SheetsInstagram: @the_bad_therapistRelated episodes: Growing Your Group Practice: Why Your First Hire Should Be A 'Mini-You' w/ Nicole McCance [Ep 124]What You Need to Know Before Hiring a Team Member for Your Private Practice [Ep 17]Quote:"A group practice adds complexity, it adds responsibility, and it adds overhead before it adds freedom." Felicia
The Practice of the Practice Podcast | Innovative Ideas to Start, Grow, and Scale a Private Practice
Could doubling your practice be more achievable than you think? Which growth strategy would have the biggest impact on your business right now? Are you building a practice that depends entirely on you, or one that can grow beyond you? Joe Sanok explores whether starting a group practice is the fastest path to growing a private practice and explains why aiming to double your business can be both realistic and impactful. He shares practical strategies for increasing revenue, from raising rates and seeing more clients to creating passive income, while highlighting hiring clinicians as the quickest way to scale. Joe also breaks down the key systems for attracting and converting new clients, discusses ethical ways to gather reviews and feedback, and encourages practice owners to find the right support system so they can grow with confidence rather than figuring it all out alone.
What if the problem isn't that you're not working hard enough at all…What if the problem is that you've built a business that no longer feels like you?As part of our Summer Replay Series, I'm bringing back one of my favorite conversations — and it is just as powerful today as it was when we first recorded it.Maira Holzmann is a somatic therapist, group practice owner, and business coach whose approach to business is refreshingly different.Rather than chasing someone else's definition of success, she set out to build a business that reflected her deepest values, honored her strengths, and supported the life she actually wanted to live.Please — if you ever feel like you're having to sacrifice your Self in order to build your business — listen to this.Because in this episode, you'll hear...Why alignment matters just as much as strategy when growing your business.How Maira found the courage to rebuild even when nothing felt like it was working…The oh-so-powerful mindset shifts that helped her stop playing small. Period.What it means to build a business from the inside out.See here's the thing.Your success will feel completely different if it's rooted in your values instead of your ego, when you make decisions, take action, and craft your practice in the way that feels deeply true to who you are.Deeply true to who you are…And you'll still make good money, have a life, and feel wonderful about the work you do.Doesn't get any better than that, does it?So check it out. And let me know how this lands for you.If this conversation resonates, I'd love to hear what stood out most. And if someone comes to mind who needs this reminder right now, share the episode with them! Not to sound over the top - but really - you could change someone's life.~WendyP.S. One of my favorite moments in this conversation comes near the very end, when I asked Maira what one last bit of wisdom she felt called to share. What she said has stayed with me ever since. I hope it stays with you, too. And if you know someone else who needs to hear this, please share it with them._____________TODAY'S GUEST: MAIRA HOLZMANNMaira Holzmann, LCSW passionately works at the intersection of being a seasoned therapist running a growing group practice and a business coach for soul-aligned therapists who want to stop feeling overworked, underpaid and unappreciated. With her extensive training in empowered somatics, healing trauma, and nurturing resilience Maira is dedicated to helping psychotherapists do good, live large and thrive more.You can find her at: www.SomaticTherapyPartners.com_____________MENTIONEDEpisode 39: Why Closing Her Group Practice was One of the Best Things She Ever Did: An Interview with Ali BoehmEpisode 42: Thinking Big: How to Grow and Manage a Large Group Practice with Amanda LandryEpisode 43: What I Got Right as a Group Practice Owner, and a Few Things I Missed_____________LET's CONNECT:Want to be a Guest on Ideal Practice™? Submit your application here.Follow me on Facebook or LinkedIn. Support the showWendy Pitts Reeves, LCSWHost, Ideal PracticePrivate Practice Coach and Mentorwww.WendyPittsReeves.comWendy@WendyPittsReeves.com
Sign up for my How They Did It Success Panel with Group Practice Owners - get the ‘ah-ha' moment you need to keep moving forward→ https://mccancemethod.com/success-panel-with-group-practice-owners/In this episode, I chat with Shayah Reed from Virtual Balance about the website updates you need when growing from a solo to a group practice. We talk about how to make your website easier to navigate, improve conversions, support SEO, and help more clients book with the right therapist.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[03:48] Why your website needs to convert before investing in marketing.[04:38] How to update your About page for a group practice.[08:18] Why every therapist needs an individual bio page.[11:16] How direct booking links reduce friction.[17:30] Why service pages should be split up.[19:51] How SEO helps your website grow over time.Links From The Episode:Here is the Janeapp link for TWO free months on us! https://janesoftware.partnerlinks.io/ytg4vn Use Coupon: MCCANCE2MODiagnostic Website Quiz - http://www.virtuwellbalance.com/diagnostic-website-quizKeywords Everywhere - https://keywordseverywhere.com/Ubersuggest - https://neilpatel.com/ubersuggest/Google Keyword Planner - https://business.google.com/aunz/ad-tools/keyword-planner/More about Shayah:Shayah is the Founder of Virtuwell Balance, a woman-run design and marketing agency serving therapists and health practitioners across North America. Since 2019, Shayah and her team have supported over 400 clinics in growing their revenue and expanding their impact through intentional web design and organic marketing. With a passion for mental health, holistic wellness, and mindful marketing strategies, Shayah is on a mission to help therapists attract and convert aligned clients through their websites and create meaningful change in their communities.Want to Connect with Shayah? Virtuwell Balance: www.virtuwellbalance.comInstagram: https://instagram.com/virtuwell.balance
Ever feel like your group practice is running you instead of the other way around? Yeah, you're not alone. That's why Uriah sat down with his friend Whitney Owens, founder of Wise Practice Consulting and one of the smartest group practice owners he knows, for her fifth time on the show. They got into the systems that keep a growing practice from turning into chaos, and the kinds of overwhelm almost every owner runs into along the way. In this episode, they talk about the first systems you need to get right (intake, billing, and hiring), why hiring for values beats hiring for experience, the real reasons group practice owners feel so overwhelmed, and how a solid team and good SOPs can give you the freedom to step away when life calls for it. Whether you're in year one or year ten, building your first systems or fine-tuning the ones you've got, this one will help you grow without burning out.
Ready to grow your practice without seeing more clients? Discover the hiring system behind a 55-therapist practice in my FREE Masterclass: The Hiring Method → https://mccancemethod.com/the-hiring-method-behind-a-55-therapist-practice/Want to watch this episode on video? Check it out here on YouTube: https://youtu.be/U8w-B7sgyu4In this episode, I chat with Milly Feliz, a Clinic Growth Map™ graduate who scaled her practice from a solo dream in her basement to a million-dollar group practice with 14 therapists. Milly shares how building strong team trust, improving her website experience, and taking bold action as a mom helped her create more freedom, impact, and long-term legacy.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[02:55] Milly reflects on her practice before joining the Clinic Growth Map™.[03:32] How she scaled from a basement office to a million-dollar group practice.[05:12] The leadership strategies Milly used to build trust within her therapy team.[06:14] The website video strategy that improved the client experience.[10:37] How growing her practice created more freedom for her family.[16:41] The therapy marketing strategies that are working right now.More About Milly:Milly Feliz is a Dominican entrepreneur, mental health advocate, and leader in psychotherapy. Originally from the Dominican Republic, she is a licensed psychologist in her home country and a Registered Psychotherapist in Canada with a decade of experience in Toronto. She is the Founder and Clinic Director of The Wise Self Psychotherapy Clinic, where she leads a team of over 12 mental health professionals providing compassionate, evidence-based therapy to diverse communities. Milly specializes in evidence-based modalities including Psychedelic-Assisted Therapy and LENS Neurofeedback, has served as a clinical supervisor for universities including the University of Toronto, Yorkville University, and Wilfrid Laurier University, and has been a trainer and presenter at PESI Canada. Her work and clinic have received national and international recognition, including Top Choice Awards, a Gems of Etobicoke Business Awards nomination, recognition as a women-led business at The Forum, the Premio al Inmigrante Oscar de la Renta 2025, and the Egresado que Transforma 2026 award.Want to Connect with Milly? The Wise Self: https://www.thewiseself.ca/Instagram: https://instagram.com/thewiseself
The Practice of the Practice Podcast | Innovative Ideas to Start, Grow, and Scale a Private Practice
Ready to grow your practice without seeing more clients? Discover the hiring system behind a 55-therapist practice in my FREE Masterclass: The Hiring Method → https://mccancemethod.com/the-hiring-method-behind-a-55-therapist-practice/ Want to watch this episode on video? Check it out here on youtube: https://youtu.be/kaF6lPgpPCcIn this episode, I chat with Antoinette about how she grew from a solo private practice into a thriving group practice on track to hit $900K this year after her time in the Clinic Growth Map™. She shares how systems, coaching, Google Ads, SEO, and trusting her gut helped her build a team, create more freedom, and move closer to the $1M mark.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[01:40] Antoinette shares how her group practice journey began.[04:38] She breaks down her revenue growth.[07:47] Antoinette shares how systems and coaching helped her scale.[12:45] She reflects on gaining more family time and freedom.[16:47] Antoinette discusses what marketing is working in 2026.[21:36] She encourages therapists to trust their gut and take action.More about Antoinette:Dr. Antoinette Ibrahimi, Psy.D., is a licensed clinical psychologist, founder, and Clinical Director of Maple Leaf Counseling, a rapidly growing private-pay group practice serving Southern California through offices in Arcadia and Claremont, as well as Telehealth across California. Since opening her private practice in 2015, Dr. Ibrahimi has built Maple Leaf Counseling into a thriving multi-clinician practice grounded in high-quality, relationally focused care.Known for her warm, insight-oriented approach, Dr. Ibrahimi specializes in couples therapy, grief and loss, chronic illness, anxiety, life transitions, and prenatal and postpartum adjustments. Her clinical work is deeply influenced by differentiation, family systems, and family dynamics theories, helping clients strengthen their sense of self while building healthier, more meaningful relationships.Dr. Ibrahimi often describes therapy through the lens of the Japanese art of kintsugi, the practice of repairing broken pottery with gold, believing that people can transform life's hardships into sources of resilience, growth, and beauty. This philosophy became the foundation of Maple Leaf Counseling's mission: helping people reclaim hope, healing, and connection through therapy.In addition to her clinical work, Dr. Ibrahimi is passionate about ethical and sustainable practice growth. After completing Nicole McCance's Clinic Growth Map program in 2024, she implemented systems and strategies that helped significantly expand Maple Leaf Counseling's reach, team, and impact within the community while maintaining a strong focus on client care and therapist support.Dr. Ibrahimi has 18+ years of clinical experience and previously served at Ronald McDonald House Los Angeles for five years. She is also a former lecturer at both the University of Southern California and the California School of Professional Psychology and was a keynote speaker at the Depression and Bipolar Support Alliance 23rd Annual Conference.Outside of her professional life, Dr. Ibrahimi is a wife and proud mother of three. A former collegiate volleyball athlete on a full-ride scholarship at California State Polytechnic University, Pomona, she still carries the teamwork, discipline, and resilience of athletics into both motherhood and entrepreneurship. She also loves specialty coffee, travel, and Japanese cuisine.Want to Connect with Antoinette? Maple Leaf Counseling - www.mapleleafcounseling.orgInstagram: http://instagram.com/mapleleafcounselingFacebook: https://www.facebook.com/mapleleafcounseling/
Book a Strategy Call → https://mccancemethod.com/strategy-call/In this episode, I chat with Tricia Wright, Founder and CEO of Arnica Counselling Inc., about how she scaled her group practice from 2 to 15 therapists and grew her revenue by 120% in just one year inside the Clinic Growth Map™ . Tricia shares Nicole's six-step hiring model that filled new caseloads in just six weeks (instead of six months), the scheduling change that gave her afternoons back with her kids, and the SEO strategy that moved her clinic from #8 on Google to the top of page one.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[02:24] How Tricia scaled from 2 to 15 therapists.[04:44] The strategic shift she made to invest in the program.[08:11] Why community support is non-negotiable when scaling.[11:38] The 6-step hiring model that fills caseloads fast.[13:01] Restructuring her schedule for work-life balance.[15:54] The SEO strategy that took her clinic to #1 on Google.More about Tricia: Tricia Wright is the Founder and CEO of Arnica Counselling Inc., a 6-room counselling clinic in Northern British Columbia. With over 15 years of leadership experience in the mental health sector, she leads a team of 16, integrating high-level clinical practice with the demands of business development and team leadership. Her background ranges from managing a high-risk medical detoxification unit and methadone clinic to coordinating a non-profit maternal health society and birth doula support. Tricia brings a unique, holistic lens to mental health systems. She holds a BSc in Psychology, an M.Ed. in Counselling and is widely recognized for her expertise in crafting sustainable clinical policies and mentoring the next generation of practitioners. She is a breast cancer survivor, a mom of 2 neurodiverse kids, and an imperfect partner to her husband of 26 years.Want to Connect with Tricia? Arnica Counselling: https://arnicacounselling.com/Tricia on Instagram: https://www.instagram.com/arnica_counsellingArnica Counselling on Facebook: https://www.facebook.com/arnicacounsellinginc
You've built a successful therapy practice. You've found your niche, filled your caseload, maybe even built a group practice. But now you're asking a different question:How do I create more freedom and keep growing without sacrificing my life?The Bad Therapist Show exists to help you do that.Hosted by Felicia Keller Boyle, aka The Bad Therapist®, former six-figure private practice owner and therapist business coach, this podcast is for established solo therapists and group practice owners who want more—more freedom, more money, more impact, and a business built on their own terms.Tune in every week for honest conversations about private practice growth, leadership, marketing, money, identity, boundaries, and what it really looks like to integrate all the parts of yourself: therapist, CEO, and human being.f you're ready to challenge good therapist conditioning, think differently, and build a business that supports your life—not the other way around—you're in the right place.Be sure to follow the show on your favourite listening app so you don't miss an episode.Remember: bad therapists make the best therapists.---Learn more about Business Coaching for Private Practice Therapists at www.thebadtherapist.coach.
Book a Strategy Call → https://mccancemethod.com/strategy-call/ In this episode, I talk about how to retain therapists in your group practice without burning out or overpaying. I share what culture actually means, why psychological safety is the number one reason therapists stay, and how to spot the "culture cancer" that's quietly costing you your best people.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[01:30] What culture really means in your group practice. [05:00] How clear expectations make you a better leader. [08:00] Psychological safety is the #1 reason therapists stay. [10:30] Use 90-day check-ins to retain top talent. [14:00] Why vulnerability builds trust with your team. [18:00] The "culture cancer" that's costing you good therapists.Links From The Episode:Episode #157: Selling a Group Therapy Practice: What Buyers Look For (And How to Prepare) - https://mccancemethod.com/episode-157-selling-a-group-therapy-practice-what-buyers-look-for-and-how-to-prepare/ Here is the Janeapp link for TWO free months on us!https://janesoftware.partnerlinks.io/ytg4vn Use Coupon: MCCANCE2MOThe Culture Code: The Secrets of Highly Successful Groups by Daniel Coyle - https://amzn.to/4v60u9H (US) https://amzn.to/4uuDTnf (CAD)
How do you actually know whether your group practice is profitable? What metrics should practice owners be tracking beyond revenue? And how can identifying operational bottlenecks help you grow more […] The post Group Practice Conference Part 3: Why Revenue Doesn't Equal Profit | GP 330 appeared first on How to Start, Grow, and Scale a Private Practice | Practice of the Practice.
How does your leadership style affect clinician retention? Are you accidentally becoming the bottleneck in your own practice? And is your biggest growth challenge really a lead problem—or a conversion […] The post Group Practice Conference Part 3: Leadership Lessons for Group Practice Owners | GP 329 appeared first on How to Start, Grow, and Scale a Private Practice | Practice of the Practice.
Are you unknowingly becoming the biggest bottleneck in your own practice? What happens when your business depends too heavily on you to function? Why should clinicians choose your group practice […] The post Group Practice Conference Part 2: Leadership Bottlenecks | GP 328 appeared first on How to Start, Grow, and Scale a Private Practice | Practice of the Practice.
Why therapists feel anxious at work, why practice owners feel overwhelmed, and how both sides can rebuild trust and psychological safety. You know how we are always talking about dismantling harmful systems on this podcast? Well…what happens when those systems show up inside group practices? This conversation with Andie Baumgartner and Nadia Parva from Rowan Tree Counseling goes deep into the complicated, emotionally loaded relationship between practice owners and employees. And, in fact, it was THE conversation that helped me realize we needed to work with employees as well as business owners in the Group Practice (R)evolution! Topics include: Therapist burnout and workplace trauma Transparency, hierarchy, and power dynamics Why trust feels so difficult in therapy workplaces The emotional realities of group practice ownership Risk tolerance, private practice culture, and clinician anxiety From the fear many clinicians carry into the workplace to the pressure practice owners feel holding entire businesses together, we unpack what's happening behind the scenes in the therapy industry and what it might actually take to build healthier, more sustainable working relationships. Join The Therapist Network and receive 20% off your subscription tier when you enter the code SARAHROCKS. *** Group Practice (R)evolution is a podcast series offering insights from owners, employees, and experts, and resources to support this wildly ambitious vision for the future. UPCOMING EVENTS Check the calendar for opportunities to connect with Sarah and earn CEs. SUPPORT THE SHOW Conversations With a Wounded Healer Merch Join our Patreon for gifts & perks Shop our Bookshop.org store and support local booksellers Share a rating & review on Apple Podcasts *** Let's be friends! You can find me in the following places… Website Facebook @headheartbiztherapy Instagram @headheartbiztherapy
How much of your business growth comes from strategy, and how much comes from relationships? What does a “successful” practice actually look like for you? At what point does growing […] The post Group Practice Conference Part 1: Growing with Intention | GP 327 appeared first on How to Start, Grow, and Scale a Private Practice | Practice of the Practice.
Dr Kirk Honda reviews a malpractice case brief. May 13, 2026This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/KIRK to get 10% off your first month.00:00 The rise of group practices10:27 Is a good therapist a good supervisor?15:24 The ethics of a dual relationship28:15 What is the role of a supervisor? 50:21 Was the client exploited? 1:13:03 The defense & case outcomeSupport us by... Become a member: https://www.youtube.com/channel/UCOUZWV1DRtHtpP2H48S7iiw/joinBecome a patron: https://www.patreon.com/PsychologyInSeattleContact us/more info... Email: https://www.psychologyinseattle.com/contactAbout Dr. Kirk: https://www.psychologyinseattle.com/about-dr-kirk-hondaWebsite: https://www.psychologyinseattle.comGet stuff... Merch: https://psychologyinseattle-shop.fourthwall.com/KIRKgram (like Cameo): https://www.psychologyinseattle.com/kirkgramThe Psychology In Seattle Podcast ®Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being. Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com
Shared Practices | Your Dental Roadmap to Practice Ownership | Custom Made for the New Dentist
Transitioning from a clinician to a CEO is the ultimate hurdle in dental practice ownership. In this episode of Practice Underwater, Dr. George Hariri and Elizabeth navigate the "logistical nightmare" of scaling an eight-month-old practice that is already bursting at the seams. With 3,000 patients and only six operatories, Elizabeth faces a pivotal choice: stay in a challenging second-floor space or chase a "shiny object" real estate deal with mismatched timelines.George reframes the traditional dental business ownership mindset by challenging the urge to move too soon. They break down the ROI of a $43,000 construction project to add two operatories versus the capital-intensive trap of buying a building that doesn't fit the long-term vision. This is a survival guide for any dentist wrestling with dental growth strategies and the fear of patient attrition.The conversation pivots to the "Mega Group" concept, where George introduces the power of the 12-operatory model. For those pursuing sustainable dental practice growth, reaching 12 operatories allows for a three-doctor rotation, providing the owner with the "school schedule" flexibility they crave without sacrificing dental practice profitability. Elizabeth gains clarity on why settling in her current space—for now—is the fastest way to hire an associate and preserve her patient base. Ready to scale your dental practice ownership?Visit https://sharedpractices.com/ for our "Free Look" service and follow our social channels for roadmap updates. Join the community and turn your clinical skills into a thriving business.
Shared Practices | Your Dental Roadmap to Practice Ownership | Custom Made for the New Dentist
In this episode of Practice Underwater, Dr. George Hariri sits down with a dentist, Elizabeth, to discuss the initial hurdles she faced following an associate to owner transition.They analyze her impressive growth as a new dentist, jumping from a projected $1.2M to a $1.4M finish within eight months, while exploring dental business strategies to manage a bursting 3,000-patient base with only 11 hygiene days.The core strategic debate centers on whether to simplify the schedule via a fee-for-service model or expand into a multi-doctor setup by hiring another dentist, a dilemma complicated by real estate constraints discussed through a Shared Practices framework.This is a must-listen for any dentist weighing the long-term flexibility of group practice against the streamlined profitability of staying solo.In this episode:• Scaling production from a projected $1.2M pace to over $1.4M.• Managing a bottleneck of 3,000 patients with only 11 hygiene days.• The strategic debate: dropping insurance versus hiring an associate.• Evaluating real estate options for a growing team.• Balancing clinical autonomy with family flexibility.Whether navigating an associate to owner transition or vetting acquisitions in dentistry, this is your survival guide. Ready to scale your dental practice ownership? Visit https://sharedpractices.com/ for our "Free Look" service and follow our social channels for roadmap updates. Join the community and turn your clinical skills into a thriving business.
Scaling your therapy practice doesn't have to mean hiring a team of clinicians, dealing with HR headaches, or becoming a group practice owner overnight. If you've hit an income ceiling with one-to-one sessions but the idea of running a group practice makes you want to run in the opposite direction, this episode is going to feel like a long-overdue exhale.I'm walking you through three fun, doable ways to scale your therapy practice without ever managing a single employee. We're talking therapy intensives that let you earn more without stacking more weekly sessions, retreats that open up a completely different way of working with people, and workshops that help you test ideas and reach clients your therapy license can't reach.Most therapists think their only options are staying solo forever and running a full group practice. But there's a third option that lets you serve more people, make more money, and keep your business lean and values aligned. One of these paths might surprise you. I jumped in headfirst and made a mistake I'd want you to avoid before you try it yourself.Topics covered on Scale Your Therapy Practice:Therapy intensives are the easiest first step to scale your therapy practice without adding more weekly sessions to your scheduleRetreats let you work with people in ways the traditional therapy container simply does not allow and there are a few things you need to have in place before you lead oneOffering workshops is one of the smartest ways to test a bigger idea before you fully commit to itHere's how therapists with a growing online audience are serving people outside their licensed area without providing therapyYou can still be a company of one even as you scale your therapy practice and what that looks like in real life is probably not what you are imaginingConnect with Felicia:Get my freebie & join the email list: The Magic SheetsInstagram: @the_bad_therapistWebsite: www.thebadtherapist.coachResources from this episode:Liberated Business: www.thebadtherapist.coach/liberatedbusinessRelated episodes:Replace One Month of Private Practice Income by Leading One High-Ticket Retreat Per Year [Ep 64]Essential Legal Tips for Therapists Planning Wellness Retreats with Lisa Fraley [Ep 68]How Therapy Intensives Can Rescue Your Private Practice from the Summer Scaries [Ep 119]The Anatomy of a $20K Month for Solo Therapists (It's Simpler Than You Think) [Ep 149]Hosting a Profitable Retreat: How Sarah Lazarewicz Added $3,000 To her Income With Her First Retreat [Ep 150]Therapy Intensives Might Be the Income Solution You're Sitting On When You're Booked Out [Ep 158]Grow Your Private Practice with Me in Your Corner:How Rio Doubled Her Monthly Revenue [Ep 80]Quote:"You are not boxed into the either stay solo forever or start a group practice binary. You have options." - Felicia
Sarah explores sociocracy with Ted Rau, discussing models of shared leadership, and what it really takes to bridge the gap between overwhelmed owners and under-resourced clinicians. Our third cohort of the Authentic Leaders Group starts this spring and it's got me thinking about systems that need to change. While change may be inevitable, it's far from easy. That's especially true in the therapy field. Our clients and culture are undergoing sweeping evolution and so too must group practice. How do we bridge the gap between employees and owners when both feel overworked and underpaid? Sociocracy could be the answer. Why group practice feels unsustainable right now: Exploring the growing disconnect between owners and clinicians—and how burnout, compensation, and evolving cultural needs are pushing the current model to its limits. What sociocracy offers instead: Insights from Ted Rau on consent-based governance, shared decision-making, and how "circles" can distribute power, responsibility, and accountability. The real question behind systems change: What it actually asks of us—owners releasing control, clinicians stepping into leadership—and whether the field is ready to experiment with more equitable, collaborative ways of working. I'm committed to having more of these system-focused, heart-centered conversations. I hope you are, too. Join our Authentic Leaders Group! Next cohort starts May 1, 2026. This is a journey of self-discovery and leadership mastery, where you'll not only enhance your leadership skills but also forge meaningful connections with fellow therapists who are committed to their own growth and the betterment of the therapy field. Apply now! Thank you to The Therapist Network for sponsoring the show! The Therapist Network is a global community built by and for therapists. You'll find live consult groups, an ever-growing library of workshops and courses, plus a community that really sees you. Sarah's group, Tending to the Wounded Healer, meets every other Monday from 1–2pm CT, and it's a space to explore the intersection of your lived experience and your clinical work. So if you want to feel more supported and less alone, visit TheTherapist.Network—or join Sarah's group directly at tinyurl.com/HealerConsultTTN. UPCOMING EVENTS Check the calendar for opportunities to connect with Sarah and earn CEs. SUPPORT THE SHOW Conversations With a Wounded Healer Merch Join our Patreon for gifts & perks Shop our Bookshop.org store and support local booksellers Share a rating & review on Apple Podcasts *** Let's be friends! You can find me in the following places… Website Facebook @headheartbiztherapy Instagram @headheartbiztherapy
In today's episode of the Abundant Practice Podcast, I chat with Abundance Community member Shani about her plans to expand her group practice. We explore various aspects of running a group practice, including hiring strategies, marketing approaches, and financial considerations. We dig into establishing clear leadership boundaries and expectations for managing staff, revenue targets, compliance requirements, and the importance of using W-2 employees. We also cover office space options, ways to strenghten her professional reputation, and how to maintain a healthy work-life balance for both practice owners and employees. Sponsored by TherapyNotes®: Looking to switch EHRs? Try TherapyNotes® for 2 months free by using promo code ABUNDANT at therapynotes.com. Links You'll Love: Have a full practice but feel like you're running on empty? Limitless Practice helps you work less and make more. Spots per cohort are limited. Get on the waitlist and be first in line when doors open April 21st: www.abundancepracticebuilding.com/limitlesswaitlist. Get your FREE weekly worksheet and other helpful practice-growing tools here: www.abundancepracticebuilding.com/links. Need help building & filling your practice? Check out the Abundance Party (only $345!): https://www.abundancepracticebuilding.com/party
Group practices are changing fast—and the legal stakes are rising. This episode unpacks the employment risks, structural tensions, and workplace dynamics shaping the future of therapist employment. This realignment impacts you whether you're a group practice owner OR a therapist staffer. If you take only one lesson away from my conversation with Lori Goldstein, award-winning employment lawyer, let it be this: If you're not sure, then ask a lawyer. Common group practice legal issues include: Misclassification: 1099 vs W-2 Therapists Non-Competes & Non-Solicits in Work Agreements Workplace Compliance & HR Discrimination Risk Generational Workplace Expectations Unethical Private Equity Practices Therapist vs Business Owner Role Confusion Communication Failures Leading to Legal Disputes Opportunities abound for new ways of working together. Just make sure you consult a lawyer first. *** Group Practice (R)evolution is a podcast series offering insights from owners, employees, and experts, and resources to support this wildly ambitious vision for the future. Become a part of the (R)evolution in our Authentic Leaders Group. Next Authentic Leaders Group cohort starts May 1, 2026. This is a journey of self-discovery and leadership mastery, where you'll not only enhance your leadership skills but also forge meaningful connections with fellow therapists who are committed to their own growth and the betterment of the therapy field. Apply now! UPCOMING EVENTS Check the calendar for opportunities to connect with Sarah and earn CEs. SUPPORT THE SHOW Conversations With a Wounded Healer Merch Join our Patreon for gifts & perks Shop our Bookshop.org store and support local booksellers Share a rating & review on Apple Podcasts *** Let's be friends! You can find me in the following places… Website Facebook @headheartbiztherapy Instagram @headheartbiztherapy
Sign up for my How They Did It Success Panel with Group Practice Owners - get the ‘ah-ha' moment you need to keep moving forward→ https://mccancemethod.com/success-panel-with-group-practice-owners/Want to watch this episode on video? Check it out here on YouTube: https://youtu.be/vcT8uMu5PtMIn this episode, I'm breaking down the exact hiring order that helped me scale my group practice to 7- figures without making costly mistakes. I share why your first hire should be a “mini me,” when to bring on a VA, and how to use your inquiry data to decide who to hire next so you can grow with more ease and less overwhelm.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[3:45] Why your first hire should be a “mini me.”[9:02] When to hire a VA and why it helps you grow faster.[13:09] How to use inquiry data to choose your next hire.[14:49] Why a couples therapist is often the best next clinical hire.[17:48] The simple hiring flow I used to scale.[19:16] The fear that keeps therapists from starting a group practice.Links From The Episode:Episode #88: Admin or VA: Who Should You Hire?https://mccancemethod.com/episode-88-admin-or-va-who-should-you-hire/Here is the Janeapp link for TWO free months on us! https://janesoftware.partnerlinks.io/ytg4vn Use Coupon: MCCANCE2MOGet $250 off Gingerdesk, book a Discovery Call and select ‘Nicole McCance' under the question ‘How Did You Hear About Ginger Desk? https://gingerdesk.com/discovery-call/ll/Follow me on Instagram, @nicole.mccanncemethod. If this episode provided you with value and inspiration, please leave a review and DM to let me know. Click here: https://www.instagram.com/nicole.mccancemethod
How Kristen Wynns built an award-winning practice without insurance dependence and with a good dose of humor. Group practice owners have a decision to make right now: continue treading water or get more creative in how they operate. The field of therapy is lucky to have many examples of group practice owners who embody innovative leadership. One of those is my "conference bestie", Dr. Kristen Wynns, author, speaker, and founder of Wynns Family Psychology. Three things practice owners take away from this conversation: You're the owner, not the micromanager. How you delegate tasks, build team confidence, and accept feedback is what either inspires or discourages your team. Fiascos often lead to fresh starts. Humans are terrified of making changes, but sometimes you've just got to take advantage of a surprise reset, even if you don't think you're ready. Times change. So must your practice. New tech! New employees! New competition! Build in time for periodic recalibration. GUEST BIO Dr. Kristen Wynns is a psychologist, author, comedian, and speaker who blends mental health expertise with humor. As founder of Wynns Family Psychology, an award-winning private practice with four locations in NC, and "Kiki" on stage, she empowers others to use laughter for healing, confidence, and connection. *** Join the Group Practice (R)evolution! GPR is a new platform and podcast series offering insights from owners, employees, and experts, and resources to support this wildly ambitious vision for the future. Visit: https://tinyurl.com/GPRPodcast and click on "have a coupon" and enter PODCAST to enjoy all the perks of Group Practice (R)evolution for a year! Or join our 2026 Authentic Leaders Group and get 1 year of GP(R) membership for FREE! Next Authentic Leaders Group cohort starts May 1, 2026. This is a journey of self-discovery and leadership mastery, where you'll not only enhance your leadership skills but also forge meaningful connections with fellow therapists who are committed to their own growth and the betterment of the therapy field. Apply now! UPCOMING EVENTS Check the calendar for opportunities to connect with Sarah and earn CEs. SUPPORT THE SHOW Conversations With a Wounded Healer Merch Join our Patreon for gifts & perks Shop our Bookshop.org store and support local booksellers Share a rating & review on Apple Podcasts *** Let's be friends! You can find me in the following places… Website Facebook @headheartbiztherapy Instagram @headheartbiztherapy
Want to work closely with me for six months? Come to my FREE Open House! https://mccancemethod.com/open-house/ Want to watch this episode on video? Check it out here on YouTube: https://youtu.be/DM8KVtE5yiwIn this episode, I'm sharing how Jane helped me grow my group practice and why I still get so excited talking about it. Lee-Anne from Jane joins me to walk through the reporting, online booking, workflows, and automation features that can save you time, help you track your numbers, and support real growth in your practice.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[01:57] How Jane's reporting helped me understand my numbers and track revenue growth[03:20] Powerful reports in Jane: retention, unscheduled reminders, and intake tracking[06:38] How Jane Fax helps therapists send secure reports to family doctors[08:27] Why therapist photos and bios improve online booking conversions[10:29] How to organize online booking so clients choose the right therapist[13:57] Multi-location setups, multiple bank accounts, and scaling with JaneLinks From The Episode:Here is the Janeapp link for TWO free months on us! https://janesoftware.partnerlinks.io/ytg4vn Use Coupon: MCCANCE2MOFollow me on Instagram, @nicole.mccanncemethod. If this episode provided you with value and inspiration, please leave a review and DM to let me know. Click here: https://www.instagram.com/nicole.mccancemethod
There are benefits to forming a group practice, but doing it successfully takes more than just a few doctors coming together into, well, a group of doctors. My guest today helps clients form group medical practices on a regular basis, and he'll lay out some of the essentials for us.David Zetter is the founder and President of Zetter HealthCare, LLC in Mechanicsburg, PA and has over 24 years of operational and healthcare experience. David is nationally recognized for his speaking, presentations and healthcare business expertise. He is well versed in regulatory requirements, revenue cycle management, credentialing and contracting, compliance, and coding and documentation. He is considered an expert on Medicare, not only by his clients, but also through consultant colleagues and healthcare attorneys across the country. David is an expert on ERISA regulations, which protect over 80% of the claims in the US. He knows how to stop payor recoupments dead in their tracks, and what is legal and illegal in many payor contracts. In this episode Carl White and David Zetter discuss:What the first steps are in forming and setting up a group practiceWhat the most important things to be aware of are when setting up a group practiceBefore even officially starting, what the keys to success of a future group practice are, for example, choosing your partners, leadership roles, etc.Want to be a guest on PracticeCare®?Have an experience with a business issue you think others will benefit from? Come on PracticeCare® and tell the world! Here's the link where you can get the process started.Connect with David Zetterhttps://zetter.com/https://www.linkedin.com/company/zetter-healthcare/https://www.facebook.com/zetterhchttps://www.instagram.com/zetterhealthcare/Connect with Carl WhiteWebsite: http://www.marketvisorygroup.comEmail: whitec@marketvisorygroup.comFacebook: https://www.facebook.com/marketvisorygroupYouTube: https://www.youtube.com/channel/UCD9BLCu_i2ezBj1ktUHVmigLinkedIn: http://www.linkedin.com/in/healthcaremktg
Book a Strategy Call → https://mccancemethod.com/strategy-call/ Want to work closely with me for six months? Come to my FREE Open House!https://mccancemethod.com/open-house/ In this episode, I share the three clear signs that you're ready to scale from solo practice to a group practice. I open up about my own burnout, hitting the income ceiling, and the moment I realized my vision was bigger than just me. If you've been on the fence, this episode will help you finally get clarity and move forward with confidence.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[03:19] Sign #1: You have a waitlist or you're constantly referring out (and potentially building someone else's group practice instead of your own).[08:22] Sign #2: You're sick of hitting the ceiling in your income and trading hours for dollars, leading to burnout and exhaustion.[12:30] The emotional turning point: The moment I decided to hire and stop missing time with my twins.[15:25] Why therapy is one of the best industries to scale: low startup costs, low barrier to entry, and no ceiling on income.[19:05] Sign #3: You know deep down your vision is bigger than just you and you're meant to create a larger impact.Follow me on Instagram, @nicole.mccanncemethod. If this episode provided you with value and inspiration, please leave a review and DM to let me know. Click here: https://www.instagram.com/nicole.mccancemethod
Sign up for my FREE 3 Day Accelerator - How I Built and Sold a 7-FigureTherapy Practice in 3 Years → https://mccancemethod.com/free-3-day-live-course/Want to watch this episode on video? Check it out here on YouTube: https://youtu.be/0gkqyJYtZFQ In this episode, I'm taking you behind the scenes of what my daily routine actually looked like while I was scaling my group practice to multiple seven figures, while raising twins. I share the exact habits, systems, and mindset shifts that helped me grow fast without burning out. If you've ever wondered how to protect your energy, lead like a CEO, and still be present at home, this one's for you.Make sure to bring your paper and pen because this episode is full of actionable tips!Here are some key points in this episode:[01:56] Why next-level results require next-level self-care [03:35] My exact morning routine: early bedtime, energy calibration, yoga, and eliminating decision fatigue [10:10] How I use “Siri reminders” and daily triaging to stay organized and reduce overwhelm while leading a fast-growing group practice[13:29] The transition from clinician to CEO: gradually reducing clients, focusing on marketing and growth, and eventually wearing only one “zone of genius” hat[18:44] Managing interruptions in a growing practice: why Post-its, visual reminders, and tools like Voxer are lifesavers[19:29] The power of white space: booking 30 minutes of nothing to prevent burnout, regulate your nervous system, and stay magneticLinks From The Episode:Voxer - https://www.voxer.com/ Episode #116: 5 Tools to Reduce Overwhelm and Stay Organized → https://mccancemethod.com/episode-116-5-tools-to-reduce-overwhelm-and-stay-organized/ Nicole's Morning Smoothie Isalean shake by IsagenixBananaBlueberriesSpinachFish oil SpirulinaCamu Camu Nicole's go to supplements: https://amzn.to/4b79uUR (CAD)https://amzn.to/4cdCWd2 (US) Disclaimer: Nicole McCance shares general information for educational purposes only. It is not a replacement for professional advice, please consult relevant experts before making any decisionsFollow me on Instagram, @nicole.mccanncemethod. If this episode provided you with value and inspiration, please leave a review and DM to let me know. Click here: https://www.instagram.com/nicole.mccancemethod
Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech. In our latest episode, we share a PSA for group practice owners to address unauthorized AI use within your practice. We discuss: What we mean by governance What counts as Protected Health Information (PHI) The standard we use at PCT to determine if something is PHI Why AI tools like ChatGPT are inappropriate for PHI De-identification standards under HIPAA Ethical standards and informed consent for clinical use of AI Concrete next steps to take as a practice leader to address AI use in your practice Listen here: https://personcenteredtech.com/group/podcast/ For more, visit our website. PCT Resources: Article + 18 Identifier List: De-Identified or Not? The Truth About HIPAA, AI, and Client Data In this article, Person Centered Tech breaks down one of the most misunderstood concepts in HIPAA compliance: de-identification. It clarifies the difference between simply "removing identifiers" and meeting HIPAA's strict legal standards for de-identification (Safe Harbor or Expert Determination). The piece explains why narrative clinical information is often inherently identifying, why a session transcript cannot realistically be considered de-identified, and how AI systems introduce heightened risks of re-identification. It reinforces a critical takeaway for practice leaders: HIPAA sets the floor—not the ceiling—for protecting client information, and governance must keep pace with emerging technologies. PCT CE Course: Law & Ethics of the Clinical Use of Artificial Intelligence: Implications in Clinical Practice If you're wanting a deeper, structured framework for evaluating AI in clinical practice, this 3-credit legal-ethical on-demand training with Eric Ström, JD, PhD, LMHC, walks through the evolving legal standards, HIPAA considerations, and ethics code guidance that apply to AI use in behavioral health. You'll gain practical strategies for assessing new technologies, understanding emerging standards of care, and implementing AI tools in a way that is legally defensible and ethically sound. PCT CE Course: Modern Progress Notes: Considerations for Teletherapy, Insurance Audits, and Artificial Intelligence (AI) If your clinicians are feeling the pull to use AI for documentation, this 1.5-credit legal-ethical training with Dr. Maelisa McCaffrey (Hall) provides a grounded, practical framework for evaluating that decision. The course addresses how AI is currently being used in progress notes and introduces a clear thought rubric for determining the ethical risks, compliance implications, and appropriateness of integrating AI into documentation workflows. It also reinforces core documentation principles—like medical necessity and audit risk reduction—so that efficiency never comes at the expense of defensibility. A strong next step for practice leaders who want to move from reactive prohibition to thoughtful, structured governance. (Useful for all clinicians) Group Practice Care Premium weekly (live & recorded) direct support & consultation service, Group Practice Office Hours — including monthly session with therapist attorney Eric Ström, JD PhD LMHC + assignable staff HIPAA Security Awareness: Bring Your Own Device training + access to Device Security Center with step-by-step device-specific tutorials & registration forms for securing and documenting all personally owned & practice-provided devices (for *all* team members at no per-person cost) + assignable staff HIPAA Security Awareness: Remote Workspaces training for all team members + access to Remote Workspace Center with step-by-step tutorials & registration forms for securing and documenting Remote Workspaces (for *all* team members at no per-person cost) + more
When the world is burning, old business paradigms collapse—here's what replaces them. Self-assessment time. For group practice owners: Do your internal systems align with the company's client-facing messaging? For group practice employees: Is fear (of failure, of retaliation) holding you back from calling out harmful behaviors or leaving altogether? Alicia Murray, LMHCD, is the creator of Therapist HQ, a digital platform for therapists ready to transition into entrepreneurship. I invited Alicia to discuss how group practice employees can protect themselves against extractive policies and how group practice owners can revamp their misaligned structures. GUEST BIO Alicia Murray, LMHCD, based out of Syracuse, NY, is a group practice owner and consultant for therapists going into private practice. In-between sessions, you can find her binging TLC shows, spending time with her husband and two young children, or hitting up her favorite coffee shops and ice cream stands. Free resources for therapists are available here. *** Join the Group Practice (R)evolution! GPR is a new platform and podcast series offering insights from owners, employees, and experts, and resources to support this wildly ambitious vision for the future. Visit: https://tinyurl.com/GPRPodcast and click on "have a coupon" and enter PODCAST to enjoy all the perks of Group Practice (R)evolution for a year! Or join our 2026 Authentic Leaders Group and get 1 year of GP(R) membership for FREE! Next Authentic Leaders Group cohort starts May 1, 2026. This is a journey of self-discovery and leadership mastery, where you'll not only enhance your leadership skills but also forge meaningful connections with fellow therapists who are committed to their own growth and the betterment of the therapy field. Apply now! SUPPORT THE SHOW Conversations With a Wounded Healer Merch Join our Patreon for gifts & perks Shop our Bookshop.org store and support local booksellers Share a rating & review on Apple Podcasts *** Let's be friends! You can find me in the following places… Website Facebook @headheartbiztherapy Instagram @headheartbiztherapy
Building a seven-figure group practice does not have to mean burnout, chaos, or abandoning your clinical values. In this episode, I'm officially kicking off the Seven Figure Therapist Series with someone I immediately thought of when therapists kept asking me if this level of growth was even possible. Dr. Leah Clionsky joins me to pull back the curtain on how she built a thriving, private pay group practice rooted in evidence-based care, premium pricing, and sustainability. Leah never set out to chase a revenue milestone, yet by building a practice she was deeply proud of and relentlessly focused on profit, she crossed seven figures and continues to scale year after year. We talk candidly about what actually makes a group practice financially viable and emotionally sustainable. Leah shares how she structures her team, why she hires experienced clinicians, how she protects her time as an owner, and what her involvement in the practice looks like now. We also dive into the numbers most therapists avoid, the mindset shift required to invest instead of hoard, and why quality and profitability are not at odds with one another. This conversation is equal parts grounding and expansive for anyone who wants to grow without resentment or exhaustion. Topics Covered in this Episode: 4:12 - Why profit matters more than revenue when scaling a practice 8:37 - The values that make premium pricing feel aligned instead of stressful 13:05 - How Leah structured her team to support growth without micromanaging 17:22 - What a realistic weekly schedule looks like at seven figures 21:48 - The financial rhythm Leah reviews every single week 25:31 - How clinical excellence quietly becomes your best marketing strategy 28:56 - The investment mindset that keeps practices from getting stuck If this episode expands what feels possible for you, make sure you're subscribed so you don't miss the rest of the Seven Figure Therapist Series. Each conversation will highlight a different path to growth and a different way to define success. And if this resonated, share it with a colleague or leave a review so more therapists can hear what's possible when you build with intention. Resources Mentioned: Find out more about Alma here: helloalma.com/danielle Take 50% off your first 4 months of Simple Practice + a 7 day free trial using the link: simplepractice.com/danielle Follow Leah on IG: @educatedparentpodcast Listen to Educated Parent Podcast: https://educated-parent.captivate.fm/listen Thriving Children Center: www.thrivingchildcenter.com "Worth It" episodes: https://psychologist-practice-consulting.kit.com/profile/practice-consulting How Leah tracks Her Finances: https://podcasts.apple.com/us/podcast/worth-it-practice/id1849042489?i=1000739352177
Seasonal slowdowns can shake even the most well-run therapy practices—especially group practices navigating payroll, profit, and growth at the same time. This week, I sat down with Stef Iverson and Lucinda Bibbs, business partners and recent graduates of Money Skills for Group Practice Owners, to talk through what it really looks like to manage cash flow during a summer slump while still honoring long-term vision, wellness, and expansion.“I think it's just that the clarity and the reassurance, right? That we're on the right track...knowing the numbers has really helped us make non-emotional decisions. And just having clarity on what's actually on the paper and what are those numbers actually telling us? They're telling us a story and they're holding up a mirror and they're allowing us to make changes and pivots as we, as we need to." - Stefanie IversonStef and Lucinda came into this conversation fresh off their first slower season since implementing Profit First—and instead of panic, they brought curiosity. We talked through how their profit account temporarily buffered operating expenses, what that revealed about their numbers, and how to proactively plan for next summer so slow seasons don't feel scary or reactive.Using Financial Clarity to Stay Grounded During Seasonal Revenue DipsWhat stood out most to me was how empowering it can be to replace “scrambling” with structure. When you know your numbers and intentionally build safety into your business, you give yourself permission to rest, plan, and make thoughtful decisions—even when revenue temporarily dips.(00:03:34) Navigating Profit Slumps & Business Growth Effectively(00:07:12) Savings Buffer Analysis to Prevent Pulling from Profit(00:12:29) Consistent Owner Draws and Keeping Profit Separate(00:16:06) Preparing for Economic Uncertainty and Anticipated Slow Seasons(00:20:58) Balancing Leadership and Growth with Work, Delegation, and Passions(00:26:45) Prioritizing Your Energy and Your Relationships(00:30:54) A Successful Partnership Built on Transparency(00:34:10) Evaluating and Expanding Services Offered(00:38:18) Tree Metaphor for Growth - With a Stable Trunk, Your Branches Can ReachStability First, Then Innovation: Growing Without Undermining the FoundationWe talked through how to experiment with offering new wellness services without neglecting the “main ship” of the group practice—and how to tell the difference between an idea that needs more time versus one that isn't financially aligned right now.Key Takeaways for Therapists Navigating Slow Seasons or Growth Build buffers before you need them. Aim to have 2–3 months of operating expenses in your account so seasonal dips don't trigger panic.Let stability lead. It's okay to temporarily prioritize cash reserves over profit distributions.Test new offerings slowly. Pilot, track results, and adjust before fully committing.Protect the core practice. New ideas are exciting, but the existing business needs consistent care.Communicate clearly with partners. Transparency reduces emotional decision-making and strengthens trust.Slow seasons don't mean you're doing something wrong—they're part of running a real business. With clear numbers, intentional buffers, and honest conversations, you can build a practice that feels both secure and flexible enough to grow in the directions that matter most to you.Ready to Improve your Business Money Skills?Are you a Solo Private Practice Owner? I made this course just for you: Money Skills for Therapists. My signature course has been carefully designed to take therapists from money confusion, shame, and uncertainty – to calm and confidence. In this course I...
In this special episode of the Group Practice Accelerator podcast, host Jamie West Falasz sits down with Polaris CEO Diwakar Sinha and Midmark's Ted Kehagias for an exclusive preview of Multisite Mastery: Designing Growth with Confidence, the transformational event for group practice leaders ready kick expansion into high gear coming this March.Whether you're preparing to open your next location or scaling to ten, fifteen, twenty, or more, this conversation breaks down the strategies, insights, and real-world expertise you can expect. You'll hear from the minds shaping the event: multisite growth experts, operations and design leaders, and real-world operators who've been there and built it - and why the Midmark Experience Center in Versailles, OH provides the perfect environment to reimagine your expansion playbook.If structure, confidence, and intentional growth are on your wish list, this episode sets the tone for what's coming March 25–27.Learn more and register HERE
From Boomer Hierarchies to Gen Z Autonomy, revolutionary communication insights for owners, managers, and clinicians in group practice. This episode slaps. No cap. No, I didn't have a stroke. That's my Gen X attempt at fitting in with Gen Z. Whatever! Seriously, though, let's get to the heart of what's brewing in group practices right now: intergenerational tension. My guest, Calle Foster, professionals go from quiet contributors to confident, influential, credible leaders. Calle has graciously agreed to be our Millennial and GenZ cipher. They're the groups she coaches most often. GUEST BIO Calle Foster (she/her) spent over a decade in corporate Learning & Development before becoming a speaker and three-time certified leadership coach. She now equips Millennial and Gen Z professionals with the confidence, clarity, and people skills to lead with real impact. Her coaching blends honesty, strategy, and self-awareness to help rising leaders thrive. *** Join the Group Practice (R)evolution! GPR is a new platform and podcast series offering insights from owners, employees, and experts, and resources to support this wildly ambitious vision for the future. For a limited time, podcast listeners can get a full year of membership for only $19.99 by using the discount code PODCAST. Visit: https://tinyurl.com/GPRPodcast and click on "have a coupon" and enter PODCAST to enjoy all the perks of Group Practice (R)evolution for a year! SUPPORT THE SHOW Conversations With a Wounded Healer Merch Join our Patreon for gifts & perks Shop our Bookshop.org store and support local booksellers Share a rating & review on Apple Podcasts *** Let's be friends! You can find me in the following places… Website Facebook @headheartbiztherapy Instagram @headheartbiztherapy
As therapists, most of us were never taught how to run a business—let alone how to manage money, payroll, hiring, or leadership in a way that's both ethical and sustainable.Licensed therapist and group practice owner Gordon Brewer and I talk openly about money mindset, generosity, boundaries, hiring mistakes, and what it really takes to create a financially sustainable group practice without burning yourself out or sacrificing quality of care.If you identify as a people-pleaser, an over-giver, or a “nice” leader who are quietly paying the price for unclear boundaries, this episode is for you.Gordon opens up about what didn't work when building his group practice, what had to change, and how learning to lead with clarity—rather than guilt—ultimately benefited both his team and his business.“Being kind means setting expectations and boundaries, so people know what to expect. Being nice often means avoiding those conversations—and that's where things fall apart.” — Gordon BrewerMistakes Made and Lessons Learned: Building a Sustainable Group PracticeGordon shares how over-giving with compensation, avoiding hard conversations, and underestimating the importance of clear financial systems led to stress and instability in his practice. Through hiring missteps, money mindset work, and implementing Profit First, he learned that sustainable leadership requires clarity, boundaries, and a willingness to course-correct.(00:04:16) Gordon's Journey to Owning a Group Practice and Hosting a Podcast(00:09:37) Sustainability Over Generosity: Lessons in Business(00:13:08) Navigating Money Stigma in Group Practice Ownership(00:17:51) Money Management and Hiring Lessons(00:20:05) How Boundaries and Values Shape Your Success with Finances(00:23:39) Parenting: Commands Disguised as Questions(00:27:03) Employee Benefits vs. Contracting(00:31:07) Planning for Financial Stability and Rebuilding a Sustainable Practice(00:36:43) How to Avoid Over-Giving in Your Private PracticeBuilding a Practice That's Generous and SustainableGordon's reflections highlight a truth I see again and again in my work with therapists: sustainability doesn't come from good intentions alone. It comes from aligning your values with clear business decisions, financial transparency, and leadership that supports everyone involved—including you.Key takeaways you can apply right now: Run the numbers before calling something “generous.”High splits, low fees, or extra perks aren't generous if they put your practice at risk. Sustainability is what allows generosity to continue.Being “nice” can quietly lead to burnout.Avoiding boundaries and hard conversations may feel compassionate in the moment, but it often creates resentment and instability over time.Kind leadership is clear leadership.Setting expectations upfront—and holding people to them—is one of the most respectful things you can do for your team.Money stories shape business decisions more than we realize.Beliefs about greed, selfishness, or worthiness often come from family or faith backgrounds and deserve to be examined—not blindly obeyed.It's never too late to course correct.Gordon's willingness to rebrand, rebuild systems, and restructure his business model created a healthier practice that better served everyone involved.If you're noticing patterns of over-giving, financial stress, or people-pleasing in your practice, I hope this episode helps you feel less alone—and more empowered to lead with clarity and confidence. Sustainable, ethical business decisions aren't a betrayal of your values. They're how you protect them.Ready to Improve your Business Money Skills?Are
The Practice of the Practice Podcast | Innovative Ideas to Start, Grow, and Scale a Private Practice
The Practice of the Practice Podcast | Innovative Ideas to Start, Grow, and Scale a Private Practice
Do you feel stuck and uncomfortable when it comes to raising your rates? Are you still working yourself to the edge of burnout just to make ends meet? How can […] The post Private Pay in Group Practice with Dr. Rebecca Resnik | POP 1329 appeared first on How to Start, Grow, and Scale a Private Practice | Practice of the Practice.
The Practice of the Practice Podcast | Innovative Ideas to Start, Grow, and Scale a Private Practice
What does it really take to start a group practice again, from scratch and on a strict time limit? How do you make strategic decisions when you only have two […] The post Building Great Lakes Online Counseling: A Group Practice in Two Hours a Week | POP 1321 appeared first on How to Start, Grow, and Scale a Private Practice | Practice of the Practice.
Allison and Abundance Community member Daniel discuss his next steps toward licensure and building a private practice, with a focus on women's mental health. The conversation explores clarifying his niche, choosing aligned marketing strategies, and taking ownership of networking and outreach. We also dive into reaching specific audiences through public speaking and social media, along with early considerations around office space and long-term professional goals. Sponsored by TherapyNotes®: Looking to switch EHRs? Try TherapyNotes® for 2 months free by using promo code ABUNDANT at therapynotes.com. Ready to fill your practice faster? Join the Abundance Party today and get 99% off your first month with promo code PODCAST: www.abundancepracticebuilding.com/abundanceparty
In today's Ask Allison, we're digging into how to evaluate group practice expenses—and whether what you're paying is actually worth it. We'll walk through how to assess return on investment, compare your rent or percentage to the real cost of going solo, and understand the tradeoffs that come with group practice support and infrastructure. If you're trying to decide whether your group practice expense makes sense, should be renegotiated, or is a sign it's time to branch out on your own, this episode is for you. You'll learn how to evaluate the numbers clearly, ask better questions, and make decisions grounded in reality—not guesswork. Sponsored by TherapyNotes®: Looking to switch EHRs? Try TherapyNotes® for 2 months free by using promo code ABUNDANT at therapynotes.com. Links You'll Love: Grab my FREE weekly worksheet (plus other free tools to grow your practice) here: www.abundancepracticebuilding.com/links Ready to fill your practice faster? Join the Abundance Party today and get 99% off your first month with promo code PODCAST: www.abundancepracticebuilding.com/abundanceparty
The Practice of the Practice Podcast | Innovative Ideas to Start, Grow, and Scale a Private Practice