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Worth It Practice
Worth It Practice
Author: Leah Clionsky
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© Copyright 2026 Leah Clionsky
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Hosted by Dr. Leah Clionsky, The Worth It Practice Podcast is where clinical wisdom meets fearless business strategy - built specifically for psychologists who want to run thriving private-pay practices and grow their group practice with purpose.
Dr. Clionsky built a seven-figure, self-pay practice by believing one simple thing: I can learn anything - and so can you. Each week, she shares real lessons from her decade in the field - the wins, the missteps, and the mindset shifts that come from learning to think like a true therapist entrepreneur without losing your clinical edge.
Designed with psychologists in mind, this isn’t business therapy or surface-level marketing advice. It’s about building a mental health business that actually works - with practice management systems, pricing models, and leadership strategies rooted in evidence, ethics, and the same curiosity that drives great clinical work.
If you’re ready to approach your practice with clarity instead of confusion, business strategy instead of hustle, and confidence instead of doubt, you’re in the right place. Because scaling your practice isn’t magic - it’s learnable. And it’s Worth It.
CONNECT WITH DR. LEAH CLIONSKY:
Join the Worth It newsletter: https://worth-it-practice.captivate.fm/newsletter
Website: https://worth-it-practice.captivate.fm/website
Watch on YouTube: YouTube: https://worth-it-practice.captivate.fm/youtube
If you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation meeting to see if I would be the best fit for your needs using this link!: https://worth-it-practice.captivate.fm/schedule
Dr. Clionsky built a seven-figure, self-pay practice by believing one simple thing: I can learn anything - and so can you. Each week, she shares real lessons from her decade in the field - the wins, the missteps, and the mindset shifts that come from learning to think like a true therapist entrepreneur without losing your clinical edge.
Designed with psychologists in mind, this isn’t business therapy or surface-level marketing advice. It’s about building a mental health business that actually works - with practice management systems, pricing models, and leadership strategies rooted in evidence, ethics, and the same curiosity that drives great clinical work.
If you’re ready to approach your practice with clarity instead of confusion, business strategy instead of hustle, and confidence instead of doubt, you’re in the right place. Because scaling your practice isn’t magic - it’s learnable. And it’s Worth It.
CONNECT WITH DR. LEAH CLIONSKY:
Join the Worth It newsletter: https://worth-it-practice.captivate.fm/newsletter
Website: https://worth-it-practice.captivate.fm/website
Watch on YouTube: YouTube: https://worth-it-practice.captivate.fm/youtube
If you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation meeting to see if I would be the best fit for your needs using this link!: https://worth-it-practice.captivate.fm/schedule
21 Episodes
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Watch this episode on YouTube!If you want to know the real secret behind a successful private pay practice, it starts with the foundation.In this episode, I break down what I shared with other seven figure practice owners when they asked me how I fill a full private pay practice. The answer isn’t marketing hacks or complicated funnels. It’s the foundation. If you don’t understand what you are truly offering and why it qualifies as real quality healthcare, you cannot build sustainably. This is at the core of how to build a private practice that can charge premium rates without guilt or hesitation.We talk about why the foundation of any thriving private pay practice must be exceptional quality healthcare, and why confidence in your clinical product matters more than any external strategy. If you want to know how to build a private practice that people willingly pay out of pocket for, you must first believe in the value of what you provide.In this episode, I cover:• Why the foundation of a successful private pay practice is clarity about your clinical product• How delivering true quality healthcare makes marketing easier• What you need to define before you can confidently raise rates• Why understanding how to build a private practice starts with clinical excellence• The mindset shift required to position yourself as premium without apologyIf you want to know how to build a private practice that is full, profitable, and aligned with your values, start with the foundation. Build around real quality healthcare, and the rest becomes strategy layered on top of something solid.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices:Thriving Child CenterPCIT Experts
Watch this episode on YouTube!If your practice feels too big to run on instinct alone, this episode is for you.As my business grew, I realized I couldn’t rely on gut decisions anymore. What worked when my practice was smaller stopped working once things got too big. The financial stakes were higher, and the ripple effects of each choice became more significant.In this episode, I sit down with Carla Titus, founder of Wealth and Worth Within and an experienced fractional CFO, to talk about what happens when your practice outgrows intuition and requires real strategic financial planning. If your business is getting too big for guesswork, this conversation will help you see what’s next.We cover:• How to recognize when your practice is too big for instinct-driven leadership• Why gut decisions work early on but break down at scale• What a fractional CFO actually does and when you might need one• How Carla Titus approaches growth and profitability• Why strategic financial planning protects your profit as you scaleIf you’ve been making major moves based on gut decisions, this episode will challenge you to think bigger. When your practice becomes too big, you need structure, data, and proactive strategic financial planning.Your business deserves clarity. And you deserve support that matches the level you’re building at.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices:Thriving Child CenterPCIT ExpertsCONNECT WITH CARLA TITUS:Projection & Forecasting ServicesWebsiteInstagramFacebookLinkedIn
Watch this episode on YouTube!If you’ve ever wondered what it actually takes to grow a 7-figure group private practice, this episode may surprise you. The truth is, the biggest drivers of practice growth aren’t strategies or tactics alone. They’re the practice mindset decisions you’re willing to make long before the revenue ever shows up.In this episode, I walk you through how I built my own 7-figure group private practice, why hitting that milestone wasn’t my original goal, and the unexpected mindset shifts for success that made it possible. I share the behind-the-scenes reality of scaling a practice without abandoning your values, why revenue is not the same as profit, and how your internal limits often cap your external practice growth before systems ever do.This is a candid look at the practice mindset shifts that allowed me to stop playing small, trust myself as a CEO, and build a group private practice that supports my life, my family, and the level of care I want clients to receive.What’s covered:Why practice growth often stalls because of unexamined beliefs rather than lack of strategyThe difference between revenue and profit in a sustainable group private practiceHow practice mindset influences hiring, expansion, and leadership decisionsThe hidden mindset shifts for success required to move past self-imposed ceilingsWhy surrounding yourself with entrepreneurs ahead of you accelerates practice growthHow identity shifts impact your ability to lead a growing group private practiceWhat it really means to “try” at a higher level without burning outHow long-term practice mindset work supports ethical, values-aligned scaleIf you’re serious about building a group private practice that lasts, grows, and feels aligned, this episode will help you rethink what’s actually required. Sustainable practice growth starts with intentional practice mindset shifts, and when those mindset shifts for success happen first, everything else becomes possible.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices:Thriving Child CenterPCIT Experts
Watch this episode on YouTube!I want to talk about one of the most impactful decisions I have made as a practice owner and CEO. I intentionally learn business from entrepreneurs outside therapy, and it has fundamentally changed how I think, lead, and grow my practice. This episode is a behind-the-scenes look at why stepping outside our industry and attending business retreats with non-therapists has helped me scale more sustainably and with far less burnout.In this episode, I share why relying only on therapist entrepreneurs can create an echo chamber and how choosing to learn business from people outside therapy has helped me grow my practice in ways I never could have imagined. I also talk about my experience attending business retreats with entrepreneurs from completely different industries and why those environments accelerated my growth as a CEO.Key topics I cover in this episode• Why choosing to learn business from entrepreneurs outside therapy expands my thinking and helps me grow my practice faster• How attending business retreats with non-therapists challenged my money mindset and normalized profitability• What I learned about systems leadership and scalability from entrepreneurs outside therapy• How stepping into rooms outside therapy helped me grow my practice without working more hours• Why business retreats offer clarity, creativity, and strategy that therapist spaces often cannot• How intentionally choosing to learn business beyond our field creates long-term confidence and CEO level decision makingIf you want to grow my practice with more clarity, confidence, and sustainability, this episode will challenge you to learn business differently, consider opportunities outside therapy, and rethink the power of business retreats as a strategic investment.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices:Thriving Child CenterPCIT Experts
Watch this episode on YouTube!In this episode of the Worth It Practice Podcast, I’m talking to Randall Avery about something we don’t discuss nearly enough in private practice: what happens when your business actually becomes profitable.So many clinicians dream about reaching the point where they can finally pay yourself, and then feel anxious, guilty, or overwhelmed the moment it happens. If you’ve ever wondered why being profitable in private practice can feel so scary, you are not alone.I’m joined by certified financial planner Randall Avery, who works specifically with practice owners, to talk through the emotional and practical side of practice finance. We explore what it means to build real financial stability as a therapist, how to think about profit without shame, and what to do after you pay yourself for the first time.We talk about:Why therapists are often uncomfortable with being profitableThe mindset shift required to truly pay yourself as a private practice ownerHow long years of under-earning shape our relationship with practice financeWhat responsible wealth-building looks like in private practiceHow profit can actually support burnout prevention, better care, and a fuller lifeIf you’ve reached, or are approaching, the point where your private practice is generating real profit, and you don’t know what to do next, this conversation will help you feel grounded, informed, and less alone.Being profitable doesn’t mean you’re doing something wrong. It means your business is working, and you deserve to learn how to let that be true.RESOURCES MENTIONED IN THIS EPISODE:Hacking the System by Creating Your Own System: A Practical Guide to Making Your Money Count While Building WealthLET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices:Thriving Child CenterPCIT ExpertsCONNECT WITH RANDALL AVERY:Email: ravery@deasilwn.comWebsiteLinkedInPersonal FacebookDeasilWM Facebook
Watch this episode on YouTube!If you’re tired of posting in Facebook groups and getting ignored, this episode will change how you think about referral marketing forever.In this episode, I break down the exact strategy I use every single day to win more client referrals online using smart responses, without spending money on ads or feeling salesy. This approach has helped me consistently getting more clients, strengthen professional relationships, and become a trusted referral source in my community.I walk you through how to respond to referral posts in a way that actually stands out, why smart responses matter more than speed alone, and how thoughtful client referrals can compound over time. This is referral marketing that builds credibility, not burnout.If you want to win more referrals while helping clients land in the right care, this episode will give you a simple, ethical framework you can start using today.In this episode, you’ll learn:How smart responses increase visibility and trust in online referral spacesWhy most therapists miss opportunities for client referralsHow referral marketing is getting more clients without adsThe relationship-building mindset that helps you win more consistentlyHow responding to others can lead to more inbound client referrals for youThis is one of the easiest ways to improve your referral marketing, build long-term goodwill, and win more client referrals with less effort.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices:Thriving Child CenterPCIT Experts
Watch this episode on YouTube!If you want to grow a private pay business without getting stuck in overthinking, you need a clear approach to CEO decision-making. In this episode, I share the simple formula I use to make confident decisions in group practices, especially when money, hiring, and growth are on the line.In this episode, I walk you through my personal CEO decision-making formula for running private pay group practices. I see so many clinicians freeze when it comes to financial decision-making, worried about making the wrong choice or taking the wrong risk. I break down how I evaluate decisions in my own group practices, including when to trust my gut, when to run the numbers, and when to bring in outside support.I share real examples from my private pay practices to show how CEO decision-making actually works day to day. This is not a theory. This is how I protect profitability, avoid catastrophic mistakes, and keep my group practices growing sustainably. If you want a clearer framework for financial decision-making in your business, this episode will help you move forward with confidence.Listen to hear:What CEO decision-making really looks like in private pay group practicesHow I use gut checks as part of financial decision-makingWhy simple math matters more than perfect spreadsheets in group practicesEvaluating risk without letting fear control your CEO decision-makingWhen to make decisions solo and when to get help with financial decision-makingProtecting profitability while growing private pay servicesHow to avoid costly mistakes in group practices by thinking like a CEOStrong CEO decision-making is not about avoiding risk. It is about making informed financial decision-making choices so your private pay group practices can grow in a way that actually feels worth it.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices:Thriving Child CenterPCIT Experts
Watch this episode on YouTube!Some years change everything. This conversation is about what happens when the hardest year of your life forces you to redefine your business identity, step fully into practicing leadership, and build a thriving practice anyway.In this episode, I sit down with my close friend and fellow entrepreneur, Kristin Mervich, to talk about how she built a thriving practice during the hardest year of her life. Kristin shares how her business identity shifted almost overnight when a personal crisis required her to move from clinician mode into true CEO mode. What stands out most is how practicing leadership did not come from perfect planning, but from decisive action, self-trust, and letting go of fear.This conversation is an honest look at what it means to grow a thriving practice when circumstances are far from ideal. Kristin reflects on how the hardest year accelerated her growth as a leader, reshaped her business identity, and forced her to practice leadership in ways she never expected. If you are navigating uncertainty, motherhood, illness, or simply a season that demands more from you, this episode offers perspective grounded in real experience.Key topics we cover:How the hardest year of Kristin’s life reshaped her business identityWhat practicing leadership looks like when perfection is no longer an optionLetting go of fear and control to build a thriving practice in crisisThe mindset shift from therapist to CEO through practicing leadershipWhy redefining your business identity can unlock faster growthBuilding a thriving practice that supports real life, even in the hardest yearThis episode is a reminder that a thriving practice is not built by avoiding hardship, but by allowing the hardest year to refine your business identity and strengthen your capacity for practicing leadership.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices:Thriving Child CenterPCIT ExpertsCONNECT WITH KRISTIN MERVICH:InstagramEmail kristen@thenormother.com
Watch this episode on YouTube!Building a specialty clinic inside a larger practice can completely change the way you grow, market, and position your business. In this episode, I share exactly how I built PCIT Experts as a niche specialty within Thriving Child Center and what I learned through every stage of practice development. If you are starting a practice or refining the one you already have, this behind-the-scenes breakdown will help you decide whether a niche specialty is the right next move.Many psychologists think adding a specialty clinic means giving up generalist work or limiting who they can help. My experience has been the opposite. Creating PCIT Experts as a niche specialty allowed us to increase referrals, strengthen our private pay positioning, and expand across PSYPACT states. It became one of the strongest parts of our practice development, even though I was not originally planning on starting a practice with a specialty track at all.Here is what I cover:How a niche specialty like PCIT can strengthen a generalist clinic instead of narrowing itWhat to expect when starting a practice with two brands under one umbrellaThe pros and cons of building a specialty clinic when it comes to referrals, marketing, and operationsThe biggest practice development lessons I learned while launching PCIT ExpertsWhy adding a niche specialty can accelerate growth and create clarity in your systemsIf you have been wondering whether a specialty clinic makes sense in your business, this episode will help you understand the strategy behind it, especially if you are starting a practice, expanding your services, or looking for your next phase of practice development. A niche specialty can be a powerful foundation for growth when used intentionally.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT Experts
Watch this episode on YouTube!As we head into the end of the year, I notice the same pattern shows up again and again for me and for so many practice owners I work with. The big ideas are easy. The creative strategy is fun. But the boring tasks are what quietly pile up and drain your energy through task avoidance. In this episode, I’m sharing exactly how I use ChatGPT for productivity as a form of AI for organization to get those tasks done without spiraling or procrastinating.I walk you through how I’ve started using ChatGPT for productivity like an executive assistant when my executive functioning is depleted. Instead of holding all the details in my head or avoiding the boring tasks altogether, I use AI for organization to externalize the overwhelm, break things down, and move forward even when I do not feel motivated. This approach has been especially helpful during end of year planning, when task avoidance can quietly steal more time than the tasks themselves.In this episode, I cover:Why task avoidance shows up so strongly around small, detailed, boring tasksHow I use ChatGPT for productivity to organize my thoughts when my brain feels scatteredA simple way to use AI for organization to turn avoidance into a clear, doable planWhy the real-time drain is often task avoidance, not the boring tasks themselvesHow ChatGPT for productivity helps me protect my creative energy by handling the mental clutterIf you are a practice owner who feels capable and visionary but still gets stuck avoiding the boring tasks that come with running a business, this episode is for you. Using AI for organization does not replace your judgment or leadership. It simply gives your brain a place to put things when task avoidance takes over. For me, ChatGPT for productivity has become a practical, ethical tool that helps me do the parts of the job I do not love so I can get back to the parts that make the business feel worth it.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices:Thriving Child CenterPCIT Experts
Watch this episode on YouTube!This episode is about why the Worth It Practice Podcast exists at all. I am pulling back the curtain on why this podcast is considered radical, why it challenges social taboos, and why talking openly about business as a psychologist still feels uncomfortable and risky. As someone who has spent my entire life being a psychologist, I want to name the rules we are taught to follow and explain why I am choosing to break them.As a psychologist entrepreneur, I live at the intersection of clinical training, leadership, and business ownership. That position challenges deeply held beliefs about being a psychologist, especially beliefs around money, ambition, profit, and visibility. In this episode, I talk honestly about the social taboos that exist in psychology, the pressure to stay small or quiet, and the internal work it takes to claim the identity of psychologist entrepreneur without apology.This podcast is also about breaking social norms. It is about naming the fact that psychologists are rarely encouraged to think like entrepreneurs, and women are rarely encouraged to say they are good at business. By speaking openly about my work, my practice, and my success, I am intentionally breaking social norms that have shaped how psychologists are expected to behave. These social taboos do not disappear unless someone is willing to challenge them out loud.In this episode, I talk about:What is considered acceptable when being a psychologist, and whydoes business often fall outside those boundariesHow becoming a psychologist entrepreneur requires breaking social norms we were trained to followThe specific social taboos psychologists face around money, growth, and ambitionWhy claiming confidence and expertise feels radical when being a psychologist, especially as a womanHow watching other psychologist entrepreneur leaders gave me permission to question the rulesWhy breaking social norms publicly creates space for others to imagine different possibilitiesI created this podcast because I want you to see what is possible. If you are questioning whether you are allowed to want more, whether you are allowed to enjoy business, or whether you can still be ethical and grounded while being a psychologist entrepreneur, this episode is for you. Challenging social taboos and breaking social norms is not about rebellion for its own sake. It is about building a life and practice that are actually worth it.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT Experts
Watch this episode on YouTube!When December hits, so many psychologists panic about their projected revenue even when nothing is actually wrong. So today I am offering a pep talk about understanding private practice seasons and protecting your energy with real burnout prevention instead of anxiety-driven decision-making.This episode is my behind-the-scenes look at how I evaluate private practice seasons, why projected revenue always dips this time of year, and how I use simple cognitive reframes as part of my own burnout prevention. If you find yourself spiraling every December, this is a pep talk you can come back to again and again. I break down why this seasonal dip is normal, explain what I look for when numbers actually matter, and show you how to interpret projected revenue without assuming your practice is failing.In this episode, I share: • Why private practice seasons always shift in December, and how that impacts projected revenue • The specific cognitive reframe I use when I need a pep talk about my numbers • How I distinguish normal seasonal changes from true red flags in projected revenue • Why intentional rest is not a weakness but one of the most effective tools for burnout prevention • How understanding private practice seasons can help you stop overreacting and start leading with clarityEven during the lowest point of the year, you can shift out of fear and into confidence when you understand what your numbers actually mean. This is a pep talk for every practice owner who wants to stay grounded, committed, and aligned as they move through the natural rhythm of private practice seasons.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT Experts
Watch this episode on YouTube!Most practice owners do not realize how quickly financial chaos can happen until it happens to them. In this episode, I share how I managed to overdraw my account by six thousand dollars and how that single moment pushed me to build the financial tracking system I now depend on every week. If you have multiple streams of income or you have ever worried that you might accidentally overdraw my account, this episode will show you how to protect your practice with a simple weekly financial report.As my practice grew, my expenses became more unpredictable, and my revenue became harder to track. Without a financial tracking system, I could not anticipate when payments would land or when large marketing or operations expenses would hit. That lack of clarity is exactly what caused me to overdraw my account, even though the practice was financially healthy. Once I added a consistent weekly financial report, I finally understood the rhythm of my money and could protect all of my multiple streams of income.Here is what I walk you through:The exact moment I realized I was about to overdraw my accountHow a simple financial tracking system keeps me grounded and informedWhat my weekly financial report includes and why it worksHow to protect your multiple streams of income as your practice growsWhy every practice owner needs a system long before they feel readyIf you have ever wondered how to prevent financial surprises, how to understand your cash flow, or how to stabilize multiple streams of income, this episode will show you how a consistent weekly financial report and a clear financial tracking system can create confidence and calm in your business. You never need to overdraw my account to learn this lesson the hard way.RESOURCES MENTIONED IN THIS EPISODE:Money Skills for Therapists with Linzy Bonham PodcastLET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT Experts
Watch this episode on YouTube!In this first guest episode, I talk with Joe Sanok, someone I have admired for years and one of the most influential voices in the therapist entrepreneurial space. Joe shares how he became an accidental entrepreneur, how his own identity growth shaped every stage of his work, and how he learned to follow what’s worth it as he built a business that now reaches thousands of practice owners. If you are starting a practice, expanding a group practice, or navigating your own identity growth, this conversation with Joe Sanok will meet you exactly where you are.Joe built his group practice, sold it, and then scaled Practice of the Practice into a national brand. Hearing how he navigated being an accidental entrepreneur offers a powerful lens for anyone starting a practice and wondering what risks are actually what’s worth it. His stories about leveling up, making decisions that support long-term identity growth, and following the work that feels aligned will resonate deeply, especially if you have ever questioned what direction you should take.Here is what we cover in this episode:How Joe Sanok realized he was an accidental entrepreneur and what that meant for identity growthWhy starting a practice requires clarity about what’s worth it and what is notThe mindset shifts and business pivots that supported Joe’s identity growth as he scaledWhat every clinician should understand about being an accidental entrepreneur in the current marketHow to follow what’s worth it when your business, identity, and goals begin to evolveIf you are starting a practice, navigating your own identity growth, or noticing signs that you may be an accidental entrepreneur too, this conversation with Joe Sanok will help you reconnect with what matters and make decisions rooted in what’s worth it for you and your future.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT ExpertsCONNECT WITH JOE SANOK:WebsiteFacebookPractice of a Practice PodcastPractice AcademyGroup Practice Conference
Watch this episode on YouTube!A lot of therapists are spiraling right now and wondering if private practice is dead.In this episode, I give you a pep talk grounded in data, lived experience, and what I see across the therapy business every single day. If you have been questioning your future, your stability, or your confidence as a practice owner, this is a pep talk meant to help you reset your mindset and remember what is still possible in this profession.There is so much fear circulating in clinician mental health spaces. I see it in consultations, in comment threads, and inside every online group where therapists gather. That is exactly why I recorded a pep talk that is honest, practical, and rooted in real outcomes from private practice coaching and real results from the therapy business. When everything feels uncertain, you need clarity, strategy, and a way to reset your mindset without getting swept up in panic.Here is what I cover:Why private practice is not dead and why the loudest voices are not always the most accurateHow to reset your mindset when the noise around the therapy business makes you doubt what you already knowWhat is actually happening in clinician mental health, and why fear spreads faster than factsThe specific strategies I use in my own therapy business to stay focused, confident, and groundedWhy the right private practice coaching can support clinician mental health instead of feeding anxietyIf you need a clear voice cutting through the panic, this episode will help you reset your mindset, support your clinician mental health, and rethink how private practice and your therapy business can still work for you. This is a pep talk for the psychologist entrepreneur who is ready to think bigger and make decisions with clarity instead of fear.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT Experts
Watch this episode on YouTube!We all experience seasons of overwhelm, even when our practices are thriving. In this episode, I share what I do when things feel heavy and how leveraging AI and smarter business delegation help me protect my CEO mindset, commit to burnout prevention, and ultimately reset my life with clarity and purpose.I’m pulling back the curtain on what’s been working in my own private-pay group practice and how I use leveraging AI to simplify systems, strengthen strategy, and reset my life when things feel unsustainable. You’ll hear how intentional business delegation supports a healthy CEO mindset, creates structure for burnout prevention, and keeps me focused on what matters most.Here’s what I cover:The real reason overwhelm shows up in business and what it means for your CEO mindsetHow leveraging AI can clarify priorities, organize your week, and help you reset my lifeWhy strong business delegation systems are the key to long-term burnout preventionHow to return to a grounded CEO mindset when your workload grows faster than your supportThe mindset shift that allows you to reset my life instead of running on autopilotIf you’ve been feeling stretched thin or unsure how to recover balance, this episode will help you use leveraging AI, business delegation, and a clear CEO mindset to rebuild systems, strengthen boundaries, and make burnout prevention and the ability to reset my life part of your normal rhythm.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT Experts
Watch this episode on YouTube!People are often surprised when I tell them how much I love running my niche therapy group practice. I get asked all the time, “How are you still so happy doing this?” And honestly, the answer comes down to a mix of strategy, practice management systems, and self-awareness.In this episode, I share the exact choices that make my mental health business both profitable and deeply enjoyable - from the decision to stay private-pay, to the way I hire experienced clinicians for niche therapy, to how I built systems that practically run themselves. This is a behind-the-scenes look at what it takes to run a group therapy practice that feels good, not just looks good.If you’ve ever wondered how to find private pay clients or how to structure your team so you actually enjoy coming to work, this episode will give you an honest, realistic roadmap. We’ll also talk about practice management that reduces stress, builds freedom, and supports long-term growth - plus how staying grounded in your niche therapy specialty can attract the right clients without hustle or burnout.Join me for a chat about:Why I built my group therapy practice around joy and autonomyThe key practice management systems that make business easierHow I approach hiring for niche therapy clinical excellence and culture fitHow I think about mental health business strategy and leadershipWhat I’ve learned about how to find private pay clients through clarity and trustIf you’re a psychologist or therapist ready to fall back in love with your business, this one’s for you.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT Experts
Watch this episode on YouTube!I have a controversial take on niche therapy practices - and it might sting a little. In this episode, I explain why so much of the common advice about “finding your niche” in private practice is backwards, and what to consider about therapist specializations instead if you actually want to stand out, attract great-fit clients, and feel proud of the work you do.You’ve heard the same lines before: your training doesn’t matter, just pick who you like working with. But here’s the truth - your training absolutely matters. Real therapist specializations are built through competence, experience, and intentional focus, not guesswork or generic marketing advice.I share how authentic niche therapy can transform your practice, plus real private practice niche examples that show how strategy and expertise can work together.I talk about:Why most niche psychology advice oversimplifies the real work of building credibilityHow to identify meaningful therapist specializations (and when to get more training)The mindset shift that makes niche therapy both ethical and profitableReal private practice niche examples that fill schedules fast and attract ideal clientsWhy standing out as a niche psychology specialist builds trust and sustainability in private practiceIf you’ve been told to “just pick a niche,” this episode will help you rethink that advice and create something much more authentic - and much more effective.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT Experts
Watch this episode on YouTube!If I were starting a private practice today, I’d approach it completely differently than I did in 2016 - because the therapy world has changed. In this episode, I share exactly how to start a private practice in therapy in 2025, what to focus on first, and the systems that still matter no matter how much technology evolves.When I talk about starting a private practice, I don’t just mean setting up an office and waiting for clients to find you. I mean designing a sustainable, evidence-based business that reflects your values and supports your long-term goals. That means getting clear on your brand, building solid infrastructure, and learning how to find private-pay clients who are aligned with your services.I’ll walk you through what I’d prioritize: a strong business plan, clear branding, and smart marketing therapy private practice strategies. You’ll hear how I’d use SEO, networking, and relationship-based marketing to create visibility - and why those same principles apply whether you’re solo or growing a team.I share:The first three steps I’d take when starting a private practice from scratchHow I’d write a business plan and develop a long-term visionWhy knowing how to start a private practice in therapy today means learning to adapt fastWhat works (and what doesn’t) in marketing therapy private practice right nowProven ways to attract and retain clients by mastering how to find private-pay clientsIf you’re ready to build a private-pay practice that fits your life, this episode will help you think strategically, act intentionally, and grow sustainably.RESOURCES MENTIONED IN THIS EPISODE:Join the Worth It newsletter! Listen to The Educated Parent PodcastLET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT Experts
Watch this episode on YouTube!When I opened my first practice, it was just me - answering phones and seeing clients on Saturday.Fast forward a few years, and that dream became a thriving group private practice with a specialty clinic, and a team of psychologists serving families across the country.In this first episode of Worth It Practice, I’m sharing how I went from solo clinician to confident psychologist entrepreneur, and the exact mindset, structure, and therapy systems that helped me scale with integrity. This is the story of how my childhood dream turned into a sustainable, purpose-driven group therapy practice - and what I’ve learned along the way.In this episode, I share:How my upbringing shaped my vision for group private practice ownershipWhy I planned for a group private practice from day one (not by accident)How I navigated psychologist entrepreneur challenges like market shifts, AI, and venture-backed competitionThe key therapy systems I built to support growth, leadership, and quality careWhy I believe every psychologist entrepreneur can build a business that’s both ethical and profitableIf you’ve ever wondered what it really takes to run a seven-figure group therapy practice without burning out, this episode (and podcast) is for you.LET’S CONNECT:Join the Worth It newsletter! WebsiteWatch on YoutubeIf you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation.Listen to The Educated Parent PodcastMy practices: Thriving Child CenterPCIT Experts




