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The Money Sessions
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The Money Sessions

Author: Tiffany McLain

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Deep, thoughtful, raw conversations with real therapists who are in the midst of leaning into raising fees and making bank – all while working with the clients they are passionate about serving.
162 Episodes
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Ready to set your fee? You choose the dream, we'll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free In this episode, Tiffany sits down with the incomparable Allison Puryear, founder of Abundance Practice Building and one of the original voices in the therapist–business space. Allison has been helping therapists build sustainable, ethical, full private practices for over a decade — long before Instagram therapists, "passive income," or big therapy tech took over the landscape. Allison and Tiffany pull back the curtain on what's actually happening in the industry right now. If you've been wondering: "Why is filling my practice harder than it used to be?" "Why am I doing everything 'right' but suddenly not getting clients?" "Is something wrong with ME?" …this conversation is your antidote. This episode is part industry truth-telling, part strategy session, and part intimate behind-the-scenes between two long-time colleagues who've seen the full arc of private practice — pre-pandemic, boom times, and now. In this episode, Allison shares: The actual timeline of how private practice has changed from 2014 → 2025 (and why it feels harder now) Why the pandemic created a false "new normal" for filling practices The impact of Big Therapy Tech (VC-backed platforms) on referrals — and why therapists can't out-market them online The real reason therapists feel more discouraged and hopeless today How to market effectively in 2025 — even with tech giants owning the SEO game The truth about group practice and online courses — and why most therapists skip the step that would make them the most money with the least chaos Why self-trust, consistency, and community matter more now than ever   Resources mentioned: LIMB Academy Fun With Fees Calculator Abundance Practica Instagram Abundance Practice Website  
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator 👉🏽 leaninmakebank.com/free Every therapist wants to know: "Okay, but how long will it actually take for me to get to a Life First Fee?" You want to know how long until you can stop drowning in insurance, stop resenting your caseload, stop working like hell for bread-crumb money… and finally have a practice where you work your ideal number of weekly clients — while earning the income you actually need to live. And Tiffany's answer is the one therapists don't want to hear — but need to: There is no timeline. And also… the timeline doesn't matter. In this episode, Tiffany dismantles the fantasy that someone else can predict your speed. She walks you through why some therapists hit their Life First Fee in 30 days, while others take 4 months, 9 months, or 4 years — and why every version is worth it. She also uses a powerful cave metaphor to illustrate exactly why the journey is different for every therapist — and why what happens inside the cave is actually what transforms you. In this episode, Tiffany reveals: Why the question "How long will it take?" is rooted in scarcity, fear, and disbelief; What hundreds of LIM data points show about how long it takes to book a Life First Fee client; Why therapists like Sarah doubled their revenue and bought a house in four months — and why that's not the point; How your "lion," your "tin foil," and your "pitfall" shape your exact timeline; Why the journey itself is what creates the confidence, self-trust, and skill set you use for the rest of your career; Why 2 years of transformation is a blink compared to spending 20 more years undercharging and burning out. This episode will snap you out of your timeline obsession and into the truth: the work is worth it, no matter how long it takes. If you're ready to walk into the cave — even if you're scared — email Tiffany at tiffany@leaninmakebank.com with the word "Cave." She'll take the first step with you.  
Ready to set your fee? You choose the dream, we'll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free In this episode, Tiffany talks with Sara Rader, LPCC, a maternal mental health and trauma specialist who transformed her practice — and her entire life — in just four months inside LIMB Academy. Sara didn't hustle. She didn't add more clients. She didn't work more hours. Instead, she got brutally honest about her money stories, her faith conditioning, her sliding scale patterns, and the quiet anxiety that had been running her practice behind the scenes. The result? She nearly doubled her private practice income while seeing the same number of clients — AND bought her family's first home. This episode is packed with grounded wisdom, spiritual depth, and a level of honesty most therapists never say out loud… but every therapist needs to hear.   In this episode, Sara shares: Why she always felt anxious about money despite "looking successful" on paper How she realized her entire practice was a sliding scale — even though she thought she had a "full fee" The moment she decided to stop spiritualizing self-sacrifice and start honoring her worth What it was like raising her fee with all her existing clients The faith-based fears she had to confront about being seen as greedy or judged by her community How charging $200/session changed her parenting, her presence, and her clinical work Why her nervous system finally calmed once she committed to her life-first fee And how she hit a massive financial milestone without burnout, panic, or hustle Resources mentioned: LIMB Academy Fun With Fees Calculator  Sara`s Website  
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator 👉🏽 leaninmakebank.com/free If your marketing stopped working… If your phone stopped ringing… If you're on insurance panels and still can't fill your practice… You are not imagining it. And you are not doing anything wrong. The ground has shifted under our industry — and almost no one is telling therapists the truth about what's actually happening. In this episode, Tiffany names the uncomfortable reality: what worked in 2019–2022 will not save your practice in 2026. And if you keep playing by the old rules, you are actively positioning yourself to be replaced by big tech and AI. This is not fear-mongering. This is a wake-up call. In this episode, Tiffany breaks down: Why SEO, Psychology Today, and "just niche down" stopped working — and why that's not your fault How the pandemic cracked the industry wide open and invited big tech to scale therapy at your expense Why undercharging and insurance dependency are not just personal problems — they are industry-level threats How therapists unknowingly trained tech companies to replace them by agreeing to speed, volume, and one-size-fits-all care Why worksheet therapy and checkbox models are the exact conditions AI needs to take over What AI cannot replace — and what you must do to protect your authority, your income, and your impact Why charging your Life First Fee is no longer optional if you want therapy to survive as a profession This episode is not about panic. It's about choice. As we move into 2026, therapists will go one of two ways: Invisible, interchangeable, and replaced Or visible, authoritative, and shaping the future of mental health There is no middle ground anymore. If you are ready to step into authority, protect the future of therapy, and get paid for the impact you make, email Tiffany at tiffany@leaninmakebank.com with the subject line "I'm Ready." Because AI can't replace real therapy. But it will replace therapists who refuse to value themselves. And 2026 belongs to the ones who step the fuck up.  
Ready to set your fee? You choose the dream, we'll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free When Emma Summer realized the system was never going to reward her for overgiving, she stopped waiting for permission and built a premium-fee, cash-pay practice on her own terms. Emma shares what it took to confront the fears around leaving agency work, raise her fees, and redefine what "helping people" actually means. In this episode, Emma shares: How she went from burnout to balance by charging her true worth The moment she decided she was done trading exhaustion for empathy The myths she had to release about accessibility and guilt The impact of premium fees on her quality of care and quality of life What happens when you stop waiting for the system's approval and choose yourself Resources mentioned: LIMB Academy Fun With Fees Calculator Emma`s Instagram  
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator 👉🏽 leaninmakebank.com/free You've seen the posts. Therapists charging $300, $350, $400 per session—booked out, spacious schedules, fully off insurance—and you're wondering: "What the hell are they doing that I'm not?" It feels like there's a secret marketing cabal that no one told you about—some hidden door that only the elite therapists get to walk through. In this episode, Tiffany is pulling back the curtain. She exposes the myth of the "black box" and shows you exactly why your marketing feels like a mystery—and how to finally access the system that keeps other therapists winning. In this episode, you'll hear: Why you're not locked out of success—you're just missing a few key resources; The five resources every therapist must leverage to attract premium-fee, cash-pay clients; Why following another cookie-cutter marketing program isn't the answer (and what actually works instead); The emotional and psychological bandwidth problem that silently kills therapist businesses; How to get access to the community, systems, and mentorship that will finally unlock your practice income. There's no secret cabal. There's just structure, strategy, and support. And once you see how it works—you can't unsee it. Email Tiffany at tiffany@leaninmakebank.com with the subject line: "Action." She'll walk you through the first steps to finally building your premium-fee, cash-pay practice—with clarity, confidence, and community.
Ready to set your fee? You choose the dream, we'll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free In this episode, Tiffany sits down with Amanda Starfield, a Massachusetts-based therapist and former clinical director who walked away from 15 years in agency leadership to build a sustainable, premium-fee private practice. Amanda gets real about the internal war between wanting to serve others and realizing she couldn't keep doing it from a system built on exploitation. When she left her "secure" job, she didn't take insurance — she set her fee at $200 and later raised it to $320, discovering that charging her worth actually made her a better therapist and mentor. If you've ever told yourself you "can't" charge more because you care too much, Amanda's story will lovingly destroy that illusion. In this episode, Amanda shares: How she went from running a statewide adolescent program to walking away cold turkey during the pandemic Why she refused to take insurance and how that decision saved her clinical integrity What it really looks like to hold social justice and sustainability together How raising her fees to $320 per session deepened her clinical work Why connection, community, and liberation—not burnout—are her new metrics for success Resources mentioned: LIMB Academy Fun With Fees Calculator  Amanda`s Instagram
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator 👉🏽 leaninmakebank.com/free You've seen the posts. The ads. The "six-figure coach" promises. And you're thinking: "Is this legit… or am I about to get scammed?" You're not alone. Every week, Tiffany talks to therapists who are terrified of wasting money on a business program that doesn't deliver. But here's the truth: you're asking the wrong question. In this episode, Tiffany flips the script on how to evaluate whether a business program is worth your investment—and she calls out the therapist tendency to hide behind "skepticism" when what's really happening is fear. If you've ever wondered, "Will this actually work for me?"—this episode will change how you think about investing, success, and what it means to bet on yourself. In this episode, Tiffany reveals: The three green flags that prove a business program is legitimate; Why asking about "success rates" keeps you small (and broke); The mindset shift that separates thriving entrepreneurs from overworked therapists; How to vet a program like a CEO instead of a scared consumer; Why averages don't matter—and how to become one of the extraordinary few who make it. This isn't about avoiding risk. It's about learning how to take powerful, informed, self-led risks that lead to real transformation. If you've been hovering on the edge—too skeptical to leap, too tired to stay stuck—this episode will wake you up. Email Tiffany at tiffany@leaninmakebank.com with the subject line: "I'm In." It's time to stop waiting for proof—and start becoming the proof.  
Ready to set your fee? You choose the dream, we'll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free From seeing 24 clients a week on Medi-Cal to working 12-14 hours at $250 per session — Sara Champie's story is the revolution therapists need to hear. As a primary breadwinner, Sara used to believe she had to grind herself to dust to prove she cared. But when resentment, exhaustion, and rage began to spill into her marriage and motherhood, she realized: staying small wasn't noble — it was self-betrayal. Through her LIMB journey, Sara broke free from the "helper martyr" trap, raised her fees, and reclaimed her family's future. In this episode, Sara shares: How she traded burnout for balance and doubled her income The real cost of low fees on her marriage and her children What she discovered about justice and privilege after raising her rates How her somatic, trauma-focused work deepened once she stopped hustling The breakthrough that helped her set a $350 goal and mean it Resources mentioned: LIMB Academy Fun With Fees Calculator Sara`s Website  
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator 👉🏽 leaninmakebank.com/free You say you want to make more money. You say you want freedom. You say you want to stop taking insurance and finally charge what you're worth. But you don't. You keep yourself broke. In this raw and deeply honest episode, Tiffany unpacks the truth most therapists never want to face: being broke isn't your problem—it's your solution. When your bank account is empty, you don't have to take risks. You don't have to be visible. You don't have to disappoint anyone. Staying broke is the subconscious way so many therapists keep themselves safe. But it's also what's keeping you small, resentful, and exhausted. In this episode, Tiffany reveals: Why staying underpaid feels safer than raising your fee; How being broke protects you from rejection, shame, and exposure; The unconscious patterns that keep you sabotaging your success; What happens when you finally make enough money to meet yourself—and why that's the real work; The first steps to breaking free from the burnout–scarcity loop for good. If you've ever said, "I don't care that much about money," this episode will show you what that statement is really costing you. Email Tiffany at tiffany@leaninmakebank.com with the subject line: "I'm Ready." It's time to stop using scarcity as safety and start building a business that actually takes care of you.
Ready to set your fee? You choose the dream, we'll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free What happens when someone without a therapy license decides to build a premium-fee practice anyway? Meet Jessica Scalzo, a professional Peer Counselor and retired competitive runner who turned her lived experience with overtraining and eating disorders into a thriving private practice charging $185 per session. Jessica was charging $45 when she joined LIMB. Today, she's a pioneer — redefining what's possible for peer counselors, athletes, and anyone told their work "doesn't count." In this episode, Jessica shares: How she built a private practice as one of only two known peer counselors in the U.S. The bold leap from $45 to $185 — and what it taught her about worth How she helps athletes heal from "R.E.D.S." (Relative Energy Deficiency Syndrome) The difference between therapy and peer counseling — and why both matter What it means to turn pain into purpose and still make bank Resources mentioned: LIMB Academy Fun With Fees Calculator Jessica`s Instagram Jessica`s Website
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator 👉🏽 leaninmakebank.com/free This is your unpopular opinion alert—but someone needs to say it. If you're taking insurance or charging low fees that don't allow you to pay your bills, take care of your kids, and save for retirement, your practice is out of integrity. You're modeling a lie—both to your clients and to yourself. In this fiery, no-fluff episode, Tiffany dismantles the illusion that therapists can do high-quality, transformative work while chronically undercharging. She shows you exactly how low fees erode your integrity, deplete your energy, and keep the entire field stuck in burnout and self-sacrifice. In this episode, you'll hear: Why low fees aren't generous—they're dishonest; The hidden "subsidy system" keeping therapists broke and exhausted; The hard truth about who can actually afford to charge low fees (and why you're probably not one of them); How cheap therapy devalues the profession and undermines client transformation; The financial and emotional red flags that prove your fees are too low. If your clients are changing—but you're the one deteriorating—it's time to face what that says about your business model. Integrity starts with truth—and truth starts with charging enough to live. Email Tiffany at tiffany@leaninmakebank.com with the subject line: "I'm Ready." She'll walk you through how to raise your fees, reclaim your integrity, and build a practice that honors your worth—without apology.  
Ready to set your fee? You choose the dream, we'll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free   After helping build a 12-clinician nonprofit from the ground up, Angelina Miceli, LCSW, realized she'd built everything — except her own joy. She was burnt out, resentful, and quietly crumbling. In 2024, she joined LIMB, left her director role, and went all in on private practice. Today, she's charging $275 per session and $300 per intake — and loving every minute of it. If you're scared to leave your "secure" job, Angelina's story is your permission slip. In this episode, Angelina shares: What it felt like to walk away from a leadership role she built from scratch Why her "pretend fee" of $150 wasn't serving her or her clients How she faced fear, shame, and scarcity to step into premium fees The transformation she's experienced after aligning her business with her values What it means to create a life that actually feels like your own Resources mentioned: LIMB Academy Fun With Fees Calculator Angelina`s Instagram  
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator 👉🏽 leaninmakebank.com/free Therapists love to tell themselves: "I'll figure it out in January." Raise my fees in January. Do my marketing in January. Finally get serious about my business in January. Here's the truth: by January, it's already too late. In this urgent episode, Tiffany dismantles the myth of the "new year reset" and shows you why the moves you make this fall will determine your income, stability, and freedom in 2026. If you're waiting until the calendar flips, you're not planning—you're playing catch-up. And it's costing you everything. In this episode, Tiffany shares: The therapist revenue cycle no one talks about—and why fall is the most important season for your business; Dylan's story of turning $3K months into $11K months—and why the turnaround started months before the results showed up; The hidden cost of waiting until "things calm down" to raise your fees or get off panels; Why later is not safe—later is theft; The exact fall steps you need to take to enter 2026 with clarity, ease, and cash flow. If you're serious about building a premium-fee, cash-pay practice that actually sustains you, the work starts now. Email Tiffany at tiffany@leaninmakebank.com with the subject line: "Ready." Because your 2026 income is being decided today—whether you act or not.
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator here 👉🏽 https://www.leaninmakebank.com/free   In this episode, we're speaking with Katie Gilbertson, a Washington-based therapist who was working three days a week—but still couldn't take a vacation or contribute to retirement.  She thought she had created a dream schedule.  What she hadn't created was financial freedom. Katie walks us through what it took to finally stop tweaking her website at 10PM and start building a premium-fee practice rooted in clarity, ownership, and ease.   In this episode, Katie shares: How charging $150–$160—with half her caseload on sliding scale—left her spinning and anxious; Why "having time" didn't mean having freedom; The guilt and fear she carried about raising fees on long-term clients; The moment she stopped waiting for a second job and invested in her own business; What changed when she stopped managing clients' finances—and started managing her own. Resources mentioned: LIMB Academy FWF Calculator Katie's Website Katie's TikTok   More about Katie: Katie Gilbertson is a Licensed Mental Health Counselor in Washington State. She helps anxious women who people-please & over accommodate, heal attachment wounds, set guilt-free boundaries, and prioritize their needs. 
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator 👉🏽 leaninmakebank.com/free "Sure, Tiffany—that all sounds great. But is it actually possible? Can any therapist really charge $350 a session and stay full?" That's the question Tiffany hears over and over again from therapists who are burned out, underpaid, and deeply skeptical that freedom is even possible for them. And in this fiery episode, Tiffany answers the question directly: YES. It's possible. But only if you're willing to think bigger than the average therapist. In this episode, you'll hear: Why most therapists stay stuck at "average"—and why you don't have to; How to break out of the conditioning that keeps you undercharging and exhausted; The surprising truth about what clients actually pay for (hint: it's not worksheets); Why premium-fee therapy is not only possible, but necessary for deep, transformational work; Tiffany's 3-step roadmap to move from skeptical to fully booked at $300–$500 per session. If you've been secretly wondering if anyone out there is really doing this—this episode is your answer. And it's your permission to stop playing small. Email Tiffany at tiffany@leaninmakebank.com with the subject line: "I'm Ready." If you're done working the shipyard of your own mind and ready to build a practice that actually sustains you, this is where it starts.  
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator here 👉🏽 https://www.leaninmakebank.com/free   In this episode, we're speaking with Maggie Evans, an art therapist, highly sensitive person, and single mom who broke free from the burnout of BetterHelp and built a premium-fee private practice that supports both her nervous system and her child.  If you think your personality, parenting status, or sensitivity disqualifies you from making bank as a therapist—Maggie's story will prove otherwise.   In this episode, Maggie shares: How she went from 30 BetterHelp clients at $30/session to building a sustainable practice from scratch; What it took to unlearn the martyr mindset of motherhood and entrepreneurship; Why perimenopause and ADHD diagnoses inspired her niche—and her premium rates; Her fiercely non-negotiable boundaries (no nights, no weekends, no guilt); How LIMB helped her show up for her son—and herself—in the ways that truly matter.   Resources mentioned:  LIMB Academy  FWF Calculator  Maggie's Website  Maggie's Instagram   More about Maggie: Maggie is a metaphor-loving artist, therapist, and mother who works with spirituality-seeking women who've found themselves lost, stuck, and broken-hearted. From wedding dress designer to full-time private practice therapist during Covid, Maggie does her best work out along the edges.
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free   You're full—or close to it. You're managing. Paying the bills. Picking up your kid. Logging back on after dinner for that one "flexible" client. It's not suffering. But it's sure as hell not success. In this episode, Tiffany lays bare the trap so many therapists fall into: "good enough." The caseload is fine. The fee is okay. The marriage is stable. The roof mostly holds. But when life hits—an aging parent, a sick child, a partner out of work—good enough becomes not even close.   In this episode, you'll hear: Why "things are okay" is the most dangerous place to be in private practice; The slow death of your future under the weight of quiet resentment and canceled vacations; How systemic conditioning teaches therapists to endure instead of prepare; What Natasha (from a previous episode) realized when her dad had a stroke—and why she stopped waiting; How to treat business investment as protection, not risk. If you're waiting until things fall apart before building the business you deserve, stop.   Email Tiffany at tiffany@leaninmakebank.com with the subject line: "Ready." Let's build the business that protects you.
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator here 👉🏽 https://www.leaninmakebank.com/free   In this episode, we're speaking with Natasha Deen—a DC-area therapist specialized in working with Muslim daughters of immigrants—who went from "okay enough" to powerful, unapologetic fee ownership.  Natasha joined LIMB thinking she might raise her fee.  Instead, she transformed her mindset, boundaries, and belief in what's possible—for her clients, her practice, and her life. Natasha's story is a masterclass in rejecting the slow death of small dreams.   In this episode, Natasha shares: Why charging $170/session still left her dreaming of a life she couldn't reach; The wake-up call that came during Fee Week—and the boundary audit that followed; How her father's stroke redefined what really matters; Why she stopped waiting for a partner, a raise, or "someday" to live the life she wanted; The ripple effect raising her fee had on her practice, personal life, and vision for the future.   Resources mentioned: LIMB Academy FWF Calculator Natasha's Website   More about Natasha: Natasha is a Licensed Clinical Professional Counselor in Maryland and Virginia. She specializes in helping Muslim daughters of immigrants balance self-care and family care and work through feelings of overwhelm and guilt. Through trauma-informed care and faith-based counseling, she helps them heal their mind, body, heart, and soul, so they can connect with themselves and their families in a deeper, more meaningful way.
Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free Five years ago, insurance filled your caseload. It wasn't ideal—but it worked. You weren't thriving, but you were surviving. You told yourself: "One day I'll do something different." That day is here. And the game has changed. In this urgent episode, Tiffany breaks down why the therapist insurance hustle is collapsing—and what you must do now if you want to protect your time, your income, and your well-being. In this episode, Tiffany reveals: Why your caseload isn't refilling like it used to—even if you're on every panel; How tech conglomerates are taking over insurance-based referrals and squeezing out solo providers; The truth about reimbursement rate cuts (some slashed by 40%)—and what it means for your future; The illusion of "stability" insurance used to offer—and why it was always a trap; What it really takes to build a practice rooted in freedom, sustainability, and clinical excellence. This is not a drill. The insurance model is crumbling. You can keep trying to survive inside it—or you can make a different choice. Email Tiffany at tiffany@leaninmakebank.com with the subject line: "Emancipate." She'll send you your first step toward stepping out of the system that was never built for you. You don't have to do it alone. You just have to decide you're not staying stuck.  
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