DiscoverThe Practice of the Practice Podcast | Where Modern Psychology Meets the Business of TherapyThe Exact Five Steps to Get to Seven Figures with Nicole McCance | POP 1277
The Exact Five Steps to Get to Seven Figures with Nicole McCance | POP 1277

The Exact Five Steps to Get to Seven Figures with Nicole McCance | POP 1277

Update: 2025-10-17
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Why are you a CQA and not a CEO if you don’t implement systems in your practice? Which simple practices help you convert leads into clients? Why is fear never a reason to stop pursuing your goal?

In this podcast episode, Joe Sanok discusses the exact five steps to get to seven figures with Nicole McCance. 

Podcast Sponsor: JotPsych















If you’re in private practice, you already know—it’s not just about seeing clients. It’s notes, treatment plans, onboarding, scheduling, insurance, forms… the list goes on.

JotPsych was built to take the busywork off your plate. It’s the first AI-powered EHR made specifically for therapists. It can draft your progress notes automatically, send reminders, handle scheduling, deliver clinical screeners, and help with treatment planning. It’s a smart system that learns how you work— and then works for you.

JotPsych has already supported over a million therapy visits and is helping thousands of clinicians save hours every week.

You can try it free—and get 50% off your first two months with code JOE at JotPsych.com/Joe.

Meet Nicole McCance















Nicole is a Psychologist (retired) turned Business Coach for therapists scaling to a group practice. She expanded her private practice to 55 therapists and multiple 7 figures in 3 years (with toddler twins at home). Nicole sold her clinic in her 4th year and then retired as a Psychologist in her 5th year. She now teaches therapists how to help more people, make more money, and have more freedom following her proven method.

Visit The McCance method and connect on Facebook and Instagram. Listen to Nicole’s Podcast!

In This Podcast



* Step 1: Systemize 

* Step 2: Build you dream team 

* Step 3: Attract the clients 

* Step 4: Convert client leads with consult calls 

* Step 5: Follow up with clients 

* Nicole’s advice to private practitioners 



Step 1: Systemize 



You want to build the container before you fill it … I see so many people hire first, but then they’re not the CEO, they’re a CQA, Chief Question Answerer! Because there are no manuals, there are no processes, and they don’t get any freedom at all. So number one is get everything out of your head and put it in a Google Doc. (Nicole McCance) 



As Nicole explains, you need to build out your processes before you begin to fill them up with clinicians and clients, otherwise you will be running around putting out fires that come up when people don’t have a system to rely on. 

Having no system and process manual at all also leaves you with very little agency to move away from the business and take time off, because you would be the only one who knows how to put out the fires. 

Create systems, train people in them, and establish the rules and guidelines somewhere so that you can begin to build up your practice as an entity that is separate and can function without you always needing to be there to maintain it. 

Step 2: Build you dream team 

Here is where the fun starts. Once you have your systems set up and ready to receive people, you can begin to hire admin and clinicians. 

Your first hire however, apart from an admin, should be a “mini-me”. Hire someone who is already in your specialty and fits within y...
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The Exact Five Steps to Get to Seven Figures with Nicole McCance | POP 1277

The Exact Five Steps to Get to Seven Figures with Nicole McCance | POP 1277

Joe Sanok | Private Practice Consultant, TEDx Speaker & Author of Thursday is the New Friday