Worth It Practice

Watch this episode on YouTube! I hate meetings that waste my time. But there's one meeting I refuse to skip: my weekly meeting with our admin leadership team. Recently, I tried to book my son's birthday party at a play place. I was ready to pay, but the manager told me to go home and book online instead. Ten minutes later, I'd talked myself out of the purchase entirely. It made me wonder how often...

Watch this episode on YouTube! I spent months working toward a business that wouldn't need me involved in every little decision. And now that I've finally gotten there, I've discovered something unexpected: I'm really bad at leaving it alone. In fact, I managed to drive my entire leadership team crazy this week. After months of restructuring our leadership team, building dashboards, creating autom...

Watch this episode on YouTube! One of the questions I get asked most often is how I keep 20 clinicians busy in a completely private-pay group practice, especially when so many therapists are struggling to fill their caseloads. When practice owners ask me how to find private pay clients, they usually expect me to talk about SEO, Google Ads, networking, or website strategy. And yes, those things mat...

Watch this episode on YouTube! Business is a gamble. I’m constantly making investments, trying new strategies, and taking risks in my own practice. And as a consulting client, you’d probably come to me at some point and say, “Leah, I’m scared. What if this decision doesn’t work?” I wouldn’t tell you not to do it. But I also wouldn’t tell you everything will magically work out. Instead, I’d walk yo...

Watch this episode on YouTube! I’ve heard practice owners say it’s impossible to make money in mental health or that you can’t be profitable until your group practice reaches a certain size. That hasn’t been my experience. Over 10 years of practice ownership, I’ve maintained business profit at every stage of Thriving Child Center, from seeing clients on Saturdays while working full-time to running...

Watch this episode on YouTube! There’s a version of private practice ownership we see all over social media: set up your systems, make money while you sleep, and run your business from a beach somewhere. But that’s not the full reality of practice management at least not all the time. I’m recording this episode on Labor Day because I’m currently in a season of growth and working harder than I norm...

Watch this episode on YouTube! There are two extremes I see practice owners fall into when it comes to their business systems: micromanaging every detail or delegating something and never looking at it again. Neither works particularly well. In this episode, I’m sharing what I’ve learned about finding the middle ground. Effective delegation means your business can function without you constantly b...

When you're growing a group practice, bringing on another clinician isn't just about finding someone with the right credentials. The people you bring into your practice become part of its reputation, which is why hiring therapists is one of the most important decisions you make as an owner. In this episode, I share how I approach hiring therapists at Thriving Child Center, starting with a question...

Watch this episode on YouTube! When I started my practice 10 years ago, I had an incredible advantage: my parents had already spent decades running their own psychology practice. Their industry experience gave me perspective I couldn't have gotten from someone who had only been in business for a few months. But today, experience alone isn't enough. Our industry is changing so quickly that the pers...

Watch this episode on YouTube! When life gets chaotic, your business doesn't suddenly need less from you. Lately, I've been working roughly half-time hours with a full-time workload, which has forced me to get very clear about my business priorities and where my limited energy will have the biggest impact. In this episode, I'm sharing my approach to time management for entrepreneurs when there sim...

Watch this episode on YouTube! I consider myself a pretty confident practice owner. I feel good about my finances, marketing, team, ethics, and most of the decisions I make. But apparently, my business confidence has one unexpected weakness: office couches. For the first time, I'm creating a dedicated Thriving Child Center office space that I'm actually responsible for designing. And suddenly, I'm...

Watch this episode on YouTube! You're allowed to expect excellent work from the people you hire. As therapists, many of us are trained to prioritize empathy, soften difficult conversations, and give people the benefit of the doubt. But as CEOs, there are times when we need to evaluate results objectively. If I'm making an investment in my business, I need to see a return on investment, and that re...

Watch this episode on YouTube! What if your practice is already profitable, but you're too afraid to enjoy it? I've noticed that many successful practice owners are generating business profit, yet they're hesitant to actually move that money into their personal accounts. In this episode, I unpack why that happens, how it affects your confidence as a business owner, and why it may be time to reset...

Watch this episode on YouTube! Business problems are inevitable, but they don't have to be overwhelming. Over the years, I've realized that the same clinical Skills I use with therapy clients are the ones that help me navigate difficult moments as a business owner. Instead of reacting with panic, I've learned to gather information, regulate my emotions, and focus on business problem solving one st...

If you asked me a few years ago whether every practice owner needed a dashboard, I probably would have said no. I built a successful practice long before I had one. But today, my CEO Dashboard is one of the most valuable tools I use because it helps me understand the health of my business in just a few minutes each week. In this episode, I pull back the curtain on the KPI dashboard I review every...

Watch this episode on YouTube! One of the most powerful ways I've grown my practice is by building genuine relationships with physician offices. The mistake I see many practice owners make is treating networking like advertising. They drop off brochures or business cards and hope for physician referrals, but real relationships are built through trust, curiosity, and connection. In this episode, I...

The people you surround yourself with have a bigger impact on your business than you might realize. Every mentor, Facebook group, podcast, and conversation shapes your entrepreneur mindset. Over time, those voices influence the decisions you make, the risks you take, and how you respond when business gets hard. In this episode, I share one of the biggest lessons I've learned from spending time wit...

Watch this episode on YouTube! There’s a common misconception that because I run multiple businesses, host two podcasts, consult with psychologists, and raise two young children, I must have endless energy. The truth is, I don’t. While I generally have a high work capacity, there are plenty of days when my energy is lower, my motivation disappears, and I simply don’t feel like working. In this epi...

Watch this episode on YouTube! If you've ever wondered why clients seem to disappear even when they want therapy, this episode is for you. A few years ago, I realized that many of the clients leaving my practice weren't leaving because they were dissatisfied or because treatment wasn't working. They were leaving because life got busy, schedules changed, and the simple task of rescheduling fell thr...

Watch this episode on YouTube! If you want more therapy referrals, better clients, and a stronger reputation, becoming known as the go-to expert is one of the most valuable things you can do. The challenge is that many psychologists already provide highly specialized therapy but don’t recognize just how unique their expertise really is or how to communicate it effectively. In this episode, I share...

Watch this episode on YouTube! If you’ve ever wondered whether you need a business coach, this episode is for you. A few years ago, I convinced myself that hiring a coach was the next logical step in growing my practice. The problem? I didn’t actually need coaching. I was just scared. At the time, my practice was already successful, profitable, and growing. There wasn’t a major problem to solve. W...

Watch this episode on YouTube! As a CEO and practice owner, there are endless things you could invest in. A new website. Another admin. Coaching. Office space. Better systems. More clinicians. And when you’re growing a therapy business, it can feel overwhelming trying to figure out what actually deserves your time, energy, and money. In this episode, I’m breaking down the exact thought process I u...

Watch this episode on YouTube! Recently, I had to fire two people in one day because they broke my trust. One person wasn’t completing critical tasks properly, and the other was intentionally avoiding responsibilities that were creating major problems in my business. It was awful. But it also forced me to think more deeply about something every business owner struggles with: how to know who to tru...

Watch this episode on YouTube! Recently, I found myself sitting at a blackjack table in the Golden Nugget, realizing something surprising: gambling gives me anxiety, but building a business gives me energy. In this episode, I unpack the difference between reckless risk-taking and intentional strategy and how to know whether you’re actually making smart decisions as you scale your business. If you’...

Watch this episode on YouTube! If you’ve been curious about using AI in your practice but still feel overwhelmed by all the tools and tech jargon, this episode is the practical breakdown you’ve been waiting for. Leah sits down with Uriah Guilford to talk about the real-world ways therapists can use AI to save time, streamline systems, and run a more efficient business without losing the human side...