The Paul Gough
The Paul Gough Show
If you're a physical therapy clinic owner looking for tips, tools and strategies for growing your business, this is the podcast for you. Your host is Paul Gough - a former Professional Soccer Physical Therapist turned successful business owner and best selling Author from the UK. As well as running his own 4 location clinic, Paul works with clinic owners from all across the USA, Canada, Britain, Australia and beyond. Paul talks about everything from marketing, sales and hiring staff to leadership, finance and the mindset needed to become a world class clinic owner. Subscribe right NOW! Hosted...
Author
The Paul Gough
Category
Podcast website
Latest episode
Jul 8, 2026
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Episodes
EP764☕"How Do You Recruit And Find An Elite-Level PT In Today's Environment?" [Pint with Paul, Live from LA] 13.05.2026 16:36
In this special 'Pint With Paul: Live From LA' episode, I answer: "How Do You Recruit And Find An Elite-Level PT In Today's Environment?" 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram...
EP763☕"My Therapist Has More Instagram Followers Than I Have Patients!!" [Coffee With Goughy] 11.05.2026 28:38
In today's episode I answer: "My therapist has more Instagram followers than I have patients. She's building her brand on my time. She said, 'I'm the reason people walk through your door.'" 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook...
EP762☕"My Therapist Asked What's My Plan If She Leaves? ...Is She Leaving?" [Coffee with Goughy] 08.05.2026 49:35
Today I answer: "My Therapist Asked What's My Plan If She Leaves? ...Is She Leaving?" 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGough 🎥 YouTube: Paul Gough Media 🐦 Twit...
EP761☕"I Caught My Staff Talking About Me. Do I Fire Them Or Fix It?" [Coffee With Goughy] 28.04.2026 59:12
Today I answered these questions: "I caught my staff talking about me. Do I fire them or fix it?" "What are you most excited for this weekend?" (The Cash Pay Summit) "What do you hope people leave with?" (The Cash Pay Summit) 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://ww...
EP760☕"How Do You Judge Your Success As A Dad?” [Coffee With Goughy] 24.04.2026 1:07:13
In today's episode I answer: “How Do You Judge Your Success As A Dad?” “What Are You Most Proud Of As A dad and or business?” 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Follow Paul here: 🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/ 📘 Facebook: https://www.facebook.com/ThePaulGough 📸 Instagram: @ThePaulGo...
EP759🔥Stop Being the Same as Everybody Else (You're Not Special Yet) [Paul on Fire] 23.04.2026 9:08
In this fired-up rant, I break down what it really means to become a "unique self-creation" — and why your tattoos, car, and haircut don't count. I challenge the idea that following society's rules about marriage, routines, and success will ever make you happy, using the classic fisherman parable to drive it home. It's a wake-up call to stop living by everyone else's blueprint and start designing...
EP758 The Gucci Bag Principle: Why Your Best Clients Will Happily Pay You $350 a Session 21.04.2026 17:39
In this episode, I go deep on something that most clinic owners get completely wrong - what your patients are actually paying you for. Spoiler: it's not the treatment. I get asked: "Why will a patient pay you $350 when they can get the same treatment for $150 around the corner?" "What did Mr. Gucci understand about his customers that most clinic owners completely miss?" "Why do some clients disapp...
EP757☕“My Spouse Quit Her Corporate Job To Help Run The Clinic. Revenue Has Dropped 30%. Was This A Mistake?” [Coffee With Goughy] 20.04.2026 55:11
In today's episode I answer: “My Spouse Quit Her Corporate Job To Help Run The Clinic. Revenue Has Dropped 30%. Was This A Mistake?” “My Business Coach Told Me To Stop Taking Medicare Patients If I Ever Want To Be Rich. Is It Wrong to Deny Them?” "A Competitor Is Offering Free Evals And Undercutting Every Clinic In Town. Do I Match Them Or Hold My Price And Pray?" Register Now: https://cashpaysumm...
EP756☕"My Therapist Just Came Out As Transgender. Half My Patients Are Requesting Transfers. Do I Protect My Employee Or My Revenue?" [Coffee With Goughy] 17.04.2026 1:08:41
In today's episode I answer: "My Therapist Just Came Out As Transgender. Half My Patients Are Requesting Transfers. Do I Protect My Employee Or My Revenue?" "I'm The First Person In My Family To Own A Business. They Call Me 'The Rich One' Like It's A Slur.” Register Now: https://cashpaysummit.com/ 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physio...
EP755 "If 90% of the profession is insurance-based, why should anyone listen to someone pushing cash pay?" [Coffee with Goughy] 16.04.2026 15:27
Insurance-based clinic owners are calling me reckless. They say cash pay is a fad. So I decided to answer them live on air. Here's what gets thrown at me and how I answered: Insurance-based clinic owners are calling you reckless - they say cash pay is a fad. What do you say to their face? People are calling your cash model a scandal - charging patients directly and cutting out insurance. How do yo...
EP745 ☕"I Missed My Baby's First Year Building The Clinic. Was I Wrong?" [Coffee With Goughy] 15.04.2026 1:12:28
On this episode of Coffee with Goughy, we go over some comments left on my social media: The viral post that sparked massive debate — "I Missed My Baby's First Year Building The Clinic. Was I Wrong?" Why people react so emotionally and quickly when I question how we think about parenting on social media The comment that said "You have the rest of your life to make money — you can never get that ti...
EP744 "How do I turn a $100-per-session insurance patient into a $2,000–$3,000 lifetime customer?" 13.04.2026 18:05
In this episode, I sit down with an insurance-based clinic owner who's running at 90% insurance and 10% cash pay. He wants to shift gears but he's scared. He doesn't know how to make the transition without blowing up what he's already built. Here's what gets asked and answered: How do we shift from 90% insurance to more cash pay without risking the business we've already built? Do I need to close...
EP743 "How do I get my wellness services up and running in the next 30 days - when I'm still treating full-time?" 10.04.2026 26:41
In this episode, I sit down with a clinic owner Craft Castrall who's got all the assets in place — red light therapy, neurofeedback, shockwave, whole body vibration, body composition analysis — but he can't figure out how to get it all up and running in the next 30 days while he's still treating patients 25–30 hours a week. Here's what gets answered: How do I get all of my services up and running...
EP742 "You say clinics should raise prices - what about the patients that can't afford it?" 09.04.2026 16:04
Here's what gets thrown at me and how I answered: Isn't cash pay just a way for clinics to charge more and leave everyday patients behind? You say clinics should raise prices - what about the patients that can't afford it? What do you say to the claims that you're just encouraging people to abandon insurance to make a little bit more money? Isn't cash pay just a model that works in wealthy areas l...
EP741 "Are rising staff wages killing clinic profitability or just exposing weak business models?" 08.04.2026 16:15
In this episode, I answer more questions from the Hollywood press ahead of the Cash Pay Summit in May. Here are the most important questions I answered on this podcast: "Are rising staff wages killing clinic profitability or just exposing weak business models?" "Why do clinic owners get stuck between $20K and $50K a month and never break through?" "Why do so many clinics look successful online but...
EP740☕"My Spouse Says the Clinic Is Ruining Our Marriage. Is She Right?" [Coffee with Goughy] 07.04.2026 54:38
In this episode I answered these questions: "My Spouse Says the Clinic Is Ruining Our Marriage. Is She Right?" "My Front Desk Person Has More Power Than I Do and She Knows It. How Do I Handle This?" "TikTok PTs With Zero Experience Are Stealing My Patients. How?" Register Now: https://cashpaysummit.com/ 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://...
EP739 The AI-First Clinic: How Owners Are Hitting 35% Margins With Fewer Staff and Zero Voicemails 06.04.2026 17:47
In this special episode, I answer live questions from journalists across Los Angeles and California on the topics PT clinic owners can't afford to ignore — risk, growth, AI, and why 99% of the profession is already falling behind. Here's what gets covered: Is the real reason that clinics don't grow because the owners may just be scared that they're not taking enough risk? Why do so many clinic own...
EP738✨Live From Hollywood - the Cash Pay Summit Press Conference (21 Tough Questions Answered About the Profession in 55 min) 03.04.2026 1:17:10
Live from Hollywood, California — I invited the press in, sat down, and answered every question they threw at me. No filters. No fluff. Just the raw, behind-the-scenes strategies that took me from a small town clinic in England to building one of the most recognized business coaching brands in the physical therapy world. If you've ever wondered whether there's a smarter way to run your pract...
EP737☕"My Staff Want a Climate Change Policy. I Just Want More Patients! What Do I Do?" [Coffee With Goughy] 01.04.2026 32:31
In this Eps of Coffee with Goughy Live from Hollywood i answered these 3 questions. "My Staff Want a Climate Change Policy. I Just Want More Patients! What Do I Do?" "I Accepted a Business Loan From My Dad and Now He Thinks He Owns the Place." "My Kids Haven't Seen Me Eat Dinner With Them in Four Months; I Just Can't Afford to Stop." Register Now For the Cash Pay Summit may1-3: https://cashpaysumm...
EP736✨Live From Hollywood - The Cash Pay Summit Press Conference: "Why Staff PT's Should Not Be Given Pay Raises" 01.04.2026 51:11
Hollywood Cash Pay Summit Press Conference: Isn't cash pay just a way for clinics to charge more and leave everyday patients behind? What about the patients that can't afford it? Isn't cash pay just a model that works in wealthy areas like Los Angeles? Is cash pay actually under threat, or are owners just not evolving fast enough? Why are so many busy clinics still struggling to make real profit?...
EP735 The One Thing Killing Your Clinic Culture (And How to Fix It) [Live from Liverpool] 30.03.2026 38:40
In this session, I'm pulling back the curtain on what separates the business owners who thrive from the ones who just get by. Here's the truth: the best business owners don't do the most things — they ask the best questions. And today, I'm challenging you to think bigger, lead bolder, and build with intention. We're diving into the power of your story — why your...
EP734☕Is This The End Of Traditional "In Clinic" PT? (With Dr. Chris Castel Of CareWear) [Coffee with Goughy] 26.03.2026 58:15
The old PT model is dead — and the math proves it. I sat down with Dr. Chris Castell, who's been in this profession since the 1980s, and what he laid out is a wake-up call every clinic owner needs to hear. Paying $90,000 in salary to collect $95 from Medicare isn't a business plan — it's a slow bleed. But right now, we're standing at the greatest opportunity this profession has seen in decades. Hy...
EP733☕ "My Staff Refuses To Treat Based On Political Views. What Do I Do?" [Coffee with Goughy] 23.03.2026 1:05:47
Question 1: “One of my therapists refuses to treat a patient due to making a political comment during a session.. now the patient has complained. What do I do?” Question 2: “I dropped my biggest insurance contract and lost 40% of my revenue overnight. Did I move too fast?" 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/ 📲 Foll...
EP732 Stop Scrolling, Start Posting: The Simple Social Media Strategy Every PT Clinic Owner Needs 20.03.2026 11:09
Let me ask you something — do you even know who you're posting for? Because until you answer that question, nothing else matters. Here's the truth: most PT clinic owners are either ignoring social media entirely or throwing random posts at the wall and hoping something sticks. Both are leaving money on the table. In this episode, I'm breaking down a dead-simple strategy that any clinic owner can e...
EP731🤖AI Speed Dating | Real PT Owners Share How AI Changed Everything 19.03.2026 13:54
Let me be straight with you — if your phone isn't being answered, money is walking right out the door. Period. I sat down with real clinic owners who were missing calls, losing patients to the clinic down the street, and watching revenue disappear. One owner was answering only 40% of calls. Another was catching one out of five. That's not a phone problem — that's a revenue problem. In...
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