Skip to main content

Business Thinking

Person caught in a mouse trap baited with money

You don’t own your practice. Here’s how to get it back.

Last month, thousands of therapists opened an email and learned their income was being cut. Not because they saw fewer clients. Not because their work changed. A payer and a platform renegotiated a contract, and the result landed in their inbox: effective in a few weeks, a 60-minute session will be reimbursed the same as […]

Illustration of having the rug pulled from under you.

First they help you. Then they own you. 

How modern practice platforms are extracting value from independent clinicians. You went into private practice to do one thing: help people. But the tools you thought were built to support that purpose do not share your commitment. They undermine it — built by people whose financial interests are served by extracting from your work, not […]

New practice? Ditch the plan, consider the canvas.

There was a day (many days, actually) when new businesses didn’t dare open doors without well-baked business plans. But in the 2000s, something happened on the way to the business forum. Companies became less traditional (Yes, I’m looking at you, Silicon Valley). Startups especially didn’t want to be saddled with locked-in business plans; they wanted […]

How we promote psychological safety to foster change

(Hint: it’s much like you do.) If you are a behavioral or mental health practitioner, you know from your training and experience that change happens when you and your patients clearly understand the goal, when your patients feel supported, and when your patients are confident enough around you to freely express thoughts and emotions that […]