On therapy, fee-for-service, and the hidden costs of clinical work
Part 1: When the Work Doesn’t Fit the Structure
It’s usually a small moment.
Not a crisis. Not a breaking point. Just a pause—often at the end of the day—when you notice how much translating you’ve done.
You think about the sessi...
I never really decided to be an entrepreneur.
I decided to help.
I decided to answer a need I saw in my field and in my community and somewhere along the way, I accidentally invented my own job.
If you’re anything like me, you might have built your work the same way — no blueprint, no formal busin...
The first thing that comes up isn’t a five-year plan or a revenue goal—it’s something far more personal.
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“I want more ease in my professional life.”
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“I’ve never run a business before—so I’m here to keep the support around me.”
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“I’m stuck in the eddy of the river, resting after burnout...
I’ve been thinking about all the things I wish I’d known earlier—about being a clinician, while building a business and about the long arc of doing this kind of labor in the world.
Good enough is a complete sentence. Great is a lovely exhale—not a demand.
This work doesn’t come with a vow of pover...
You’re not imagining it:
You were handed a model of helping work that made care the virtue and compensation the compromise.
And now, in a world where therapy practices are being bought by private equity and your clients are afraid to spend, you’re being asked to hold more than ever—without enough supp...
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