Private Practice Sessions
Structural Coaching for Specific Challenges
You know what needs to change in your practice or you are thinking of moving to private practice.
This has been on your mind for a while.
It might be:
The rate increase you need to make.
The shifts in focus or clientele that are overdue.
The schedule that's just not working anymore.
The referrals you keep saying yes to even though inside of you says no.
The challenge:Â knowing what needs to change is easier than making the change.
The hard part is all the stuff that comes with it.
The fear that if you raise your rates, you'll lose everyone—or worse, that you're being greedy or abandoning the people who need you most.
The guilt about ending with certain clients, because you're a helper, and helpers don't give up on people. Even when staying is hurting you. Even when you know it's not working.
The exhaustion of trying to restructure your schedule when it means disappointing people or changing patterns you've had for years, and you're already too tired to think straight.
The shame of saying no to referrals when you know people need help, but taking them on is not right for you right now.
This is genuinely hard stuff to work through alone while you're still seeing clients, managing crises, keeping everything running—makes it even harder.
This is what Private Practice Sessions are for.
75Â minutes where we work through one specific structural transition together.
We map what actually needs to happen. We talk about what's really stopping you—not just the logistics, but the relational complexity, the guilt, the fear of getting it wrong.
And here's what I want you to know about how these sessions work:
I'm not going to judge you for any of it.
Not the rate you're currently charging. Not how long you've been avoiding this. Not the mess it feels like. Not the decisions you've made that got you here.
I'm warm. I'm kind. I'm in your corner. And I understand the clinical reality of what you're navigating because I've been doing this work for 25 years.
We're going to figure out what makes sense now—not what's perfect, not what you "should" do, but what actually works for your life and your practice and supports the change you're trying to make.
You'll leave with a plan that feels doable, not like you're abandoning anyone (including yourself).
This is for you if:
You need to raise your rates and you're terrified of the conversation—what if clients can't afford it? What if they feel betrayed? What if you sound defensive or apologetic and make it worse?
You need to end with certain clients and the guilt is real—you're a helper, ending feels like failure, and you haven't figured out how to do it in a way that feels clean and responsible instead of like you're giving up.
Your schedule is unsustainable and you know it, but restructuring means changing patterns, potentially seeing fewer people, building in time that feels "unproductive" even though you desperately need it.
You're saying yes to referrals you shouldn't take because saying no feels impossible even when you know it's not right—you haven't built the structure or language to decline clearly and kindly.
You're shifting your model—moving away from all 1:1 work, changing what you offer, or stepping back from clinical work—and you need to think through the transition with someone who gets the complexity of changing course when people depend on you.
What's included:
Before the session:Â I will email you a short prep form so we can dive straight into your situation and questions.
The session:Â 75 minutes where we work through the structural change, address what's actually in the way (logistical and emotional), and map out your implementation plan
After the session: A written summary of what we covered and your next steps, so you don't have to hold it all in your head. I'll check in via email a couple weeks later to see how it's going for support and gentle accountability.
What this isn't:
This is not ongoing coaching, therapy, or general business consulting.
This is focused, structural work on one specific change you're considering in your practice—the kind of work that's hard to do alone but doesn't require months of support.
Investment: $347
Payment options: Pay in full ($347) or 2 payments of $175
I have to 8 sessions available in January 2025.
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A little about me:
I'm Hilary Kinavey, and I've been doing this work for 25 years.
I started as a therapist in private practice, co-founded the Center for Body Trust, and have spent the last decade-plus training therapists, coaches, dietitians, and other helping professionals through EMBER—my business development program.
I've made every mistake you can make in private practice. I've undercharged. I've built schedules that burned me out. I've said yes to things that should have been no.
And I've also done the hard work of changing those patterns—not perfectly, but sustainably.
Now I offer "Practice Architecture"—structural coaching that helps established practitioners build practices that actually work for their lives.
I understand the clinical complexity of what you're navigating because I've lived it. I understand the business side because I've built it (and rebuilt it, and rebuilt it again).
And I understand the emotional messiness of trying to make structural changes when people depend on you, when you're a helper, when the guilt is real and the fear is real and you're already exhausted.
Here's what you need to know about how I work:
Everything we discuss is completely confidential. This is a safe space to talk about what's really going on in your practice—the parts you haven't said out loud yet, the decisions you're struggling with, all of it.
And here's what's important to me: our work together is focused on your well-being, sound clinical decision-making, and client welfare. Those things aren't in conflict—they support each other.
When you're resourced, you make better clinical decisions. When your practice is structured sustainably, you can show up better for your clients. When you have clear boundaries and fair compensation, you can stay in the work longer and serve people better.
Taking care of yourself and your practice isn't selfish. It's what makes ethical, sustainable care possible.
I'm warm. I'm kind. I'm straight-forward. I won't judge you for any of it. And I'm going to help you figure out what makes sense for your life and your practice—not what's perfect, but what works.
That's what these sessions are for.
Questions?
Email me at [email protected] with Subject: Private Practice Session (or just reply to any of my emails). I'm happy to talk through whether this is right for your situation—no pressure, just confirmation.