Consulting for clinicians building
the practice they
keep imagining.
This page is for other therapists. Something entrepreneurial in you decided to build a practice of your own, and graduate school, for all it taught you about being a clinician, taught you almost nothing about running one. That gap is not a personal failing. It is a gap in the training, and it is closable. If you want to build a specialized, private-pay practice, in neurodiversity or in any other corner of the field, this is consulting from someone who has assembled those pieces more than once.
I have built things
bigger than a caseload.
A private practice is the smallest thing I have run. I have directed a school for autistic children, built an ABA clinic on its campus that bills insurance and Medicaid, chaired a public behavioral health board, and founded a national group of clinicians. Budgets, staffing, service design, the payer side of the business and the private-pay side: I have lived all of it, at a scale most practice consultants never touch. I have also helped other providers build their practices, inside my specialty and out of it.
The short version: I know the clinical work, and I know the operational work, and I know they fail for different reasons.
The questions that stall people.
Most clinicians come to consulting stuck on some version of the same questions.
- How do I specialize without watching referrals walk past me?
- Can private pay work in my market, and how do I talk about money without apologizing?
- What should my niche actually look like in practice, past the paragraph on the website?
- How do I structure the business so it does not quietly consume me?
Specializing in neurodiversity is my deepest expertise, but the process of building a specialty practice is the same process whatever your focus is. We work on your actual practice, not a template. You bring the real numbers and the real fears, and we build the plan against those. It works best that way, and honestly, it is more interesting for me that way too. I am as curious about how practices work as I am about how people do.
I know the clinical work, and I know the operational work, and I know they fail for different reasons.
You did not train for years to run a business that runs you.
Complaining about the business side is the unofficial hobby of private practice. Building the business side is more fun. If you are creating something specialized in your corner of the field, I would like to hear about it.