Tagged: therapy

From Solo Practice to Group: The Five Operational Decisions That Decide Whether You Scale or Stall

The transition from solo private practice to a small group is the single least-discussed stage of behavioral health practice ownership. The clinical training prepares you for the work. The business literature is built for either lifestyle solo practice or 100-clinician multi-state platforms. The five-to-fifteen-clinician range — where most thriving Oregon outpatient practices actually live &

AI in the Therapy Office: A Practical 2026 Stack for Small Behavioral Health Practices

AI tooling for outpatient behavioral health crossed a threshold in 2025 that most small practices have not yet adjusted to. Ambient documentation, payer-aware coding assistants, intake automation, and workflow agents have moved from "promising demos" to commodity products with real HIPAA-compliant deployments. The result is that the stack a 1- to 10-clinician practice should be running in mid-2026

What We Lose When We're Not Believed

There's a kind of tired I want to talk about, because I don't think it gets named enough, and because I've lived inside of it, and because the people who walk into my office almost always know exactly what I mean before I finish the sentence. It's the tired that comes from being the one who notices. It's exhausting being the one who feels the shift in the room, who registers the tightness in som

What is THERAPY?

What is "therapy"? Therapy isn’t meant to be the same for everyone. But it is a space to slow down and be heard. A place where you don't have to have it all figured out, and it's learning to approach your thoughts and emotions wiht curiousity, not judgement. Two people can walk into sessions with me with similar experiences. However, what they need, how they process, and what feels suppor

Where Small Behavioral Health Practices Lose 18 to 30 Percent of Revenue (And How to Get It Back)

An ordinary 4-clinician outpatient behavioral health practice in Oregon, billing primarily commercial insurance, books between $480,000 and $620,000 in annual gross production. The same practice, badly run on the revenue side, collects 60 to 70 percent of that. The gap — somewhere between $120,000 and $250,000 a year — is rarely visible as a number on a single statement. It evaporates

Solo Entrepreneur Case Study: CUTI LLC: The Path to Financial Freedom and a Burnout-Free Practice

Running a single-member LLC like CUTI LLC is about more than just being your own boss; it is about designing a life that actively prevents clinical burnout while aggressively building long-term wealth. In the mental health and private practice space, practitioners are navigating rising caseloads, heavier trauma presentations, and record levels of burnout. Many therapists at agencies or large group

What I Learned from Goodbye

Finding Financial Freedom and Avoiding Burnout (A Theoretical Approach)

Build a Therapy Business in 4 steps: Part I & II

Build a Therapy Business in 4 steps: Part III & IV

The Quiet Audit: What a Behavioral Health Payer Actually Looks At When They Pull Your Records

Most behavioral health audits do not arrive with sirens. They arrive as an email — "Please provide complete documentation for the following 15 sessions" — with a 10-business-day response window and a polite signature block. The practice that has built audit-ready documentation continuously over 24 months responds in an afternoon. The practice that has not spends the next two weeks reve

What Solo and Small Behavioral Health Practices Get Wrong About State Licensing in 2026

Most solo and small-group behavioral health practices in Oregon make the same five licensing mistakes — not because they don't care, but because the licensing landscape was built for clinical individuals first and businesses second. The moment a clinician adds a second therapist, an associate-level supervisee, an outpatient program, or a service line, the licensing math changes in ways that