Conversations With a Wounded Healer

316 - Rethinking Power in Group Practice with Ted Rau, Sociocracy For All (Interview Reboot)


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Sarah explores sociocracy with Ted Rau, discussing models of shared leadership, and what it really takes to bridge the gap between overwhelmed owners and under-resourced clinicians.

Our third cohort of the Authentic Leaders Group starts this spring and it's got me thinking about systems that need to change. While change may be inevitable, it's far from easy. That's especially true in the therapy field.

Our clients and culture are undergoing sweeping evolution and so too must group practice. How do we bridge the gap between employees and owners when both feel overworked and underpaid?

Sociocracy could be the answer.

  • Why group practice feels unsustainable right now: Exploring the growing disconnect between owners and clinicians—and how burnout, compensation, and evolving cultural needs are pushing the current model to its limits.

  • What sociocracy offers instead: Insights from Ted Rau on consent-based governance, shared decision-making, and how "circles" can distribute power, responsibility, and accountability.

  • The real question behind systems change: What it actually asks of us—owners releasing control, clinicians stepping into leadership—and whether the field is ready to experiment with more equitable, collaborative ways of working.

I'm committed to having more of these system-focused, heart-centered conversations. I hope you are, too.

Join our Authentic Leaders Group! Next cohort starts May 1, 2026.

This is a journey of self-discovery and leadership mastery, where you'll not only enhance your leadership skills but also forge meaningful connections with fellow therapists who are committed to their own growth and the betterment of the therapy field. Apply now!

Thank you to The Therapist Network for sponsoring the show!

The Therapist Network is a global community built by and for therapists. You'll find live consult groups, an ever-growing library of workshops and courses, plus a community that really sees you. Sarah's group, Tending to the Wounded Healer, meets every other Monday from 1–2pm CT, and it's a space to explore the intersection of your lived experience and your clinical work.

So if you want to feel more supported and less alone, visit TheTherapist.Network—or join Sarah's group directly at tinyurl.com/HealerConsultTTN.

UPCOMING EVENTS

Check the calendar for opportunities to connect with Sarah and earn CEs.

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Let's be friends! You can find me in the following places…

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Facebook @headheartbiztherapy

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Conversations With a Wounded HealerBy Sarah Buino, Head/Heart Business Therapy

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