Heard Business School

Doubt Yourself, Do It Anyway with Patrick Casale


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Building a therapy business comes with its challenges, especially when you’re navigating AuDHD and entrepreneurship.

Patrick Casale, CEO of All Things Private Practice, joins host Michael Fulwiler to talk about how embracing vulnerability and authenticity can shape a successful therapy practice. 


Patrick opens up about his journey of navigating ADHD and autism while building a business, explaining how showing up as your true self can help you connect with clients in a deeper, more meaningful way.


Listen to the conversation to hear how Patrick turned his personal challenges into entrepreneurial strengths and the valuable lessons he’s learned along the way.

In the conversation, they discuss:

  • How authenticity drives stronger connections with clients in private practice
  • The impact of neurodivergence on Patrick’s approach to business and therapy
  • The personal and professional growth that comes from embracing imperfection in your career

Connect with the guest:

  • Patrick on Instagram: https://www.instagram.com/patrick.casale/ 
  • Patrick on LinkedIn: https://www.linkedin.com/in/neurodivergent-workplace-strategist/ 
  • Watch Patrick’s TEDx talk: https://www.youtube.com/watch?v=hyImqW69OY4 
  • Visit the All Things Private Practice website: https://www.allthingspractice.com/ 


Connect with Michael and Heard:

  • Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/ 
  • Newsletter: https://www.joinheard.com/newsletter 
  • Book a free consult: joinheard.com/consult 


Jump into the conversation:

(00:00) Welcome to Heard Business School

(00:44) Meet Patrick Casale

(02:12) Embracing Neurodivergence in Life and Business

(03:51) The Double-Edged Sword of AuDHD

(06:02) Why Patrick Became a Therapist

(08:19) What Burnout Looked Like in Private Practice

(10:31) From Solo Practice to Group Practice to Entrepreneur

(13:12) Building Businesses Around Community and Identity

(15:24) Neurodivergent Strengths in Entrepreneurship

(17:41) Letting Go of What No Longer Aligns

(19:35) How Patrick Thinks About Pricing and Accessibility

(22:13) Delegating as a Way to Scale and Protect Your Energy

(24:00) Self-Care, ADHD, and Running Multiple Businesses

(26:42) Advice for Therapists With Big Ideas

(28:30) Final Reflections on Self-Trust and Going for It


This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode. 

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