Therapist Finances in 2025: What’s Working, What’s Risky, and What to Watch

In this quarterly recap, Julie Herres sits down with Green Oak Accounting’s Jacquie Carter for a candid conversation about the financial realities therapy practice owners are facing in 2025. From insurance shifts to hiring woes, this episode is packed with no-fluff guidance for navigating uncertainty.

You’ll hear:

• Why now isn’t the time to drop insurance panels (even if you want to)
• What “people pleasing” looks like in payroll—and how it can tank your profits
• When a new revenue stream is the right move (and when it’s just a shiny distraction)

If you’ve been wondering whether to grow, pivot, or hold steady—this episode is for you.

Highlights:
00:44 – Why private-pay practices are pivoting to insurance (and how to think about the tradeoff)
03:39 – Summer slowdown or summer surprise? How to plan for seasonal shifts
04:37 – Why marketing is becoming non-negotiable—and how to track your ROI
07:11 – “The math has to math”: The cost of people pleasing in your payroll strategy
08:52 – The truth behind that controversial Facebook ad about overpaying clinicians
10:20 – Is group practice really the path to passive income? (Spoiler: No.)
12:37 – Why chasing $1M revenue doesn’t always make sense
15:37 – What to do when you ignore professional advice—and how to recover
18:24 – Are you spending money to look successful instead of being profitable?
20:09 – One of the riskiest financial decisions Julie has ever seen a client make
25:01 – “You might be the problem”—the hard truth about self-sabotage in business
29:33 – Why “boring” financial advice often leads to long-term success

Links and Resources
Money for Therapists Practice Startup - https://www.greenoakaccounting.com/startup

GreenOak Accounting - www.GreenOakAccounting.com

Therapy For Your Money Podcast - www.TherapyForYourMoney.com

Profit First for Therapists - www.ProfitFirstForTherapists.com

Profit First Academy - www.ProfitFirstForTherapists.com/Academy 

Podcast Production and Show Notes by Course Creation Studio