All Things Private Practice Podcast

Episode 200: Permission to Pivot: Grieving What Was and Embracing What’s Next


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Throughout your entrepreneurial journey, it's important to take moments to reflect on what you’ve built, where you’re heading, and what truly brings you energy. In this solo episode, I opened up about the messy magic of pivoting, evolving passions, and the vital importance of giving yourself permission to grow in new directions.

After years of building communities, running retreats around the globe, and coaching clinicians to “Doubt Yourself, Do It Anyway,” it’s clear that our journeys rarely go as planned. And that’s okay.

3 key takeaways:

  1. It’s Normal for Passions to Evolve: If the spark fades or your interests shift, that’s not failure. Growth isn’t linear.
  2. Zoom Out and Acknowledge Your Journey: Take time to recognize how far you’ve come, even if it feels like you’re standing still. Every pivot is part of your story.
  3. Give Yourself Permission to Pause: It’s courageous to rest, reflect, and admit something no longer serves you. Grief and relief can coexist in letting go.

You’re not alone if you’re navigating uncertainty or sitting with grief about retiring some hard-won entrepreneurial roles. I’m right there with you—learning to honor my energy, trust intuition, and celebrate each imperfect step forward.

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Thanks to Our Sponsors: The Receptionist for iPad, Alma, & All Things Private Practice — 2025 & 2026 Retreats!

✨ The Receptionist for iPad

Thanks to The Receptionist for iPad for sponsoring this episode.

The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option.

Alma

Thanks to Alma for sponsoring this episode.

Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details and more time delivering great care. You support your clients. Alma supports you. Visit helloalma.com/ATPP to learn more.

All Things Private Practice — 2025 & 2026 Retreats

All Things Private Practice has some amazing retreat experiences coming up in 2025 and 2026.

If you're a leader or aspiring to start a group practice, join our Leadership Retreat in Chania, Crete, from September 6th to 11th. In 2026, we have two retreats in Queenstown, New Zealand. The first is for Neurodivergent Entrepreneurs from March 1st to 8th, and the second retreat, Beyond Private Practice, focuses on moving beyond one-on-one therapy and creating alternative income streams from March 15th to 22nd.

Spaces are limited, so check the links to sign up today. Doubt yourself, do it anyway!

  • Leadership Retreat in Chania, Crete: empoweredescapes.com/greece-retreat-2025
  • Neurodivergent Entrepreneurs in Queenstown, New Zealand: allthingspractice.com/new-zealand-neurodivergent
  • Beyond Private Practice in Queenstown, New Zealand: allthingspractice.com/new-zealand-income-streams

Mentioned in this episode:

Alma

I want to thank Alma for sponsoring this episode.

Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details, and more time delivering great care. You support your clients. Alma supports you. Visit helloalma.com/ATPP to learn more.

All Things Private Practice — 2025 & 2026 Retreats

All Things Private Practice has some amazing retreat experiences coming up in 2025 and 2026. Join us in Edinburgh, Scotland for the second Doubt Yourself, Do It Anyway Summit from July 14th to 17th, 2025! We have an incredible lineup of 12 speakers and offer 12 MBCCEs. If you're a leader or aspiring to start a group practice, join our Leadership Retreat in Chania, Crete, from September 6th to 11th. In 2026, we have two retreats in Queenstown, New Zealand. The first is for Neurodivergent Entrepreneurs from March 1st to 8th, and the second retreat, Beyond Private Practice, focuses on moving beyond one-on-one therapy and creating alternative income streams from March 15th to 22nd. Spaces are limited, so check the links to sign up today. Doubt yourself, do it anyway!

Doubt Yourself, Do It Anyway Summit in Scotland: https://www.empoweredescapes.com/scotland-july-2025-summit
Leadership Retreat in Chania, Crete: https://www.empoweredescapes.com/greece-retreat-2025
Neurodivergent Entrepreneurs in Queenstown, New Zealand: https://www.allthingspractice.com/new-zealand-neurodivergent
Beyond Private Practice in Queenstown, New Zealand: https://www.allthingspractice.com/new-zealand-income-streams

The Receptionist for iPad

I want to thank The Receptionist for iPad for sponsoring this episode.

From new patients faced with an empty lobby and no idea where to find their therapist to clinicians with a session running over time and the doorbell ringing, some of the most anxiety-ridden moments of a therapy appointment happen before a session even starts. The Receptionist for iPad, helps you tackle some of that pre-appointment apprehension and anxiety. The Receptionist for iPad is an easy-to-use digital client check-in system that helps your visitors check in securely to their appointments and notify their practitioners of their arrival via SMS, email, or your preferred channel. No more confusion, and less lobby checking or having clients sign in on paper logbooks. It can even help you upgrade and update your demographic information for your clients as well and even validate parking.
Start a 14-day free trial of the Receptionist for iPad by going to thereceptionist.com/privatepractice. Make sure to start your trial with that link and you'll also get your first month free if you decide to sign up.

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All Things Private Practice PodcastBy Patrick Casale

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