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Recently, I found myself sitting at a blackjack table in the Golden Nugget, realizing something surprising: gambling gives me anxiety, but building a business gives me energy. In this episode, I unpack the difference between reckless risk-taking and intentional strategy and how to know whether you’re actually making smart decisions as you scale your business.

If you’re currently investing time, money, and energy into growing your group therapy practice, this conversation will hit home. I share what it feels like to be in the “messy middle” of growth, where profits temporarily shrink, systems are being rebuilt, and you’re forced to strengthen your business foundation before your next level can happen.

In this episode, we discuss:

• The emotional difference between gambling and strategic risk-taking

• Why every time you scale your business, you need a stronger business foundation

• What happens when a successful group therapy practice outgrows its current systems

• How developing a stronger CEO mindset helps you tolerate uncertainty during growth

• Why scaling often temporarily reduces profit before it increases it

• The hidden emotional cost of rebuilding your business foundation at a higher level

• How to tell whether your decisions are strategic or fear-driven

• Why a healthy CEO mindset requires learning to sit in discomfort without panicking

• The questions I ask myself when deciding whether to continue investing in growth

• What it actually looks like to responsibly scale your business without risking everything

If you’re in the uncomfortable middle of growing a group therapy practice, this episode will help you strengthen your CEO mindset, evaluate your business foundation, and confidently scale your business with more clarity and less fear.

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