You cannot be happy while you’re drowning in debt.

Not calm. Not fulfilled. Not at peace.

If you think you are, you’re lying to yourself.

This rant is about the dangerous lies we tell ourselves around balance, comfort, and “me time” while quietly avoiding the decisions that would actually fix the problem.

We talk about:

• Why debt kills clarity, confidence, and real happiness

• The brutal trade offs between short term comfort and long term freedom

• Why CEOs don’t get true “me time” and why that’s the point

• How time discipline creates weeks of extra life every year

• The difference between looking busy and actually building leverage

This episode is raw. It’s uncomfortable. And it’s exactly what some business owners need to hear right now.

If you’re tired of pretending everything’s fine while pressure keeps building underneath the surface, turn this one up loud.

This is Paul on Fire.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

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In this episode, I slow things down and sit with the questions most clinic owners think about but rarely say out loud.

Questions like:

• My clinic is doing okay financially, but I feel constantly tense. Is that normal?

• I’ve built a clinic that depends on me for everything. Is that success or failure?

• How do I know if I’ve outgrown being a clinician, but I’m scared to admit it?

• What are the signs that I’m hiding behind being busy?

• Why does charging more still feel uncomfortable, even when I know I deliver results?

• If my clinic looks the same in five years, should I be worried?

If you’re a clinic owner who feels the pressure of being the one everyone relies on, this episode is for you.

Grab a coffee and listen in.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

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Tag Paul or drop a comment – we actually read them 😉

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🐦 Twitter/X: @ThePaulGough

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Look — if you think Facebook and Instagram ads don’t work anymore… or that you need to spend thousands to make them work… you’re dead wrong.

In this episode, I hand the mic to one of the sharpest marketers on my team — Sarah Miller — the woman behind hundreds of my most successful ads over the last 10 years.

Sarah’s been working with me since 2014 — back when I was still in the UK running ads in a country where healthcare is free — and she’s now the brains behind many of the ad campaigns generating six-figure returns for clinics inside Planet Paul.

You’ll hear:

• Why Meta ads still work — even with small budgets like $300–$1,000
• The exact ad types that are generating 10x, even 50x ROAS for real clinics
• Why chasing “cheap leads” is a rookie move — and what to track instead
• How one clinic turned a $500 ad spend into £48,000 in potential value
• And the new quiz ads that are quietly exploding in performance

You’ll also hear how our team meets twice a week to review every ad, landing page, click-through rate, and conversion — because we’re not here to “boost and hope”… we’re here to get predictable, profitable results.

This episode is stacked with real numbers, real results, and real clinics — including some of you who were sat in the room at PPM Live.

So if you want to know what’s working right now, what to avoid, and how to actually turn ads into appointments, this episode is for you.

Let’s get stuck in.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

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🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

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If you think SEO still works the way it did in 2015 — or even 2022 — you're in for a rude awakening.

On this episode of The Paul Gough Audio Experience, I bring you a critical update from my own team’s tech and AI expert, Skyler Lerner — who just rocked the stage at PPM Live with one of the most important talks of the year.

We’re talking about how Google search has fundamentally changed… and why what used to work — blogs, backlinks, keywords, all that traditional SEO stuff — is quickly becoming obsolete.

Here’s the deal: Google is now showing AI-generated answers at the top of search results. It’s pulling from your content — or worse, your competitor’s — and spitting out instant summaries that mean people don’t even need to click your site.

So what does that mean for you, the clinic owner?

In this episode, Skyler walks you through:

• What Generative Engine Optimization (GEO) actually is — and why it’s your new secret weapon
• How to create content that AI can read, trust, and summarize — so you show up as the expert
• Why your old SEO strategy is costing you patients
• And what smart clinic owners are doing right now to future-proof their marketing in an AI-first world

If you care about attracting more of your perfect patients, dominating your local search, and staying ahead of this massive shift in online marketing, this is the episode you can't afford to miss.

Let’s dive in.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

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🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

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In this conversation, we slow down and sit with the questions most clinic owners never say out loud. Not marketing questions. Not tactics. The deeper ones that shape how you show up as an owner.

We talk about:

• The pressure of being needed everywhere
• Outgrowing the clinician identity
• Hiding behind being busy
• Why charging more still feels uncomfortable
• And the quiet fear of staying the same five years from now

There are no quick fixes in this episode.

Just an honest conversation about confidence, identity, and what actually shapes your future as a business owner.

Grab your coffee.

Press play.

And let yourself think a little deeper today.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

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📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

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🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

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If you're a frustrated physical therapy clinic owner — stuck on the hamster wheel of insurance, low margins, and feeling like you're working harder than ever for less — then this podcast is for you.

I’m Paul Gough, former professional soccer physio turned 4-location cash-pay clinic owner in the UK — where healthcare is completely free. Yep, free. And yet, I built a thriving business that didn't rely on doctors, referrals, or chasing co-pays.

Now, alongside my incredible team — including Cameron Storer, one of the best marketers in the business and the man behind many of our clients’ six-figure breakthroughs — we’re lifting the lid on what actually works in today’s PT world.

Each week, we share the marketing, hiring, pricing, leadership, and mindset strategies that are helping 500+ clinic owners across the world finally take control of their businesses, escape the chaos, and grow predictable, profitable practices that work without them.

We’re not here to sugarcoat things. We’re here to help you go from “just another PT” to the CEO of a thriving business.

So if you’re serious about getting paid what you’re worth, stepping away from the treatment table, and finally building a business that gives you the time, money, and freedom you signed up for in the first place — hit subscribe, and let’s get to work.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

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📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

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In this episode of Paul Meets, I sit down with Croft Castrell, a San Jose clinic owner who’s built a thriving, fully booked practice but found himself trapped in the very success he worked so hard to create.

Croft shares his journey from recovering accountant to one of the most respected neuromuscular massage therapists in the US, including starting a business in March 2020 just in time for COVID to shut it down. We unpack how he filled his caseload without ads, the real reason clients stayed loyal, and why hitting $25–30K per month became the breaking point instead of the breakthrough.

This is a raw, honest conversation about the shift every owner must make from clinician to leader, the hidden personal drivers behind business success, and why being great in the treatment room is not the same as building a business that gives you time, flexibility, and freedom.

If you’re fully booked, exhausted, and quietly asking yourself “is this it?”, this episode will hit home.

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

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📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

Hosted on Acast. See acast.com/privacy for more information.

If you run a private practice and you’re even slightly curious about AI, this episode is for you.

I recorded this live on stage at PPM LIVE after asking one simple question in a room full of clinic owners and getting… silence.

Not excitement.

Not curiosity.

Resistance.

In this episode, I break down why most clinic owners are already behind with AI, how fear and misunderstanding are costing you money every single day, and why the clinics winning right now aren’t “techy” or advanced… they’re just early.

You’ll hear real examples of how AI is already answering phones, booking appointments, recovering missed calls, and removing the single biggest bottleneck in most practices: the front desk.

This isn’t theory.

It’s what’s already happening inside real clinics.

If you think AI is optional, futuristic, or “not for you yet”… this episode will change how you see the next 12 months of your business.

Press play if you want to understand where private practice is actually heading and how to stay ahead of it instead of reacting too late.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

Hosted on Acast. See acast.com/privacy for more information.

Today’s big question:

Will AI first clinics become the most human clinics?

I share exactly where I stand on AI, why I believe the clinics that adopt it properly will create better human connection, and why getting stuck in the middle is the most dangerous place to be.

We talk about

• AI vs human connection

• Front desk experience and customer service

• Why most clinics already feel robotic

• How automation should free your team to care more, not less

• What clinic owners are getting completely wrong about technology

Grab your coffee, take a sip, and let’s get into it.

Extra hot latte. Three sugars. Large.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

Hosted on Acast. See acast.com/privacy for more information.

In this episode, you’re going to hear a live conversation from Private Practice Marketer LIVE that left the entire room absolutely inspired.

Jordan Sahota – one of our amazing clients – stood up and shared how, just 16 months ago, he was working as a university lecturer while trying to run a physio business on the side. He was burnt out, barely profitable, and had no time with his family.

Today? He’s a full-time business owner, doubled his revenue, treats less than ever, and most importantly — he’s got his time back with his kids.

What changed?

It wasn’t a new treatment method. It wasn’t a “magic” ad.

It was a decision — to stop doing it alone… to join this community… and to start thinking like a real business owner.

After Jordan speaks, I jump in and share some of the mindset shifts that helped me go from being a full-time physio in the UK’s broken healthcare system… to building a multimillion-dollar global business… and ultimately, moving my family to Florida — my dream.

Inside this episode, I’ll walk you through:

• Why the biggest thing holding you back isn’t strategy — it’s your story.
• How I almost became “King Rat” — wealthy on paper, but trapped in my business.
• The 12-month roadmap for creating a $500/month concierge offer inside your practice.
• How to create status, exclusivity, and community that patients will pay to be part of.
• And why your team and your patients will only grow… when YOU do.

This is real talk. No fluff. Just the truth about what it takes to build the business — and life — you really want.

If you’ve ever felt like there’s more out there for you, but you’re not quite sure how to get it… this episode is your sign.

Let’s go.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

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