Therapists Rising Podcast

Why Everything Just Changed for Therapists: Money, Burnout, and Technology Collide


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For 12 months, I've been warning you the traditional therapy model is breaking down. Some of you have been listening. But many have been waiting for clarity.

Here's what you need to hear: The last eight weeks changed everything.

November 2025: Australia restricted Better Access referrals. December 2025: Fifth consecutive year of US Medicare cuts. January 30, 2026: US telehealth flexibilities expire.

While those policy changes hit, something else shifted: 1 in 8 young people now use AI chatbots for mental health advice. Corporate wellness budgets hit $53 billion with contracts being signed NOW for 2026-2027.

This isn't slow erosion. This is all five forces reaching tipping points simultaneously. This is the convergence.

HERE ARE THE 3 KEY TAKEAWAYS:

1️⃣ Three Realities Converging Right Now – The math isn't working (Medicare cuts, Better Access restrictions, client affordability crisis). Your colleagues are planning exits (52% US therapists burned out, 29% considering leaving). Future clients expect something different (70% Gen Z prefers virtual, 1 in 8 young people use AI chatbots).

2️⃣ Every Disrupted Profession Made This Mistake – Accounting got automated. Physical therapy faced reimbursement cuts. Personal training went digital. Each time, practitioners said "our profession is different." They were wrong. Pattern: professions split into commodity/premium tiers, early movers capture premium positioning, late movers compete on price.

3️⃣ The Window to Move From Strength is Closing – Early adopters already generate diversified income. Early majority (you) see it's real but still research. Late majority arrives when landscape is occupied. Corporate contracts signing NOW. Course markets maturing NOW. Window open now—won't stay open.

YOU'LL ALSO HEAR:

  • Why research-mode therapists experience decision paralysis under cognitive load
  • The Kodak lesson: Believing current preferences = permanent demand is fatal
  • Accountants who automated vs. those stuck "selling time"
  • PT practices that diversified early: 200-300% revenue growth vs. 3-6x valuations for traditional
  • Why "AI can't replace us" is technically true but misses the point
  • Technology adoption curve: Waiting for certainty means you're late
  • Research Path vs. Action Path: Which are you choosing?

RESOURCES:

Data Sources:

  • Medicare cuts: BellMedEx 2025
  • Better Access: Australian Dept of Health
  • AI adoption: Brown University School of Public Health

Therapists Rising:

  • The Incubator: therapistsrising.com/incubator
  • Instagram: @dr.hayleykelly

SUBSCRIBE & REVIEW:

If this episode made you uncomfortable, subscribe and review on Apple Podcasts. Your reviews help therapists find honest conversations about what's happening in our profession.

Therapists thriving in five years won't be ones who waited for perfect clarity. They'll be ones who moved with 80% information while they had stability.

That window is open now. What will you do with it?

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Therapists Rising PodcastBy Dr. Hayley Kelly

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