Worth It Practice

Why I’m Happy Running a Group Practice: Strategy, Personality, and Niche Therapy Specialties


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People are often surprised when I tell them how much I love running my niche therapy group practice. 

I get asked all the time, “How are you still so happy doing this?” And honestly, the answer comes down to a mix of strategy, practice management systems, and self-awareness.

In this episode, I share the exact choices that make my mental health business both profitable and deeply enjoyable - from the decision to stay private-pay, to the way I hire experienced clinicians for niche therapy, to how I built systems that practically run themselves. This is a behind-the-scenes look at what it takes to run a group therapy practice that feels good, not just looks good.

If you’ve ever wondered how to find private pay clients or how to structure your team so you actually enjoy coming to work, this episode will give you an honest, realistic roadmap. We’ll also talk about practice management that reduces stress, builds freedom, and supports long-term growth - plus how staying grounded in your niche therapy specialty can attract the right clients without hustle or burnout.

Join me for a chat about:

  • Why I built my group therapy practice around joy and autonomy
  • The key practice management systems that make business easier
  • How I approach hiring for niche therapy clinical  excellence and culture fit
  • How I think about mental health business strategy and leadership
  • What I’ve learned about how to find private pay clients through clarity and trust

If you’re a psychologist or therapist ready to fall back in love with your business, this one’s for you.

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If you're interested in working with me, please reach out to my direct email at [email protected] or schedule a 20-minute free consultation.

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Worth It PracticeBy Leah Clionsky