All Things Private Practice Podcast
All Things Private Practice Podcast TM is where we dive deep into the gritty, unfiltered world of being a mental entrepreneur, mental health professional, and a private practice therapist. Join us as we explore the emotional roller coaster of small business ownership, tackling the raw and unapologetic aspects that often go unspoken. In each episode, we fearlessly dissect self-doubt, resilience, impostor syndrome, and paralyzing perfectionism. This podcast normalizes fear and failure and helps make the small business journey relatable. Patrick Casale is an Autistic ADHD licensed clinical mental health therapist, group practice owner, business coach, consultant, Keynote speaker, retreat host...
Building Back Stronger: Tattooing, Writing, and Diversifying After Disaster

In this episode, Patrick Casale talks with Chris and Daisy Chavers, an incredibly talented husband-and-wife duo behind Red Rabbit Tattoo, whose journey epitomizes what it means to persevere through a catastrophic disaster.
From losing their Asheville tattoo shop to Hurricane Helene, to reestablishing roots in Savannah and boldly diversifying their business, Chris and Daisy’s story is a testament to the grit behind small business ownership.
Here are 3 key takeaways:
Adaptability Isn’t Optional—It’s Survival: Catastrophic setbacks, like natural disasters, don’t just affect businesses—they impact entire communities and personal identities. Surviving as...Court-Proof Your Private Practice: Handling Subpoenas

What should you do when that dreaded subpoena arrives in your private practice's inbox or mailbox?
In this episode, Patrick Casale talks with Dr. Brittany Bate, licensed psychologist, private practice strategy coach, and the founder of Be BOLD Psychology and Consulting, about the essentials that mental health professionals need to know to navigate legal requests and the court system.
3 key takeaways:
Paperwork Preparedness is Protection: Ensure your informed consent and scope of practice documents are up to date, specifically with clear language around court involvement, parental consent for minors, and your actual capacity/role...Managing the Unseen: How Invisible Disabilities Impact Entrepreneurs

Navigating entrepreneurship is challenging enough—but add chronic illness or invisible disabilities to the mix, and the journey is a whole new level of complex. In this episode, Patrick Casale and Destiny Davis, MS, LPC, CRC, share powerful insights on building meaningful, sustainable work while honoring your own needs.
Here are 3 key takeaways:
Honor Your Capacity: Your energy and time are your most valuable resources. It’s okay to say “no,” set boundaries, and recognize that your own well-being comes first—even when that means letting go of things you once loved or cutting back on work that’...From Therapy to Coaching: New Impact and Identity

In this episode, Patrick Casale and Dr. Priyanka Rao talk about her journey from clinical work into the world of coaching, viral social media growth, and the permission to let your path evolve—especially as a late-diagnosed ADHDer.
Her authenticity, humor, and vulnerability about pivoting careers offers valuable insight for clinicians, entrepreneurs, and anyone feeling pressure to “stick to the plan.”
Here are 3 key takeaways:
Prioritize Authenticity Over Perfection: Showing up as your real self is what builds trust and genuine connection—whether you’re creating content, leading a group, or sitting one-on-one with a client.E...Growing Up Twice After Adult Autism Discovery

In this episode, Patrick Casale and Elena Carroll, an Autistic content creator who’s inspiring many others on her journey of late-diagnosed autism, talk about her story of moving from New Zealand to Toronto and finding her voice as a writer and advocate for neurodivergent communities. This conversation highlights some powerful lessons for mental health professionals, neurodivergent individuals, and anyone passionate about inclusion.
Key Takeaways:
Unmasking and Self-Discovery is a Lifelong Process: Elena shares her experiences with late autism diagnosis, showing that it’s never too late to understand yourself and make space for authenticity—even if it...Building Racial Literacy and Having Hard Conversations

In this episode, Patrick Casale and Dr. Nathalie Edmond, psychologist, mindfulness expert, published author, and more, talk about her incredible journey publishing “Mindful Race Talk.” They dive into why honest, vulnerable conversations about race and identity are needed in every organization, how creative grit can see you through the ups and downs of self-publishing, and why balancing compassion with accountability truly matters. If you’re an entrepreneur or team leader committed to growth, this is your reminder: lean into the conversations that scare you, and turn your message into impact.
Here are 3 key takeaways:
Vulnerability is necessary...Letting Go of Shoulds and Diversifying Income Streams

Are you a therapist or entrepreneur feeling boxed in by traditional one-on-one client work?
In this episode, Patrick Casale and Gabrielle Juliano-Villani talk about the necessity of diversifying income for mental health professionals—especially those who are neurodivergent or just burned out by endless back-to-back sessions.
3 key takeaways:
Diversification = Freedom & Sustainability: For many of us, sticking to the same routine is draining. Multiple streams of income aren’t just exciting—they’re pivotal for staying creative, sustaining energy, and protecting your mental health.Embrace Experimentation & Let Go of “Shoulds”: It's a journey. From group practice to on...Permission to Pivot: Grieving What Was and Embracing What’s Next

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:
It’s Normal for Passions to Evolve: If...Leaning Into Uncomfortable Conversations: Curiosity Over Conflict

Patrick Casale and Michael Ashford, the director of marketing for The Receptionist for iPad, a TEDx speaker and communications coach, a TEDx speaker himself, and an author, talk about a topic that couldn’t be more relevant in today’s climate. They discuss how curiosity, open conversation, and a willingness to step outside our bubbles are essential, not just for healthy workplaces, but for thriving as business owners and humans.
3Â key takeaways:
Lean Into Discomfort for Growth: There’s power in having uncomfortable conversations—whether with colleagues, clients, or even those we disagree with. Real progress and understand...Navigating Neurodiversity and Culture: ADHD, Autism, and Indian Women

In this episode, Patrick Casale and Dr. Vinita Menon, a clinical psychologist and co-founder of The Thrive Collective, discuss her unique blend of insights around neurodivergence, cultural context, and the universality of our human experience.
Dr. Menon shares her journey from being the “only one of her kind” growing up in the U.S., to becoming a fierce advocate for those who don’t neatly fit into boxes—especially within Autistic, ADHD, and Indian women’s communities.
3 key takeaways:
Culture and Neurodiversity Intertwine: Support must be culturally sensitive. What works in one cultural context may not in...Private Practice Lessons in Growth, Grit, and Authenticity

In this episode, host Patrick Casale and guest Alicia Murray, the founder of Therapist HQ, talk about the journey from clinical work to business ownership. Alicia shares her real story of leaving a “secure” job at the VA to start her own private practice just as the pandemic hit, the self-doubt that comes with these transitions, and how she’s built a thriving group and a supportive community for therapists.
3 key takeaways:
Authenticity over Perfection: Being true to yourself (even if it means swearing or not fitting the “perfect therapist” image) attracts your ideal clients and community...Discover the Spectrum of Self-Esteem—Unlearn the BS

In this episode, Patrick Casale speaks with Dr. Donna Oriowo, an award-winning DEI advocate, international speaker, and certified sex and relationship therapist, as she discusses the complexities of self-esteem, particularly for Black women navigating supremacist and patriarchal cultures. Her perspective on self-esteem being shaped by collective experiences, rather than just individual actions, is powerful and eye-opening.
3 Key takeaways:
Self-esteem is not created in a vacuum: Dr. Donna reminds us that our sense of self-worth is deeply influenced by generational, cultural, and systemic forces—it's not simply a personal failing if you struggle.Authenticity carries risks—especially for marginali...Centering Equity, Inclusion, and Accessibility in Group Practice

In this episode, Patrick Casale speaks with Erica Smith about creating equitable and accessible workplaces in private practice. Erica shares candid, real-life stories of navigating the mental health field as someone living with chronic illness, and discusses the imperative of designing work environments that are truly supportive and accessible.
Top 3 takeaways:
Accessibility Goes Beyond Ramps:Â It means considering everything from office seating and safe, convenient entryways to virtual work options and clear communication about what your space does (and doesn't) offer.Culture Starts with Transparency:Â Erica models being upfront with staff and clients about values, policies, an...Step Back and Let Your Group Practice Run Itself

In this episode, Patrick Casale and Nicole McCance talk about her proven 5-step method for scaling a group practice—perfect for anyone feeling stuck at an income ceiling, burned out, or simply wondering what the next level looks like for their private practice.
3 Key Takeaways:
Systemize First, Hire Second: Before you build your team, get everything out of your head and document your systems. As Nicole says, if you don't systemize before hiring, you'll end up as the "chief question answerer"—not a true CEO.Marketing Matters—But Do It Right: Digital marketing (especially Google Ads) is ess...From FBI to Burnout Specialist: Preventing Burnout in High-Pressure Professions

In this episode, I talk with Rachel Murdock, a burnout prevention specialist, group practice owner, and former FBI employee who bravely walked away from a "golden handcuffs" career to reclaim her well-being and design a life on her own terms. Her story is an empowering reminder that sometimes betting on yourself is the best investment you can make.
Here are 3 key takeaways:
Burnout isn’t just about workload—culture matters. Toxic organizational structures, lack of boundaries, and constant demand can erode even the most passionate professionals. Sometimes, the hardest part isn’t the job itself, but the no...Consistency, Criticism, and Courage in Private Practice Consulting

In this episode, Rachel Bentley shares her journey of building a thriving group practice and launching the Next Level Private Practice Summit, emphasizing the power of community, collaboration, and taking risks despite self-doubt or fear of imperfection. She and Patrick Casale discuss the importance of consistency, authentic connection, and embracing vulnerability to grow personally and professionally in private practice.
Here are 3 key takeaways:
Embrace Imperfection and Take Action: Rachel shares how perfectionism and self-doubt almost stopped her from launching her summit. The key isn't to wait until everything is perfect, but to take the leap and...Why a Great Group Practice Beats Going Solo: Dialectics, Support, and Less Stress

In this episode, Patrick Casale and Sabrina Longley, LCSW at Resilient Mind Counseling, talk about why authenticity, open communication, and a supportive work environment matter so much for therapists who’d rather work for someone else than run their own practice. They also share how embracing your identity and using dialectics can boost confidence and create a healthier, more collaborative workplace.
Here are 3 key takeaways:
The Power of Authenticity: Sabrina beautifully highlights how living authentically at the intersection of her identities (Black, fat, neurodivergent, extroverted, and more) has been non-negotiable for her well-being and effectiveness as a...Episode 190: Letting Go of Shame in ADHD Business Ownership [featuring Priyanka Rao]

In this episode, I spoke with Dr. Priyanka Rao, licensed clinical psychologist and founder of Asha Mental Health, about what it means to be an ADHD entrepreneur — the challenges, the resilience, and how to thrive authentically.
Dr. Rao shared her late-diagnosis journey, how motherhood illuminated her ADHD, and the mindset shifts that fuel her leadership, coaching, and private practice ambitions. Her real-talk about embracing neurodiversity in entrepreneurship is a must-hear.
Here are 3 key takeaways:
Embrace How Your Brain Works: Letting go of self-blame and outdated expectations is liberating. Accepting your unique wiring means you’re n...Motivational Interviewing — Fostering Hope in Uncertain Times

It can be easy to feel overwhelmed, burnt out, or in need of hope during uncertain times in our lives. In this episode, Patrick Casale and Hillary Logan talk about using Motivational Interviewing (MI) as a realistic, strengths-based way to cultivate hope—even amidst collective uncertainty.
3 Key takeaways:
Reground in the “Spirit” of MI: Hillary highlighted four core elements—compassion, acceptance, empowerment, and partnership. By practicing self-compassion and embracing self-acceptance, we allow ourselves the grace to be where we are, not where we “should” be.Empowerment Isn’t All-or-Nothing: Sometimes taking action means boundary-setting, resting, or simply steppin...FLASHBACK — Harnessing Storytelling for Authentic Therapy Marketing

In this flashback episode, I sat down with the insightful Jenn Fredette to delve into the transformative power of storytelling in marketing for therapy practices.
Listen to this episode to discover how storytelling resonates with clients far more than the usual credential-heavy marketing approach. Learn why authenticity, vulnerability, and relatability are not just therapeutic tools but also key marketing strategies. And understand the significance of individualizing content creation and marketing efforts to align with the unique narrative of each therapist's practice.
Key Takeaways:
Leverage Your Narrative: Your own story and the stories of your...FLASHBACK — Therapy Vs. Coaching: How to Expand Your Services Ethically

Ever wonder what the difference is between therapy and coaching? And if you are a therapist who wants to expand your services with coaching, do you have any clue what to do, where to start, and how to protect yourself legally?
In this flashback episode, I talk with Carly Hill, LCSW and business coach for therapists who want to add coaching to their businesses. We discuss an important topic for therapists looking to add coaching to their practice: How to do it ethically and protect yourself, your business, and your clients.
Here are three key...
FLASHBACK — Disclosure & Authenticity = Therapeutic Rapport & Safety

In this flashback episode, we're not just talking the talk; we're taking a deep dive into personal struggles both therapists and clients face, challenging the stigma around seeking mental health care and embracing our vulnerabilities.
I talk with Sandtrice Russell as she opens up about the need for safe spaces and advocacy, particularly for the BIPOC & LGBTQIA+ communities.
3 key themes:
Vulnerability as a Bridge: Therapists' self-disclosure and openness about personal struggles can build rapport and trust, making it easier for clients to open up and be vulnerable in turn.Authenticity in Practice: Showcasing your...FLASHBACK — Money, Burnout, and Career Transition for Mental Health Workers

In this flashback episode, IÂ talk with Dr. Angela Koivula, psychologist and adjunct instructor at the University of Florida, about the complexities of navigating financial realities in the mental health profession and its impact on career decisions.
Key Takeaways:
Financial Planning & Sustainability: Many therapists face significant challenges in planning for retirement due to a lack of resources and knowledge about financial management in the mental health field. The constant need for marketing and client acquisition adds to the financial pressure, making self-care days seem like a luxury.Private Practice Realities vs. Perceptions: The perceived glamour in p...FLASHBACK — Revolutionizing Health Equity: Funding and Partnerships

In this flashback episode, Patrick Casale talks with Dr. Omolara Uwemedimo, co-founder of Strong Children Wellness and founder of Melanin in Medicine. They discuss empowering BIPOC clinicians, promoting health equity, and developing sustainable practices.
Key Takeaways:
Diversify Revenue Streams: Strong Children Wellness thrives by diversifying income sources, collaborating with nonprofit partners, and securing grants. This strategy ensures steady growth and sustainability.Creative Expertise Utilization: Clinicians can leverage their skills beyond direct health services by offering trainings, educational programs, and strategic advisory services, especially via contracts with nonprofits.Strategic Partnerships: Building relationships with nonprofits and community organizations...FLASHBACK — Essential Tax and Business Structure Tips for Therapists

In this flashback episode, I talk with Daniel Rowe, a CPA and tax attorney from Charlotte, North Carolina, as he shares invaluable insights into financial planning, bookkeeping, and business formation for mental health professionals and other service providers.
Key takeaways:
Understanding Business Formation: Daniel emphasizes the importance of having tailored advice for forming your business entity, whether it's a PLLC or an S Corp, and why understanding these structures is crucial to your financial health.Bookkeeping Simplified: Daniel discusses the importance of professional bookkeeping and the benefits of integrating tools like QuickBooks and Xero to streamline...FLASHBACK — Redefining Neurodivergent Assessments and Overcoming Internalized Ableism

In this flashback episode, Dr. Jessica Hogan and I delve into the world of neurodivergent affirming assessments and the necessity for accessible, empathetic support for neurodivergent individuals.
Key takeaways:
The Paradigm Shift in Neurodivergence Awareness: Dr. Hogan emphasizes the importance of ongoing work for neurotypical clinicians to be affirming, addressing internalized ableism, and fostering a paradigm shift in understanding and accommodating neurodivergent individuals.Challenges and Visibility in the Workplace: We discuss the increasing visibility of neurodivergent and autistic clinicians and the hurdles they face in disclosing their neurodivergence. Authenticity, cultural competence, and collaboration are crucial for...FLASHBACK — Unmasking Autism in Leadership Roles and Business

In this flashback episode, Maureen Werrbach, the owner and founder of The Group Practice Exchange, and I discuss how being autistic and ADHD shapes our leadership styles, the challenges and unique strengths that come with being neurodivergent entrepreneurs, and the ripple effect of being authentic, from creating safe work environments to fostering creativity among teams.
Key Takeaways:
Understanding Neurodivergent Traits: Embrace the unique strengths and challenges that come with being neurodivergent and how it shapes leadership and entrepreneurship.Creating Inclusive Work Environments: Learn how openly sharing neurodivergent traits can lead to more accommodating and supportive workplaces...FLASHBACK — Redefining Trauma Work Through Collective Healing

As therapists and practitioners, we're always seeking innovative ways to foster healing and support growth in our clients.
In this flashback episode, I had the privilege of speaking with Marjorie Jean, a trailblazing therapist who is reshaping the approach to mental health care by harnessing the power of community.
Key Takeaways:
Community-Centric Healing: Discover how to integrate community and family dynamics into therapy, advocating for a collective approach to healing over traditional individual-focused modalities.Cultural Competence: Learn how therapists can become trauma-informed and inclusive in a real and impactful way instead of just performative...FLASHBACK — The Impact of Racial Trauma and The Power of Speaking Up [featuring Dominique Pritchett]

This flashback episode features an inspiring and deeply personal conversation with the remarkable Dominique Pritchett.
Dominique shares her powerful experiences and insights on the impact of racial targeting, the importance of diversity and inclusion, and her journey as a motivational speaker and consultant.
Key Takeaways:
Diversity & Inclusion: Understand the need for intentional observation and building relationships to address diversity issues effectively. Understanding the emotional impact is crucial for creating inclusive environments.Leverage Your Skills: Mental health professionals have unique skill sets that are invaluable in the speaking and consulting arena. See how transitioning these...FLASHBACK — Ripping the Bandaid Off Hurts, But We Have to Hurt to Heal [featuring Arielle Jordan]

In this flashback episode, Arielle Jordan shares her remarkable journey, including her niche in working with veterans, first responders, and the military community. She opens up about her personal experiences in the military, discussing the challenges, isolation, and grief she faced, particularly as a person of color.
Arielle and Patrick touch on the impact of military racism and the layers of loss within the military environment, evoking critical insights into the mental health challenges faced by BIPOC individuals.
Arielle bravely shares her grief journey, where she discusses the loss of her father, daughter, marriage, identity...
FLASHBACK — From Burnout to Breakthrough: Selling A Group Practice Successfully

Are you a group practice owner feeling overwhelmed and considering an exit plan? Dive into our latest episode where Gabrielle Juliano-Villani talks about the emotional roller coaster of selling her practice.
This episode isn't just about the when and the how of selling a group practice—it's also a tale of personal evolution, burnout prevention, and understanding that your business is an asset.
Key Themes:
Considering Selling Due to Burnout: Many private practice owners may be feeling overwhelmed by the responsibilities and stress associated with running their practice, which can lead to burnout. This ep...FLASHBACK — Healing and Identity: Navigating Dual Cultures and Building a Thriving Private Practice

In this flashback episode, I talk with Jacqueline Garcia of Therapy Lux. Jacqueline opens up about her personal journey as a therapist in private practice, navigating social media, and the importance of authenticity and self-discovery.
Jackie shares some of her struggles in her personal and professional life, specifically about immigrating from Mexico to the United States at 12 years old, and how she has fully embraced her Latina heritage.
Here are 3 key takeaways from this episode:
Embrace your authenticity on social media: Jacqueline shares her experience of showing up authentically on social media as a t...FLASHBACK — The Dope Black Therapist: Creative Representation in Therapy [featuring Blaise Harris]

Ever heard someone say they just "don't do therapy?"
Even though the profession has gained a better reputation and become more inclusive, there are still many communities that are unrepresented and can have a harder time opening up to someone who probably "isn't going to get it."
That's where finding your niche and ways to connect with and serve that community plays a huge role in how you show up as a therapist, whether that's by having your clients do boxing in session or just normalizing the shit that others can't handle.
If...
Grief and ADHD: Exploring Misdiagnosis

In this episode, I speak with Debi Frankle, an LMFT and self-proclaimed "grief nerd". We tackled a topic that's rarely discussed but extremely important – the misdiagnosis of grief when ADHD is prevalent.
3 Key Takeaways:
Importance of Comprehensive Loss History: Debi emphasizes the need for therapists to thoroughly assess loss histories, not just recent events but all significant losses throughout a client's life. This helps in understanding the broader context of their behaviors and symptoms.ADHD and Grief Overlap: Grief can exacerbate ADHD symptoms like difficulty concentrating, frustration tolerance, and impulsivity. It's crucial to distinguish between the tw...Beyond Private Practice: Diversify Revenue Streams and Expand Your Impact

In this episode, I invite you to explore the multitude of opportunities available for mental health professionals beyond the traditional 1-on-1 therapy model.
From retreats and summits to coaching and keynote speaking, there are endless possibilities to expand your career and income streams.
Here are 3 key takeaways:
Diversify Your Streams of Income: Leverage your skills to create coaching programs, retreats, speaking engagements, and more. Explore passive income opportunities through courses, books, and podcast sponsorships.Strategize and Market Effectively: Build a strong strategy and social media presence to ensure your great ideas find their audience...Emails, Opt-ins, SEO, and More — Marketing Strategies for Therapists

In this episode, I speak with Avivit Fisher, the founder of REdD Strategy and an expert in marketing for therapists. We discuss the essentials of marketing funnels and strategies that can transform how therapists attract and maintain clients, especially in the constantly evolving digital landscape.
3 Key Takeaways:
Adapting to Changing Technology: The landscape of SEO and client attraction is significantly impacted by AI and changes in social media algorithms, making local search and online reputation more crucial than ever.Email Marketing as a Powerful Tool: Email marketing is a powerful, low-cost, and low-energy tool that provides..."Adapt and Succeed" in Group Practice

In this episode, Maureen Werrbach, Gabrielle Juliano-Villani, and I have come together to discuss some major insights and solutions for the challenges currently faced by group practice owners. We also are excited to announce our co-hosted, value-packed, 3-day event, "Adapt and Succeed," happening from January 21st to 23rd, 2025, that focuses on the exploration of group practice realities and opportunities.
3 Key Takeaways:
Values-Based Recruiting & Hiring: Authenticity in your job advertisements is crucial. Make sure they reflect your practice's culture and values, and don't rely solely on generic postings. Define your voice and be clear about what you off...How Selling Your Group Practice Can Lead to Greater Gains

In this episode, I talked with Jessica Harris, LCSW and business coach for therapists, about her journey from building a thriving private pay group practice to selling it to focus solely on empowering other therapists through her coaching.
Key Takeaways:
Transitioning with Strategy: Jessica reveals how she successfully sold her group practice while ensuring continuity and support for her team, opting to sell it to a trusted colleague rather than a faceless firm.Balancing Passion and Practicality: Learn from Jessica's experience of balancing a booming coaching business with the demands of running a group practice, and...Before You Lose a Tooth, Open Your Practice

In this episode, I speak with Denielle Rigoglioso-Lambert, a licensed professional counselor, certified substance abuse counselor, private practice owner, business strategist, and respected industry leader, about her inspiring journey and the evolution of careers in private practice, the multifaceted ways therapists can expand their impact, and the financial mindset shifts necessary for sustainable growth.
3 takeaways:
Risk-taking is essential for growth: Stepping out of comfort zones is necessary for both personal and professional development.Multiple Revenue Streams: Diversify income by leveraging your existing skill sets in various avenues like coaching, speaking, and creating retreats.Self-Care Leads to...Bridging Therapy Accessibility and Profitability with Tech

In this episode, I talk with Christine Li, the inspiring founder of Mentaya. Christine shares her journey from Google to founding Mentaya, as well as insights about starting private pay practices, leveraging technology in mental health, and the future of AI in our field.
Here are 3 key takeaways:
Navigating Insurance and Benefits:Â As we approach the end of the year, insurance benefits reset, and verifications need to be updated. Whether you're a private pay practice or considering it, staying on top of these changes ensures seamless client support and consistent revenue flow.AI and Mental Health: Arti...