Hosted by Dr. Leah Clionsky, The Worth It Practice Podcast is where clinical wisdom meets fearless business strategy - built specifically for psychologists who want to run thriving private-pay practices and grow their group practice with purpose. Dr. Clionsky built a seven-figure, self-pay practice by believing one simple thing: I can learn anything - and so can you. Each week, she shares real lessons from her decade in the field - the wins, the missteps, and the mindset shifts that come from learning to think like a true therapist entrepreneur without losing your clinical edge. Designed with psychologists in mind, this isn’t business therapy or surface-level marketing advice. It’s about building a mental health business that actually works - with practice management systems, pricing models, and leadership strategies rooted in evidence, ethics, and the same curiosity that drives great clinical work. If you’re ready to approach your practice with clarity instead of confusion, business strategy instead of hustle, and confidence instead of doubt, you’re in the right place. Because scaling your practice isn’t magic - it’s learnable. And it’s Worth It. CONNECT WITH DR. LEAH CLIONSKY: Join the Worth It newsletter: https://worth-it-practice.captivate.fm/newsletter Watch on YouTube: YouTube: https://worth-it-practice.captivate.fm/youtube If you're interested in working with me, please reach out to my direct email at hello@worthitpractice.com or schedule a 20-minute free consultation meeting to see if I would be the best fit for your needs using this link!: https://worth-it-practice.captivate.fm/schedule
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I’ve heard practice owners say it’s impossible to make money in mental health or that you can’t be profitable until your group practice reaches a certain size. That hasn’t been my experience.
Over 10 years of practice ownership, I’ve maintained business profit at every stage of Thriving Child Center, from seeing clients on Saturdays while working full-time to running a mult...
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There’s a version of private practice ownership we see all over social media: set up your systems, make money while you sleep, and run your business from a beach somewhere. But that’s not the full reality of practice management at least not all the time.
I’m recording this episode on Labor Day because I’m currently in a season of growth and working harder than I normally do. And ...
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There are two extremes I see practice owners fall into when it comes to their business systems: micromanaging every detail or delegating something and never looking at it again. Neither works particularly well.
In this episode, I’m sharing what I’ve learned about finding the middle ground. Effective delegation means your business can function without you constantly being in the weeds,...
When you're growing a group practice, bringing on another clinician isn't just about finding someone with the right credentials. The people you bring into your practice become part of its reputation, which is why hiring therapists is one of the most important decisions you make as an owner.
In this episode, I share how I approach hiring therapists at Thriving Child Center, starting with a question I think practice owners sometimes s...
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When I started my practice 10 years ago, I had an incredible advantage: my parents had already spent decades running their own psychology practice. Their industry experience gave me perspective I couldn't have gotten from someone who had only been in business for a few months. But today, experience alone isn't enough. Our industry is changing so quickly that the person advising you also needs to...
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When life gets chaotic, your business doesn't suddenly need less from you. Lately, I've been working roughly half-time hours with a full-time workload, which has forced me to get very clear about my business priorities and where my limited energy will have the biggest impact.
In this episode, I'm sharing my approach to time management for entrepreneurs when there simply isn't enough time to do ev...
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I consider myself a pretty confident practice owner. I feel good about my finances, marketing, team, ethics, and most of the decisions I make. But apparently, my business confidence has one unexpected weakness: office couches.
For the first time, I'm creating a dedicated Thriving Child Center office space that I'm actually responsible for designing. And suddenly, I'm questioning everything. This ...
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You're allowed to expect excellent work from the people you hire. As therapists, many of us are trained to prioritize empathy, soften difficult conversations, and give people the benefit of the doubt. But as CEOs, there are times when we need to evaluate results objectively. If I'm making an investment in my business, I need to see a return on investment, and that requires clear CEO communication, a th...
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What if your practice is already profitable, but you're too afraid to enjoy it? I've noticed that many successful practice owners are generating business profit, yet they're hesitant to actually move that money into their personal accounts. In this episode, I unpack why that happens, how it affects your confidence as a business owner, and why it may be time to reset your mindset around money.
I'll share...
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Business problems are inevitable, but they don't have to be overwhelming. Over the years, I've realized that the same clinical Skills I use with therapy clients are the ones that help me navigate difficult moments as a business owner. Instead of reacting with panic, I've learned to gather information, regulate my emotions, and focus on business problem solving one step at a time.
In this episode, I shar...
If you asked me a few years ago whether every practice owner needed a dashboard, I probably would have said no. I built a successful practice long before I had one. But today, my CEO Dashboard is one of the most valuable tools I use because it helps me understand the health of my business in just a few minutes each week.
In this episode, I pull back the curtain on the KPI dashboard I review every Monday, the business metrics I pay t...
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One of the most powerful ways I've grown my practice is by building genuine relationships with physician offices. The mistake I see many practice owners make is treating networking like advertising. They drop off brochures or business cards and hope for physician referrals, but real relationships are built through trust, curiosity, and connection.
In this episode, I walk you through the exact strategy I...
The people you surround yourself with have a bigger impact on your business than you might realize. Every mentor, Facebook group, podcast, and conversation shapes your entrepreneur mindset. Over time, those voices influence the decisions you make, the risks you take, and how you respond when business gets hard.
In this episode, I share one of the biggest lessons I've learned from spending time with successful entrepreneurs: the best...
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There’s a common misconception that because I run multiple businesses, host two podcasts, consult with psychologists, and raise two young children, I must have endless energy. The truth is, I don’t. While I generally have a high work capacity, there are plenty of days when my energy is lower, my motivation disappears, and I simply don’t feel like working.
In this episode, I share the f...
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If you've ever wondered why clients seem to disappear even when they want therapy, this episode is for you. A few years ago, I realized that many of the clients leaving my practice weren't leaving because they were dissatisfied or because treatment wasn't working. They were leaving because life got busy, schedules changed, and the simple task of rescheduling fell through the cracks.
That realizat...
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If you want more therapy referrals, better clients, and a stronger reputation, becoming known as the go-to expert is one of the most valuable things you can do. The challenge is that many psychologists already provide highly specialized therapy but don’t recognize just how unique their expertise really is or how to communicate it effectively.
In this episode, I share a personal story about searchi...
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If you’ve ever wondered whether you need a business coach, this episode is for you. A few years ago, I convinced myself that hiring a coach was the next logical step in growing my practice. The problem? I didn’t actually need coaching. I was just scared.
At the time, my practice was already successful, profitable, and growing. There wasn’t a major problem to solve. What I really needed...
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As a CEO and practice owner, there are endless things you could invest in. A new website. Another admin. Coaching. Office space. Better systems. More clinicians. And when you’re growing a therapy business, it can feel overwhelming trying to figure out what actually deserves your time, energy, and money.
In this episode, I’m breaking down the exact thought process I use to make investment dec...
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Recently, I had to fire two people in one day because they broke my trust. One person wasn’t completing critical tasks properly, and the other was intentionally avoiding responsibilities that were creating major problems in my business. It was awful. But it also forced me to think more deeply about something every business owner struggles with: how to know who to trust in your business.
Because th...
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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 inves...
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