Worth It Practice

Leah Clionsky
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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 Website: https://worth-it-practice.captivate.fm/website 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

  1. How to Function Like a Solo Practitioner and Still Hire Another Therapist

    3 DAYS AGO

    How to Function Like a Solo Practitioner and Still Hire Another Therapist

    Watch this episode on YouTube! Many therapists reach a point in their therapy private practice where they have more referrals than they can handle. If you are a busy solo practitioner with a long waitlist, you may start wondering if it is time for private practice hiring. But what if you want to grow without becoming a full group practice owner? In this episode, I share a simple strategy I used early in my therapy private practice that allowed me to stay a solo practitioner while still expanding capacity. Instead of building a large team or changing your entire business structure, there is a smarter way to hire a therapist and fill some of those cases you cannot take yourself. • Why many solo practitioner therapists hesitate to start private practice hiring • A simple strategy to hire a therapist without taking on the full responsibility of managing a group practice • How this approach allows your therapy private practice to grow while keeping your systems simple • Why your first private practice hiring decision should focus on bringing in someone with your same skill set • How a solo practitioner can refer clients internally after they hire a therapist and still maintain control of their therapy private practice If you are a solo practitioner with a waitlist and are thinking about private practice hiring, this episode will show you how to hire a therapist in a way that supports sustainable growth in your therapy private practice without completely changing how you run your business. LET’S CONNECT: Join the Worth It newsletter! Website Watch on 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. Listen to The Educated Parent Podcast My practices: Thriving Child Center PCIT Experts

    9 min

  2. 17 MAR

    The Business Experiment That Blew Up in My Face (and What I Learned)

    Watch this episode on YouTube! Trying to do it all in your private practice might seem like the fastest way to grow your business. But what happens when that mindset pushes you straight toward entrepreneur burnout instead of success? In this episode I’m sharing a personal story about a business experiment I ran this year. When my available work time suddenly dropped in half, I tried to keep everything the same by squeezing a full workload into fewer hours. I tested a strict time blocking method to see if I could truly work less do more. What happened next completely changed how I think about capacity, delegation, and growth as a practice owner. • Why trying to do it all is one of the fastest paths to entrepreneur burnout for private practice owners • The time blocking method I used when I attempted to work less do more with half the time • What actually happened when I tried to maintain 100 percent of my workload while refusing to delegate • The hidden systems problems that showed up when I stopped trying to do it all myself • Why hiring help became the real solution to avoiding entrepreneur burnout and creating a sustainable way to work less do more If you have ever felt pressure to do it all, struggled with entrepreneur burnout, or tried to rely on a strict time blocking method to work less do more, this episode will help you rethink what sustainable growth really looks like. LET’S CONNECT: Join the Worth It newsletter! Website Watch on 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. Listen to The Educated Parent Podcast My practices: Thriving Child Center PCIT Experts

    21 min
  3. What Scary Practice Numbers Really Mean: KPI Tracking in a Data-Driven Business

    10 MAR

    What Scary Practice Numbers Really Mean: KPI Tracking in a Data-Driven Business

    Watch this episode on YouTube! I track my practice numbers every single week. And sometimes they look scary. If you’re doing consistent KPI tracking in your practice, you already know what I mean. A drop in new clients. A dip in conversions. A lower retention rate than usual. Suddenly, your brain jumps to worst-case scenarios, and the business anxiety kicks in fast when your practice numbers shift unexpectedly. In this episode, I’m pulling back the curtain on a recent moment when my practice numbers looked off and what I actually did about it. I’m sharing how I built a simple dashboard, how I use weekly KPI tracking to monitor the health of my practice, and how I avoid making impulsive decisions when the data feels alarming and triggers unnecessary business anxiety. We’ll talk about: • The specific metrics I track every week and why consistent KPI tracking matters • How to build a simple dashboard that supports a truly data-driven business • The difference between a real problem and normal statistical variation in your practice numbers • What to do before your business anxiety convinces you that everything is falling apart • How to respond strategically instead of reacting emotionally Building a data-driven business does not mean you stop having feelings about your numbers. It means you learn how to hold the data and the emotion at the same time. A healthy data-driven business requires both clarity and emotional regulation. If your practice numbers have ever scared you, this one is for you. LET’S CONNECT: Join the Worth It newsletter! Website Watch on 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. Listen to The Educated Parent Podcast My practices: Thriving Child Center PCIT Experts

    15 min
  4. The Foundation of a Full Private Pay Practice

    3 MAR

    The Foundation of a Full Private Pay Practice

    Watch this episode on YouTube! If you want to know the real secret behind a successful private pay practice, it starts with the foundation. In this episode, I break down what I shared with other seven figure practice owners when they asked me how I fill a full private pay practice. The answer isn’t marketing hacks or complicated funnels. It’s the foundation. If you don’t understand what you are truly offering and why it qualifies as real quality healthcare, you cannot build sustainably. This is at the core of how to build a private practice that can charge premium rates without guilt or hesitation. We talk about why the foundation of any thriving private pay practice must be exceptional quality healthcare, and why confidence in your clinical product matters more than any external strategy. If you want to know how to build a private practice that people willingly pay out of pocket for, you must first believe in the value of what you provide. In this episode, I cover: • Why the foundation of a successful private pay practice is clarity about your clinical product • How delivering true quality healthcare makes marketing easier • What you need to define before you can confidently raise rates • Why understanding how to build a private practice starts with clinical excellence • The mindset shift required to position yourself as premium without apology If you want to know how to build a private practice that is full, profitable, and aligned with your values, start with the foundation. Build around real quality healthcare, and the rest becomes strategy layered on top of something solid. LET’S CONNECT: Join the Worth It newsletter! Website Watch on 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. Listen to The Educated Parent Podcast My practices: Thriving Child Center PCIT Experts

    11 min
  5. When Your Practice Gets Too Big for Gut Decisions with Fractional CFO Carla Titus

    24 FEB

    When Your Practice Gets Too Big for Gut Decisions with Fractional CFO Carla Titus

    Watch this episode on YouTube! If your practice feels too big to run on instinct alone, this episode is for you. As my business grew, I realized I couldn’t rely on gut decisions anymore. What worked when my practice was smaller stopped working once things got too big. The financial stakes were higher, and the ripple effects of each choice became more significant. In this episode, I sit down with Carla Titus, founder of Wealth and Worth Within and an experienced fractional CFO, to talk about what happens when your practice outgrows intuition and requires real strategic financial planning. If your business is getting too big for guesswork, this conversation will help you see what’s next. We cover: • How to recognize when your practice is too big for instinct-driven leadership • Why gut decisions work early on but break down at scale • What a fractional CFO actually does and when you might need one • How Carla Titus approaches growth and profitability • Why strategic financial planning protects your profit as you scale If you’ve been making major moves based on gut decisions, this episode will challenge you to think bigger. When your practice becomes too big, you need structure, data, and proactive strategic financial planning. Your business deserves clarity. And you deserve support that matches the level you’re building at. LET’S CONNECT: Join the Worth It newsletter! Website Watch on 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. Listen to The Educated Parent Podcast My practices: Thriving Child Center PCIT Experts CONNECT WITH CARLA TITUS: Projection & Forecasting Services Website Instagram Facebook LinkedIn

    30 min
  6. What It Really Takes to Grow a 7-Figure Group Private Practice

    17 FEB

    What It Really Takes to Grow a 7-Figure Group Private Practice

    Watch this episode on YouTube! If you’ve ever wondered what it actually takes to grow a 7-figure group private practice, this episode may surprise you. The truth is, the biggest drivers of practice growth aren’t strategies or tactics alone. They’re the practice mindset decisions you’re willing to make long before the revenue ever shows up. In this episode, I walk you through how I built my own 7-figure group private practice, why hitting that milestone wasn’t my original goal, and the unexpected mindset shifts for success that made it possible. I share the behind-the-scenes reality of scaling a practice without abandoning your values, why revenue is not the same as profit, and how your internal limits often cap your external practice growth before systems ever do. This is a candid look at the practice mindset shifts that allowed me to stop playing small, trust myself as a CEO, and build a group private practice that supports my life, my family, and the level of care I want clients to receive. What’s covered: Why practice growth often stalls because of unexamined beliefs rather than lack of strategyThe difference between revenue and profit in a sustainable group private practiceHow practice mindset influences hiring, expansion, and leadership decisionsThe hidden mindset shifts for success required to move past self-imposed ceilingsWhy surrounding yourself with entrepreneurs ahead of you accelerates practice growthHow identity shifts impact your ability to lead a growing group private practiceWhat it really means to “try” at a higher level without burning outHow long-term practice mindset work supports ethical, values-aligned scale If you’re serious about building a group private practice that lasts, grows, and feels aligned, this episode will help you rethink what’s actually required. Sustainable practice growth starts with intentional practice mindset shifts, and when those mindset shifts for success happen first, everything else becomes possible. LET’S CONNECT: Join the Worth It newsletter! Website Watch on 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. Listen to The Educated Parent Podcast My practices: Thriving Child Center PCIT Experts

    21 min
  7. Why I Intentionally Learn Business From Entrepreneurs Outside Therapy

    10 FEB

    Why I Intentionally Learn Business From Entrepreneurs Outside Therapy

    Watch this episode on YouTube! I want to talk about one of the most impactful decisions I have made as a practice owner and CEO. I intentionally learn business from entrepreneurs outside therapy, and it has fundamentally changed how I think, lead, and grow my practice. This episode is a behind-the-scenes look at why stepping outside our industry and attending business retreats with non-therapists has helped me scale more sustainably and with far less burnout. In this episode, I share why relying only on therapist entrepreneurs can create an echo chamber and how choosing to learn business from people outside therapy has helped me grow my practice in ways I never could have imagined. I also talk about my experience attending business retreats with entrepreneurs from completely different industries and why those environments accelerated my growth as a CEO. Key topics I cover in this episode • Why choosing to learn business from entrepreneurs outside therapy expands my thinking and helps me grow my practice faster • How attending business retreats with non-therapists challenged my money mindset and normalized profitability • What I learned about systems leadership and scalability from entrepreneurs outside therapy • How stepping into rooms outside therapy helped me grow my practice without working more hours • Why business retreats offer clarity, creativity, and strategy that therapist spaces often cannot • How intentionally choosing to learn business beyond our field creates long-term confidence and CEO level decision making If you want to grow my practice with more clarity, confidence, and sustainability, this episode will challenge you to learn business differently, consider opportunities outside therapy, and rethink the power of business retreats as a strategic investment. LET’S CONNECT: Join the Worth It newsletter! Website Watch on 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. Listen to The Educated Parent Podcast My practices: Thriving Child Center PCIT Experts

    21 min
  8. Why Being Profitable in Private Practice Can Feel So Scary: What to Do After You Pay Yourself With Randall Avery

    3 FEB

    Why Being Profitable in Private Practice Can Feel So Scary: What to Do After You Pay Yourself With Randall Avery

    Watch this episode on YouTube! In this episode of the Worth It Practice Podcast, I’m talking to Randall Avery about something we don’t discuss nearly enough in private practice: what happens when your business actually becomes profitable. So many clinicians dream about reaching the point where they can finally pay yourself, and then feel anxious, guilty, or overwhelmed the moment it happens. If you’ve ever wondered why being profitable in private practice can feel so scary, you are not alone. I’m joined by certified financial planner Randall Avery, who works specifically with practice owners, to talk through the emotional and practical side of practice finance. We explore what it means to build real financial stability as a therapist, how to think about profit without shame, and what to do after you pay yourself for the first time. We talk about: Why therapists are often uncomfortable with being profitableThe mindset shift required to truly pay yourself as a private practice ownerHow long years of under-earning shape our relationship with practice financeWhat responsible wealth-building looks like in private practiceHow profit can actually support burnout prevention, better care, and a fuller life If you’ve reached, or are approaching, the point where your private practice is generating real profit, and you don’t know what to do next, this conversation will help you feel grounded, informed, and less alone. Being profitable doesn’t mean you’re doing something wrong. It means your business is working, and you deserve to learn how to let that be true. RESOURCES MENTIONED IN THIS EPISODE: Hacking the System by Creating Your Own System: A Practical Guide to Making Your Money Count While Building WealthLET’S CONNECT: Join the Worth It newsletter! Website Watch on 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. Listen to The Educated Parent Podcast My practices: Thriving Child Center PCIT Experts CONNECT WITH RANDALL AVERY: Email: ravery@deasilwn.com Website LinkedIn Personal Facebook DeasilWM Facebook

    27 min
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About

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 Website: https://worth-it-practice.captivate.fm/website 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

Information

  • Creator
    Leah Clionsky
  • Years Active
    2025 - 2026
  • Episodes
    24
  • Rating
    Clean
  • Copyright
    © Copyright 2026 Leah Clionsky
  • Show Website
    Worth It Practice

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