Behind The Practice

Lisa Duez
  • 5.0 (1)
  • Management

Behind the Practice is where we talk about what really happens behind the scenes in healthcare, behavioral health, and other people-centered organizations. Hosted by Lisa Duez, the show features honest conversations with practice owners, leaders, clinicians, consultants, and other people shaping the work. We talk about leadership, growth, culture, hard decisions, business pivots, people problems, burnout, and the messy realities nobody really prepares you for. Real conversations. Smart people. No pretending we have it all figured out.

Episodes

  1. 17h ago

    A Different Model for Mental Health Practices

    A Different Model for Mental Health Practicewith Traci W. Pirri, LCSW-SWhat if a mental health practice didn’t have to choose between paying clinicians fairly and making care more accessible? In this episode of Behind the Practice, Lisa talks with Traci W. Pirri, LCSW-S, Executive Director of Hope For The Journey Collective, about the decision to build a nonprofit counseling practice — and what that model makes possible. Traci shares why the traditional practice model didn’t fully align with what she wanted to create, what changed when the organization became a nonprofit, and the lessons she learned along the way about fundraising, board structure, leadership, clarity, and delegation. They also talk about the bigger question underneath the business model: how do you build a practice that supports both the people receiving care and the clinicians providing it? In This EpisodeWhy Traci chose a nonprofit model for her counseling practiceThe tension between accessible care and sustainable clinician compensationWhat changes when a private practice becomes a nonprofitEarly assumptions Traci had to rethink about fundraisingLessons learned about building the right boardWhy nonprofit does not mean “not a business”The importance of clarity in leadershipWhy “clarity is kindness”Getting the right people in the right seatsWhat leaders lose when they try to do everything themselvesHow delegation expands a leader’s impactWho the nonprofit practice model may — and may not — be right forAbout Traci PirriTraci W. Pirri, LCSW-S, is the Executive Director of Hope For The Journey Collective, a nonprofit counseling organization with two locations in the Austin, Texas area. She is an experienced trauma therapist, EMDRIA Approved Consultant, educator, and leader with extensive training in trauma, dissociation, EMDR, and Trauma-Focused Cognitive Behavioral Therapy. Traci is passionate about creating alternatives to traditional mental health practice models and building organizations where clinicians can be compensated fairly while clients still have access to meaningful care. She also trains and consults with clinicians and is expanding her work in education and professional development. Connect With TraciHope For The Journey Collective: Website: https://hopeforthejourney.org Social Media:@TraciPirri Connect With LisaWebsite: lisaduez.com Book: Leading Without Losing Yourself: The EASE Approach to Transforming Your Workplace About Behind the PracticeBehind the Practice features honest conversations about leadership, people, growth, business, and what really happens behind the scenes in healthcare, behavioral health, and other people-centered organizations. Real conversations. Smart people. No pretending we have it all figured out. DisclaimerThis podcast is for educational and informational purposes only and does not constitute clinical, legal, financial, or other professional advice.

  2. Nov 3

    You Don't Have To Carry It All

    You Don’t Have to Carry It Allwith Dr. Jasmine ReedWhat happens when success starts costing you more than you realize? In this episode of Behind the Practice, Lisa talks with Dr. Jasmine Reed, psychologist, entrepreneur, and founder of Dr. J. Reed Wellness, about the human side of leadership, high achievement, burnout, and the emotional weight that often exists behind success. Jasmine shares what she learned when she realized that building a successful business did not automatically mean she was leading in a healthy or sustainable way. They talk about the pressure to carry everything, the importance of boundaries and delegation, and how healing, self-awareness, and psychological safety shape the way we lead. The conversation also explores how perfectionism, survival, and identity can become intertwined with achievement—and why sustainable leadership requires more than simply pushing through. In This EpisodeThe emotional burden behind high achievementWhy successful leaders often carry stress and exhaustion in silenceThe difference between healthy ambition and pressure-driven performanceHow perfectionism and survival patterns can shape leadershipWhy boundaries and delegation matterWhat psychological safety looks like in real lifeThe leadership lessons that come from hiring the wrong personWhy emotional maturity and values alignment matter when building a teamWhat it means to heal the person behind the accomplishmentsWhy leaders do not have to carry everything aloneAbout Dr. Jasmine ReedDr. Jasmine Reed is a psychologist, entrepreneur, and founder of Dr. J. Reed Wellness. Her work focuses on helping high-achieving leaders address burnout, psychological safety, identity, resilience, and the emotional burden that often exists behind success. She is passionate about helping leaders understand that success does not have to come at the expense of their mental health. Through her work, Jasmine helps individuals and organizations build healthier, more sustainable approaches to leadership, wellness, boundaries, and self-awareness. She is also the author of Becoming Who You Needed: The High Achiever’s Healing Journey, which explores how survival, perfectionism, and unresolved experiences can shape achievement and invites readers to build lives grounded in wholeness rather than performance. Connect With Dr. Jasmine ReedWebsite: [LINK] Dr. J. Reed Wellness: [LINK] Book: Becoming Who You Needed: The High Achiever’s Healing Journey Social Media: [LINKS] Connect With LisaWebsite: lisaduez.com Book: Lead Without Losing Yourself Leadership Mentoring & Coaching: [LINK] LinkedIn: [LINK] YouTube: [LINK] About Behind the PracticeBehind the Practice features real conversations about leadership, people, growth, business, and what really happens behind the scenes in healthcare, behavioral health, and other people-centered organizations. Real conversations. Smart people. No pretending we have it all figured out. DisclaimerThis podcast is for educational and informational purposes only and does not constitute clinical, legal, financial, or other professional advice.

  3. Oct 27

    From Good Clinician to Real Business Owner

    From Good Clinician to Real Business Owner with Roma Williams, LMFT-S What happens when being a good clinician is no longer enough to run the business you’re trying to build? In this episode of Behind the Practice, Lisa talks with Roma Williams, LMFT-S, therapist, practice owner, author, and founder of Unload It Therapy, about the shift from clinician to business owner. Roma shares the moment she realized she was not really running her practice like a business — she was running it from emotion. For a long time, she could solve problems by taking another client, working another hour, or figuring it out herself. Eventually, that strategy hit a ceiling. Their conversation explores what changes when you stop asking, “How much more can I personally do?” and start asking, “What am I actually trying to build?” In This Episode The difference between being a strong clinician and being a strong business ownerWhat it looks like to run a business from emotionWhy overextending yourself is not a sustainable business modelBuilding systems that do not depend on your personal caseloadMaking decisions that protect both clients and the businessThe tension between service, generosity, and sustainabilityRebuilding a group practice intentionallyKnowing what belongs in the next version of your businessCreating multiple revenue streams without creating four separate jobsWhy therapists are allowed to build businesses that support the lives they want About Roma Williams Roma Williams, LMFT-S, is a licensed marriage and family therapist, AAMFT Approved Supervisor, author, and founder of Unload It Therapy in Houston, Texas. With more than a decade of experience, Roma specializes in trauma, relationships, communication, and helping individuals and couples move through the hard conversations they often avoid. She is trained in EMDR and couples therapy and is licensed in multiple states. Beyond the therapy room, Roma is focused on growing a practice that creates opportunities for other clinicians while expanding the reach of her work through education, speaking, writing, and relationship-focused resources. Connect with Roma Website: unloadittherapy.com Book: Unload It: An Effective Guide to Leveling Up Your Communication [Add Roma’s social links here if desired] Connect with Lisa Website: lisaduez.com Book: Lead Without Losing Yourself

  4. Oct 18

    From Group Practice to Wellness Collective

    What happens when the business model you built no longer fits? In this episode of Behind the Practice, Lisa talks with Abby Morgan, founder of Sea Level Wellness Collective, about the decision to move away from a traditional group practice model and build something that better aligned with her values, vision, and the kind of work she wanted to create. They talk about risk, reinvention, leadership, boundaries, and what it takes to make a major business pivot when the old way is no longer working. In this episode: Recognizing when a business model no longer fitsThe emotional side of making a major pivotLetting go of what “a group practice should look like”Leadership lessons learned through changeBoundaries, values, and rebuilding differentlyCreating a wellness collective and coworking modelConnect with Abby: Sea Level Wellness Collective: www.sealelecw.com IG: @sealevelcwConnect with Lisa: Website: lisaduez.com Book: Lead Without Losing Yourself LinkedIn: www.linkedin.com/in/lisaduez About Behind the Practice Behind the Practice features real conversations about leadership, people, growth, and what really happens behind the scenes in healthcare, behavioral health, and other people-centered organizations. Real conversations. Smart people. No pretending we have it all figured out.

  • 4 Episodes

Ratings & Reviews

About

Behind the Practice is where we talk about what really happens behind the scenes in healthcare, behavioral health, and other people-centered organizations. Hosted by Lisa Duez, the show features honest conversations with practice owners, leaders, clinicians, consultants, and other people shaping the work. We talk about leadership, growth, culture, hard decisions, business pivots, people problems, burnout, and the messy realities nobody really prepares you for. Real conversations. Smart people. No pretending we have it all figured out.

Information

  • Creator
    Lisa Duez
  • Years Active
    2026
  • Episodes
    4
  • Rating
    Clean
  • Copyright
    © 2026 Lisa Duez
  • Show Website
    Behind The Practice