Purpose and Profit: The Sustainable Therapy Practice Podcast

Cecilia Mannella
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Purpose & Profit: The Sustainable Therapy Practice Podcast is for therapists who've built something real and are ready to lead it sustainably. Hosted by Cecilia Mannella, RCC, RSW — mental health practitioner, seven-figure group practice owner, and creator of the Sustainable Practice Framework™ — this podcast explores what it actually takes to build a profitable, sustainable therapy business without shrinking your leadership or losing yourself in the process. Each week, honest conversations about: - Ethical wealth and profit margins you can actually see and understand - Sustainable scaling and leadership evolution - The clinician-to-CEO identity shift — and what it costs to skip it - Team leadership, delegation, and building a practice that runs without you as the single point of failure - Building a practice that serves your clients — and your life Because burnout is not a business model. And purpose without profit isn't sustainable. If you're a therapy practice owner who's tired of being the most advanced person in the room, this is where that changes.

  1. 4d ago

    50 | Group Practice Culture: Why Only the Bad One Builds Itself

    Every therapy practice already has a culture. The only question is whether anyone chose it, because the one that builds itself gets built out of your temperament rather than your values. Laura Bull and Steph Davis built their group practice in reaction to one they left badly, and spent years finding out what that cost. In this conversation they get precise about it: the clinician they let go too early out of fear, the retention rate someone eventually told them was too high, and the moment leadership stopped being a matter of questioning everything about themselves. The distinction underneath it is the useful part. Culture is whatever your people can count on to repeat. Leadership is whether that repetition was chosen — and how the leadership team relates to each other sets the heartbeat everyone else in the building feels. Which is also why a practice with no mess in it is telling you something. What's coveredWhy building a practice as the opposite of a bad one leaves the bad one still setting your agendaWhat it cost to make a staffing decision out of fear, and how they found out a year laterWhy a leader who questions everything about herself cannot hold steadiness for anyone elseThe reframe that arrived with the numbers: a staff retention rate can be too high, and resentment is what unpriced generosity costsCulture as what repeats, leadership as whether the repetition was intentional — and why only the unhealthy version builds itselfWhy no conflict in a caseload is a clinical finding, and the same reading applies to a team Timestamps: 01:04 — How a friendship started, and why the origin story is a culture story 06:01 — Leaving, and the reactive culture that followed them out 08:46 — The staffing decision they made from fear, and the conversation a year later that named it 11:09 — Leading while questioning everything about yourself 13:19 — "Your staff retention rate is too high" 15:38 — What changed when the decisions got grounded in numbers 17:40 — What leadership actually means to each of them 23:38 — Why it isn't leadership if it isn't messy 24:41 — Culture is what repeats. Leadership is whether you chose it. 30:07 — No conflict is a finding, clinically and in a team 32:45 — Together in Practice: what the two days hold Together in Practice: A Virtual Leadership Summit October 17 and 24th · two Saturdays · 9:00am–2:00pm Pacific · eight sessions Two days built for practice owners who are past the setup questions. Day one is for solo and group practice owners leading a business and a caseload — retention, sustainability, finances, values. Day two is for group practice owners and the group-practice-curious, with Laura and Steph on culture, Cecilia on sustainability and long-term visioning, and sessions from Elana Sures and Lindsay Bonham. Details and registration: togetherinpractice.ca

  2. Sep 8

    49 | Leadership that lasts: building a practice that runs without you

    Most delegation advice tells you to get something off your plate. That advice is why it doesn't work. Handing someone a task while you keep the decision leaves the work exactly where it was — the illusion that it's off your desk, when you're still standing in the middle of it. This episode draws the line between delegating for relief and delegating for ownership. One buys you an hour. The other hands over a piece of your authority, and changes what the practice can do when you're not in it. Cecilia works through an operations hire that turned out to be the wrong role — an expensive decision, and a reversible one — and what it taught her about the difference between the bottleneck you feel and the one you actually have. Then the harder question underneath all of it. If your judgment has never left your head, there is nothing for anyone to take ownership of. What's coveredWhy handing over a task keeps you as the bottleneck, and what has to change before that stopsThe test: if they come back to you for the decision, you delegated relief — not ownershipWhy people protect what is theirs and won't protect what is still yoursWhat an expensive but reversible hiring decision taught her about diagnosing a constraint before writing the job postingWhy revenue and systems have a role and are not the assetWhat "could someone else take this over" is actually testing: whether or not you ever sell Timestamps00:01 — Closing a four-part series: what makes leadership last02:16 — Why the usual delegation advice doesn't relieve anything04:33 — Delegating for relief and delegating for ownership06:45 — Why ownership holds and relief doesn't09:12 — Hiring for your plate instead of for the constraint13:44 — Promoting from inside, and why ownership never comes back to you16:08 — Humility as part of the job, not a sign of failure18:10 — The nine roles you cannot hold at once, and the retreat to the therapy room21:15 — The asset is your judgment, and almost none of it is written down26:00 — Legacy as what you send forward Want to know what's actually capping your growth? The Practice Growth Ceiling Diagnostic — seven questions, a few minutes, and it names what is actually capping growth. https://www.ceciliamannella.com/diagnostic Together in Practice is a therapist leadership summit, co-hosted by Cecilia. Day one covers leading your practice — the business side. Day two covers developing the leader: who you want to be and how you show up while growing your business. Details and registration at togetherinpractice.ca Work with Cecilia (1:1 business coaching and The Practice CEO Circle) - https://www.ceciliamannella.com Connect with Cecilia on LinkedIn - https://www.linkedin.com/in/cecilia-mannella/ Cecilia Mannella, RSW, RCC is a registered clinical counsellor, 7-figure group practice owner, and business coach for Canadian therapy practice owners. With 25 years in practice and a seven-figure group practice of her own, she created the Sustainable Practice Framework™ to help practice leaders scale with purpose, profit, people, and process intact.

  3. Sep 1

    48 | Leadership decision-making for therapy practice owners

    The difference between a practice owner and a CEO isn't what she knows. It's how she decides. And most of the weight you're carrying right now belongs to decisions you could undo next week. You were trained to decide under pressure, with almost no information and very little time. A lot of us started in crisis work — I spent my early career in victim services, on call with the RCMP and we got very, very good at it. That skill is now the instrument you reach for on a Tuesday afternoon when nothing is on fire. Before any of the deliberation starts, there's one question: if this goes wrong, can I undo it? Some decisions are a two-way door — you try the thing, and if it doesn't hold, you walk back through next week. A five-year lease is a one-way door. Most of us treat every decision like a one-way door. What's coveredWhy crisis training is a real skill and the wrong instrument for a decision that has no emergency in itThe three ways we avoid deciding — by avoidance, by volume, and by should — and why the third is hardest to catch, because it looks like conscientiousnessThe question that sorts the decision before you spend anything on it: if this goes wrong, can I undo it?Why weeks of deliberation over a reversible decision buys nothing it was meant to buyWhat earned slowness looks like, and the short list of decisions that have actually earned itWhy the discomfort of an irreversible decision doesn't resolve with experience — after 17 years it's still there, and capacity is what grows insteadRunning one experiment at a time, and why more than one makes the result unreadable Timestamps: 00:01 The difference between a practice owner and a CEO is how she decides 02:22 Crisis training — where the reflex came from, and what it's costing you 04:47 Three ways we avoid deciding: avoidance, volume, and "should" 07:13 The one question, and the two-way door 09:27 Earned slowness — and being radically honest about which decisions have earned it 11:54 The discomfort doesn't go away. Your capacity grows. 13:49 Running experiments: setting your measures, one at a time 16:04 Reflection — which open decision is costing you most Want to know what's actually capping your growth? The Practice Growth Ceiling Diagnostic — seven questions, a few minutes, and it names what is actually capping growth. https://www.ceciliamannella.com/diagnostic Together in Practice is a therapist leadership summit, co-hosted by Cecilia. Day one covers leading your practice — the business side. Day two covers developing the leader: who you want to be and how you show up. Details and registration at togetherinpractice.ca Work with Cecilia (1:1 business coaching and The Practice CEO Circle) - https://www.ceciliamannella.com Connect with Cecilia on LinkedIn - https://www.linkedin.com/in/cecilia-mannella/ Cecilia Mannella, RSW, RCC is a registered clinical counsellor, 7-figure group practice owner, and business coach for Canadian therapy practice owners. With 25 years in practice and a seven-figure group practice of her own, she created the Sustainable Practice Framework™ to help practice leaders scale with purpose, profit, people, and process intact. Mentioned in this episode: Together in Practice: A Leadership Summit for Therapists Join me and my co-host Stephanie Davis for the first national virtual summit for therapy and wellness practice owners who are serious about the business and leadership of their practice. Two days, October 17 and 18, 2026. All Canadian speakers and live Q&A in every session. Day 1 covers the business of running your practice, for every practice owner. Day 2 goes deep on scaling to group practice and leading a team. Early bird pricing is open now. Register here: https://www.togetherinpractice.ca/

  4. Aug 25

    47 | Leadership mindset: why leading a session is easier than leading yourself

    Most practice owners are told they need to work on their leadership. Almost none are told they already have it. You lead a container every fifty minutes. You keep the time, guide the process, assess as you go, read what nobody says out loud. That is leadership — it simply has a client at the centre. What you have never built is the same container with you in the middle, and that is why the judgment you trust completely in the room deserts you the moment the decision is commercial. This episode is about what comes before any of it: going first and going often, staying curious past the point of comfort, treating a failure as data rather than a verdict. And the transfer of scope of practice — you say "that's outside what I know" in the clinical room without a flicker of shame, and never about the business. What's covered· Why leading a session is already leadership — and why it doesn't transfer on its own, because the container has a client at the centre rather than you. · Where the mistrust of your own business judgment was built: an education system that rewarded conformity and made belonging conditional on it. · Over-researching a decision is not caution. It is a grown-up version of waiting for someone else to go first. · Going first is a habit rather than a temperament — and the first few years of it come with no evidence it will work. · Failure as feedback: the difference between an idea that didn't work and an idea whose timing was wrong. · Scope of practice, transferred. You already say "that's outside what I know" in the clinical room without shame. The business version is the same sentence. Timestamps00:01 — Where this sits in the four-part leadership series 01:31 — What school rewarded, and what it cost 03:42 — You already lead — every fifty minutes, with a client at the centre 05:52 — Why self-leadership feels like improvising without a framework 07:34 — Fitting in is not belonging, and comparison is how you check 09:18 — Over-researching as a grown-up version of following 11:27 — Go first and go often: the habit matters more than the first attempt 13:47 — Radical curiosity, and the assumptions you stopped testing 16:11 — Willing to fail, and fail often 18:36 — A business she closed, and what timing had to do with it 20:56 — Scope of practice, transferred out of the clinical room 22:46 — The reflection: where are you still waiting for someone else to go first? The Practice Growth Ceiling Diagnostic — seven questions, a few minutes, and it names what is actually capping growth. https://www.ceciliamannella.com/diagnostic Together in Practice is a therapist leadership summit, co-hosted by Cecilia. Day one covers leading your practice — the business side. Day two covers developing the leader: who you want to be and how you show up. Details and registration at togetherinpractice.ca Work with Cecilia (1:1 business coaching and The Practice CEO Circle) - https://www.ceciliamannella.com Connect with Cecilia on LinkedIn - https://www.linkedin.com/in/cecilia-mannella/ Cecilia Mannella, RSW, RCC is a registered clinical counsellor, 7-figure group practice owner, and business coach for Canadian therapy practice owners. With 25 years in practice and a seven-figure group practice of her own, she created the Sustainable Practice Framework™ to help practice leaders scale with purpose, profit, people, and process intact. Mentioned in this episode: Together in Practice: A Leadership Summit for Therapists Join me and my co-host Stephanie Davis for the first national virtual summit for therapy and wellness practice owners who are serious about the business and leadership of their practice. Two days, October 17 and 18, 2026. All Canadian speakers and live Q&A in every session. Day 1 covers the business of running your practice, for every practice owner. Day 2 goes deep on scaling to group practice and leading a team. Early bird pricing is open now. Register here: https://www.togetherinpractice.ca/

  5. Aug 11

    46 | Therapy Is Leadership: Why the Definition You Inherited Never Fit

    The word leadership is about two hundred years old. The word underneath it — lead — is ancient, and it was never meant to command. It meant to guide. To go before someone. To set them on their way. Which means you have been leading for thousands of hours and calling it something else. Leadership is a word most therapists flinch at. Not from modesty — from inheritance. The version we were handed was written in the 1840s, built around Victorian heroes and a great man at the top, and co-opted along the way. No wonder it feels like a costume. But lead is far older than that, and it belongs to a different family of words entirely. The ruling words — monarchy, hierarchy, patriarchy — are not its relatives. Lead meant to guide, to go before someone, to set them on their journey. Govern, at its root, means to steer a ship: to hold the wheel and read the stars. Which puts a different question in front of you. Not whether you could become a leader. Whether you will recognize the one you already are. What's covered: Why the word leadership is only about two centuries old — and why the word lead is not. The gap between the two is where the confusion lives. The Greek split that explains the discomfort. The guiding words and the ruling words are unrelated families. Lead was never in the ruling one. How Carlyle's 1840s lectures on heroes still shape what a leader is assumed to look like — singular, top-down, commanding, and almost always a man. What changes when the therapeutic hour is treated as the first leadership room rather than as the thing that happens before leadership starts. Why leadership is not about being nice or being liked. Saying the hard thing is the work, in the clinical room and in the business. Why refusing the word has a cost. Leaders take up space; declining the title is one way of making yourself smaller. Timestamps 00:00 — A four-part series, and why leadership provokes such strong reactions 02:24 — Words create reality: why the definition is the thing worth arguing about 03:47 — The word leadership is only about two hundred years old 04:40 — The Old English root: to guide, to go before, to cause someone to come with you 06:07 — Lodestar, and the journey buried in the word 06:31 — The Greek split: guiding words and ruling words 07:29 — Govern means to steer a ship — holding the wheel and reading the stars 08:29 — If the word never fit you, the definition was the problem 09:25 — Leadership in solo and associate practice, not only group practice 10:52 — Being a leader is not about being nice, or liked 12:16 — How the guide transfers from the therapy room into the business 13:14 — Leadership as identity and legacy rather than a task 15:08 — Carlyle, the Victorian heroes, and the water we still swim in 16:51 — Performing leadership versus embodying it 19:00 — Going first, not getting it right 20:37 — Leaders take up space 22:06 — Where are you already leading, and what have you been calling it? Together in Practice is a therapist leadership summit, co-hosted by Cecilia. Day one covers leading your practice — the business side. Day two covers developing the leader: who you want to be, and how you show up. Details and registration at togetherinpractice.ca The Practice Growth Edit is Cecilia's Thursday newsletter for practice leaders. Sign up at ceciliamannella.com Mentioned in this episode: Together in Practice: A Leadership Summit for Therapists Join me and my co-host Stephanie Davis for the first national virtual summit for therapy and wellness practice owners who are serious about the business and leadership of their practice. Two days, October 17 and 18, 2026. All Canadian speakers and live Q&A in every session. Day 1 covers the business of running your practice, for every practice owner. Day 2 goes deep on scaling to group practice and leading a team. Early bird pricing is open now. Register here: https://www.togetherinpractice.ca/

  6. Aug 4

    45 | Growing Revenue Will Not Fix a Leaky Practice with Emily McNamara

    Emily McNamara left a corporate finance career to build her own bookkeeping firm, then her world fell apart during a move overseas and a therapist put it back together. She rebuilt her entire business around one commitment: helping the people who help people get profitable. In this conversation, she names the number most practice owners get wrong from day one. Your billable rate is not your income, and for a solo practitioner the real figure lands closer to half. What follows is her five-step path from tracking to planning, and the case for fixing the leaks in your practice before you chase more revenue. Emily McNamara is the founder of Focal Point Bookkeepers, a bookkeeping and financial advisory firm serving therapists and helping professionals. Formally trained in finance and entrepreneurship, she worked as a corporate performance analyst before starting her firm and niched to therapists after her own experience in therapy changed her life. Her team pairs accurate books with advisory work that connects the numbers to the life the owner is building. She shares: Why your billable rate is not your income, and the rough rule every solo practitioner should brace forHer five steps to financial clarity: track the numbers, set the goals, find the gaps, make the plan, review and adjustWhy fixing structural leaks beats growing revenue, including what moving from 15 to 18 percent operating margin returns without a single new clientRevenue, cost of sales, gross profit, and operating margin, defined in practice-owner languageRevenue per employee, the metric that reveals whether growth is real or you are just busierBusiness return: the compensation owners deserve for carrying the risk, beyond a paychequeWhy a $600K practice and a $1M practice are two different businesses, and why margins dip before they climbHow data takes the emotional charge out of money decisions without turning you into a robot Chapters: (00:00) Intro (00:50) From Corporate Finance to Bookkeeping for Therapists (03:59) Money as a Story, Not a Spreadsheet (08:13) The Guilt Theme: Is It Okay to Want More? (09:49) The $150 an Hour Trap (12:07) Step One: Track Your Numbers and Buy Back Your Time (18:16) Steps Two and Three: Goals, Gaps, and Where to Focus (20:41) Fix the Leaks Before You Grow Revenue (23:59) What One Percent More Profit Actually Means (27:54) Revenue, Cost of Sales, and Gross Profit, Defined (30:17) Fixed Costs and Operating Margin (33:40) Revenue Per Employee: The Growth Trap Metric (38:06) Business Return: Getting Paid for the Risk (42:28) Steps Four and Five: The Plan and the Review (43:21) Rewiring the Relationship With Profit (46:24) Emily's Profitability Assessment Follow Emily: Website - https://www.focalpointbookkeepers.com/ Profitability Assessment - https://www.focalpointbookkeepers.com/profitability-assessment LinkedIn - https://www.linkedin.com/in/emily-a-mcnamara/ Purpose & Profit: The Sustainable Therapy Practice Podcast: Work with Cecilia (1:1 business coaching and The Practice CEO Circle) - https://www.ceciliamannella.comSave your seat at Together in Practice, the virtual therapist leadership summit, October 17 to 18 - https://togetherandpractice.caConnect with Cecilia on LinkedIn - https://www.linkedin.com/in/cecilia-mannella/ Cecilia Mannella, RSW, RCC is a registered clinical counsellor, group practice owner, and business coach for Canadian therapy practice owners. With 25 years in practice and a seven-figure group practice of her own, she created the Sustainable Practice Framework™ to help practice leaders scale with purpose, profit, people, and process intact. Mentioned in this episode: Together in Practice: A Leadership Summit for Therapists Join me and my co-host Stephanie Davis for the first national virtual summit for therapy and wellness practice owners who are serious about the business and leadership of their practice. Two days, October 17 and 18, 2026. All Canadian speakers and live Q&A in every session. Day 1 covers the business of running your practice, for every practice owner. Day 2 goes deep on scaling to group practice and leading a team. Early bird pricing is open now. Register here: https://www.togetherinpractice.ca/

  7. Jul 28

    44 | Visibility Is Cheap. Trust Is the Asset Nobody Can Copy

    Cecilia set aside twelve hundred dollars to find out whether a printed magazine could build trust that her website couldn't. The number that mattered was never the return — it was that she was willing to lose all of it. Every marketing dollar is supposed to report back with a return attached. A trust asset refuses, and it breaks that math on purpose — because it outlives the ad you'd have bought instead. This is a printed mental health magazine: $1,200, 350 copies, a 12% discount from a local printer in exchange for a logo on the back, and a distribution route around the city in a single day. The numbers are all here. So is the part underneath them — what you'd be willing to lose to test an idea you've been circling for six months, and what your answer says about your leadership rather than your cash position. Not a prescription. A principle: visibility is cheap. Trust is the expensive part, and clients can tell the difference. What's covered: Why a trust asset breaks return-on-investment attribution, and why that is the point rather than the flawWhat twelve hundred dollars actually bought — 350 copies, a 12% printer discount, and a production timeline that went from two and a half months to four weeksHow print became a bridge back to digital: QR codes routing readers to the specific therapist who wrote the articleWhy digital is easy to fake and print is not — follow-through is the part that can't be counterfeitedWhat the experiment budget reveals: if the amount you'd be okay losing is zero, that is a finding about your leadership, not your financesWhy associates volunteered for marketing they usually avoid, once being featured started conferring status Timestamps: 00:01 The idea that sat for six months before she said it out loud 02:22 Not a prescription — building trust that sits outside an algorithm 04:34 Why print came back, and what digital can't replace 07:00 Looking for the return on investment, and the internal dialogue arguing against it 08:55 What if it works? The trust asset that breaks the attribution math 11:16 How the magazine actually gets made 13:39 Repurposing existing blog content, and the QR code bridge to digital 16:00 The printer relationship, and production time shrinking with each round 18:22 The real numbers: twelve hundred dollars, a 12% discount, 350 copies 20:40 Distribution — the route, the postcard, and measuring trust rather than reach 23:04 What came back: clients stopped scrolling and started reading 25:20 The part she didn't anticipate — a team asking to be featured 27:42 Scaling to quarterly and thematic editions 30:05 Visibility is cheap. Trust is expensive. 32:11 What would you be okay losing? 33:29 The only asset your competitors can't copy “You know your community better than any algorithm does. That knowledge is sitting in your practice unused. And it's the only asset your competitors can't copy.” Connect with Cecilia: Work with Cecilia (1:1 business coaching and The Practice CEO Circle) - https://www.ceciliamannella.comSave your seat at Together in Practice, the virtual therapist leadership summit, October 17 to 18 - https://togetherandpractice.caConnect with Cecilia on LinkedIn - https://www.linkedin.com/in/cecilia-mannella/ Cecilia Mannella, RSW, RCC is a registered clinical counsellor, group practice owner, and business coach for Canadian therapy practice owners. With 25 years in practice and a seven-figure group practice of her own, she created the Sustainable Practice Framework™ to help practice leaders scale with purpose, profit, people, and process intact. Mentioned in this episode: Together in Practice: A Leadership Summit for Therapists Join me and my co-host Stephanie Davis for the first national virtual summit for therapy and wellness practice owners who are serious about the business and leadership of their practice. Two days, October 17 and 18, 2026. All Canadian speakers and live Q&A in every session. Day 1 covers the business of running your practice, for every practice owner. Day 2 goes deep on scaling to group practice and leading a team. Early bird pricing is open now. Register here: https://www.togetherinpractice.ca/

  8. Jul 21

    43 | You Were Trained to Run a Practice That No Longer Exists

    Somewhere right now, a woman is sitting in a school parking lot typing into ChatGPT: "I think I need a therapist. I live in Vancouver. I have anxiety. Who should I see?" The machine gives her one answer. Not ten listings, not three pages of profiles. One. Is your practice that answer? And if it is, would she even trust it? In this episode, Cecilia names the shift most practice owners have not noticed yet: the front door to your practice has moved, and the business you were trained to run no longer exists. Cecilia shares: Why the referral-network-and-website model that built practices for two decades has quietly stopped being the whole gameThe numbers behind the shift, including 230 million weekly health and wellness questions asked of ChatGPT and AI overviews appearing on roughly 88% of healthcare searchesHow AI collapses ten options into one narrative, and what that means for how a client receives youThree assumptions that have died: clients will find you, trust transfers from credentials, and clinical excellence alone builds a practiceWhy this is a filter shift, not a crisis, and what separates the owners who grow from the owners who shrinkThe counterintuitive finding that visibility has gotten easier while trust has gotten harderWhy the smart move is not doubling down on digital, and where the real leverage now sitsThe print strategy behind her group practice's mental health magazine, and why physical formats read as authenticity to a skeptical audienceThe one question to hold against everything you publish: Am I building trust? Chapters: (00:00) The client who is asking AI for help (02:18) Innovators versus owners holding on to the old way (04:19) The front door to your practice has moved (06:37) The old model: referral networks, directories, and the website that converted (08:59) The numbers: what OpenAI and Google data reveal (10:43) Ten options collapsed into one answer (13:09) The business you were trained to run no longer exists (13:45) Assumption one: clients will find you (14:30) Assumption two: trust transfers from credentials (16:15) Assumption three: clinical excellence is enough (17:25) A filter shift, not a crisis (19:44) Visibility got easier. Trust got harder. (21:36) The counterintuitive move: print (22:30) Inside the mental health magazine strategy (24:00) Trust is the asset Work with Cecilia: Business coaching for Canadian therapy practice owners: https://ceciliamannella.com Connect on LinkedIn: https://linkedin.com/in/cecilia-mannella/ Cecilia Mannella is a registered clinical counsellor, group practice owner, and business coach for Canadian therapy practice owners. With 25 years in practice and a seven-figure group practice of her own, she created the Sustainable Practice Framework™ to help practice leaders scale with purpose, profit, people, and process intact. Mentioned in this episode: Together in Practice: A Leadership Summit for Therapists Join me and my co-host Stephanie Davis for the first national virtual summit for therapy and wellness practice owners who are serious about the business and leadership of their practice. Two days, October 17 and 18, 2026. All Canadian speakers and live Q&A in every session. Day 1 covers the business of running your practice, for every practice owner. Day 2 goes deep on scaling to group practice and leading a team. Early bird pricing is open now. Register here: https://www.togetherinpractice.ca/

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Purpose & Profit: The Sustainable Therapy Practice Podcast is for therapists who've built something real and are ready to lead it sustainably. Hosted by Cecilia Mannella, RCC, RSW — mental health practitioner, seven-figure group practice owner, and creator of the Sustainable Practice Framework™ — this podcast explores what it actually takes to build a profitable, sustainable therapy business without shrinking your leadership or losing yourself in the process. Each week, honest conversations about: - Ethical wealth and profit margins you can actually see and understand - Sustainable scaling and leadership evolution - The clinician-to-CEO identity shift — and what it costs to skip it - Team leadership, delegation, and building a practice that runs without you as the single point of failure - Building a practice that serves your clients — and your life Because burnout is not a business model. And purpose without profit isn't sustainable. If you're a therapy practice owner who's tired of being the most advanced person in the room, this is where that changes.

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