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EP 201: 1 Year of Scaling Beyond 1-1 Therapy with Carly Costello

The Entrepreneurial Therapist Podcast

Release Date: 11/19/2025

EP 212: How Therapists Can Talk to Clients About Using an AI Note Taker with Dr. Elisabeth Morray show art EP 212: How Therapists Can Talk to Clients About Using an AI Note Taker with Dr. Elisabeth Morray

The Entrepreneurial Therapist Podcast

Are you using or considering using AI note takers in your therapy sessions and wondering how to introduce it ethically, confidently, and without damaging the therapeutic relationship? In today’s episode, I sit down with returning guest Dr. Elisabeth Morray, VP of Clinical at Alma, to unpack what it actually looks like to have real conversations with clients about AI in the therapy room. We talk about informed consent, client autonomy, fear-based reactions to AI, and how to frame this technology as an optional, collaborative experiment rather than a forced change. Dr. Morray shares her...

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EP 211: Retreats, Rant + this Economy for Therapists show art EP 211: Retreats, Rant + this Economy for Therapists

The Entrepreneurial Therapist Podcast

What if “doing well” no longer feels secure because the income that once worked no longer meets your financial needs?   In this episode, I’m sharing what I’m seeing across conversations with therapists right now and what I’m personally experiencing as well. Inflation, debt, cost of living, and long-term goals are forcing many therapists to confront a hard truth: paying the bills isn’t the same as feeling financially safe. Wanting more doesn’t mean you’re ungrateful. It means you’re awake.   We talk about why hitting a new level of financial security requires doing...

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EP 210: How to Add $5K a Month with Additional Revenue Streams show art EP 210: How to Add $5K a Month with Additional Revenue Streams

The Entrepreneurial Therapist Podcast

What would it actually take to add an extra $5,000 a month to your therapy practice without burning out or stacking more one-to-one sessions? In this episode, I dive headfirst into one of my favorite topics: additional revenue streams and how therapists can strategically scale beyond the traditional one-to-one model. I walk you through why relying on a single income stream is risky, how unexpected life events can impact your business, and why building flexibility into your revenue can transform not just your income, but your health, energy, and quality of life. I break down the two most common...

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EP 209: How the Mental Health Field has Changed with Allison Puryear show art EP 209: How the Mental Health Field has Changed with Allison Puryear

The Entrepreneurial Therapist Podcast

Is private practice really “broken,” or is the therapy industry simply evolving faster than we expected? In this episode, I sit down with Allison Puryear for a grounded, honest conversation about the major shifts happening in the therapy industry as we head deeper into 2026. We unpack what is actually behind the slowdown so many therapists are feeling, why what worked from 2020 to 2023 no longer works the same way, and how big therapy tech, virtual care, insurance dynamics, and AI are reshaping access to care. Allison brings decades of perspective to help us zoom out, calm the panic, and...

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EP 208: The Identity You Need to Hit Multi Six Figure This Year  show art EP 208: The Identity You Need to Hit Multi Six Figure This Year

The Entrepreneurial Therapist Podcast

What if the reason you haven’t hit multi-six figures yet has nothing to do with your strategy and everything to do with your identity? In this episode, I’m diving into one of the biggest (and most overlooked) reasons entrepreneurial therapists stay stuck: the identity ceiling they’re unconsciously living under. I’m sharing why you don’t need permission to evolve, why mindset (not marketing) is often the real bottleneck to growth, and how the identity you’re operating from determines what feels “safe” or “possible” in your business. We’ll talk about what it really takes to...

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EP 207: (Replay) The Biggest Needle Movers for SEO Right Now  show art EP 207: (Replay) The Biggest Needle Movers for SEO Right Now

The Entrepreneurial Therapist Podcast

Is SEO still worth your time as a therapist in a world dominated by AI and constant algorithm changes? In this replay of one of our most downloaded episodes of the year, I sit down with SEO expert Chris Morin from Moonraker to break down what actually moves the needle when it comes to getting your private practice website to rank on Google. We talk honestly about whether Google is still relevant, how AI fits into modern SEO (without turning your website into generic fluff), and why content creation is still one of the most powerful and accessible marketing strategies for therapists today. In...

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EP 206:  (Replay) The Best Marketing Tips I Can Give You show art EP 206: (Replay) The Best Marketing Tips I Can Give You

The Entrepreneurial Therapist Podcast

Is the marketing you’re doing right now actually creating long-term freedom or just another version of burnout in disguise?  In this replay of one of the most downloaded episodes of the year, I’m breaking down the best marketing strategies I truly believe in if you value flexibility, rest, and sustainability as much as growth. I walk you through what freedom-based marketing really means, why hustle-heavy strategies eventually backfire, and how to start thinking about your marketing decisions through the lens of your future life. I cover what works best for both practice builders and...

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EP 205: How to Prep your Business for Emergencies with Colleen Watson show art EP 205: How to Prep your Business for Emergencies with Colleen Watson

The Entrepreneurial Therapist Podcast

What would actually happen to your business—and your family—if you suddenly couldn’t work? This question has been sitting heavy on my heart, especially as a single parent, a homeowner, and a business owner who has experienced unexpected seasons of not being able to work in the past. In today’s episode, I’m taking you behind the scenes of the systems, savings, and safety nets I’m putting in place so my business can not only survive but thrive through a crisis. Then, I sit down with legacy consultant Colleen Watson to dive deeper into the legal, financial, and emotional layers of...

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EP 204: The Therapist’s Guide to Planning a Successful + Sustainable 2026 show art EP 204: The Therapist’s Guide to Planning a Successful + Sustainable 2026

The Entrepreneurial Therapist Podcast

What if planning your year could feel motivating, expansive, and actually fun? In this episode, I walk you through exactly how I’m preparing for 2026—mindset, strategy, rhythm, and the behind-the-scenes reality of being a mom, therapist, and entrepreneur all at once. I share the rituals, tools, and questions I use every year to plan intentionally, avoid burnout, and build a business and life that actually feel good. From reviewing revenue to mapping out launches to honoring your real-life capacity, this is the episode that will flip planning on its head and make you excited for what's...

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EP 203: How to Scale Your Practice When Life Sucks  show art EP 203: How to Scale Your Practice When Life Sucks

The Entrepreneurial Therapist Podcast

What do you do when life feels impossible… but your business still needs you? In this episode, I’m getting honest about something most people never talk about publicly: how to scale your practice when life absolutely sucks. I’m sharing the real mindset shifts, identity work, and business decisions that have helped me keep going—even in seasons where motivation disappears, personal life feels chaotic, and showing up online feels inauthentic. If you’ve ever felt like you’re putting on a mask just to keep your practice running, this conversation will feel like a deep exhale. Together,...

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More Episodes

How do you scale your impact as a therapist without sacrificing motherhood, alignment, or joy? In this episode, I’m sitting down with Carly Costello — known as EMDR with Carly — to go behind the scenes of how she built multiple revenue streams while staying committed to her values as a mother. We dig into her journey of growing a thriving insurance-based group practice in West Virginia, expanding into EMDR consultation online, and building a niche Instagram audience that deeply trusts her expertise. We talk about the mindset shifts that helped her go from full time solo therapist to a CEO with five therapists on her team and a global reach through her consulting offers.

We also explore how she strategically uses Instagram — not for viral fame, but for genuine connection — and how networking, simple visibility, and slow growth led her to sell out her first EMDR consultation cohorts for both therapists seeking certification and consultants-in-training. Carly gets real about expanding her vision while expanding her family (yes, she bought her office building while having a newborn!), navigating mom guilt, and trusting that building the business now will create more freedom for her daughter later. 

Topics Covered in this Episode:

  • 2:09 - How Carly built multiple revenue streams including a thriving group practice + EMDR consultation online

  • 4:36 - The mindset and accountability shifts that made major growth possible

  • 7:22 - Growing pains & boundaries when suddenly doubling your staff

  • 18:47 - Scaling while having a newborn + buying her office building (yes, at the same time)

  • 20:42 - The support + structure that keeps big goals moving even when life gets full

If you’ve been dreaming of diversifying your practice or reaching beyond your state lines, this episode will show you what’s possible and what it really looks like behind the scenes. Tune in now, get inspired, and walk away with ideas you can start applying today.

 

Resources Mentioned:

Find out more about Alma here: helloalma.com/danielle

Take 50% off your first 4 months of Simple Practice + a 7 day free trial using the link: simplepractice.com/danielle

Apply for our New Year Scale Up Mastermind: https://www.theentrepreneurialtherapist.com/scale-up-mastermind

View Carly’s Website: www.emdrwithcarly.com

Connect with Carly on IG: https://www.instagram.com/emdrwithcarly