The Exit Plan Every Therapist Should Have (But Most Don’t) | Carla Titus | TPOT 410
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 12/01/2025
The Practice of Therapy Podcast with Gordon Brewer
Welcome back to the Practice of Therapy Podcast! I’m Gordon Brewer, and I am so glad you’re here today because we’re diving into a topic that every private practice owner needs to be thinking about—whether you’re brand new or decades into the work. I’m thrilled to welcome back my friend and financial powerhouse, Carla Titus. Every time Carla joins us, she brings clarity, strategy, and a whole lot of honesty about what it really takes to run a profitable, sustainable practice. And today, we’re talking about something most of us don’t think about until we’re exhausted, burned...
info_outlineThe Practice of Therapy Podcast with Gordon Brewer
Today’s episode is one I’ve been looking forward to for a long time. We’re diving into a topic that doesn’t get talked about nearly enough in our field—men’s mental health—and why so many traditional therapy approaches miss the mark when it comes to helping men heal. My guest is Marc Azoulay, LPC, LAC, CGP, ACS—the founder of Men’s Therapy Online and host of The Men’s Therapy Podcast. Marc brings a powerful blend of psychoanalysis, neuroscience, and Buddhism to his work, and he’s built an incredible community that helps men get real, get connected, and get results. In...
info_outlineThe Practice of Therapy Podcast with Gordon Brewer
In today’s episode, I am sitting down with Darshana Avila for a truly fascinating and important conversation about the intersection of sexuality, somatic work, and trauma healing. As therapists, we often talk about the mind and body connection, but many of us shy away from exploring how that connection relates to our clients’ sexuality, intimacy, and sense of pleasure. Darshana brings a deeply trauma-informed and culturally sensitive approach to this work, helping clients reconnect with their bodies, navigate consent, and move beyond shame into embodied wholeness. In our discussion,...
info_outlineThe Practice of Therapy Podcast with Gordon Brewer
Well, y’all are in for a treat today. My guest, Dr. Jason Branch, brings some serious fire and fresh perspective to this conversation. He’s been in the counseling world for over two decades, as a clinician, educator, and entrepreneur, and what I love most about him is how real he gets about the struggles we all face in private practice: imposter syndrome, perfectionism, and finding the courage to just keep showing up. Jason has an incredible way of using analogies that stick: salamanders, gators, and what he calls being D.U.N. - doing things that are different, uncomfortable, and new....
info_outlineThe Practice of Therapy Podcast with Gordon Brewer
When I first connected with Wendy Pitts Reeves, I knew she was someone who truly gets it — the ups, downs, and constant balancing act of running a private practice. In this episode, Wendy joins me to share her powerful framework, The Seven Pillars of a Thriving Private Practice, and it’s one you’ll want to take notes on. Wendy has spent decades building her own successful practice in Tennessee and now helps other therapists do the same through her coaching and podcast, Ideal Practice. In our conversation, we dive into what it takes to build a business that’s not just profitable, but...
info_outlineThe Practice of Therapy Podcast with Gordon Brewer
Today’s episode is one I’ve really been looking forward to because we’re diving into something that’s transforming the way we think about mental health treatment: low-dose ketamine therapy. My guest, Dr. Sharon Niv, is the co-founder of Joyous, a public benefit company helping make this kind of care more accessible and affordable than ever before. Sharon brings a fascinating background in cognitive psychology, meditation, and technology, and she’s helping bridge the gap between neuroscience and therapy in a way that’s incredibly gentle, safe, and empowering for both clients...
info_outlineThe Practice of Therapy Podcast with Gordon Brewer
I’m so glad to welcome Julie Herres back to the podcast! Julie is the founder of GreenOak Accounting, the host of the Therapy for Your Money Podcast, and the author of Profit First for Therapists. This time, she’s joining me to talk about her brand-new Profit First for Therapists Workbook — a hands-on companion to her original book that helps you actually implement the Profit First system in your practice. In this episode, we dig into what it really takes to build a financially sustainable practice. Julie explains how she helps therapists move from confusion to clarity by using simple...
info_outlineThe Practice of Therapy Podcast with Gordon Brewer
What if private practice wasn’t the end goal but the launchpad? In this episode, Gordon talks with Carly Hill, LCSW, business strategist and host of The Thriving Therapreneur Podcast, about how therapists can outgrow the office by adding coaching, creating digital offers, and building freedom-based businesses. Carly shares her journey from burnout to building a seven-figure coaching brand and breaks down exactly how clinicians can protect their license while expanding beyond therapy. You’ll learn the key differences between therapy and coaching, how to ethically separate your businesses,...
info_outlineThe Practice of Therapy Podcast with Gordon Brewer
Ops expert Brie Chrisman (CEO, BosCo) shares how to increase profit in private practice without adding more clients, clinicians, or ad spend—by tightening expenses, streamlining workflows, delegating $20 tasks, and optimizing client onboarding. In this episode, you’ll learn: Why “profit = revenue − expenses” (and why most owners only push the revenue side) How to reclaim 21+ hours/year with simple email templates The $20 vs. $200 task rule for smarter delegation SOPs that make onboarding, training, and busy-day brain fog easier The #1 lever for growth: client onboarding (lead →...
info_outlineThe Practice of Therapy Podcast with Gordon Brewer
I am thrilled to share this week’s episode with you because it’s not just any guest joining me—it’s my dear friend, Uriah Guilford. Uriah and I have traveled together, dreamed together, and collaborated on countless projects over the years. He’s one of the most creative people I know, and today we’re diving into something that’s changing the way therapists run their practices: AI and the future of intake. If you’ve ever wondered how to save time, stop drowning in admin work, and create a smoother experience for your clients, you do not want to miss this conversation. Uriah...
info_outlineWelcome back to the Practice of Therapy Podcast! I’m Gordon Brewer, and I am so glad you’re here today because we’re diving into a topic that every private practice owner needs to be thinking about—whether you’re brand new or decades into the work.
I’m thrilled to welcome back my friend and financial powerhouse, Carla Titus. Every time Carla joins us, she brings clarity, strategy, and a whole lot of honesty about what it really takes to run a profitable, sustainable practice. And today, we’re talking about something most of us don’t think about until we’re exhausted, burned out, or feeling stuck: your exit plan.
Whether you want to sell someday, scale back, hand things off to a leadership team, or simply make your practice run like a well-oiled machine, this conversation is going to challenge the way you think about ownership, profitability, and long-term planning.
Carla and I dig into what it means to build a practice that’s always exit-ready—not because you’re leaving tomorrow, but because an exit-ready practice is a healthy, thriving, profitable practice today.
This is one of those episodes that will shift your mindset and give you real-world steps to start strengthening your financial foundation. So let’s jump in.
Carla Titus is a finance expert with over 15 years of combined corporate financial planning, analysis, strategy, and online business experience. She provides fractional CFO services and financial consulting to business owners looking to grow their businesses profitably.
Her priorities for her clients are to help them grow profits, have cash in the bank, and pay themselves well so they can build personal wealth.
Resources Mentioned In This Episode
Use the promo code “GORDON” to get 2 months of Therapy Notes free
Profit First for Therapists Workbook
Meet Carla Titus
Carla Titus is a finance expert with over 15 years of combined corporate financial planning, analysis, strategy, and online business experience. She provides fractional CFO services and financial consulting to business owners looking to grow their businesses profitably.
Her priorities for her clients are to help them grow profits, have cash in the bank, and pay themselves well so they can build personal wealth.
Carla on TPOT
Website
Facebook
Instagram
LinkedIn
YouTube
Projections & Forecasting Services