Why Does Building a Practice Feel So Hard Right Now? — with Allison Puryear
Release Date: 01/19/2026
The Money Sessions
Ready to set your fee? You choose the dream, we’ll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free In this episode, Tiffany sits down with the incomparable Allison Puryear, founder of Abundance Practice Building and one of the original voices in the therapist–business space. Allison has been helping therapists build sustainable, ethical, full private practices for over a decade — long before Instagram therapists, “passive income,” or big therapy tech took over the landscape. Allison and Tiffany pull back the curtain on...
info_outlineThe Money Sessions
Ready to set your fee? You choose the dream, we’ll do the math. Download our FREE Fun with Fees Calculator 👉🏽 leaninmakebank.com/free Every therapist wants to know: “Okay, but how long will it actually take for me to get to a Life First Fee?” You want to know how long until you can stop drowning in insurance, stop resenting your caseload, stop working like hell for bread-crumb money… and finally have a practice where you work your ideal number of weekly clients — while earning the income you actually need to live. And Tiffany’s answer is the one therapists don’t want to...
info_outlineThe Money Sessions
Ready to set your fee? You choose the dream, we’ll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free In this episode, Tiffany talks with Sara Rader, LPCC, a maternal mental health and trauma specialist who transformed her practice — and her entire life — in just four months inside LIMB Academy. Sara didn’t hustle. She didn’t add more clients. She didn’t work more hours. Instead, she got brutally honest about her money stories, her faith conditioning, her sliding scale patterns, and the quiet anxiety that had been running her...
info_outlineThe Money Sessions
Ready to set your fee? You choose the dream, we’ll do the math. Download our FREE Fun with Fees Calculator 👉🏽 leaninmakebank.com/free If your marketing stopped working… If your phone stopped ringing… If you’re on insurance panels and still can’t fill your practice… You are not imagining it. And you are not doing anything wrong. The ground has shifted under our industry — and almost no one is telling therapists the truth about what’s actually happening. In this episode, Tiffany names the uncomfortable reality: what worked in 2019–2022 will not save your practice in 2026....
info_outlineThe Money Sessions
Ready to set your fee? You choose the dream, we’ll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free When Emma Summer realized the system was never going to reward her for overgiving, she stopped waiting for permission and built a premium-fee, cash-pay practice on her own terms. Emma shares what it took to confront the fears around leaving agency work, raise her fees, and redefine what “helping people” actually means. In this episode, Emma shares: How she went from burnout to balance by charging her true worth The moment she...
info_outlineThe Money Sessions
Ready to set your fee? You choose the dream, we’ll do the math. Download our FREE Fun with Fees Calculator 👉🏽 You’ve seen the posts. Therapists charging $300, $350, $400 per session—booked out, spacious schedules, fully off insurance—and you’re wondering: “What the hell are they doing that I’m not?” It feels like there’s a secret marketing cabal that no one told you about—some hidden door that only the elite therapists get to walk through. In this episode, Tiffany is pulling back the curtain. She exposes the myth of the “black box” and shows you exactly why your...
info_outlineThe Money Sessions
Ready to set your fee? You choose the dream, we’ll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free In this episode, Tiffany sits down with Amanda Starfield, a Massachusetts-based therapist and former clinical director who walked away from 15 years in agency leadership to build a sustainable, premium-fee private practice. Amanda gets real about the internal war between wanting to serve others and realizing she couldn’t keep doing it from a system built on exploitation. When she left her “secure” job, she didn’t take insurance...
info_outlineThe Money Sessions
Ready to set your fee? You choose the dream, we’ll do the math. Download our FREE Fun with Fees Calculator 👉🏽 You’ve seen the posts. The ads. The “six-figure coach” promises. And you’re thinking: “Is this legit… or am I about to get scammed?” You’re not alone. Every week, Tiffany talks to therapists who are terrified of wasting money on a business program that doesn’t deliver. But here’s the truth: you’re asking the wrong question. In this episode, Tiffany flips the script on how to evaluate whether a business program is worth your investment—and she calls out...
info_outlineThe Money Sessions
Ready to set your fee? You choose the dream, we’ll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free From seeing 24 clients a week on Medi-Cal to working 12-14 hours at $250 per session — Sara Champie’s story is the revolution therapists need to hear. As a primary breadwinner, Sara used to believe she had to grind herself to dust to prove she cared. But when resentment, exhaustion, and rage began to spill into her marriage and motherhood, she realized: staying small wasn’t noble — it was self-betrayal. Through her LIMB journey,...
info_outlineThe Money Sessions
Ready to set your fee? You choose the dream, we’ll do the math. Download our FREE Fun with Fees Calculator 👉🏽 You say you want to make more money. You say you want freedom. You say you want to stop taking insurance and finally charge what you’re worth. But you don’t. You keep yourself broke. In this raw and deeply honest episode, Tiffany unpacks the truth most therapists never want to face: being broke isn’t your problem—it’s your solution. When your bank account is empty, you don’t have to take risks. You don’t have to be visible. You don’t have to disappoint anyone....
info_outlineReady to set your fee? You choose the dream, we’ll do the math.
🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free
In this episode, Tiffany sits down with the incomparable Allison Puryear, founder of Abundance Practice Building and one of the original voices in the therapist–business space. Allison has been helping therapists build sustainable, ethical, full private practices for over a decade — long before Instagram therapists, “passive income,” or big therapy tech took over the landscape.
Allison and Tiffany pull back the curtain on what’s actually happening in the industry right now. If you’ve been wondering:
“Why is filling my practice harder than it used to be?”
“Why am I doing everything ‘right’ but suddenly not getting clients?”
“Is something wrong with ME?”
…this conversation is your antidote.
This episode is part industry truth-telling, part strategy session, and part intimate behind-the-scenes between two long-time colleagues who’ve seen the full arc of private practice — pre-pandemic, boom times, and now.
In this episode, Allison shares:
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The actual timeline of how private practice has changed from 2014 → 2025 (and why it feels harder now)
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Why the pandemic created a false “new normal” for filling practices
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The impact of Big Therapy Tech (VC-backed platforms) on referrals — and why therapists can’t out-market them online
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The real reason therapists feel more discouraged and hopeless today
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How to market effectively in 2025 — even with tech giants owning the SEO game
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The truth about group practice and online courses — and why most therapists skip the step that would make them the most money with the least chaos
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Why self-trust, consistency, and community matter more now than ever
Resources mentioned:
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LIMB Academy
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Fun With Fees Calculator