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Five years ago, insurance filled your caseload.
It wasn’t ideal—but it worked.
You weren’t thriving, but you were surviving. You told yourself: “One day I’ll do something different.”

That day is here. And the game has changed.

In this urgent episode, Tiffany breaks down why the therapist insurance hustle is collapsing—and what you must do now if you want to protect your time, your income, and your well-being.

In this episode, Tiffany reveals:

• Why your caseload isn’t refilling like it used to—even if you’re on every panel;
  
  

• How tech conglomerates are taking over insurance-based referrals and squeezing out solo providers;
  
  

• The truth about reimbursement rate cuts (some slashed by 40%)—and what it means for your future;
  
  

• The illusion of “stability” insurance used to offer—and why it was always a trap;
  
  

• What it really takes to build a practice rooted in freedom, sustainability, and clinical excellence.
  
  

This is not a drill. The insurance model is crumbling.
You can keep trying to survive inside it—or you can make a different choice.

Email Tiffany at tiffany@leaninmakebank.com with the subject line: “Emancipate.”

She’ll send you your first step toward stepping out of the system that was never built for you.

You don’t have to do it alone.
You just have to decide you’re not staying stuck.

Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator here 👉🏽 https://www.leaninmakebank.com/free

In this episode, we’re speaking with Dr. Anna Dinoto, a neurodivergent psychologist with a decades-long career spanning clinical, forensic, and neurodiverse care—and the courage to break free from outdated industry models.

Anna built a group practice in the early days of ABA therapy, only to realize she was carrying a broken business model that didn’t serve her, her team, or her values.

This episode is a thoughtful, unflinching look at growth, rupture, and repair—and you absolutely won’t want to miss it.

In this episode, Anna shares:

The early industry dynamics that pushed her into group practice (and why it worked… until it didn’t);

How she navigated ethical tensions and staff resentment in a bloated insurance-dependent business;

What she learned from managing employee expectations about money and power;

Why she walked away—and how her new model reflects her values;

The difference between real clinical mastery and martyrdom in leadership.

Resources mentioned:

LIMB Academy

FWF Calculator

Anna’s Website

More about Anna:

Dr. Anna DiNoto is a neurodivergent psychologist with a playful twist! As the owner of Sandbox Therapy Group in Monroe, Washington, she brings over 20 years of expertise in neurodiversity, specializing in evaluations for complex clinical cases with a focus on neurodiverse patients. When she's not creatively collaborating with clients, you can find her running around with her two kids, hitting the gym (or pavement - she LOVES to run!), jamming to new tunes on Spotify, and volunteering in her community.

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

Working two jobs. Seeing 20 clients. Pulling overnights just to make rent.

You’re surviving—but barely.

In this raw and unflinching solo episode, Tiffany offers a love letter—and a wake-up call—for the therapist telling themself: “This is just what I have to do right now.”

The truth? What you’re calling stability is slow-motion self-destruction.

This episode will help you:

• Recognize the false narratives keeping you stuck in burnout;

• Understand how self-sacrifice is passed down—and how to stop the cycle;

• Hear what happened when Vicky finally did the math and realized how badly she'd been undercharging;

• Learn why “it’s not the right time” is just fear in a lab coat.
  
  

If you feel exhausted, stuck, or like you’re the only one—this episode is for you.

Email Tiffany at tiffany@leaninmakebank.com with the subject line: “Ready.”

You’re not alone. We’ll walk the next steps together.

Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator here 👉🏽 https://www.leaninmakebank.com/free

In this episode, we’re speaking with Debbie Nichols, a veteran therapist and mom who finally got honest about the limitations of her “fun money” practice.

After years of using insurance to avoid marketing, and pushing through chronic health issues, Debbie realized something had to give—and it wasn’t going to be her well-being.

Her story is a must-listen for therapists who’ve been told their work is optional, their income is supplemental, or their time doesn’t matter.

In this episode, Debbie shares:

Why she thought starting an online course was the solution to a broken practice (it wasn’t);

The identity shift she had to make to go from “my husband is the provider” to claiming her own power as a breadwinner;

How living with a rare blood cancer helped her stop tolerating a life that didn’t work;

Why her clinical skill skyrocketed after raising fees and getting off panels;

What it meant to finally become the therapist—and mother—she knew she could be.

Resources mentioned:

LIMB Academy

FWF Calculator

Debbie’s Website

Debbie’s Instagram

More about Debbie:

Deborah Nichols is a Licensed Professional Counselor serving clients virtually in Oregon and California. She specializes in perinatal mental health with a sweet spot for anxious mamas. She is working to rebel against the societal norm of “mom guilt”, supporting mothers in parenting from a place of truth rather than fear while embracing the beautiful mess of raising young children.

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

You didn’t sign up to be a friend with a license.

But here you are—bored in session, drained after notes, wondering where the depth went.

In this fierce and refreshing episode, Tiffany takes on the epidemic no one is naming: clinical boredom.

And she tells the truth: your financial choices are wrecking your clinical work.

In this episode, you’ll discover:

• How undercharging sabotages your therapeutic presence;

• What happens to your clients when you’re emotionally checked out;

• Why investing in yourself (yes, financially) transforms the depth of your clinical work;

• The connection between resentment, money, and stagnant sessions;

• How therapists like Vicky and Maggie reclaimed their love for therapy by first facing their fees.
  
  

This is more than a financial shift. It’s a clinical reckoning.

Email Tiffany at tiffany@leaninmakebank.com with the subject line: “Ready.”

Let’s bring your practice—and your therapy—back to life.

Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator here 👉🏽 https://www.leaninmakebank.com/free

In this episode, we’re speaking with Vicky Truong, a trauma and couples therapist who now charges $300/session and specializes in adult children of immigrants.

From full-time legal work to burnout in a group practice to thriving in her own premium-fee private practice—Vicky’s story will challenge everything you think you know about what's possible in this field.

If you’ve ever believed your ideal clients “can’t afford” therapy—or worried about being a good enough therapist to charge premium rates—Vicky is about to flip the script.

In this episode, Vicky shares:

What it looked like to work full-time in the legal field while getting her PhD and pre-licensed therapy hours on nights and weekends;

Why charging $70/session on Open Path almost wrecked her health and clinical confidence;

The moment she realized she was jealous of her clients—and how that became a wake-up call;

Her tender truth about being too tired to show up for her daughter—and the dream that pushed her to change it all;

How she raised her rates to $300/session—and booked two clients at that rate in a single day.

Resources mentioned:

LIMB Academy

FWF Calculator

Vicky's Website

Vicky's Instagram

More about Vicky:

Vicky Truong, LMFT, Ph.D., (she/her) is a certified EMDR and couples therapist for children of immigrants. She helps individuals and couples transform painful patterns into deeper connection and emotional safety and create sustainable change. Her private practice is in the heart of Tustin, CA. With a background in the legal sector, she also helps clients communicate and advocate for themselves more powerfully in the legal system.

Learn more at www.vickytruongtherapy.com.

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

You’re burnt out and underpaid. And that shiny new coaching program or online course feels like freedom.

But in this episode, Tiffany sounds the alarm: if your core business is broken, no second revenue stream will save you.

Learn from Dylan’s $17,000 lesson—and stop before you fall into the same trap.

In this episode, you’ll uncover:

• The three-phase spiral that leaves therapists stuck, broke, and confidence-crushed;

• Why chasing passive income without fixing your practice is emotional escape disguised as entrepreneurship;

• The hidden privilege behind those “overnight success” stories;

• The Core Business Comeback framework—and why it’s your best next move.
  
  

Before you build something new, fix what’s in front of you.

Email Tiffany at tiffany@leaninmakebank.com with the subject line: “Ready.”

Let’s rebuild your practice so you can finally rest.

Ready to set your fee? You choose the dream, we'll do the math. Download our FREE Fun with Fees Calculator here 👉🏽 https://www.leaninmakebank.com/free

In this episode, we’re speaking with Dylan Spradlin, a synergetic play therapist and LIMB grad who was determined to leave burnout and low pay behind—before they were even fully licensed.

Dylan’s journey takes us through group practice exploitation, fee fears, and a bumpy transition to private pay that ultimately paid off.

If you’re a newer therapist or a play therapist wondering if premium fees are even possible—this episode will show you exactly how it’s done.

In this episode, Dylan shares:

What it was like to see 26–29 clients a week—with eight minutes between sessions—and why they couldn’t stay;

How they transitioned out of a toxic group practice just seven months in;

The fee experiment they ran with sliding scale and the emotional rollercoaster that followed;

Why they signed up for LIMB before they were licensed—and how it changed everything;

How they finally started earning beyond $3K/month (for the first time in their life).

Resources mentioned:

LIMB Academy

FWF Calculator

Dylan’s Website

Dylan’s Instagram

More about Dylan:

Dylan Spradlin holds master’s degrees in Clinical Psychology and Clinical Social Work, specializing in prenatal and perinatal psychology, trauma and play therapy. Based in Missoula, Montana, they work with infants, teens, families, and parents healing from their own childhood experiences. Dylan is certified in Synergetic Play Therapy and NARM, integrating relational neuroscience, deep attunement, authenticity, somatics, and attachment theory to support powerful transformation.