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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with a decades-long career spanning clinical, forensic, and neurodiverse care—and the courage to break free from outdated industry models.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.