Private Practice Year Two: What Actually Changes

There is a real shift in private practice that catches people off guard: the move from building your practice to running it. Somewhere around the end of year one or the start of year two, the practice starts to run itself. The energy changes, and new questions come up. In this episode I walk through what actually changes when a practice moves into the running phase: - How to recognize the signs that you've made the transition - The decisions this phase brings up: when to raise your fee, when to drop an insurance panel, when to hire help - Why systems become non-negotiable in year two, and why your own energy will not be enough on its own - The deeper questions about what kind of practice you actually want to build If you're in the disorienting middle of this shift, this episode will help you name what you're feeling and move and through it with intention. If you're still in the building phase, take it as a preview of what's coming and a nudge to think long-term. For clinicians who want to lay the right foundation from day one, craftyourpractice.com/start has free resources and an invitation to the Private Practice Foundations program. An honest look at the mid-stage transition most clinicians go through alone, with a clearer roadmap for the part that comes next.