PODCAST · business
Culture Focused Practice
by Tara Vossenkemper, PhD
The Culture Focused Practice is where business and humanity collide. Hosted by Dr. Tara Vossenkemper (group practice owner and consultant), this podcast dives deep into how practice culture drives business success. Learn actionable strategies to shape a thriving team, implement and use the Entrepreneurial Operating System (EOS), and tackle the tough leadership decisions that come with growing your group practice. Whether you’re scaling up or streamlining, this show offers real-world insights to help you build a people-powered practice that lasts. Join Tara for candid conversations, expert interviews, and no-fluff coaching that puts your culture first.
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The Owner’s Room: Processing What Became Clear After the Conference
What if the thing slowing your business down… isn’t effort, but structure?In this Owner’s Room episode, Dr. Tara Vossenkemper reflects on the clarity that hit after the EOS conference — not because EOS was new, but because something finally clicked about why the practice has been hitting a ceiling despite using the system for years.Tara unpacks the difference between simply reporting numbers and truly owning outcomes, and how leadership accountability had slowly drifted into passive metric updates instead of active problem-solving and ownership. She also realizes the accountability chart itself has been incomplete: a full finance/admin leadership seat never actually existed, which meant too much responsibility quietly routed back to her as visionary.She explores:why the vision may not be big enoughhow rocks have been misassignedwhat happens when visionaries stay stuck in maintenance workthe discomfort of handing over financial visibilityand why stepping fully into a visionary role suddenly feels possibleBecause sometimes the problem isn’t that people aren’t working hard enough.It’s that the business has outgrown the structure holding it together.Timestamps:00:00 Post-Conference Clarity01:39 Owner’s Room Format02:11 Relief and Impatience04:02 Accountability Finally Sharpens11:12 Bigger Vision and Real Momentum14:53 Realizing She Doesn’t Belong in Finance/Admin18:05 Resisting the Urge to Rush the Process19:50 Stepping Into the Visionary Role21:54 Closing Thoughts and Next StepsAnd if this episode had you realizing you’ve become the default owner of everything in your business, send it to another practice owner who might need to hear it — and subscribe for more honest conversations about leadership, ownership, EOS, and building systems that actually support growth.
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92
You Don’t Have a Capacity Problem — You Have an Ownership Problem
What if the thing that feels like a capacity problem… is actually an ownership problem?In this episode, Dr. Tara Vossenkemper is reflecting on something that became clear only after she was forced to step back a bit: parts of the business don’t clearly belong to anyone. And when that happens, growth starts to stall.Using marketing as the clearest example, Tara unpacks the difference between execution and ownership. Posting content, reporting numbers, checking boxes — that’s not the same as someone truly owning outcomes. Real ownership means having authority, visibility, accountability, and responsibility for moving the metric.She also names a dynamic many owners know intimately: when nobody clearly owns something, it quietly routes back to the owner. Loose ends, weird numbers, unclear decisions, background anxiety… all roads lead back to you.This episode explores what stepping back can reveal, why “the team owns it” usually means nobody owns it, and how clearer roles create cleaner businesses.Because often the issue isn’t that everyone needs to do more.It’s that the right things need to belong to the right people.Timestamps00:00 Welcome and Why This Matters00:18 Stepping Back Creates Clarity01:21 Capacity vs Ownership Problem02:04 Marketing Feels Like a Fog05:55 Reporting vs Real Ownership07:44 Why Shared Ownership Fails09:08 Owner Becomes Default Integrator11:52 What Feels Off in the Structure16:56 What Real Ownership Looks Like19:06 Escalation and EOS Leadership Flow20:32 Key Takeaways and Wrap22:16 Final Thoughts and ShareAnd if this episode had you realizing you’re carrying things that don’t actually belong to you, send it to another practice owner who needs to hear it — and subscribe for more honest conversations about leadership, structure, and building a business that can actually breathe.
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91
Stop Owning Marketing: Build This Role Instead
In this episode, Dr. Tara Vossenkemper is working through something that’s very alive for her right now:What if inconsistent or unclear marketing in your practice isn’t a strategy problem… but an ownership problem?She walks through what happens when marketing is shared across roles — how responsibility fragments, results become inconsistent, and the owner becomes the default bottleneck.Even if the owner isn’t supposed to be doing the marketing, it still routes back through them — decisions, direction, and accountability — which slows everything down and turns marketing reactive.This episode blends structure with real-time reflection. Tara names what’s currently happening inside her own practice and uses that to walk through the bigger system:where marketing is still shared instead of owned,what breaks when no one owns the numbers,and why activity without accountability doesn’t actually move anything.She also unpacks what changes when a marketing strategist role is in place — not just someone executing tasks, but someone owning the client acquisition pipeline, the metrics, and the outcomes.From there, she connects it back to leadership:what it looks like for the owner to step out of being the bottleneck,and what opens up when that responsibility is fully owned by someone else.Timestamps 00:00 Marketing Ownership Problem 01:23 Shared Marketing Breakdown 03:10 Fragmented Metrics Confusion 04:52 Owner Becomes Bottleneck 08:01 Activity Without Accountability 10:01 Letting Go as Visionary 12:53 What Strategist Owns 16:36 Vendors and Leadership Rhythm 17:40 Role Changes Everything 21:19 Outcome Based Marketing Shift 23:59 Protect and Scale Growth 26:23 Recap and Next StepsYou can download Tara’s Living Practice Framework here:https://www.taravossenkemper.com/living-practice-framework-overviewAnd if you want to keep thinking about your practice this way — not just what to do, but how it’s structured and owned — subscribe so you don’t miss what’s next.
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The Owner's Room: Is This Actually Necessary?
In this Owner’s Room episode, Tara Vossenkemper is thinking out loud about a shift she doesn’t fully understand yet.Not burnout. Not depression.Just a different relationship to energy, work, and what feels worth doing.She names the context — perimenopause, progesterone, sobriety, coming off Adderall — and then moves through a set of real-time questions.What emerges is a clear pull toward depth, nature, and family — and a noticeable absence of work in what feels like a yes.The practice still matters. Deeply.But parts of the day-to-day — payroll, marketing, being pulled back into things that no longer belong to her — feel heavier than they used to.This episode sits in that space: when things are stable, and urgency is no longer driving you.Timestamps00:00 Selectivity Shift02:15 Question One Yes Noise03:08 Noise at Work Boundaries05:55 Question Two Stimulation08:45 Question Three Observe12:25 Question Four No Tolerance13:28 Work Moving Forward15:53 What Matters Heavy17:51 Closing ReflectionsIf this resonates, send it to someone navigating a similar shift.And subscribe so you don’t miss what’s next.
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The V/I Table: An Impromptu Grapple on Delegation, Ownership, and Roles
In this episode, Dr. Tara Vossenkemper and Taylor explore a tension many leaders face: the difference between delegation and true ownership.What begins as an impromptu conversation becomes a deeper look at what it actually takes for accountability to live within a role—and why team members often continue to escalate decisions that should sit with them.Drawing on Tara’s transition of operational ownership to Taylor, they examine how ownership develops over time through trust, communication, and comfort with ambiguity. In contrast, the clinical side of the practice is experienced as more complex and higher-stakes, where breakdowns are less visible and harder to repair.They also explore broader questions around role clarity, the limits of EOS within a relational business, and whether ownership and coachability can be developed—or need to be present from the start.Rather than offering fixed answers, this conversation reflects the ongoing process of building a practice that continues to evolve.Timestamps:00:00 Delegation vs. Ownership01:40 How Operational Ownership Actually Shifted08:51 Ops vs. Clinical: Different Stakes14:03 Can Ownership Be Taught?19:45 Role Clarity and Org Structure22:13 Where EOS Helps—and Where It Doesn’t24:41 Coachability and Leadership Traits31:28 Right Person, Right Seat34:42 Delegation When Roles Are Unclear35:38 Growth Pressure and System Cracks38:12 The Living Practice Feedback Loop40:29 Closing ReflectionsIf this conversation resonated, share it with a colleague or leader navigating similar questions around delegation and ownership—and subscribe for more conversations exploring the realities of building and leading a living practice.
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The Owner’s Room: If I Had to Do This Again
In this Owner’s Room episode, Tara Vossenkemper asks:If I had to build this again… what would I actually choose?Not what worked. Not what looked successful.What she’d say yes to — knowing the cost.She walks through the problems she wants to solve (higher-level, conceptual stuck points) and the ones she doesn’t (ops, logistics, being needed for maintenance). She also names a real-time shift toward wanting more space to think, read, and synthesize — not just do. From there: what she might build without the “practice owner” identity, what no longer feels meaningful, and what she’d redesign upfront — especially around ops, marketing, pay structures, and the difference between growth and actual success.Timestamps00:00 Welcome and Setup01:21 Problems Worth Solving03:45 Energy vs Toleration07:04 Beyond Owner Identity11:59 Meaning That Shifted14:19 Costs and Redesigns16:12 Growth vs Success19:06 Wrap UpIf this episode hit, pass it along to another practice owner and make sure you’re subscribed so you don’t miss the next one.
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Designing a Hiring System (Instead of Trusting Your Gut)
In this episode of the Culture Focus Practice podcast, Dr. Tara Vossenkemper explores why hiring is too high-impact to rely on intuition alone.She explains that your gut can absolutely be useful, but it is only one stream of data. When leaders treat intuition as the hiring strategy, they can end up mistaking familiarity, likability, or confidence for actual alignment with the role and the culture.Tara walks through the core components of a real hiring system: identifying logistical and structural fit early, using a multi-layer assessment process, evaluating skills in action instead of relying too heavily on resumes, and gathering clear team feedback that turns impressions into usable data.She also breaks down how culture is better protected when discernment is distributed across process, data, and trusted team input rather than centralized in one leader’s instinct. From leadership-excluded meet-and-greets to structured feedback and post-interview recommendation surveys, this episode offers a more intentional way to hire with less bias and less regret.Timestamps00:00 Why Gut Isn’t Enough01:08 Gut as Data Point02:22 Familiarity vs Alignment04:57 Hiring Impacts Everyone06:53 Core Hiring System08:05 Logistics and Dealbreakers10:25 Multi Layer Assessment14:14 Skills Over Resumes18:03 Feedback Reveals Fit23:28 Quantify Team Recommendations25:11 Distributed Discernment25:47 Meet and Greet Without Leaders26:52 Skills Tests Beat Charm29:55 Systems Reduce Regret32:38 Takeaways and ClosingIf hiring has started to feel overly subjective, inconsistent, or like something your team just has to “hope goes well,” this episode will help you think more clearly about what a culture-protective hiring process can actually look like.To share your hiring stuck points or submit a scenario Tara can address in a future episode, go to taravossenkemper.com and use the contact form.
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Where Teams Get Stuck with EOS
In this episode of the Culture Focused Practice Podcast, Dr. Tara Vossenkemper explores why EOS can start to feel frustrating, stuck, or ineffective — even when teams believe they’re implementing it correctly.She looks at three common breakdown points: accountability charts that lack clarity, IDS conversations that skip real grappling, and L10 meetings that slowly turn into status updates. When these pieces drift from their intended purpose, EOS stops creating traction and starts creating frustration.Tara explains what tends to go wrong inside each area and how leaders can recalibrate their use of the framework so it actually supports decision-making, ownership, and forward movement.Timestamps00:00 Why EOS Feels Stuck01:12 Accountability Chart Fixes04:01 Person vs Seat Clarity07:44 Use Chart to Decide10:54 IDS Needs Grappling15:22 Dig to Root Cause17:36 Don’t Avoid Tension20:47 L10s Aren’t Status Updates23:14 Scorecard and Issues List24:21 Rocks and To-Dos Done Right28:44 Recap and Next StepsIf EOS has started to feel more frustrating than helpful inside your organization, this episode will help you think about where the process may be breaking down.To get first access to Tara’s next EOS Mastermind, join the list at taravossenkemper.com/eos-mastermind.
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The V/I Table: When Culture Rights Itself Through Turnover
In this episode, Dr. Tara Vossenkemper and Taylor examine a moment that can feel destabilizing for many leaders: clustered resignations.Rather than treating multiple departures as an automatic signal that something is wrong, they explore how turnover can function as a form of organizational clarification. When a culture becomes more defined—through values, expectations, and structure—people often self-select in or out. What can initially feel like instability may actually be the system recalibrating.Throughout the conversation, Tara and Taylor distinguish the emotional experience of panic from what clustered turnover may actually be communicating. They discuss radical accountability in leadership—how exits invite reflection on hiring processes, onboarding, role clarity, and leadership systems—while avoiding reductive narratives about people simply “not being a fit.”Using EOS concepts such as Right People, Right Seats and GWC (Gets it, Wants it, Capacity to do it), they explore how growing practices require seats to evolve over time. Rather than responding with reactive overhauls, leaders are invited to treat their organizations as living systems that refine themselves through iteration.The conversation also looks at informal influence, the tension between autonomy and micromanagement, and how clear structures can strengthen belonging while naturally filtering alignment. When leadership resists fear-based control and instead trusts the system it is building, turnover becomes less about loss and more about the ongoing calibration of a living practice.Timestamps00:00 Turnover as Clarification01:01 Question One: Clustered Exits07:49 Hiring Process Reflection15:09 Dynamic Systems, Not Overhaul17:09 Question Two: Instability vs. Calibration21:08 EOS as Baseline Structure27:13 Question Three: Right People, Right Seats30:31 Seats Evolve, People Change36:42 Question Four: Informal Influence43:53 Belongingness and Filtration48:50 Autonomy Over Micromanaging49:43 Shared Ownership Culture50:23 Avoiding Fear-Based Control53:29 Reflect, Then Make Tweaks55:38 Trust Systems and Team01:02:37 Scenario: Clustered Resignations01:03:30 Self-Selection and Clarity01:07:14 The Liminal Space Before Leaving01:11:45 Due Diligence and Support01:18:25 Takeaways: Clarity Is Healthy01:20:29 Metaphors: Gravity and Shedding01:25:40 Wrap Up and SubscribeStay connected with Tara:If this conversation resonated with you, share the episode with a colleague or leader navigating a similar moment of transition. These kinds of leadership seasons are rarely discussed openly, and conversations like this help bring more clarity to the work of building living systems together.
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The Owner's Room: Designing for Emergence, Not Control
In this Owner’s Room episode, Dr. Tara Vossenkemper explores what happens when EOS meets complexity theory.Through five questions and a scenario, she examines the difference between building for control versus building for emergence, how feedback loops actually operate inside leadership teams, and why traction is about predictability and adaptability. She also unpacks what vision means inside a constantly evolving system, and why unintended consequences aren’t a failure of structure, but a feature of growth.In the scenario, Tara addresses a common surprise: after implementing EOS, the organization can feel more dynamic, not less. Tensions surface faster. Cultural friction becomes visible. Her argument? EOS didn’t create instability. It created the conditions for emergence — and the solution isn’t to clamp it down, but to lean back into the structure and solve for root causes.Timestamps00:00 Introduction01:46 Building for control vs emergence08:45 How feedback loops operate in leadership15:27 Is traction predictability or adaptability?18:10 Vision inside an evolving system22:34 Unintended consequences in well-structured orgs27:04 Scenario: When EOS makes things feel volatile32:06 Leading inside emergence without clamping it down34:22 Closing reflections + subscribeIf EOS has made your practice feel louder instead of calmer, this episode is for you. Share it with a fellow owner, and join Tara’s email list at taravossenkemper.com to stay in the loop.
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[Encore!] Systems Fatigue: When EOS Stops Feeling Helpful (And What to Do About It)
In this encore episode of the Culture Focused Podcast, Dr. Tara Vossenkemper explores systems fatigue inside EOS and how to distinguish burnout from breakdown:Let’s talk about system fatigue—because yes, even with something as powerful as EOS, there comes a point where it feels heavy, clunky, or downright annoying. In this episode, I dig into what causes that burnout feeling around your systems, especially if you've been implementing EOS and suddenly feel like, “Wait… why is this not working anymore?”We cover how to tell the difference between fatigue and actual failure, what to check first (clarity? leadership? cadence?), and how to course-correct before you throw the whole system out the damn window. From performative meetings to structure that feels more like red tape than support, we’re unpacking the real reasons your practice might feel stuck and how to shift.And yeah—sometimes the answer is slowing down. (I hate it too.)Timestamps00:00 Introduction to Systems Fatigue01:19 Why Systems Fatigue Happens10:00 Diagnosing Systems Fatigue: Clarity, Leadership, and Cadence15:13 What to Do When You're Ready to Give Up on EOS21:12 Final Thoughts and Call to ActionEverything I’m doing runs through my email list. If you want to stay in the loop, you can sign up here:https://www.taravossenkemper.com/work-with-tara
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The Owner’s Room: When There’s Too Much Input to Tell What Matters
In this Owner’s Room episode of the Culture Focus Practice podcast, Dr. Tara Vossenkemper sits with a leadership problem most people don’t name because it doesn’t register as a crisis: information overload that leaves leaders inundated rather than uninformed.This episode isn’t about confusion or burnout. It’s about what happens when constant access, visibility, updates, and context quietly erode a leader’s ability to discern what actually matters. Over time, everything starts to carry the same weight, which means nothing stands out, even when it should.Tara works through six unscripted questions and a scenario to explore the cognitive, emotional, and relational cost of staying “in the know” about everything. She unpacks how awareness gets mistaken for effectiveness, why urgency spreads evenly across decisions, and how oversaturation dulls judgment long before leaders realize what’s happening.This is not a productivity episode. There are no systems, hacks, or optimization tricks here. It’s an honest, reflective look at what leadership starts to feel like when your brain never gets a break from intake, and why decision-making feels heavier even when nothing is technically “wrong.”If you’ve been leading competently while feeling oddly flat, resentful, or tired of being needed, without a clear reason why, this episode is for you.Timestamps00:00 Introduction to information overload in leadership02:05 How excessive input erodes discernment08:58 Identifying destabilizing inputs20:02 The cognitive and emotional cost of constant awareness26:09 Mistaking awareness for effectiveness29:37 What happens when leaders track everything32:37 Scenario: Oversaturation and decision fatigue43:09 Final reflections on clarity and leadership weightIf you’ve never taken a clarity break, this is your nudge. Tara has documented the questions she uses for this process at taravossenkemper.com/clarity-break. Download them, print them out, and step away from everything that connects you to work. No screens. No notifications. Just dedicated time to think, reflect, and reconnect with the bigger picture.
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The Owner's Room: Clawing Your Way Back Up to Baseline
In this Owner’s Room episode, Dr. Tara Vossenkemper explores what it’s like to keep leading when you’re no longer at baseline — when you’re overstimulated, depleted, compressed by responsibility, and there’s no clean way to stop or reset.This isn’t about burnout in the traditional sense, and it’s not a productivity episode. It’s an honest, unscripted exploration of what happens when volume and constraint crowd out clarity — and leadership continues anyway.Tara works through six real-time questions and a scenario to name the internal pressure that builds when there’s no obvious path forward, no release valve, and no immediate lever to pull. Along the way, she reflects on agitation, maintenance work, overstimulation, and the slow, messy process of figuring out what actually needs to give.If you’ve been leading competently while quietly wondering how much longer your system can hold this — this episode is for you.Timestamps:00:00 Introduction to Leading Without Baseline01:05 Exploring Leadership Under Sustained Pressure01:50 Leading When There’s No Capacity to Move Forward05:13 Recognizing Volume and Constraint08:17 Where Agitation Shows Up in Daily Leadership11:48 Internal Pressure Without a Release Valve14:58 Clawing Your Way Back Without a Clear Path20:27 How Overstimulation Affects Decisions and Tolerance25:19 Scenario: Carrying Pressure While Searching for an Exit37:19 Final Thoughts on Capacity and SustainabilityEverything I’m doing runs through my email list. If you want to stay in the loop, you can sign up here:https://www.taravossenkemper.com/work-with-tara
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V/I Table: Leading When the Vision is in Flux
In this episode, Tara and Taylor sit inside a stretch of leadership that almost no one prepares you for: when the old vision no longer fits, but the new one hasn’t fully taken shape yet. Decisions still need to be made. People still need leadership. And the business doesn’t pause just because clarity is still forming.They explore how this season shows up differently in the Visionary seat versus the Integrator seat, why uncertainty can feel unmooring (or activating, depending on your role), and what actually helps teams stay grounded when things look “in flux” from the outside. The conversation weaves together structure, trust, values, and the often-messy reality of building something alive rather than rigid.Using real examples and a live scenario, Tara and Taylor unpack how leaders can hold responsibility without rushing resolution—and why meandering with intention is not the same thing as stagnation.Timestamps00:00 Introduction to Leadership Challenges00:48 Navigating Visionary and Integrator Roles03:17 The Flux of Vision and Personal Growth12:45 The Importance of Values and Purpose17:04 Internal Pressure and Decision Making34:36 Misinterpretations and Trust in Leadership45:38 Embracing the Meandering Process46:44 The Importance of Play and Practice48:16 Trust and Flexibility in Business50:46 Addressing Indecisiveness and Alignment55:07 Navigating Uncertainty with Leadership01:00:07 The Role of Vision and Trust01:06:32 Scenario Discussion: Leadership and VisionStay in tune with Tara here!
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The Owner's Room: When You Trust Yourself Enough to Be Quiet
In this Owner’s Room episode, Dr. Tara Vossenkemper is talking about a weird (and honestly relieving) leadership shift: when the noise inside you gets quiet. Not because you’ve checked out — but because you’ve finally settled. The decision is already made internally, so you stop doing the whole “pre-explaining/pre-justifying/pre-narrating” thing to your team like you’re presenting a legal defense.Tara walks through what self-trust actually feels like in the body (not just in your head), why some leaders feel compelled to explain themselves to death, and what it costs to keep translating yourself so other people stay comfortable. She also digs into the discomfort of letting people have their own interpretations — and what changes when you stop managing reactions in advance while still staying values-led and transparent.If you’ve been feeling that quiet steadiness in yourself and also wondering, “cool, but do I owe everyone a 12-slide explanation?” …this one’s for you.Timestamps00:00 Introduction to Quiet Leadership01:04 Exploring the Owner's Room01:42 Trusting Yourself: Brain and Gut Alignment06:00 Explaining Yourself to Others17:11 The Cost of Translating Yourself22:25 Handling Others' Interpretations24:29 Understanding Misinterpretations25:56 Dealing with Discomfort28:20 Leadership Without Managing Reactions35:17 Scenario: Leadership Shift45:46 Final Thoughts and FarewellEverything Tara is doing runs through her email list. Link is here if you want to stay in the loop!
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The Owner's Room: When the Old Vision Stops Working
There’s a strange, quiet moment in leadership that doesn’t get talked about nearly enough.It’s the moment when the vision that once gave you momentum… just stops organizing you.In this Owner’s Room episode of the Culture Focused Practice podcast, I answer unscripted leadership questions about what happens when a vision loses its pull — not because you failed, and not necessarily because the vision was wrong, but because you’ve changed.We explore how to tell the difference between burnout and genuine misalignment, how your body signals when something no longer fits, and why questioning a vision is not the same thing as questioning your competence as a leader. I also talk candidly about the fear of destabilizing your team, the responsibility leaders feel to “know,” and what it actually looks like to lead in the in-between space — when the old vision has dissolved and the next one hasn’t fully formed yet.This episode is for leaders who are still showing up, still leading well, but quietly realizing that the internal organizing principle they’ve relied on is no longer there.Timestamps00:00 Introduction to the Culture Focused Practice Podcast00:32 Understanding Vision Stagnation in Leadership01:17 Question 1: Identifying When a Vision Has Run Its Course10:18 Question 2: Physical Sensations of Misalignment16:02 Question 3: Leadership Identity and Vision Constraints27:35 Question 4: Perceptions of Leaders Without a Clear Vision29:34 The Importance of Vision in Leadership30:33 Navigating Certainty as a Leader31:55 The Dynamic Nature of Leadership Decisions36:00 The Living Practice Framework38:10 Addressing Leadership Challenges42:30 Scenario Analysis: Leadership and Vision53:21 Final Thoughts and Podcast Wrap-UpIf this episode resonated, subscribe to the podcast so you don’t miss future conversations like this — and share it with a leader who might be quietly sitting in this same in-between space and wondering if something is wrong with them.
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The Deep Dive: Ethical Visibility and Real Conversations w/ John Sanders
Marketing is one of those things every practice knows it needs — and almost no one feels confident doing.In this episode, I’m joined by John Sanders from RevKey, a Google Ads specialist who works almost exclusively with mental health practices. Together, we pull apart why marketing feels so murky, emotionally loaded, and ethically fraught for therapists — and why so many practice owners feel like they’re throwing money into a black box and hoping for the best.We talk about the emotional baggage therapists carry around money and visibility, why “doing it yourself” often costs more in the long run, and how marketing is actually made up of multiple distinct professions that too often get lumped together. We also get into ethical boundaries in mental health marketing, what Google actually allows (and doesn’t), and how to think clearly about delegation without spiraling into fear or avoidance.This is not a how-to episode. It’s a how-to-think episode — about clarity, specialization, ethical visibility, and building marketing systems that actually serve both you and your clients.You can also learn more about John and RevKey at http://www.revkey.com/podcasts.Timestamps00:00 Introduction to Marketing and Mental Health00:35 Meet the Guest: John Sanders01:11 The Challenges of Naming a Business02:46 Diving into Marketing Strategies03:48 Emotional Aspects of Marketing for Therapists06:18 Technical Hurdles in Marketing07:09 Common Fears and Misconceptions13:19 The Importance of a Good Website24:14 Ethical Marketing Strategies30:11 Emotional Stories Therapists Carry About Money30:45 Fear and Hesitation in Business Investments36:20 The Importance of Delegation41:08 Questions for Overwhelmed Practice Owners43:49 The Complexity of Marketing for Therapists49:23 Core Focus and Avoiding Distractions56:08 Conclusion and Final ThoughtsBooks Mentioned in This EpisodeThe Culture Code by Daniel Coylehttps://www.amazon.com/Culture-Code-Secrets-Highly-Successful/dp/0804176981Traction by Gino Wickmanhttps://www.amazon.com/Traction-Get-Grip-Your-Business/dp/1936661837The Legendborn Series by Tracy Deonnhttps://www.amazon.com/Legendborn-Tracy-Deonn/dp/1534441606Harry Potter and the Order of the Phoenix by J.K. Rowlinghttps://www.amazon.com/Harry-Potter-Order-Phoenix-Book/dp/0439358078The Five Dysfunctions of a Team by Patrick Lencionihttps://www.amazon.com/Five-Dysfunctions-Team-Leadership-Fable/dp/0787960756Enshittification by Cory Doctorowhttps://www.amazon.com/Enshittification-Cory-Doctorow/dp/1250866842If this conversation helped clarify even one stuck place in your thinking, subscribe to the podcast so you don’t miss future episodes — and share this one with a practice owner who’s quietly overwhelmed by marketing and doesn’t know where to start.
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Why Avoiding Hard Conversations Is Actually About Self-Protection
We talk about avoiding hard conversations like it’s a communication issue.It’s not.Most of the time, avoidance is a self-protection strategy — not from the other person, but from the feelings the conversation brings up in us. And while it might buy short-term relief, it quietly erodes trust, clarity, and leadership credibility over time.In this episode, I break down why avoidance feels safer than honesty, how self-protective patterns show up in leadership, and how to stop the cycle without swinging into blunt-force honesty or emotional shutdown. We talk about softening the truth, waiting too long, over-explaining, and the subtle ways leaders manage other people’s emotions to avoid their own discomfort.More importantly, we get into what grounded leadership actually looks like: starting with inner truth, anchoring conversations in structure, and practicing small, everyday honesty so hard conversations stop feeling like landmines.This is about moving from self-protection to consistent, trusted leadership — not being nice, not being harsh, just being real.Timestamps00:00 Introduction and Podcast Overview01:12 Why Avoidance Feels Safer Than Honesty03:50 The Consequences of Avoidance05:53 Personal Anecdote: The Bandaid Story09:27 Leaders' Fear of Being the Bad Guy12:25 How Self-Protection Shapes Leadership Behavior21:34 Overtalking and Overexplaining21:57 Managing Emotional Reactions24:13 Self-Protection and Avoidance24:53 Breaking the Cycle of Avoidance26:56 Inner Truth and Outer Wording31:41 Grounding in Structure35:08 Practicing Small Forms of Honesty39:56 Final Thoughts and TakeawaysIf this episode hits close to home, subscribe to the podcast so you don’t miss future conversations like this — and send it to the first leader who popped into your head while you were listening.
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V/I Table: The Quiet Labor of Leadership
This episode kicks off a brand new recurring segment on the Culture Focused Practice Podcast: The Visionary–Integrator Table. And we’re starting exactly where leadership actually lives — in the quiet, invisible emotional labor no one warns you about.I’m joined by my integrator, Taylor, for a candid, unscripted conversation about what leadership really asks of you when no one is watching. We talk about the emotional weight leaders carry so their teams don’t have to, the loneliness that comes with responsibility, and how visionary–integrator dynamics hold tension, humanity, and accountability at the same damn time.We unpack the emotional work underneath leadership frameworks like LMA, why emotions are always at the table whether you acknowledge them or not, and how patterns in team emotionality quietly inform decisions long before anything becomes “a problem.” We also get into friendship and power dynamics at work, boundaries in social settings, COVID-era leadership trauma, and why clean systems don’t work unless the emotional landscape is tended to too.This is not a polished leadership highlight reel. It’s an honest look under the hood at how leadership actually functions — emotionally, relationally, and systemically — when it’s done with integrity.Timestamps00:00 Introduction to the Culture Focused Practice Podcast01:07 Introducing the Visionary Integrator Table02:02 The Quiet Labor of Leadership03:42 Navigating Leadership Challenges33:25 Balancing Personal and Professional Relationships37:21 Setting Boundaries in Social Settings38:14 Challenges of Leadership and Friendship39:49 Reflecting on Leadership and COVID-1941:25 The Weight of Responsibility50:16 Emotional Patterns in the Workplace01:00:51 The Emotional Work of Leadership01:14:33 The Impact of Emotions on Data Collection01:14:59 Systems vs. Emotions: A Social Work Perspective01:16:01 Integrating Systemic and Emotional Approaches01:16:47 The Role of Environment in Behavior01:17:54 Balancing Emotions and Structures in Leadership01:19:06 Matriarchal vs. Patriarchal Leadership Approaches01:19:38 Practical Advice for Overwhelmed Leaders01:25:49 The Importance of Emotional Awareness in Leadership01:39:18 Final Reflections and TakeawaysIf leadership has ever felt heavier than you expected — or lonelier — this episode is for you.
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The Owner's Room: When You Feel a Shift Before You Can Name It
This episode dives into a part of leadership most people avoid talking about because it feels too internal, too quiet, too unproductive to name out loud: the winter dormancy period. That long, muted stretch where nothing on the outside is changing, but internally you can feel the ground shifting, the roots thickening, and the old structures sloughing off.I explore what happens to your leadership identity when growth stops being a performance and starts becoming something denser, truer, and far less dramatic than we think transformation should look like. We talk about the strange sensation of sensing something before it has shape, the difference between rest-as-a-strategy and rest-as-a-state, and the relief (and disorientation) that comes from letting old roles, expectations, and ambitions fall away.And in true Owner’s Room fashion, I answer listener questions and unpack a scenario where a practice owner steps into stillness for the first time… only to find that the quiet raises more questions than it answers.If you’re in your own winter right now, or you can feel one coming, this episode will help you name what’s happening beneath the surface.Timestamps00:00 Introduction to Winter Dormancy in Leadership00:56 Exploring the Internal Experience of Leadership02:55 Shifts in Leadership Identity10:47 The Sensation of Forming Ideas15:16 Rest as a State, Not a Strategy19:04 Sloughing Off Old Structures23:12 Leadership Guided by Felt Sense27:31 Changing Internal Pace Without Deadlines31:28 Scenario: Navigating Quiet Seasons40:10 Conclusion and Call to Action
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73
Deep Dive: Visionary and Integrator - How We Actually Work Together (Special Guest: Taylor Yeagle)
This deep-dive episode pulls the curtain all the way back on a relationship most people think they understand but absolutely do not: the visionary–integrator dynamic. I sit down with my integrator, Taylor—one of my favorite humans and also the person who makes sure my ideas don’t spontaneously combust—and we have an unfiltered conversation about what really happens behind the scenes.We talk about the messy middle of leadership, the emotional transparency required to make big decisions, the friction that actually makes things work, and the real-life process of evolving into aligned roles. There’s no glossy “best practices” list here. It’s just two people who run a company together, telling the truth about how the sausage gets made.We cover identity, delegation, trust, resentment, bottlenecks, clear roles, protecting your time, and how many times I should stop putting things on my own damn to-do list.Timestamps00:00 Introduction to Visionary and Integrator Dynamics01:34 Meet Taylor: The Integrator02:34 Taylor's Journey and Role Evolution04:32 Challenges and Growth in the Visionary–Integrator Relationship05:19 Navigating Workplace Dynamics and Emotional Transparency11:13 The Importance of Intentionality and Conflict in Leadership35:09 Personal Reflections on Communication36:18 Navigating Professional Roles and Responsibilities37:52 Challenges in Delegation and Trust41:09 Defining Leadership Roles42:31 Visionary vs. Integrator: A Dynamic Relationship55:41 The Importance of Regular Meetings01:06:34 Practical Tips for Visionaries and Integrators01:11:34 Understanding To-Do Lists and Small Projects01:12:09 Dealing with Burnout and Resentment01:12:50 Prioritizing Tasks and Visionary Work01:13:13 Optimizing Your Schedule for Productivity01:14:04 The Importance of Protecting Your Time01:15:19 Visionary and Integrator Dynamics01:16:00 Effective Leadership and Delegation01:19:13 Encouraging Open and Honest Communication01:27:03 Reflections on Leadership Roles01:34:00 Closing Thoughts and Final RemarksIf you're a visionary, integrator, leader, or you’re still trying to figure out which the hell you are—subscribe. These deep dives are basically free leadership therapy.
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72
The Owner's Room: On Winter and (Finally) Embracing Dormancy
Winter isn’t just a season—it’s a leadership cycle, and one most of us try to outrun. In this Owner’s Room episode, I get honest about what it means to stop forcing spring and finally accept dormancy on purpose. Not collapse. Not burnout. Not defeat. Intentional hibernation.We explore the fear of slowing down, the terror of “nothingness,” the pressure to keep producing, and the identities that keep us performing long past the point of resonance. Through six exploratory questions and two grounded scenarios, this episode digs into why winter feels so threatening—and why it might be the most important season for long-term sustainability.Timestamps00:00 Introduction to the Metaphorical Winter01:09 Embracing Dormancy and Purposeful Hibernation02:22 Question 1: Admitting I'm in Winter06:58 Question 2: Overriding Internal Seasons09:32 Question 3: Performing Spring vs. Dormancy13:42 Question 4: Winter as Collapse vs. Winter as a Choice17:56 Question 5: Responsibilities and Identities19:36 Question 6: Producing Out of Obligation24:16 Scenario 1: The Exhausted Practice Owner30:58 Scenario 2: The Overwhelmed Consultant39:24 Conclusion and Final ThoughtsCTA: If you’re navigating your own winter season—or suspect it’s creeping in—subscribe. Owner’s Room episodes drop regularly, and subscribing helps them reach the leaders who need them most.
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71
The Owner's Room: When You're Proud of the Team, But Still Burned Out as the Leader
Leadership fatigue is real—and it doesn’t care that your practice looks damn good on paper. In this Owner’s Room episode, we explore the complicated middle space between pride and depletion, where your team is thriving but you feel empty, overextended, or quietly resentful. Through six reflective questions and one deep-dive scenario, I unpack the emotional, physical, and existential layers of burnout, the tension of “enoughness,” the fear of slowing down, and what healing from leadership fatigue might actually mean.If you’ve ever wondered why arriving doesn’t feel like arriving… this one’s for you.Timestamps:00:00 Introduction: Balancing Leadership and Burnout00:47 Exploring the Owner's Room Concept01:30 Question 1: Reflecting on Business Emotions05:07 Question 2: Understanding Exhaustion12:06 Question 3: Defining Enoughness20:29 Question 4: Fears of Slowing Down23:05 Building Confidence Through Methodical Steps23:47 Addressing Personal and Team Dynamics24:31 The Concept of Dormancy and Personal Reflection27:37 Role Alignment and Externalizing Processes30:36 Healing from Leadership Fatigue33:58 Scenario: Resentment in Leadership42:01 Final Thoughts and ReflectionsCTA: If this episode hits you right in the leadership nervous system, subscribe. New Owner’s Room episodes drop regularly, and staying subscribed helps the people who need these conversations actually find them.
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70
The Owner's Room: When You Notice Your Reputation Doesn't Match Reality
In group practice leadership, you can be doing a hell of a lot right—and still feel wildly misunderstood. In this Owner’s Room episode, I dig into the emotional and practical mess of reputation: what it feels like when your intentions don’t match how people experience you, what to do with criticism that feels unfair, and how to repair without over-explaining yourself into oblivion.We walk through six questions and two real-life scenarios about external perceptions, internal reality, humility, trust, and how to use dissonance as data instead of letting it drag you into shame.Timestamps:00:00 Introduction and Episode Overview01:13 Question 1: Misreading Intentions as a Leader07:53 Question 2: Perception vs. Reality09:23 Question 3: Image Protection vs. Business Leadership10:24 Question 4: Humility in Reputation Repair14:18 Question 5: Turning Dissonance into Data15:52 Question 6: Reestablishing Trust20:57 Scenario 1: Corporate Perception26:17 Scenario 2: Leadership Visibility30:05 Conclusion and Final ThoughtsCTA: If you want more Owner’s Room episodes and honest leadership conversations in your ears on the regular, make sure you subscribe so you don’t miss what drops next.
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69
Your Brand Isn't a Logo - It's the Story Your Practice Actually Lives
Brand ≠ your logo. Brand = the lived story your people and clients tell about you—every email, intake, tone, and repair. In this episode, I make the case that culture is the engine of brand (and why pretty design can’t save a crappy experience). We’ll unpack how internal behavior becomes external reputation and the simple audits to align what you say with what people actually feel when they interact with your practice.You’ll hear about:Why clean design is the wrapper, not the productHow everyday interactions write your brand story in publicThe Living Practice lens: culture as the organism; marketing as the glowA quick self-audit to align inside story with outside perceptionTimestamps:00:00 Introduction to Branding and Culture01:45 Why Branding Isn't About Design05:07 How Your Culture is Your Brand08:00 Aligning Your Story Inside and Out10:39 Conclusion and Final ThoughtsCTA: Want more episodes like this without hunting for them? Subscribe so you get new drops automatically—then share with the practice leaders who need it.
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68
The Owner's Room: When Your Team Sees You More Clearly Than You See Yourself
If you’ve ever thought, “My team sees me more clearly than I see myself,” welcome to The Owner’s Room—where we stop pretending and actually look. This episode is exploratory on purpose: real-time answers to five uncomfortable leadership questions plus two scenarios that hit nerves (inconsistency and burnout). Expect candor, not polish; usefulness, not theory.You’ll hear aboutPerception vs. intention (and what to do when they don’t match)Asking for truth over validation—then surviving itHow to accept painful feedback without losing authorityTactical moves for inconsistent comms and real-life burnoutTimestamps:00:00 Introduction to the Culture Focused Practice Podcast00:14 The Owner's Room: An Exploratory Episode00:45 Understanding Team Perception01:25 Five Questions: Diving Deep into Leadership01:28 Question 1: Team's Perception vs. Intention05:28 Question 2: Stories Leaders Tell Themselves10:23 Question 3: Gratitude for Painful Feedback12:32 Question 4: Craving Validation vs. Seeking Truth14:47 Question 5: Defensiveness and Resistance18:13 Bonus Question: Letting Your Team Be Right19:51 Scenarios: Real-Life Leadership Challenges20:01 Scenario 1: Inconsistent Communication Style23:39 Scenario 2: Addressing Burnout and Morale28:53 Conclusion and Final ThoughtsCTA: Want peers and structure while you evolve (without the performative leadership nonsense)? Join Inside the Living Practice—monthly live Q&A + trainings with me, a tight-knit community, and only-the-useful resources: http://www.taravossenkemper.com/the-membership
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67
Accountability ≠ Assholery - How to Address the Problem Without Wrecking the Person
If your “accountability” strategy is thinly veiled public shaming, congratulations—you’re not building culture, you’re building silence. In this episode, I break down how to call people on their bullshit without being a dick about it. We dig into why shame backfires, what accountability actually is, and how to hold a line with clarity, curiosity, and respect. Fewer hot seats. More alignment. Better results.You’ll hear about:Why shame triggers hiding, defensiveness, and retaliation (aka: zero learning)Accountability as a feedback loop, not a punishment ritualScripts and moves for realignment: clarity → curiosity → next stepDignity over dominance: holding standards and the humanTimestamps:00:00 Introduction and Podcast Welcome01:37 The Problem with Shame in Accountability07:00 Understanding True Accountability12:24 Holding Standards with Respect17:56 Conclusion and Final ThoughtsCTA: Want a practice where accountability feels normal, not nuclear? Join Inside the Living Practice—monthly live Q&A + trainings with me, a tight-knit community, and only-the-useful resources: http://www.taravossenkemper.com/the-membership
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66
The Owner's Room: When You Start to Question If You're Still the Right Person for the Role
When your practice outgrows the old version of you, it’s equal parts thrilling and nauseating. In this Owner’s Room episode, I sit in that tension—identity vs. evolution, connection vs. necessary detachment—and walk through five un-prepped questions and two painfully common scenarios leaders hit as their businesses scale. This one’s honest, messy, and useful on purpose.Timestamps00:00 Introduction and Episode Overview00:21 The Owner's Room Concept01:25 Question 1: Shifting Roles06:37 Question 2: Resisting Growth11:32 Question 3: Leading the Current Business13:02 Question 4: Fear of Replacement16:36 Question 5: Gratitude and Grief19:13 Scenario 1: Feeling Detached23:26 Scenario 2: Business Growth Discomfort28:47 Conclusion and Membership InvitationCTA:Want a real-deal space to process this stuff with peers (and me), get monthly live Q&A + trainings, and grab only-the-useful resources? Join Inside the Living Practice → http://www.taravossenkemper.com/the-membership
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65
The Myth of the "Natural Leader" - Why Good Leaders Are Made, Not Born
In this episode of The Culture Focused Practice Podcast, Dr. Tara Vossenkemper calls BS on the idea of the “natural-born leader.” Leadership isn’t something you have — it’s something you build. Through failure, feedback, and that elusive beast called self-awareness, leaders are made, not born.Tara breaks down the myth of the charismatic “natural,” digs into the actual skills that define quality leadership (emotional regulation, communication, and accountability), and makes the case that self-awareness is your real superpower.If you’ve ever wondered whether you’re “cut out” for leadership — this episode will reframe that entirely. You don’t need to be perfect; you just need to practice.Timestamps00:00 Introduction to Leadership Myths01:49 The Natural Leader Myth03:32 Key Traits of Quality Leadership07:53 Leadership is Learned, Not Innate14:55 Growing into Your Unique Leadership Style19:47 Conclusion and Final ThoughtsCTA:Ready to evolve your leadership and build structure that actually supports you (and your team)? Get first dibs access to the next EOS Mastermind at www.taravossenkemper.com/eos-mastermind.
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The Owner's Room: When Systems Start Running You
In this Owner’s Room episode of the Culture Focused Practice podcast, I’m walking through something a little different: that feeling of being trapped by the very systems that are supposed to set you free. (👀 IYKYK.)This is a real-time, unscripted exploration where I’m asking myself — and you — the hard stuff. Things like:Am I actually free in my own business?Am I clinging to systems too tightly?Where the hell did my spontaneity go?Across six questions and two real-life scenarios, I dig into the very real tension between structure and soul. I talk EOS (yes), rigidity (yep), creative suppression (ugh), and how to course-correct when your well-oiled machine starts feeling like a cage.This one’s a grounded, reflective traipse through what happens when leadership growth meets system fatigue — and how to recalibrate without burning it all down.Timestamps00:00 Introduction and Episode Overview 00:31 The Owner's Room: Feeling Trapped by Your Own System 01:45 Question 1: Do I Still Feel Free Inside My Own Business? 04:49 Question 2: Following the System Too Tightly 07:38 Question 3: Losing Spontaneity and Creativity 11:31 Question 4: Tension Between Organization and Authenticity 17:07 Question 5: EOS as a Framework, Not a Religion 18:18 Question 6: The Freedom I'm Chasing 19:29 Real-Life Scenarios and Solutions 27:49 Conclusion and Call to Action👉 Want more grounded structure without losing yourself in the process? Get first dibs access to the next EOS Mastermind cohort: www.taravossenkemper.com/eos-mastermind
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63
Why Numbers Don't Fix Fear - The Emotional Side of EOS
Okay, so the numbers look good… but your nervous system didn’t get the memo.This episode goes straight into the emotional undercurrent of EOS (that no one seems to talk about). I’m breaking down why clean data ≠ internal calm — and how to use scorecards and structure without bypassing your actual lived experience as a leader.Here's the three-part lens I'm offering up: – Data gives you clarity, but not courage – Why fear sticks around even when the metrics say you're doing great – How to use EOS tools without turning into a robotIf you’ve ever looked at a perfect scorecard and still felt like everything was about to fall apart — this one’s for you.Timestamps00:00 Introduction and Welcome 00:22 The Emotional Side of EOS 01:24 Agenda Overview 01:55 Data Gives Clarity, But Not Courage 04:53 Why Fear Persists Despite Good Numbers 08:39 Using EOS Tools Without Ignoring Emotions 13:37 Final Thoughts and Resources👉 Grab the free Scorecard Starter Kit if you want a plug-and-play way to track what actually matters. 👉 Or join the EOS Mastermind to do this kind of work with other brave, badass practice owners.
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62
The Owner's Room: When the Data Tells You What You Don't Want to Hear
In this Owner’s Room episode of the Culture Focused Practice Podcast, Dr. Tara Vossenkemper sits with the messy middle of leadership — those moments when the data says what you don’t want it to. She works through five questions and two scenarios that expose how easy it is to avoid, rationalize, or overwork our way around uncomfortable numbers. Instead of teaching or prescribing, Tara opens up her own thought process, weaving in honesty, candor, and the hard-earned reminder that metrics are signals, not sentences.Timestamps00:00 Introduction to the Culture Focused Practice Podcast00:40 The Owner's Room: When Data Tells You What You Don't Want to Hear01:38 Question 1: Am I Ignoring Data or Hoping It Self-Corrects?04:29 Question 2: Do My Feelings About the Numbers Reflect Fear of Failure or Fear of Being Seen?07:24 Question 3: What Conversations Am I Avoiding Because of These Numbers?11:53 Question 4: How Do I Separate the Story in My Head from What's on Paper?13:35 Question 5: What Does My Team Need from Me When the Numbers Look Bad?16:37 Scenario 1: Client Retention Numbers Dropping21:33 Scenario 2: Revenue Projections Not Lining Up28:06 Conclusion and Final ThoughtsIf this episode hits home, subscribe to the podcast so you don’t miss future Owner’s Room conversations — and share it with a friend who might need to hear this too.
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61
Scorecards Aren't About Numbers - They're About Trust
In this episode of the Culture Focused Practice podcast, Dr. Tara Vossenkemper flips the script on how we think about scorecards. Spoiler: it’s not about tracking for the sake of tracking — it’s about meaning-making, alignment, accountability, and (surprise!) trust.Tara breaks the episode into three key buckets:Why metrics are just shorthand for behaviors (attendance % = reliability, anyone?)How trust is the often-ignored foundation of scorecard successWhat it takes to build scorecards your team actually believes inYou’ll walk away with practical strategies for keeping metrics simple, tying them back to vision and values, and using them as a pulse check on your practice culture. Plus, she drops a not-so-subtle reminder that if you're not tracking culture... your numbers will lie to you.Timestamps00:00 Introduction and Podcast Welcome00:07 Understanding Scorecards: Beyond Numbers01:11 Agenda Overview01:34 Scorecards for Meaning Making06:26 Trust: The Hidden Foundation of Metrics13:37 Building Believable Scorecards19:28 Quantifying Culture and Final Thoughts22:05 Conclusion and Additional Resources💥 Want to dive deeper into running your practice like a living, breathing organism instead of a burnout factory?Join the Inside the Living Practice membership for monthly trainings, tools, and templates that actually make your systems work for you.🚀 Ready to implement EOS in a way that doesn’t feel robotic or overwhelming?Get on the waitlist for the next EOS Mastermind cohort. It’s structured support with a side of sass and strategy.
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60
The Owner's Room: When You're More Frustrated Than You're Letting On
In this Owner’s Room episode of the Culture Focused Practice Podcast, I get into the messy stuff: what happens when you’re more frustrated than you’re letting on. I talk about how hidden frustration shows up (for me it’s resistance and irritability), how it sneaks into meetings or silence, and why it almost always ties back to accountability. I share the leadership lessons that shaped how I carry frustration now, walk through my “intensity × duration” rule for deciding when to act versus when to ride it out, and riff on a scenario where accountability is missing in leadership. EOS makes a cameo, of course, because structure always matters.Timestamps00:00 Introduction to the Culture Focused Practice Podcast01:29 Exploring Hidden Frustration in Leadership04:06 Identifying Sources of Frustration07:54 Naming and Addressing Frustration10:56 Impact of Past Leadership Experiences15:36 Distinguishing Actionable vs. Passive Frustration18:58 Scenario: Handling Accountability Issues26:34 Conclusion and Final ThoughtsSubscribe to the Culture Focused Practice Podcast so you don’t miss the next Owner’s Room drop.
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59
The Accountability Mirror: How Culture Falls Apart Without It
In this episode of the Culture Focused Practice podcast, I dig into accountability - not the “feet to the fire” kind, but the real kind that acts like glue for your culture. Enter the accountability mirror: the tool that forces us as leaders to ask, “What role did I play here?” before we go pointing fingers.I’ll unpack why accountability is essential for trust, safety, and clarity, what happens when it goes missing (spoiler: resentment, over-functioning, and lowered standards), and how to bake it into your practice through systems and feedback. It’s messy, human, and necessary.Timestamps00:00 Introduction and Podcast Overview01:16 The Concept of the Accountability Mirror04:09 Why Accountability Matters05:50 Consequences of Missing Accountability14:50 Building Accountability into Your Practice21:26 Conclusion and Final ThoughtsWant more support? Join Inside the Living Practice at www.taravossenkemper.com/the-membership. And if EOS is your jam, come hang out in the free EOS Collective for Group Practices on Facebook at www.facebook.com/groups/eoscollective
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58
The Owner's Room: When You Realize Your Business Is Alive (and Not a Machine)
In this episode of the Culture Focused Practice podcast, Dr. Tara Vossenkemper steps into the Owner’s Room — her unfiltered space for talking about the real, raw side of leadership. No polished playbooks. No bulletproof strategies. Just the messy truth of what it feels like to lead when your business isn’t a machine but a living, breathing organism.Through five self-reflective questions and two honest scenarios, Tara explores what happens when you feel bogged down, disconnected, or stagnant in your leadership role. She digs into identity shifts, decision-making, team dynamics, and that gut-punch moment of wondering if the practice you built still feels like yours.This episode is for every leader who’s ever thought, “What the hell am I even doing?” and needed a reminder that leadership isn’t about fixing all the time — sometimes it’s about listening, stepping back, and remembering your practice is alive.Timestamps00:00 Introduction and Welcome00:08 Owner's Room Special: Unfiltered Leadership Talk01:06 The Two-Part Structure of Owner's Room01:53 Question 1: Decisions That Feel Alive05:31 Question 2: Team Behavior Reflection11:04 Question 3: Leadership Frustrations13:41 Question 4: Business as a Living Organism16:08 Question 5: Fixing vs. Listening to Your Business23:21 Scenario 1: Disconnected Tasks and Vision31:24 Scenario 2: Leadership and Culture Alignment41:15 Conclusion and Final Thoughts👉 Don’t miss future episodes that go deep into leadership, culture, and the messy middle of practice ownership. Subscribe to the podcast now!
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57
The Living Practice Framework™ (How I Actually Lead a Group Practice)
In this episode of the Culture Focused Practice Podcast, we’re talking about why your group practice is not a machine (no matter how “well-oiled” you think it is) — it’s a living, breathing organism.I introduce the Living Practice Framework™ — my way of blending the structure of EOS with the cultural, leadership, and people pieces EOS doesn’t fully capture. I walk you through the origin story, the five main elements, a real-life scenario of what it looks like in action, and the ridiculously small, doable steps to start implementing it without burning your practice down in the process.Whether you’re running on EOS, winging it, or somewhere in between, this is about nurturing your practice’s ecosystem so you’ve got more clarity, trust, and alignment — and way less “what’s missing?” energy.Timestamps00:00 Introduction to the Culture Focused Practice Podcast00:08 The Concept of a Living Practice01:08 Agenda Overview01:33 Origin of the Living Practice Framework04:51 Five Elements of the Living Practice Framework10:58 Scenario: Applying the Living Practice Framework14:28 Steps to Implement the Living Practice Framework17:34 Recap and Membership Invitation➡️ Want to actually build a living practice — not just think about it? Join me inside the Inside the Living Practice Membership at www.taravossenkemper.com/the-membership. Twice-monthly live trainings + Q&As, on-demand resources, and a community of group practice leaders doing business with humanity at the center.
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[Encore!] Scripts for the Hard Stuff: What to Say When It's Awkward, Emotional, or Personal
In this encore episode of the Culture Focused Practice Podcast, Dr. Tara Vossenkemper brings back one of her personal favorites: Scripts for the Hard Stuff. Originally part of a conflict miniseries, this episode dives into the messy, uncomfortable, and emotionally charged conversations that every leader faces — and offers real, usable language to help you navigate them.Whether you’re giving feedback, addressing cultural misalignment, or following up after a tense moment, this episode gives you grounded, non-cringey ways to open the conversation, hold space in the middle of it, and wrap with clarity.Because leadership isn’t about being fearless. It’s about being prepared when the fear shows up.Timestamps00:00 Introduction and Replay Announcement01:40 Scripts for the Hard Stuff: Overview03:37 Types of Conflict Moments07:09 Helpful Language for Starting Conversations13:25 In the Moment Holding Language20:16 Ending with Clarity22:41 Action Steps and Conclusion💥 Want deeper support and actual frameworks for leading like this without losing your mind? Join me inside the Inside the Living Practice Membership. We talk leadership, culture, and the real human stuff that comes with owning a practice. Live trainings. Live Q&A. Real conversations.
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The Owner's Room: When You Realize You've Been Leading From Your Wounds
In this Owner’s Room episode of the Culture Focused Practice Podcast, Dr. Tara Vossenkemper steps out of the strategy lane and into the real talk. No polished frameworks. No tidy how-tos. Just the raw, honest mess of leadership when your old wounds sneak into the driver’s seat.Through five unfiltered questions and one all-too-real scenario, Tara explores how emotional caretaking, invisibility, and not-enoughness can quietly shape how we lead—and how to start untangling that. She shares personal stories of boundary wobbles, covert team dynamics, and the cost (financial and emotional) of leading from your history instead of your vision.This one’s for the leaders doing the work—not just in their businesses, but in themselves.Timestamps00:00 Introduction to the Culture Focused Practice Podcast00:09 The Owner's Room Concept01:03 Importance of Subscribing01:26 Leading from Your Wounds02:38 Exploring Personal Leadership Patterns10:23 Impact of Emotional Caretaking14:12 Leadership Lessons and Financial Costs16:32 Self-Reflection and Gratitude18:51 Scenario: Handling Team Pushback27:13 Conclusion and FarewellIf this kind of leadership realness is your jam, you need to be inside the membership. Join Inside the Living Practice at www.taravossenkemper.com/the-membership for grounded, honest, and strategic support as you grow yourself and your group practice.
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54
The Habits You Didn't Choose: How Early Roles Shape Current Leadership
In this episode of the Culture Focused Practice Podcast, Dr. Tara Vossenkemper dives into the messy, revealing world of leadership origin stories. From the therapist default (hi, overexplaining and holding all the space) to the over-functioning pattern (aka fixing everything before anyone else notices), she breaks down four core scripts that quietly shape how we lead. You'll hear how early patterns show up in practice—like avoiding direct feedback, holding onto underperformers out of hope, or modeling instead of actually saying the damn thing—and why recognizing those behaviors is key to leadership evolution. Dr. Vossenkemper walks through how to shift out of default mode and into intention with clear, actionable steps: auditing your autopilot, practicing radical honesty and ownership, and creating new, sustainable leadership patterns. Whether you're just starting to notice your scripts or deep into repatterning, this one hits home.Timestamps00:00 Introduction to the Culture Focused Practice Podcast01:39 Understanding Leadership Origin Stories09:35 How Early Habits Show Up in Practice15:50 Leading with Intention: Shifting Patterns25:24 Conclusion and Membership InvitationIf you're ready to stop leading on autopilot and start building something healthier, join Inside the Living Practice. It's where structure meets soul, and leadership finally feels like yours.
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The Owner's Room: When You're Resentful of the Role You Created for Yourself
In this Owner’s Room episode of the Culture Focused Practice podcast, Dr. Tara Vossenkemper gets personal, raw, and real about the emotional and operational weight of leadership. If you’ve ever looked around your group practice and thought, “Wait...did I build myself into a corner?” — this one’s for you.Tara works through five tough but clarifying questions around resentment, role confusion, disengagement, and identity — and then walks through two common, real-life leadership scenarios:A team that relies on you for everythingA workplace built on autonomy...with zero accountabilityExpect metaphors (giant deflated balloon, anyone?), vulnerability, practical tips, and a big dose of truth about how we get stuck — and how we start to shift.Timestamps00:00 Introduction and Episode Overview00:44 The Owner's Room Concept01:48 Question 1: Identifying Heavy and Draining Roles05:16 Question 2: Expectations Shaping the Role08:50 Question 3: Boundaries and Fear of Disappointment10:11 Question 4: Identity Tied to Being the Boss13:35 Question 5: Fear of Shifting Roles16:21 Scenario 1: Over-Reliance on the Leader24:51 Scenario 2: Flexible Workplace Challenges32:57 Conclusion and Call to ActionIf this episode hit home and you want more conversations like this, subscribe and share it with a fellow practice leader. And if you're ready to work on building a practice you actually want to lead, join the EOS Mastermind waitlist or check out Inside the Living Practice, my membership for culture-centered practice owners.➡️ www.taravossenkemper.com
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Systems Fatigue: When EOS Stops Feeling Helpful (And What to Do About It)
Let’s talk about systems fatigue—because yes, even with something as powerful as EOS, there comes a point where it feels heavy, clunky, or downright annoying. In this episode, I dig into what causes that burnout feeling around your systems, especially if you've been implementing EOS and suddenly feel like, “Wait… why is this not working anymore?”We cover how to tell the difference between fatigue and actual failure, what to check first (clarity? leadership? cadence?), and how to course-correct before you throw the whole system out the damn window. From performative meetings to structure that feels more like red tape than support, we’re unpacking the real reasons your practice might feel stuck and how to shift.And yeah—sometimes the answer is slowing down. (I hate it too.)Timestamps00:00 Introduction to Systems Fatigue01:19 Why Systems Fatigue Happens10:00 Diagnosing Systems Fatigue: Clarity, Leadership, and Cadence15:13 What to Do When You're Ready to Give Up on EOS21:12 Final Thoughts and Call to ActionNeed real support around structure, leadership, and keeping your people sane (including yourself)? Come join us Inside the Living Practice, my membership for practice owners who want to run a business without burning the whole thing down. You’ll get tools, live Q&As, EOS integration help, and a space to be the kind of leader you actually want to be. www.taravossenkemper.com/the-membership
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51
The Owner's Room: When the Perfect Hire Looks Great on Paper (But Not in Practice)
In this episode of the Culture Focused Practice podcast, Dr. Tara Vossenkemper gets real about the gut-wrenching moment when a hire you thought was perfect turns out to be a total mismatch. Through a candid, question-based reflection, she walks through two hiring situations — one tangled up in attachment wounds and the other tanked by her absence from the process.Dr. Tara explores five key questions, offering up lessons learned, personal accountability, and a brutally honest look at what happens when the paper-perfect candidate doesn’t pan out in real life. From team impact to hiring process flaws, this is a behind-the-scenes look at what leadership actually looks like when things get messy.She also tackles a scenario: what do you do when someone starts missing deadlines and causing team tension within two weeks of being hired? (Spoiler: document everything, move fast, and trust your process.)This is an Owner’s Room episode, which means it’s raw, unscripted, and fully grounded in real-time leadership tension.Timestamps00:00 Introduction to The Owner's Room00:32 The Perfect Hire Gone Wrong01:30 Question 1: What Made Them Seem Perfect?05:56 Question 2: Ignoring Gut Feelings07:53 Question 3: Post-Onboarding Changes13:58 Question 4: Team Impact16:10 Question 5: Lessons Learned19:05 Scenario: Stellar Resume, Poor Performance24:46 Final Thoughts and Call to Action👉 Got a real-life hiring or leadership scenario you want Dr. Tara to unpack? Submit it via the contact form at www.taravossenkemper.com — it might just be featured in an upcoming episode.
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50
Don't Lower the Bar: What to Do When Hiring Feels Impossible
In this episode of the Culture Focused Practice Podcast, Dr. Tara Vossenkemper breaks down what happens when hiring gets hard and you start questioning your standards. You know that moment — you're tired, you're desperate, and suddenly "Can they do the job?" starts to feel like an acceptable question... even though it's the wrong one.Tara dives into three major areas in this one:The real (and painful) costs of lowering your hiring bar — think culture dilution, burnout, and endless training fatigueHow to keep your standards high without getting stuck in analysis paralysisAnd how to survive the dreaded “hiring desert” — those times when nobody seems like a fit and you're wondering if the right person even existsShe shares practical strategies like using structured rubrics, revisiting your onboarding processes, and building out a talent pool to stay proactive (even when the inbox is dry). This one is for the folks in the hiring trenches — the tired, the cautious, the quietly desperate.Timestamps00:00 Introduction and Episode Overview01:34 The Cost of Lowering the Hiring Bar06:24 How to Maintain High Standards in Hiring11:00 Strategies for Navigating Hiring Deserts19:09 Final Thoughts and Membership InvitationLooking for hands-on support, clarity, and real-world strategy that doesn’t just live in theory? Come join us inside Inside the Living Practice, where we’re building leadership tools that actually work for group practice owners and values-led teams.
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49
The Owner's Room: When Your Team's Behavior Doesn't Match Your Values
In this Owner’s Room episode of the Culture Focused Practice Podcast, Dr. Tara Vossenkemper gets into that maddening, murky territory where your team technically isn’t doing anything wrong… but something still feels off. When behavior doesn’t match your values, it’s not always easy to know what the hell is actually going on—or what to do about it.Tara walks through five raw, unscripted questions around clarity, grace, feedback, and emotional tension. This one’s not a strategy playbook—it’s an inside look at what real-time leadership reflection sounds like. If you’ve ever found yourself wondering, “Is it me? Is it them? Is something broken or just misaligned?” this episode is for you.She also riffs on a transparency scenario that hits a little too close to home for a lot of group practice owners.Timestamps:00:00 Introduction to the Culture Focused Practice Podcast00:36 Understanding Team Behavior and Values01:24 Balancing Clarity and Grace05:45 Defining Desired Team Behavior07:27 Exploring the Root Causes of Behavior Mismatches09:52 Addressing Communication, Training, and Values Issues13:16 Confronting Fears of Being Controlling17:31 Scenario: When Transparency Fades23:11 Conclusion and Call to ActionIf this episode hit home, you’ll want to check out the Inside the Living Practice Membership. It’s where we dig even deeper into stuff like this—real leadership, team dynamics, and culture that doesn’t make you want to scream into a void.
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48
Culture is a System, Not a Vibe
In this episode of the Culture Focused Practice podcast, Dr. Tara Vossenkemper calls bullshit on the idea that culture is just a vibe. Sure, it feels like something when you walk into a room, but that feeling? It comes from a system—of values, behaviors, and leadership choices—firing in the background. Tara breaks down how to stop winging it and start building culture with intention. She unpacks the biggest myths, where leaders screw it up (hi, perks and bean bags), why hard conversations actually increase morale, and how to turn culture into something measurable and operational. She closes out with a step-by-step on fixing cultural drift (yep, it’s real), and the mic drop reminder that culture isn’t accidental—it’s a leadership choice.00:00 Introduction to Culture Focused Practice00:08 Debunking the Myth: Culture is Not Just a Vibe01:14 Agenda Overview: Key Topics on Culture01:34 Culture as a System: A Strategic Approach04:39 Common Mistakes in Culture Building13:20 How to Systematize Culture in Your Practice20:15 Addressing and Fixing Cultural Drift28:02 Conclusion and Final ThoughtsIf you’re ready to stop reacting and start leading with intention, join the membership: www.taravossenkemper.com/the-membership
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47
TOR: When You're Scared They'll Quit, So You Stay Silent [with Nicole Brewer]
In this Owner’s Room special of the Culture Focused Practice podcast, Dr. Tara Vossenkemper sits down with Nicole Brewer, founder of Rethink Therapy and Rethink Your Practice. This one’s a no-polish, no-bullshit convo about what leadership really looks like when you’re deep in it — when the systems are built but the people stuff is still messy, emotional, and real.Nicole drops gold on everything from letting people coast out of fear, to the gut-punch moments of replacing someone on your so-called “dream team.” Together, they explore the tension between clarity and kindness, building out decision-making frameworks, confronting leadership missteps, and navigating emotionally raw but necessary conversations — all through the lens of running a healthy group practice.Whether you’re still clinging to your first admin hire or reworking your leadership team for the fifth time, this episode gives you the real talk you need.Timestamps00:00 Introduction to the Culture Focused Practice Podcast00:52 Meet Nicole Brewer: Founder of Rethink Therapy02:16 Diving into the Owner's Room03:08 Question 1: Handling Misalignment and Fear of Losing Staff05:23 The Evolution of Leadership and Practice Ownership07:20 The Importance of Authentic Conversations12:15 Using Data and Metrics for Performance Evaluation20:39 Question 2: Balancing Niceness and Leadership32:43 Question 3: Fear of Fallout in Leadership Decisions39:01 Addressing Employee Needs and Leadership Support40:06 Making Tough Decisions in Leadership41:14 Understanding and Communicating Capacity48:26 Frameworks for Decision Making51:15 Implementing EOS and Team Communication55:11 Handling Difficult Conversations with Employees01:10:05 Conclusion and Podcast Wrap-Up🎙️ If this episode hit home (or gut-punched you a little), come join us inside the membership: www.taravossenkemper.com/the-membership — your space for real conversations, sustainable leadership, and culture that actually works.Find Nicole here!Consulting (Rethink Your Practice): www.rethinkyourpractice.comHer Group Practice (Rethink Therapy): www.rethinktherapynv.com
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46
The Scripts Aren't the Problem... But You Might Be
In this episode of the Culture Focused Practice podcast, I’m coming in swinging at one of the most common traps leaders fall into: obsessing over scripts instead of showing up with actual presence. If you’ve ever stalled a hard conversation trying to get the words just right, this one’s for you. We unpack why scripting becomes a crutch, what actually makes your hard convos land (hint: it’s not phrasing), and how to show up clear, grounded, and human. This is about ditching the safety blanket and building real trust instead.Timestamps00:00 Introduction and Episode Teaser00:14 The Real Issue: Presence Over Scripts01:34 Agenda Overview01:57 Script Obsession: Seeking Control06:19 What Matters in Tough Conversations15:58 Common Script Failures18:58 Effective Preparation Without Overkill25:35 Final Thoughts and Call to ActionReady to stop performing leadership and start living it? Join us inside the membership: www.taravossenkemper.com/the-membership
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45
Avoidance ≠ Harmony: How Conflict-Avoidant Leadership Backfires
In this episode of the Culture Focused Practice podcast, I’m coming in hot with one of the most damaging leadership myths out there: that avoiding conflict is the same as keeping the peace. Spoiler alert—it’s not. Avoiding hard conversations might feel safe in the short term, but it’s quietly eroding your culture, your clarity, and your credibility. This episode dives into the real cost of conflict avoidance (it’s higher than you think) and breaks down exactly how to lead through the discomfort instead of around it. From people-pleasing habits to late-stage resentment spirals, I’m naming it all. If you’ve ever found yourself staying silent to keep things “smooth,” this one’s for you.Timestamps00:00 Introduction and Myth Busting01:45 Why You Avoid Conflict09:14 The Hidden Costs of Avoidance14:12 Signs of Avoidance19:08 Leading Through Conflict31:51 Conclusion and Call to ActionReady to lead with clarity and courage? Join us inside the membership at www.taravossenkemper.com/the-membership
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44
The Owner's Room: When Slowing Down Feels Like Losing Ground [with Dr. Jeremy Sharp]
Welcome to the Culture Focused Practice podcast. In this Owner’s Room episode, I’m joined by my very first guest — Dr. Jeremy Sharp — for a beautifully messy conversation about what happens after you slow down. You know that moment when the chaos stops and you should be feeling calm, but instead your brain starts spiraling with “Why am I not doing more?” Yep, that one.Jeremy and I dive into what it really feels like to pause after a season of intensity, how our identities get tangled in achievement, and why stillness can feel more like a threat than a relief. We get honest about inbox avoidance, people-pleasing patterns, right-sizing big practices, and the weird cocktail of grief, restlessness, and relief that shows up in the quiet.If you’ve ever found yourself fixing things that aren’t broken, rewriting to-do lists just to feel productive, or sprinting headfirst into the next big thing because being still is just... too much? This one’s for you.Timestamps00:00 Introduction and Guest Introduction01:52 Discussing the Owner's Room Concept02:05 Emotional Whiplash of Slowing Down02:47 Agenda and First Question03:17 Falling Behind: Personal Reflections06:21 Inbox Management and Delegation07:35 Right-Sizing the Practice12:39 Struggles with Stillness and Productivity15:31 Personality Traits and Family Influence20:45 Expectations and Identity31:35 The Fun of Enneagram31:54 Achievement and Identity34:57 The Struggle with Rest and Balance36:08 The Concept of Time and ADHD41:24 Visionary and Integrator Roles42:47 Addressing Agitation in Stillness53:09 The Beauty of Grief and Loss57:33 Conclusion and Final ThoughtsIf this kind of honest, gritty, emotionally-grounded leadership convo is your jam, join us at Inside the Living Practice, where we keep digging into the stuff that actually matters.----------Stay in touch with Dr. Jeremy Sharp or his offerings!The Testing Psychologist Podcast (podcast and consulting)Reverb (ai-report writing for psychologists)
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ABOUT THIS SHOW
The Culture Focused Practice is where business and humanity collide. Hosted by Dr. Tara Vossenkemper (group practice owner and consultant), this podcast dives deep into how practice culture drives business success. Learn actionable strategies to shape a thriving team, implement and use the Entrepreneurial Operating System (EOS), and tackle the tough leadership decisions that come with growing your group practice. Whether you’re scaling up or streamlining, this show offers real-world insights to help you build a people-powered practice that lasts. Join Tara for candid conversations, expert interviews, and no-fluff coaching that puts your culture first.
HOSTED BY
Tara Vossenkemper, PhD
CATEGORIES
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