Show Notes

Feeling the turbulence in our economy and the mental health industry?

In this episode, Patrick Casale shares hard-won lessons from running a group practice and launching multiple ventures—all while navigating burnout and uncertainty. Whether you’re a clinician, small business owner, or entrepreneur, his insights are timely and actionable.

Here are 3 key takeaways:

1. Diversify Your Income Streams: Don’t put all your eggs in one basket. In uncertain times, it’s crucial to build additional revenue channels beyond 1:1 therapy—think coaching, courses, podcasting, writing, or retreat hosting.
2. Fortify Your Foundation Before Expanding: Before leaping into new projects, make sure your primary source of income is secure. Build around what’s working rather than abandoning it out of excitement or impulse.
3. Mindset Matters: Self-doubt, perfectionism, and imposter syndrome hold many back from launching new initiatives. Patrick Casale encourages us to “doubt yourself, do it anyway”—a reminder that starting imperfectly beats waiting for the perfect moment.

If you’re looking to step beyond traditional therapy, recession-proof your business, and want to learn more about diversifying income through retreat hosting, podcasting, and writing books, check out the Beyond Private Practice: Recession Proofing Intensive on December 12, 2025. Learn more: allthingspractice.com/beyond-recession-intensive

Let’s support one another and keep moving forward during these challenging times!

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A Thanks to Our Sponsors: The Receptionist for iPad, Alma, Beyond Private Practice: Recession Proofing Intensive, All Things Private Practice — 2025 & 2026 Retreats, & Resilient Mind Counseling!

✨The Receptionist for iPad

I want to thank The Receptionist for iPad for sponsoring this episode.

This podcast is sponsored by The Receptionist for iPad, a digital check-in system that eliminates the need to walk back and forth from your office to the waiting room to see if your next appointment has arrived. Clients can securely check-in for their appointments and you'll be immediately notified by text, email, or your preferred channel. Break free from interruptions and make the most of your time. I've been using them for almost three years now and it saves me hours in my week.

Start a 14-day free trial of The Receptionist for iPad by going to thereceptionist.com/privatepractice. Make sure to start your trial with that link. And you'll also get your first month free if you decide to sign up.

✨Alma

I want to thank Alma for sponsoring this episode.

Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details and more time delivering great care. You support your clients. Alma supports you.

Visit helloalma.com/ATPP to learn more.

✨Beyond Private Practice: Recession Proofing Intensive

It's Patrick from All Things Private Practice. I know a lot of you are feeling uncertain right now about your caseloads, the economy, or what the next year's going to look like for your practice. I get it. Things are weird out there right now. That is exactly why I created the "Beyond Private Practice: Recession Proofing Intensive," a 5-hour, live, neurodivergent-affirming, online event happening on Friday, December 12th, from 11:00 AM to 4:00 PM EST. We will talk about real, tangible ways to diversify your income through podcasting, retreats, writing that book of yours, and speaking engagements; they're all symbiotic and feed into each other. I'm gonna show you exactly how to leverage and maximize so you can build stability and freedom no matter what's happening around you. The cost for the intensive is only $299, valued at over $2,500, because I want this to be accessible. Just to let you in on some behind-the-scenes, my wife works for the federal government and hasn't been paid for weeks due to the shutdown. So yeah, things are tight, but I also know how powerful this work is, and I want to make sure to give back to the therapist community that has supported me through everything I've created the last four years. You'll walk away with strategies, templates, confidence, clarity, and 4 NBCC CEs. Go to allthingspractice.com/beyond-recession-intensive to grab your spot. Doubt yourself and do it anyway.

✨ All Things Private Practice — 2025 & 2026 Retreats

All Things Private Practice has some amazing retreat experiences coming up in 2025 and 2026.

We have two retreats in Queenstown, New Zealand. The first is for Neurodivergent Entrepreneurs from March 1st to 8th, and the second retreat, Beyond Private Practice, focuses on moving beyond one-on-one therapy and creating alternative income streams from March 15th to 22nd.

Spaces are limited, so check the links to sign up today. Doubt yourself, do it anyway!

• Neurodivergent Entrepreneurs in Queenstown, New Zealand: allthingspractice.com/new-zealand-neurodivergent
• Beyond Private Practice in Queenstown, New Zealand: allthingspractice.com/new-zealand-income-streams

✨Resilient Mind Counseling

It's Patrick. Some of you may know that I own a group therapy practice in North Carolina, Resilient Mind Counseling. We specialize in supporting the Neurodivergent, LGBTQIA+, and Black, Brown, and Asian communities online and across North Carolina. We also have limited in-person openings at our offices in Asheville and Cary. We really love working with clients who are coming to terms with both Autism and ADHD discoveries later in life or questioning, as well as the intersections of race, gender, identity, and orientation. All of our therapists have lived experience and identify as AuDHD, Autistic, or ADHD. Our team of affirming therapists offers a safe, anti-racist, anti-oppressive, inclusive, and accessible space where you can show up exactly as you are—no masking, no judgment, and no need to make eye contact, just real connection and healing. We accept most commercial insurances like Blue Cross Blue Shield, United, Aetna, and Med Cost, as well as self-pay options. We currently have openings for new clients. Visit our website at resilientmindcounseling.com. You can also text or call our HIPAA-compliant phone line at (828) 515-1246, or email us at [email protected].

Transcript

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