Sit and Stay: A Blog and Podcast Series
Your companion in starting, growing, and sustaining a practice.
Mental Health Parity and Insurance: Why Access to Care Is Still Broken
Mental health parity laws were supposed to make mental health care easier to access through insurance. So why are patients still facing ghost networks, low provider availability, and long delays?
Why Mental Health Clinicians Should Care About Legislation
Mental health laws may feel distant from daily practice, but they can shape everything from insurance coverage to authorization requirements to whether patients can access appropriate care.
Why Mental Health Providers Stop Taking Insurance
Mental health insurance coverage does not always mean real access to care. From new documentation burdens around therapy to confusing EOBs and ghost networks that make provider directories look stronger than they are, insurance friction can disrupt treatment and push providers away from accepting insurance.
Starting a Practice With Friends? Ask These Questions First
Starting a private practice with friends can sound like a great idea, until ownership, money, leadership, and long-term goals stop being assumptions and start becoming real decisions. We break down the questions partners should ask before going into business together so they can protect both the practice and the relationship.
Why Mental Health Providers Need to Understand Their Insurance Fee Schedules
Many mental health providers accept insurance without actually knowing what they’re being paid. We explain why understanding your fee schedule is essential for running a sustainable practice, and what can go wrong if you don’t.
Psychiatrist vs. Alexa: Can AI Give Safe Medical Advice?
What happens when you ask a psychiatrist and a home assistant the same medical questions?
We tested Alexa against 20+ years of clinical experience. The results were surprising — and revealing. Read what AI got right, where it drifted, and why nuance still matters.
Non-Profit vs For-Profit Mental Health Clinics
Choosing between a non-profit and for-profit mental health clinic shapes how you get paid, who makes decisions, and how your practice grows. This post breaks down what actually changes (and what doesn’t) so you can choose the structure that fits your goals.
IOP Insurance Authorization: What Mental Health Practices Should Expect
Insurance authorization is one of the most underestimated challenges in mental health practice management. This post walks through a real-world IOP authorization experience and breaks down what practice owners should realistically expect when working with insurers.
Insurance Contract Language Every Mental Health Provider Should Understand
Insurance contracts can quietly change the trajectory of a mental health practice. We break down the clauses that matter most, the common “gotchas” providers miss, and how to protect your practice before problems arise.
Staying Involved with Teaching, Clinical Supervision, and Mentorship for Mental Health Providers
Private practice offers flexibility, but it can also feel isolating over time. In this blog post, we explore how mental health providers can stay connected through mentorship, supervision, and teaching without overcommitting or stepping away from clinical work.
A Practical Guide to Credentialing and CAQH for Mental Health Providers
Learn how credentialing works, how CAQH fits into the process, and how mental health providers can avoid delays, stay compliant, and join insurance panels smoothly.
How Practice Owners Can Build Fair and Sustainable Paths to Ownership
Offering ownership sounds straightforward, but the structure behind it can make or break your practice. This week’s post breaks down the four most common partnership models — plus the valuation rules, legal guardrails, and exit planning every clinic should have in place before bringing someone on as a partner.
What We Learned at AACAP 2025: Highlights from Chicago
Fresh from AACAP 2025, we’re sharing what we saw, heard, and learned. From the growing buzz around AI to the sense of community that keeps us coming back each year.
How to Structure Partnerships and Ownership in a Mental Health Practice
Thinking about offering ownership in your mental health practice? This week’s blog breaks down how to structure partnerships, set fair buy-ins, and avoid common pitfalls when sharing control of a growing clinic.
Scheduling Strategies for Mental Health Practices
Your schedule shapes everything from patient outcomes to your own well-being. This week, we explore how mental health providers can structure intakes, follow-ups, and session lengths to support better care and avoid burnout. Learn practical strategies for managing demand, protecting your time, and keeping your practice sustainable.
Sliding Scale and Discounts in Private Mental Health Practice
Sliding scales and discounts can expand access to therapy, but they also come with financial, ethical, and legal challenges. Learn how to set policies that are fair, sustainable, and supportive of your patients.
How to Manage Your Payer Mix as a Mental Health Provider
Not all insurance plans pay the same—but your rent doesn’t care. In this post, we explore how mental health providers can build a sustainable payer mix, cap low-paying plans ethically, and decide when it’s time to renegotiate or drop an insurance contract. Whether you're new to private practice or rethinking your current panel, this guide will help you balance your mission with your margins.
How to Build and Use a Budget for Your Mental Health Practice
Building a budget for your mental health practice is about creating a roadmap for stability and growth. In this episode recap, we break down what to include in your budget, how to handle seasonal slowdowns, and the most common mistake that can throw your projections off. Plus, we share practical tools and tips to turn your budget into a decision-making powerhouse.
Why Every Mental Health Practice Needs a Budget
Think budgeting is just for big clinics? Think again.
In this episode recap, we explore why every mental health provider—solo or group—needs a budget. Learn how budgeting can reduce stress, support better care, and unlock growth opportunities you might be missing. Plus, find out the biggest mistakes clinicians make when it comes to managing money.
Special Guest Interview: Ida Milani, LMFT of Grow Through Changes
What’s it really like to leave a group practice and go solo?
In this episode, therapist Ida Milani, LMFT, shares her journey into full-time private practice, including what she wishes grad school had taught her, how she built her website from scratch, and why authenticity is at the core of her clinical and business philosophy.