Building a practice, from
someone who has run one.
Consulting for therapists and practices who want to serve neurodivergent adults well and stay sustainable doing it. Clinician to clinician, no franchise pitch.
The parts they don't teach in grad school
Finding your niche
Naming who you serve best and building the practice around them, rather than taking everyone and burning out on the mismatch.
Moving off insurance
The practical side of shifting toward private pay and superbills: what to change, in what order, and how to talk about it without losing the people you want to keep.
Neurodiversity-affirming care
Making the clinical work, the intake, and the space itself actually fit ADHD and autistic adults, not just claiming to.
Leading a program
For clinicians stepping into director or board roles: managing clinical work, strategy, and an organization with the same pair of hands.
I've sat in most of the chairs
Twenty years in, I've been the therapist, the school consultant, the integrated-care clinician, the Executive Director of a non-profit, and the board chair of a public human-services authority. I've also built a private-pay telehealth practice from the ground up. So when we talk about your practice, it's from having actually done the thing, not from a template.
The aim is a practice that fits you. Not a copy of mine, and not a model that looks good on paper and quietly drains you a year in.
Want to talk it through?
Tell me where your practice is now and where you'd like it to go.