In this compelling episode of Starting a Counseling Practice Success Stories, hosts Kelly Higdon and Miranda Palmer sit down for an honest, no-interview conversation about the seismic shifts in the mental health world right now. Drawing on their experiences supporting thousands of clinicians and leading Business School for Therapists, they dive deep into the growing influence of venture capital-backed therapy platforms, the realities of 1099 contracts vs. employment, and how insurance companies are reshaping the landscape—with a powerful impact on therapist autonomy and pay.

Listen as Kelly Higdon and Miranda Palmer peel back the curtain on how big marketing and profit-driven systems are affecting therapists’ mindset, fees, and even their health. The duo discuss the importance of embodied practice, highlight the risks of burnout and autoimmune issues on the rise in the field, and share why it’s crucial to reconnect with your body, intuition, and core values when making practice decisions.

You’ll hear practical guidance on navigating contracts, fee-setting for sustainability, and why group and community-oriented offerings may be the future for accessibility and authentic healing. If you’re feeling the pinch of working harder for less, or questioning the “way things are” in private practice, this episode will leave you with validation, tangible next steps, and a reminder: you have more agency than you think.

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Taking Back Your Cake: Mindset Shifts for Therapists Building a Private Practice