Episode 4

Scale, Sell, or Stay: How to Know What’s Next for Your Practice

Published on: 26th August, 2025

When the walls feel tighter than ever, that crossroads of deciding to scale, sell, or stay is real - and confusing. 

In this episode, we unpack the deeply personal, strategic, and emotional decision every practice owner faces: whether to scale therapy, sell, or stay - and how aligned practice management can help you make the right call for your life and your business.

We share the truth about what happens when your practice feels too big to manage but too valuable to walk away from. We talk about what it means to evolve as a clinician-turned-CEO, how to lead with clarity instead of burnout, and how strong clinic practice management can shift the entire trajectory of your career.

In this episode, we explore:

  • Why “freedom” isn’t just about income or time - and how to know if your practice is helping or hurting both
  • The signs it's time to scale therapy, shift your model, or step away entirely - and how to trust yourself through the process
  • How poor practice management can make scaling impossible - and what changes when your systems finally match your growth
  • What we’ve learned from staying too long, scaling too fast, or selling too soon - and why we don’t believe in “one right answer”
  • How our therapist identities have evolved - and how being a CEO therapist doesn’t mean abandoning your clinical heart

Feeling stuck between craving growth and needing rest? You’re not alone - and you don’t have to decide blindly. Join us for an honest look at what’s possible when you scale therapy practices with intention, alignment, and just a little more permission to change your mind.

WATCH THE FULL VIDEO EPISODE HERE!


Connect with us!

Podcast Website: www.offthechair.com

 

Colleen Long, Psy.D.

Website: www.claritypsychologicaltesting.com

LinkedIn: Dr. Colleen Long

 

Jennifer Politis, PhD, LPC

Website: www.wellnesscounselingBC.com

Instagram: @wellnesscounselingnj

TikTok: @wellnesscounseling

LinkedIn: Jennifer Politis

 

Erika Bugaj, MA, MSW, LICSW

Website: www.dandelioncounselingcare.com

Instagram: @dandelioncounselingcare

LinkedIn: Erika Bugaj

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About the Podcast

Off the Chair
In a world where a nail artist can out-earn a licensed therapist, behavioral health professionals have no choice but to get scrappy, color outside the lines, and start writing our own rules. The old path—graduate school, licensure, paneled with insurance, packed calendar of 1:1s—is broken. It’s time for a new blueprint.

That’s where Off the Chair comes in. We’re not just talking about surviving the grind, we’re exploring radically different ways to thrive. From building passive income streams to launching scalable service lines, we dive into business models that break the mold. We cover how modern technology; AI, digital products, automation, and online communities—can even help clinicians step out of the therapy chair and into a more expansive, creative, and financially free version of practice.

Off the Chair is the no-BS podcast for therapists ready to break out of burnout, reclaim their income, and build values-driven businesses beyond the therapy room.

Hosted by Dr. Colleen Long, Dr. Jennifer Politis, and Erika Bugaj, LICSW—three clinician-entrepreneurs who’ve built, broken, and rebuilt thriving mental health companies—this show brings you weekly conversations on what it really takes to succeed in today’s broken behavioral health system.

Whether you're a growth-minded psychologist, a private practice owner, or a therapist wondering how to scale without selling your soul, Off the Chair is your roadmap to redefining what success looks like in mental healthcare.

What You’ll Learn
- Business & Practice Management: Navigate the operations side of private practice with insight into EMRs, scheduling workflows, profitability pivots, and systems that scale.
- Hiring & Leadership: From managing your first intern to leading multi-state teams, get real-world advice on creating aligned, sustainable teams (and firing fast when it’s not a fit).
- Financial Freedom for Clinicians: Understand compensation models, create recurring revenue streams, and stop trading time for money—all without compromising your ethics.
- Mental Health Industry Reform: Challenge the status quo with honest dialogue on insurance gatekeeping, clinician burnout, and what it takes to build a more human-centered system.
- Personal Resilience & Growth: Behind every spreadsheet is a dark night of the soul. We talk mindset, mission drift, and how to stay motivated when the math doesn’t math.
- Overcoming Challenges: The podcast addresses common challenges faced by therapists, such as negative reviews, legal threats, and the fear of failure, offering strategies for navigating these obstacles. Overall, Off the Chair aims to empower clinicians to: Become more effective leaders and managers. Build strong, efficient, and profitable practices. Enhance their personal well-being and achieve a fulfilling career. Stay ahead of the curve in a constantly evolving industry.

Why Listen?
Off the Chair isn’t just about the logistics of running a practice—it’s about reclaiming your creativity, your autonomy, and your voice as a leader. No jargon, no perfectionism. Just vulnerable, strategic conversations that meet you in the messy middle.

New episodes drop every Tuesday.

Connect with us!
Podcast Website: www.offthechair.com

Colleen Long, Psy.D.
Website: www.claritypsychologicaltesting.com
LinkedIn: Dr. Colleen Long

Jennifer Politis, PhD, LPC
Website: www.wellnesscounselingBC.com
Instagram: @wellnesscounselingnj
TikTok: @wellnesscounseling
LinkedIn: Jennifer Politis

Erika Bugaj, MA, MSW, LICSW
Website: www.dandelioncounselingcare.com
Instagram: @dandelioncounselingcare
LinkedIn: Erika Bugaj