I’ve changed roles more than once in 20 years, from home visits to therapist to group practice owner. Here’s what makes career transitions hard, and where to start.

Early in my career I learned to just keep going and get it done. As a practice owner, I had to learn something harder: how to set a boundary and actually follow through.

When my group practice outgrew its systems, I was the one filling every gap. Here’s what burnout actually looks like for helpers, and the change that finally helped me.

Military life teaches you to follow the schedule, push through, and keep how you really feel to yourself. Here’s what that costs, why leaving the structure behind is so hard, and what support can look like.

My first three hires worked out because I already knew them. The next four taught me the difference between a lucky hire and a repeatable process — including three mistakes that cost me real money.

I kept a full caseload while building a team, until it stopped working. Here's what the shift from therapist to practice leader actually required — and the ADHD diagnosis that reframed years of my own systems.

"Building a group practice is like building the plane while you fly it. Here's what happens when the systems aren't in place — and where to start fixing it."

When your brain has 47 tabs open, everything can feel urgent. Here’s how to clear the mental clutter and choose one realistic next step.