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."