Start Where the Customer Is: Surprise Lessons From 9,000 Therapy Practice Google Reviews | POP 1418

What does it really take to succeed in solo private practice, and when might a group practice be the better choice?

In this episode, CPA and CAC Advisors founder James Childress joins the conversation to unpack the financial and business realities of running a therapy practice. Drawing on his research into more than 9,000 Google reviews of private practices, James reveals that 65% of one- to four-star reviews focused not on the quality of therapy, but on the experience surrounding it including scheduling, billing, communication, and access to care.

The conversation explores the hidden costs of solo practice, including overhead, administrative work, and the potential trade-off between earning more per session and taking home less overall. James also shares strategies for making therapy easier to access, creating multiple pathways for clinicians to contribute within group practices, and building practices where clinicians can grow their entrepreneurial skills while earning more.

Ultimately, the episode challenges the assumption that solo practice is automatically more profitable or desirable, and offers therapists a more practical framework for deciding which practice model best fits their goals, finances, and professional life.