For many practice owners, the idea of expanding beyond solo and building a team sounds exciting-more impact, more income, more freedom. When it comes time to actually take the leap, however, there can be a lot to think about. Growing a group is about much more than adding offices and hiring clinicians-systems, finances, culture, leadership, compliance, risk management, and marketing. It can also bring up internal fears about managing people, money, control, and identity. In this post, we unpack some of the most common reasons therapists hesitate to expand and how to move through them so your business can grow without losing your sense of purpose-or balance.
“No one can do it like I can.”
This mindset block-the idea of someone else not doing things your way-can feel risky. It is normal to want to protect the systems, relationships, and reputation you have worked hard to build. You know your standards, clients, and community but it has hard to grow when you are doing everything on your own. Growth requires trust-in your training, hiring, and ability to lead. When you invest in strong systems, document your processes, and provide clear expectations, you create a foundation where others can do it like you.
“I’m a therapist, not a business person.”
Many practice owners start with a heart of helping, not a background in business. This can make the idea of expansion feel intimidating because it challenges us in new ways. The reality is, being a therapist gives you a strong foundation for entrepreneurship-you know how to listen, problem-solve, and build relationships, plus you already have an established private practice!
“I don’t want to manage people.”
Managing people can be one of the most challenging aspects of being a group practice owner. Ineffective systems and poor leadership can result in conflict, micromanagement, and constantly responding to issues which can be draining. When you have effective leadership and strong systems in place, however, you can proactively guide instead of constantly reacting. The focus becomes mentorship, collaboration, and shared accountability.
“I don’t have time to figure it all out.”
If you are already stretched thin seeing clients, managing administrative tasks, and keeping your practice afloat, adding anything else can feel impossible. The hard truth is that staying stuck in survival mode will keep you busier than growth ever will! Building systems, hiring help, and seeking guidance might feel like more work now but it is ultimately what creates breathing room later. All you have to do is take one step in the right direction at a time. Expansion should not require you to do more; it requires you to do it differently.
“I’m not ready yet.”
Many practice owners are waiting for a magical moment when they feel ready to expand. Growth is inherently messy and readiness isn’t a feeling, it is a decision. You become ready by starting, learning as you go, and surrounding yourself with support. If you have built a successful solo practice, you already have a foundation. Instead of asking yourself if you are ready, you should be asking yourself what the next step is and if you trust yourself enough to take it.
We are here for you!
Join us for the Scale Smart 12 week mastermind provided by Julia Nepini, LICSW that provides everything established solo practice owners need to expand successfully from solo to group starting January 6th. Learn more here.
