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

Author: Dr. Colleen Long, Dr. Jennifer Politis, and Erika Bugaj, LICSW
Published: Tue 26 Aug 2025
Episode Link: https://off-the-chair.captivate.fm/episode/scale-sell-or-stay-how-to-know-whats-next-for-your-practice

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