When Adina Babad first found Lean In. MAKE BANK., they were charging around $110/session, fully paneled with insurance, overwhelmed, and wondering how much longer they could keep doing it. Today,...
That’s exactly the question one therapist asked Tiffany after describing the practice she desperately wanted: 17 sessions a week. $200,000 a year. Enough space to actually enjoy her life. The...
What if becoming a premium fee therapist wasn't about seeing more clients—but about finally valuing the transformation you already provide? In this inspiring episode, Tiffany sits down with Carol...
Most therapists think the hardest part is allowing themselves to want more. More income.More freedom.More creativity.More time off.A Life First Practice. But what happens after you let yourself want...
When therapists tell themselves, "I live in a rural area, so premium fees aren't possible here," Leah Harlan is living proof that assumption isn't true. In just 8 months, Leah increased her annual...
What does it actually mean to be good enough to charge $600 per session? More certifications? Another modality? A better niche? A prettier website? Most therapists assume that charging premium fees...
What happens when a therapist charges $600 per session and becomes the target of criticism, projection, outrage, and endless commentary from other therapists? In this powerful and provocative...
Therapists are afraid of a lot of things. Raising their fees. Leaving insurance panels. Being visible. Being judged. Failing publicly. But according to Tiffany, one of the biggest obstacles standing...
What if the “messy middle” isn’t proof you’re failing… but proof you’re growing? In this deeply honest episode, Tiffany sits down with Danielle Robbins, an LMHC in New York, who went from opening a...
What if the thing standing between you and your Life First Practice isn’t strategy? What if it’s the story you tell yourself about who you’re allowed to be? In this deeply personal episode, Tiffany...
What happens when the practice you built starts feeling like a trap? In this deeply honest Money Sessions episode, Tiffany sits down with therapist Hillary Pilotto to unpack the emotional,...
There is a reason so many therapists are exhausted, resentful, financially anxious, and quietly fantasizing about leaving the profession altogether. And it’s not because they “aren’t good at...
Think therapists in Canada can’t charge premium fees? Think again. In this episode of The Money Sessions, Tiffany sits down with Amelia Sloan, a Canadian-based therapist whose journey challenges the...
Therapists are asking the wrong question. The question is not: “How do I get more clients?” The real question is: “How do I become a therapist whose work creates powerful, noticeable...
What happens when you cut your income in half… and feel more free than ever? In this unforgettable episode of The Money Sessions, Tiffany sits down with Krissy Johnson, LMFT, whose path into private...
What if the biggest thing holding back your private practice isn’t your marketing… it’s the paradigm you’re operating in? In this episode, Tiffany dives into one of the most uncomfortable (and...
When Alanna started her private practice, she was charging as little as $60 per session. Like many therapists, she deeply believed therapy should be accessible. But as a multi-racial therapist, solo...
There’s a part of you that wants more. More ease. More freedom. More money. More spaciousness. More time with your kids. More creativity. More life. And there’s another part of you that is...
What if the system you were told would “fill your practice” is actually the thing keeping you underpaid and overwhelmed? In this episode of The Money Sessions, Tiffany sits down with Katerina...
Every therapist has asked this question— even if only silently: “Is it ethical for me to charge this much?” And underneath that… “Who gets to decide?” In this episode, Tiffany takes on one of the...
In this episode of The Money Sessions, Tiffany talks with Jesse Hernandez, LPC, a therapist practicing in a small Texas town who made the bold decision to significantly increase his session fee....
AI is already here. And yes—it is replacing therapists. Not all therapists. But many. And the ones most at risk? They’re not who you think. In this episode, Tiffany cuts through the noise, the...
In this episode of The Money Sessions, Tiffany sits down with therapist Kara Cruz, who began building her private practice while working full-time in community mental health. Like so many clinicians...
If you’re feeling stuck in your private practice, you might think the problem is clarity. You might believe you just need the right idea.The right strategy.The right moment of inspiration. So you...
In this episode of The Money Sessions, Tiffany talks with therapist David Flowers about what it really takes to raise your fees—and why the biggest obstacle often isn’t strategy. It’s belief. Like...
There are people out there who want therapy and can easily afford $300, $400, even $500 per session. They’re not rare.They’re not mythical.They’re not just in Silicon Valley or Manhattan. They’re...
In this episode of The Money Sessions, Tiffany sits down with therapist Alyssa Desroches, a neurodivergent clinician and mom of two young children who realized the way she was running her practice...
This episode is unlike anything Tiffany has ever done on The Money Sessions. A week before recording an entire season of the podcast, Tiffany received a winding, honest email from a therapist named...
From agency burnout to financial peace, Angie Pulido-Banner’s story is a powerful example of what happens when you stop waiting for permission and start leading your life like a CEO. Listen to the...
Therapists are the identified patients of our culture. You were the one who noticed when something wasn’t right.You named what everyone else refused to see.You felt the emotional temperature of the...
Meet Charlese Williams, a powerhouse therapist from Atlanta who almost didn’t join LIMB — because she “couldn’t afford it.” What happened next changed everything. Charlese joined anyway. She faced...
There’s a reason your practice feels capped.There’s a reason $300 per session feels theoretical instead of inevitable.And it has nothing to do with your clinical skill, your niche, or “this...
In this episode, Tiffany sits down with Sarayu Meraki, a Wisconsin-based therapist who joined LIMB Academy at a powerful crossroads: turning 40, questioning everything she’d been told about success,...
This is the episode Tiffany herself calls one of the most important she’s ever recorded. It is short. It is piercing. And for the therapist who is ready — even slightly — this episode will change...
In this episode, Tiffany sits down with the incomparable Allison Puryear, founder of Abundance Practice Building and one of the original voices in the therapist–business space. Allison has been...
Every therapist wants to know: “Okay, but how long will it actually take for me to get to a Life First Fee?” You want to know how long until you can stop drowning in insurance, stop resenting your...
In this episode, Tiffany talks with Sara Rader, LPCC, a maternal mental health and trauma specialist who transformed her practice — and her entire life — in just four months inside LIMB Academy....
If your marketing stopped working… If your phone stopped ringing… If you’re on insurance panels and still can’t fill your practice… You are not imagining it. And you are not doing anything wrong....
When Emma Summer realized the system was never going to reward her for overgiving, she stopped waiting for permission and built a premium-fee, cash-pay practice on her own terms. Emma shares what it...
You’ve seen the posts. Therapists charging $300, $350, $400 per session—booked out, spacious schedules, fully off insurance—and you’re wondering: “What the hell are they doing that I’m not?” It...
In this episode, Tiffany sits down with Amanda Starfield, a Massachusetts-based therapist and former clinical director who walked away from 15 years in agency leadership to build a sustainable,...
You’ve seen the posts. The ads. The “six-figure coach” promises. And you’re thinking: “Is this legit… or am I about to get scammed?” You’re not alone. Every week, Tiffany talks to therapists who are...
From seeing 24 clients a week on Medi-Cal to working 12-14 hours at $250 per session — Sara Champie’s story is the revolution therapists need to hear. As a primary breadwinner, Sara used to believe...
You say you want to make more money. You say you want freedom. You say you want to stop taking insurance and finally charge what you’re worth. But you don’t. You keep yourself broke. In this raw and...
What happens when someone without a therapy license decides to build a premium-fee practice anyway? Meet Jessica Scalzo, a professional Peer Counselor and retired competitive runner who turned her...
This is your unpopular opinion alert—but someone needs to say it. If you’re taking insurance or charging low fees that don’t allow you to pay your bills, take care of your kids, and save for...
After helping build a 12-clinician nonprofit from the ground up, Angelina Miceli, LCSW, realized she’d built everything — except her own joy. She was burnt out, resentful, and quietly crumbling. In...
Therapists love to tell themselves: “I’ll figure it out in January.” Raise my fees in January. Do my marketing in January. Finally get serious about my business in January. Here’s the truth: by...
In this episode, we’re speaking with Katie Gilbertson, a Washington-based therapist who was working three days a week—but still couldn’t take a vacation or contribute to retirement. She thought she...
“Sure, Tiffany—that all sounds great. But is it actually possible? Can any therapist really charge $350 a session and stay full?” That’s the question Tiffany hears over and over again from...
In this episode, we’re speaking with Maggie Evans, an art therapist, highly sensitive person, and single mom who broke free from the burnout of BetterHelp and built a premium-fee private practice...
You’re full—or close to it. You’re managing. Paying the bills. Picking up your kid. Logging back on after dinner for that one “flexible” client. It’s not suffering. But it’s sure as hell not...
In this episode, we’re speaking with Natasha Deen—a DC-area therapist specialized in working with Muslim daughters of immigrants—who went from “okay enough” to powerful, unapologetic fee ownership. ...
Five years ago, insurance filled your caseload. It wasn’t ideal—but it worked. You weren’t thriving, but you were surviving. You told yourself: “One day I’ll do something different.” That day is...
In this episode, we’re speaking with Dr. Anna Dinoto, a neurodivergent psychologist with a decades-long career spanning clinical, forensic, and neurodiverse care—and the courage to break free from...
Working two jobs. Seeing 20 clients. Pulling overnights just to make rent. You’re surviving—but barely. In this raw and unflinching solo episode, Tiffany offers a love letter—and a wake-up call—for...
In this episode, we’re speaking with Debbie Nichols, a veteran therapist and mom who finally got honest about the limitations of her “fun money” practice. After years of using insurance to avoid...
You didn’t sign up to be a friend with a license. But here you are—bored in session, drained after notes, wondering where the depth went. In this fierce and refreshing episode, Tiffany takes on the...
In this episode, we’re speaking with Vicky Truong, a trauma and couples therapist who now charges $300/session and specializes in adult children of immigrants. From full-time legal work to burnout...
You’re burnt out and underpaid. And that shiny new coaching program or online course feels like freedom. But in this episode, Tiffany sounds the alarm: if your core business is broken, no second...
In this episode, we’re speaking with Dylan Spradlin, a synergetic play therapist and LIMB grad who was determined to leave burnout and low pay behind—before they were even fully licensed. Dylan’s...
Brace yourself. This episode is a truth bomb that may rattle your nervous system, piss you off—or finally give you the relief you didn’t know you needed. Tiffany makes the bold, controversial claim:...
In this episode, we’re back with powerhouse Canadian therapist and coach Olethea Pimenta, who went from undercharging at $130 to confidently billing $385 per session—up to three times a week, all...
You've been out of the therapy world for a while. Maybe you stepped back to raise kids. Maybe you worked in an agency. Maybe life just… happened. And now you’re back—but you’re terrified to charge...
In this episode, we’re speaking with Jessica Malmberg, a Santa Rosa-based therapist specializing in grief and trauma work for sensitive and neurodivergent individuals and families. Jessica’s story...
You’ve got a full caseload. You’re marketing harder than ever. You’re at the networking events, doing the coffee dates, dropping off business cards at every damn yoga studio and café in your zip...
In this episode, we’re speaking with Julianna Vermeys, a Portland-based somatic therapist and LIMB grad who took a long, brave road from burnout and martyrdom to freedom and clarity in her practice....
This one’s not just a podcast episode. It’s a line in the sand. If you’ve ever felt paralyzed by doubt, overwhelmed by invisible blocks, or stuck in a private practice that just… doesn’t work—you...
In this episode of The Money Sessions, LIMB grad Dr. Shauna Pollard shares her transformative journey from burnout and back pain in a high-earning group practice to creating a sustainable, creative,...
In this soul-stirring solo episode, Tiffany calls out the secret belief so many therapists carry: “I know a premium fee practice is possible… but not for me.” Maybe you’ve listened to every episode....
In this eye-opening episode of The Money Sessions, Tiffany sits down with longtime colleague and LIMB Academy alum Jenn Fredette to talk about what it really takes to build a thriving premium fee...
In this episode of The Money Sessions, Tiffany tackles a phrase she’s heard time and time again: “I don’t want to only work with rich people.” If you’ve ever felt conflicted about charging premium...
In this episode, we’re speaking with Beth Klein, a Licensed Marriage and Family Therapist and LIMB Academy grad based in Minnesota. Beth specializes working with high-achieving women who struggle...
What do you do when you’ve done the mindset work, you’re confidently charging premium fees, and you’ve built a solid foundation for your private practice—yet the clients still aren’t coming? In...
In this episode, we’re speaking with Monica Helvie, a Licensed Marriage and Family Therapist and LIMB Academy grad based in Texas. Monica specializes in helping anxious achievers rediscover inner...
Email Tiffany (hey@leaninmakebank.com) with the word “NOW”. Listen to the episode: Fun with Fees Calculator DM Tiffany on Instagram Send Tiffany an EmailTiffany McLain, LMFT is a clinical fee...
In this episode, we’re speaking with Ginelle Krummey, a Licensed Clinical Mental Health Counselor and LIMB grad based in North Carolina. In today’s interview with Tiffany, Ginelle talks about how...
I’m looking for 3 therapists who are ready to break free from the low fee trap. Find me on Instagram @leaninmakebank and DM me the word “POWER." When therapists talk to me about needing to give...
In this episode, we’re speaking with Dr. Tavari Brown, Ph.D., LPC, MPH, CPCS, a LIMB grad and current mentor based out of Atlanta, Georgia. Recorded before her move from LIMB student to mentor,...
In today’s eye-opening episode, Tiffany calls out the all-too-common habit of therapists convincing themselves that everything is “fine.” Even—and especially—when it’s not. And you KNOW it. (Cue...
In this episode, we’re speaking with Dr. Brianna Mann, PhD, a LIMB Academy grad based in Minnesota who specializes in working with high achievers. Brianna gets real in today’s interview, talking...
In this powerful episode, Tiffany delivers a wake-up call to therapists in private practice: nobody is coming to save you. If you’re exhausted, underpaid, and waiting for some magic to transform...
In this episode, we’re speaking with Dr. Marcuetta Sims, a licensed psychologist and premium fee therapist who practices in Georgia. Tune in to hear Marcuetta share how she went from being stressed...
In this episode, we’re speaking with Andrew Riesen, a mission-driven entrepreneur, financial accountant, and CEO of Heard. If you haven’t heard of Heard (see what we did there?), it’s an accounting...
In this episode, we’re speaking with Susannah Horwitz, a Licensed Professional Counselor and LIMB Grad based in Golden, Colorado. Susannah is a proud mom, wife, and entrepreneur. During her first...
LAST CHANCE to join before registration closes! In this week of live online trainings, you’ll get crystal clear about how to talk fees ethically and fairly - in a way that honors you and your...
In this episode, we’re speaking with Rachel Hulstein-Lowe, MSW, a Licensed and Independent Clinical Social Worker and LIMB Grad based in Boston, Massachusetts. Rachel is a gender diversity expert...
In this week of live online trainings, you’ll get crystal clear about how to talk fees ethically and fairly - in a way that honors you and your clients - as we head into 2025. Click here to enroll...
In the sequel to last week’s episode, we’re once again speaking with Jesse Kauffman, a Licensed Master Social Worker and LIMB Grad based in Ann Arbor, Michigan. If you haven’t already listened to...
In this week of live online trainings, you’ll get crystal clear about how to talk fees ethically and fairly - in a way that honors you and your clients - as we head into 2025. Click here to enroll...
Because therapists with more money have more capacity to make change