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In a world where a nail artist can out-earn a licensed therapist, behavioral health professionals have no choice but to get scrappy, color outside the lines, and start writing our own rules. The old path—graduate school, licensure, paneled with insurance, packed calendar of 1:1s—is broken. It’s time for a new blueprint.
That’s where Off the Chair comes in. We’re not just talking about surviving the grind, we’re exploring radically different ways to thrive. From building passive income streams to launching scalable service lines, we dive into business models that break the mold. We cover how modern technology; AI, digital products, automation, and online communities—can even help clinicians step out of the therapy chair and into a more expansive, creative, and financially free version of practice.
Off the Chair is the no-BS podcast for therapists and clinicians from all disciplines, trapped in a broken healthcare system, ready to break out of burnout, reclaim their income, and build values-driven businesses beyond mis-managed care and trading hours for dollars.
Hosted by Dr. Colleen Long—a clinician-entrepreneur who has built, broken, and rebuilt thriving mental health companies—this show brings you weekly conversations on what it really takes to succeed in today’s broken behavioral health system. Whether you're a growth-minded psychologist, a private practice owner, or a therapist wondering how to scale without selling your soul, Off the Chair is your roadmap to redefining what success looks like in mental healthcare.
What You’ll Learn
- Business & Practice Management: Navigate the operations side of private practice with insight into EMRs, scheduling workflows, profitability pivots, and systems that scale.
- Hiring & Leadership: From managing your first intern to leading multi-state teams, get real-world advice on creating aligned, sustainable teams (and firing fast when it’s not a fit).
- Financial Freedom for Clinicians: Understand compensation models, create recurring revenue streams, and stop trading time for money—all without compromising your ethics.
- Mental Health Industry Reform: Challenge the status quo with honest dialogue on insurance gatekeeping, clinician burnout, and what it takes to build a more human-centered system.
- Personal Resilience & Growth: Behind every spreadsheet is a dark night of the soul. We talk mindset, mission drift, and how to stay motivated when the math doesn’t math.
- Overcoming Challenges: The podcast addresses common challenges faced by therapists, such as negative reviews, legal threats, and the fear of failure, offering strategies for navigating these obstacles.
Overall, Off the Chair aims to empower clinicians to: Become more effective leaders and managers. Build strong, efficient, and profitable practices. Enhance their personal well-being and achieve a fulfilling career. Stay ahead of the curve in a constantly evolving industry. Why Listen? Off the Chair isn’t just about the logistics of running a practice—it’s about reclaiming your creativity, your autonomy, and your voice as a leader. No jargon, no perfectionism. Just vulnerable, strategic conversations that meet you in the messy middle.
New episodes drop every Tuesday.
Connect with us!
Website: www.offthechair.com
Instagram: @offthechairpodcast
Dr. Colleen Long, Psy.D.
Website: www.drcolleenlong.com
LinkedIn: Dr. Colleen Long
| Episode | Date |
|---|---|
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The Clinician Holiday Reset Series Part I: Rest
|
Dec 30, 2025 |
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Redefining Success: A Therapist's Path to Peace with Sarah Olson
|
Dec 16, 2025 |
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Autopsy of a Practice Part III: Your Not Broken, The Game is Rigged
|
Dec 09, 2025 |
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Trailblazer Series: Transforming Leadership in Group Practices with Julianne Guinasso & Poonam Natha
|
Dec 02, 2025 |
|
Autopsy of a Practice: How Scarcity Mentality and Fear-Based Decisions Took Down a Seven-Figure Clinic [Part 1]
|
Nov 18, 2025 |
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Trailblazer Series - From Burnout to Balance: The Clinician’s Path to Freedom, Impact, & Legacy with Gordon Brewer
|
Nov 11, 2025 |
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Trailblazer Series: How Shalene Kite Rebuilt Her DBT Practice and Redefined Clinician Burnout
|
Nov 03, 2025 |
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AI, Automation Examples & Etsy Empires — AI Tech That Gets You Off the Chair (and Back Your Time)
|
Oct 28, 2025 |
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Halloween: Spooky Finances Edition with Lori Atwood, CFP
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Oct 21, 2025 |
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The Healer’s Exit Plan: Identity, Legacy & What Comes After the Chair
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Oct 14, 2025 |
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We are NOT Family: Leadership Resets for Therapists
|
Oct 07, 2025 |
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I Don't Have Time: The Shawshank Conundrum
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Sep 30, 2025 |
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Retreats, Rest & Revenue: The Dual Life of a Clinician-Entrepreneur
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Sep 23, 2025 |
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Delegation Disasters & Hiring Heartbreaks
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Sep 16, 2025 |
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Freedom Isn’t Found in the Exit (And Scaling Doesn’t Have to Kill You)
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Sep 09, 2025 |
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The Realities of Being a Mom Boss
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Sep 02, 2025 |
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Scale, Sell, or Stay: How to Know What’s Next for Your Practice
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Aug 26, 2025 |
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Scaling Without Selling Your Soul: Building a Business That Loves You Back
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Aug 19, 2025 |
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Group Practice - Business Growth or Burnout Multiplied?
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Aug 19, 2025 |
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Burned Out, Broke, and Brilliant: How We Got Off the Chair
|
Aug 19, 2025 |
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Welcome to Off the Chair
|
Jul 30, 2025 |