Autopsy of a Practice: How Scarcity Mentality and Fear-Based Decisions Took Down a Seven-Figure Clinic [Part 1]

WATCH THE FULL VIDEO EPISODE HERE!

This one is personal. In part one of our deepest dive yet, we begin the autopsy of a seven-figure practice that rose fast, broke even faster, and exposed what happens when the realities of a broken mental health system collide with raw human limits. This is not a business teardown. It is a confession, a reckoning, and a mirror for every therapist pushing through clinician burnout while trying to hold an entire organization together with grit and fear.

We unpack how early conditioning shaped a lifelong scarcity mentality, how that scarcity mentality fueled a grind that looked like ambition from the outside, and how scarcity mentality quietly infected every decision behind the scenes. The result was a domino effect of fear-based decisions, the kind of fear-based decisions that feel logical in the moment but corrosive in hindsight, the type of fear-based decisions that eventually collapse even the most profitable seven-figure systems.

We name what clinicians are rarely allowed to say out loud. We name what happens when clinician burnout becomes an invisible job requirement. We name what happens when the broken mental health infrastructure pushes good providers into survival mode. And we name the emotional cost of carrying all of this while trying to convince yourself you are fine inside something that looks like a thriving seven-figure business from the outside.

This is part origin story, part accountability, and part solidarity with every therapist who ever wondered if they were the problem when in reality they were operating inside a system that is fundamentally the problem. If you feel the weight of clinician burnout, if you have made fear-based decisions out of desperation, or if you are navigating the fallout of a broken mental health landscape, this episode will land exactly where it needs to.

What you will hear

• The early imprint that wired a lifelong scarcity mentality and how it shows up in leadership
• How clinician burnout becomes an identity instead of a warning sign
• The quiet ways a broken mental health system shapes everything from hiring to ethics
• Why fear-based decisions masquerade as responsibility and feel impossible to avoid
• The moment a seven-figure practice revealed its fault lines in real time

If you are in the thick of it, you are not alone. And you are definitely not the only one trying to survive inside something that was never built to support you.

Connect with us!

Website: www.offthechair.com

Instagram: @offthechairpodcast

YouTube: @offthechairpodcast

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: