Only 33% of therapists raised their rates in 2025. The ones who did are earning nearly $20,000 more, and most still won't try again this year.
Therapists can organize, but not all therapists can organize in the same way. Employees have the clearest path. Independent clinicians and solo owners have a narrower one, shaped as much by antitrust law as labor law.
Most therapists have a cancellation policy. Most therapists do not enforce it. That gap between what the policy says and what actually happens is costing them more than money.
The boundary between mental health and organizational strategy is disintegrating — and a new generation of clinician-advisors are advising the C-suite decision makers.
The telehealth platform market has consolidated significantly since 2021. What remains is a smaller set of options with clearer strengths and weaknesses — and higher switching costs than before. Here is what actually matters when choosing one.
Decades of psychotherapy outcome research have produced one finding robust enough to survive every methodological challenge: the quality of the therapeutic relationship is among the strongest predictors of treatment success. The way most practices are structured ignores this entirely.
The average credentialing process for a new mental health provider takes three to six months. Many advocates argue it should take four to six weeks. The delay is not technical. It is structural — and the structure benefits the people who built it.
Direct-pay membership practices are growing across healthcare. A small but increasing number of mental health practitioners are adopting the model — with results that challenge some basic assumptions about how therapy gets paid for.
The clinicians who struggle most with group practice ownership are not struggling with business. They are struggling with authority.
AI-assisted clinical documentation is the fastest-growing category in mental health technology. Some of it is genuinely useful. Some of it is a liability risk dressed up as a productivity tool. Here is how to tell the difference.
The telehealth expansion that followed 2020 generated an unusually large body of outcome data. That data is now available. The findings are more complicated than either telehealth advocates or skeptics predicted.
Federal Medicaid proposals in 2026 would reduce mental health funding in ways that are not immediately visible in the headline numbers. Here is what is actually on the table.
Going out-of-network is the right move for many practitioners. It is also a decision that requires a real transition plan, not a sudden announcement to your clients.
Most practitioners treat supervision as something they did before licensure. The ones building great practices treat it as something they never stopped doing.
Switching EHR systems mid-practice is one of the most disruptive operational decisions a practice owner can make. Most do it because they chose their original system without doing the work. Here is how to do the work.
Three decades of burnout research point to the same conclusion: the causes of clinician burnout are structural, not individual. The interventions most commonly offered to practitioners address the wrong level entirely.
The Mental Health Parity and Addiction Equity Act was supposed to end discriminatory insurance coverage for mental health treatment. Thirty years later, insurers are still finding ways around it — and regulators are still letting them.
The first hire in a group practice is the decision that sets everything else in motion. Most practice owners get it wrong — not because they hired the wrong person, but because they never built the structure to support the right one.
The mental health field has systematically undervalued its own services for decades. That is not the insurance industry's fault. It is ours.
