FOR THERAPY PRACTICE OWNERS
You've built something real. Now you want something more.
You're a licensed therapist with a practice that works. You're not figuring out the basics — you crossed that threshold a long time ago.
What you're carrying now is a vision you've held for a while. Sometimes years.
Maybe it's the practice itself. A team that runs without you as the answer to everything. Revenue that doesn't depend on your own clinical hours. A second location, or a first associate, or the restructure you've been sketching since spring.
Maybe it's the thing past the practice. The group program. The training. The book, the talk, the consulting work — the intellectual property only someone with your hours in the room could build.
Either way, you know what you want. What you don't have is the order of operations.
You know every piece exists — hiring, pricing, positioning, systems. What nobody ever handed you is how they interact, and which one has to move before the others can. So the decision gets researched instead of made, and another quarter goes by.
That isn't a confidence problem. You make harder calls than this before lunch, in the room, with someone in front of you.
You don't need more information. You need someone who can look at your practice, tell you which move is actually yours right now, and stay with you while you make it.
“Before, I was imbalanced. I didn’t recognise how often I was wearing my therapist hat — meeting my contractors’ perceived needs rather than the business’s needs.
The most useful thing was permission to consider my needs and the business’s needs as well as my team’s. I still want my team to be happy, but some of what I’d been worrying about is a shared responsibility, and I know how to frame those conversations now. I’ve hired two associates.
What was different? Directness. None of the fluffy, soft messaging — just real, respectfully challenging questions, insights and suggestions.”
Rié Yasumiishi, RSW
Founder, The Nook Counselling
SIX MONTHS
What actually changes.
You'd never let a client spend eighteen months on a problem without a formulation. You've been doing it with your business.
From a clinician who happens to own a business
To a CEO who moves between both seats without friction
From eighteen months of thinking about the hire
To the hire made — because you knew what had to be true first
From a revenue goal you say quietly, as a question
To a number you've claimed out loud, with a plan underneath it
From keeping the next thing small so nobody notices
To being seen on terms you set
From a practice that stops when you do
To a business that runs whether or not you're in the chair
From the program you've been carrying in your head for years
To the program, built and filling
THE COACHING RELATIONSHIP
SIX MONTHS, ONE TO ONE
Not a curriculum. A partnership.
There's no content library you work through on a schedule. Nothing is pre-built, because the sequence that's right for your practice isn't right for anyone else's.
What happens instead: we find the one thing currently limiting your practice, name the decision underneath it, and then I stay with you while you act on it — through the part where it gets uncomfortable, and the part where something else surfaces because you solved the first thing.
Why one to one, rather than a room
1:1 Coaching answers your growth goals with a coach who knows your practice, your numbers, your team and your goals — and builds the sequence around them. While The Practice CEO Circle™ answers the same problem with peers: ten owners at the same point in the build, saying the uncertain thing out loud to each other.
And why six months
The clients who got the least were the ones unwilling to commit past three. Six months isn't a packaging preference — it's how long it takes to make a structural decision, live with the consequences, and adjust. It's the term because it's what works.
“Cecilia has brilliant wisdom and knowledge that she distills in a way that just makes sense. If you’re the social worker who went into private practice but then found yourself running a group practice and you’re not sure what you’re doing or if any of it is sustainable, Cecilia will guide you through that process with ease, consideration, and feminist business practices that remove the ick from “doing business” in a field focused on care.”
Vivian Zhang, Founder of Inner Room
Vivian Therapy · ★★★★★ Review on Google
THE PRACTICE GROWTH MODEL™
The model of the business you've never been handed.
Your practice isn't four separate problems. It's an ecosystem with four domains that feed each other — which is why fixing the obvious thing so often produces a new problem somewhere unexpected. Every session runs on this, so the question is never what should I work on? but which one is holding the others back right now?
Purpose
Growth aligned with your values and your own definition of success. A practice that grows in a direction that isn't yours will hollow you out, whatever the revenue.
Profit
Pricing you can defend, revenue that doesn't depend on your clinical hours, Canadian context throughout — and the number you're actually building toward.
People
Hiring, leading and, when it's needed, letting go. The full architecture of leading other clinicians with integrity — and the clients they serve.
Process
The systems, the client journey and the structure that let the practice run without you as the last line of defence on every decision.
One domain is always governing the rest. Most of the first month is finding out which.
“After each coaching session I’m left with practical tips and tools to apply right away. I find it helpful to have guidance in sustainable growth and enhancing the vision of my practice.
I have a newly hired associate, my caseload is full and I am no longer taking on more clients and am not working extensive hours to maintain my clinic. My income is consistent and I have seen steady financial growth each month.”
Suki Ó Huallacháin, CCC
Founder, Serenity Counselling
WHY A MODEL ISN'T ENOUGH
The space you haven't taken
You can have the model and still not move. Most of the capable women I work with have been handed frameworks for years. What stopped them wasn't the plan.
Being seen
Not fear of marketing — fear of one specific judgement from one specific room. Usually a colleague. So the program stays unannounced, the talk stays unpitched, and the practice stays known only to the people who already know it.
Wanting more
A revenue goal said quietly, as a question. The thing you've carried for years and haven't started. A practice kept at the size that feels allowed.
Neither is a confidence problem, and neither moves when you're told to be brave. They were trained into us. My feminist, anti-oppressive training is how I work with that — not as a values statement, but as the lens that separates what's yours from what you were handed.
This is the part that's hard to do in a room, and hard to do alone. It's most of why the one-to-one container exists.
PRACTICE GROWTH COACHING
What's included.
Bi-weekly 1:1 coaching sessions
Sixty minutes, strategic and action-oriented. Deciding, not processing.
Unlimited asynchronous support
Between sessions, for the decisions that can't wait.
Templates, tools and resources
Built in my own practice, not bought in.
Two 90-minute Deep Dives
For the pieces that need more room than an hour — the restructure, the hiring plan, the year ahead.
Quarterly strategic reviews
Assess what's moved, recalibrate, and name the next constraint before it surfaces.
Full Practice Formula™
The complete marketing and visibility program, included — so the visibility work has somewhere to live when it's your limiting factor.
“Before working with Cecilia, I felt confused and overwhelmed on how to grow. She helped me gain clarity around how to make decisions that are also expansive and involving many moving parts. I gained an understanding of the business side of therapy practice, so I can have business expansion without chaos! Cecilia is direct, knowledgeable and guided by intuition all at once.”
Leanne Stepp, RSW
Founder, Heart Work Therapy & Yoga
GETTING STARTED
It starts with a fit call.
Request a fit call
A short form so I know where your practice is and what you're working toward before we speak.
We talk — forty-five minutes
Not a sales call. A conversation about what you're building, what's in the way, and whether I'm the right person to help you with it. You'll get my read on your situation either way.
We both decide
If it's a mutual yes, you'll have your agreement and start date within 24 hours. If it isn't, I'll tell you plainly and point you somewhere better.