In this Hot Take, psychotherapist and group practice owner Christina Crowe, RP, shares an unfiltered look at why running a group practice is not just “more therapy” but an entirely new career path in entrepreneurship and leadership.

Drawing from a decade of experience building a successful Ontario group practice, Christina breaks down the training gaps, financial strains, leadership struggles, and blind spots that many clinicians face when they dive into business ownership without preparation.

If you’re a therapist considering starting a group, this episode offers both a reality check and encouragement. It’s not about failure; it’s about understanding the truth of what you’re signing up for and why mentorship, systems, and self-awareness are non-negotiable for long-term success.

What You’ll Learn in This Episode:

Why group practice ownership is a different job than clinical work.
The hidden costs and financial strain most therapists underestimate.
Common pitfalls: messy hiring, compliance blind spots, and marketing mistakes.
Why leadership skills — not clinical skills — determine success.
The crucial role of mentors and champions in navigating business ownership.

If you’ve ever thought about starting a group practice, if you’re already in one and struggling — this episode is for you.

Find Christina (CRPO #3908): Website | Find a Therapist | Instagram | Podcast page

A gentle reminder that this is not therapy, and Christina is not your therapist. If you would appreciate one on one support or treatment, please check out the links posted above or our Resources page on our website.

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E102: Should You Start a Therapy Group Practice?