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And why “good enough” in supervision just… isn’t. Stepping into supervision is one of the most meaningful transitions we make as clinicians. It’s a shift from doing the work to shaping the people who will go on to do the work — and that responsibility is sacred, powerful, and, honestly, a little intimidating. When I first moved into a supervisory role, I knew I wanted to show up with intention, not assumption. I’d been well-trained as a therapist, but supervising is a differe

A note for group practice owners who've been told "no" because of their for-profit status Let me tell you something that took me years of community building, a few grant rejections, and a lot of relationship-tending to fully understand: You don't have to be a nonprofit to access nonprofit funding. I know. Stay with me. At Graceful Therapy, we've built partnerships with more than ten nonprofit organizations — churches, school districts, NAMI affiliates, and organizations servi

By Kate Fish, LMFT, PMH-C There's a phrase I've been sitting with for a while now: profit first. If you've spent any time in the private practice world, you've probably encountered Mike Michalowicz's Profit First — a cash flow management system that flips the traditional accounting equation on its head. Instead of Revenue − Expenses = Profit, Michalowicz argues the formula should be Revenue − Profit = Expenses. In other words, you allocate profit before you spend, building fi

There's a word I come back to again and again — in my work with clients, in conversations with my husband, with friends, and with the practice owners and leaders I consult with. That word is congruence. Carl Rogers used it to describe the authenticity that exists when what's happening on the inside matches what's happening on the outside. And while it's a concept rooted in therapy, congruence is one of the most powerful — and most underutilized — frameworks in leadership. Wha

A systemic therapist’s perspective on relational healing, burnout, and building sustainable, justice-oriented care systems.