WP206 | Is It Worth It to Run a Group Practice with Lisa Catallo, RCC, CCC, ACS

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Running a group practice can be incredibly rewarding, but it can also bring a level of pressure, responsibility, and isolation that many practice owners are not prepared for. In this episode of the Wise Practice Podcast, Whitney Owens talks with Lisa Catallo, Canadian psychotherapist, group practice owner, and business coach, about what happens when you start asking yourself a difficult question: Is this still worth it? Lisa shares her own experience of growing multiple practices, reaching burnout, and ultimately deciding to downsize in order to create a business that worked better for her life.

Why Group Practice Ownership Can Feel So Lonely

Many therapists start group practices because they want community, collaboration, and the opportunity to build something meaningful. But as the practice grows, ownership can actually become more isolating. Lisa explains that owners often feel like they are working harder than everyone else while carrying responsibilities they cannot fully share with their team. Without support, boundaries, and healthy systems in place, that loneliness can quickly turn into resentment toward the business itself.

Systems Can Protect You From Burnout

One of the biggest themes in Whitney and Lisa’s conversation is the importance of systems and structure. If every question has to come back to the owner, or all of the processes live inside your head, you will eventually become the bottleneck. Clear operating procedures, onboarding systems, defined client and therapist experiences, and a strong administrative team can protect your time and allow the practice to function without requiring your attention every minute of the day.

Sometimes Burnout Is Hard to Recognize

Lisa did not immediately recognize what she was experiencing as burnout. She was managing changes in her practice, losing therapists, navigating personal challenges, and wondering whether she could continue operating at the same level for another five years. It was actually someone else who named burnout for her. Once she had language for what she was feeling, she could begin asking what needed to change and where her energy truly belonged.

Downsizing Does Not Mean You Failed

For Lisa, the answer was ultimately to downsize from two locations to one and release her contractors. She helped some therapists transition to new locations, maintained strong relationships with them, and shifted toward a model that required less day-to-day responsibility. The decision was not easy. Lisa shares that she wrestled with shame, questioned whether she had made the right choice, and even grieved the vision she originally had for her practice. But she also began to recognize that protecting herself did not erase everything she had built or learned.

Your Business May Need to Change as You Grow

Whitney and Lisa also discuss how the challenges of running a practice change at different stages of growth. Getting to five clinicians can feel exhausting because you are still building everything. Around 10 or 12 clinicians, leadership and management can create an entirely new set of pressures. Whitney shares how adding a COO and leadership team dramatically changed her own experience of running a larger practice. The systems that worked when you had five people may not be the systems you need when you have 15.

Boredom Does Not Always Mean Burnout

Not every difficult season means you need to close the doors. Lisa points out that entrepreneurs often love the excitement of building something new. Once the practice stabilizes, that excitement can fade and the business may simply feel boring. That does not automatically mean you are burned out or that the practice is no longer worth running. It may mean you need stronger support, a new leadership structure, clearer systems, or a way to reconnect with the original vision that made you want to build the practice in the first place.

What to Ask Before Closing Your Group Practice

If you are thinking about closing or downsizing your practice, Lisa encourages owners to examine their systems, values, vision, and support before making a decision. Is there something that could be tightened up? Is there someone you could add to your team? Does the business still align with what you want your life and leadership to look like? And perhaps most importantly, do you have people around you who can listen, encourage you, and help you think clearly instead of making the decision alone?

You Are Allowed to Build a Practice That Works for You

A group practice should not only serve clients and clinicians. It also has to work for the owner. Your business may look different than you originally imagined, and the decisions you make today do not have to be permanent. Whether the next step is adding leadership support, improving your systems, downsizing, or choosing a completely different direction, the goal is to build something sustainable that allows you to keep showing up for the work you feel called to do.

Meet Lisa Catallo, RCC, CCC, ACS

Lisa Catallo is a Canadian psychotherapist, group practice owner, and business coach who has spent the last eight years helping practice owners lead with clarity, confidence, and sustainable systems. Through the Group Practice Network and her podcast, Empowered to Lead, she supports therapists who want to build values-driven practices without burning out or losing themselves in the day-to-day. Her work is calm, grounded, and focused on helping leaders step fully into the CEO role their practice needs them in.

Lisa’s Resources

Website https://www.grouppracticenetwork.ca

Facebook https://www.facebook.com/grouppracticenetwork

Instagram https://www.instagram.com/grouppracticenetwork

Group Practice Audit https://grouppracticenetwork.myflodesk.com/ceoaudit

Links and Resources

Learn More about Wise Practice Consulting

Connect with Wise Practice on Instagram

Connect with Whitney Owens on Facebook

Check out all of the podcasts on the PsychCraft Network

Wise Practice Masterminds

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WP205 | Rethinking the Traditional 60/40 Split with Brittany Schank, LCSW