Off The Chair
Dr. Colleen Long
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About This Podcast
In a world where a nail artist can out-earn a licensed therapist, behavioral health professionals have no choice but to get scrappy, color outside the lines, and start writing our own rules. The old path—graduate school, licensure, paneled with insurance, packed calendar of 1:1s—is broken. It’s time for a new blueprint.
That’s where Off the Chair comes in. We’re not just talking about surviving the grind, we’re exploring radically different ways to thrive. From building passive income streams to launching scalable service lines, we dive into business models that break the mold. We cover how modern technology; AI, digital products, automation, and online communities—can even help clinicians step out of the therapy chair and into a more expansive, creative, and financially free version of practice.
Off the Chair is the no-BS podcast for therapists and clinicians from all disciplines, trapped in a broken healthcare system, ready to break out of burnout, reclaim their income, and build values-driven businesses beyond mis-managed care and trading hours for dollars.
Hosted by Dr. Colleen Long—a clinician-entrepreneur who has built, broken, and rebuilt thriving mental health companies—this show brings you weekly conversations on what it really takes to succeed in today’s broken behavioral health system. Whether you're a growth-minded psychologist, a private practice owner, or a therapist wondering how to scale without selling your soul, Off the Chair is your roadmap to redefining what success looks like in mental healthcare.
What You’ll Learn
- Business & Practice Management: Navigate the operations side of private practice with insight into EMRs, scheduling workflows, profitability pivots, and systems that scale.
- Hiring & Leadership: From managing your first intern to leading multi-state teams, get real-world advice on creating aligned, sustainable teams (and firing fast when it’s not a fit).
- Financial Freedom for Clinicians: Understand compensation models, create recurring revenue streams, and stop trading time for money—all without compromising your ethics.
- Mental Health Industry Reform: Challenge the status quo with honest dialogue on insurance gatekeeping, clinician burnout, and what it takes to build a more human-centered system.
- Personal Resilience & Growth: Behind every spreadsheet is a dark night of the soul. We talk mindset, mission drift, and how to stay motivated when the math doesn’t math.
- Overcoming Challenges: The podcast addresses common challenges faced by therapists, such as negative reviews, legal threats, and the fear of failure, offering strategies for navigating these obstacles.
Overall, Off the Chair aims to empower clinicians to: Become more effective leaders and managers. Build strong, efficient, and profitable practices. Enhance their personal well-being and achieve a fulfilling career. Stay ahead of the curve in a constantly evolving industry. Why Listen? Off the Chair isn’t just about the logistics of running a practice—it’s about reclaiming your creativity, your autonomy, and your voice as a leader. No jargon, no perfectionism. Just vulnerable, strategic conversations that meet you in the messy middle.
New episodes drop every Tuesday.
Connect with us!
Website: www.offthechair.com
Instagram: @offthechairpodcast
Dr. Colleen Long, Psy.D.
Website: www.drcolleenlong.com
LinkedIn: Dr. Colleen Long
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Recent Episodes
The Clinician Holiday Reset Series Part I: Rest
Burnout doesn’t always mean you need more rest. Sometimes it means your nervous system is asking for a different rhythm—or even a different container for your work.In this special three part holiday…
The Clinician Holiday Reset Series Part I: Rest
Burnout doesn’t always mean you need more rest. Sometimes it means your nervous system is asking for a different rhythm—or even a different container for your work. In this special three part holiday…
S1E20 Redefining Success: A Therapist's Path to Peace with Sarah Olson
Burned out, questioning everything, and wondering if you’re allowed to want something different from your work and your life? This episode is for therapists, group practice owners, and mental health…
S1E19 Autopsy of a Practice Part III: Your Not Broken, The Game is Rigged
Burned out, morally injured, and wondering if you’re the problem? Good news and bad news: it's not you, it's the system. This episode is for clinicians, group practice owners, and mental health…
S1E18 Trailblazer Series: Transforming Leadership in Group Practices with Julianne Guinasso & Poonam Natha
In this conversation, the hosts discuss the challenges of leadership in group practices, emphasizing the importance of trauma-informed leadership and building a culture of trust. Dr. Colleen Long…
Autopsy of a Practice: How Scarcity Mentality and Fear-Based Decisions Took Down a Seven-Figure Clinic [Part 1]
WATCH THE FULL VIDEO EPISODE HERE!This one is personal. In part one of our deepest dive yet, we begin the autopsy of a seven-figure practice that rose fast, broke even faster, and exposed what…
Trailblazer Series - From Burnout to Balance: The Clinician’s Path to Freedom, Impact, & Legacy with Gordon Brewer
WATCH THE FULL VIDEO EPISODE HERE!What happens when you finally pause long enough to ask, “Is this really the life I built my practice for?”In this conversation with Gordon Brewer, LMFT, founder of…
Trailblazer Series: How Shalene Kite Rebuilt Her DBT Practice and Redefined Clinician Burnout
WATCH THE FULL VIDEO EPISODE HERE!In this episode of Off the Chair, host Dr. Colleen Long sits down with Shalene Kite, LPC, DBT LBC, RYT, founder of DBT of South Jersey and Rebel Mente, to talk about…
AI, Automation Examples & Etsy Empires — AI Tech That Gets You Off the Chair (and Back Your Time)
If you’ve ever caught yourself thinking, “There’s got to be a smarter way to run this practice,” this episode is for you. Dr. Colleen Long takes you behind the scenes of AI automation examples and…
Halloween: Spooky Finances Edition with Lori Atwood, CFP
Therapists talk about everything except money, and that cost could be leaving you with money anxiety.Too many therapists feel financially drained even while helping others heal. The truth is,…
The Healer’s Exit Plan: Identity, Legacy & What Comes After the Chair
What if leaving the char wasn’t the end of your career, but the beginning of your healing? If you’ve ever felt torn between ambition and exhaustion, this conversation is for you.In this raw and…
We are NOT Family: Leadership Resets for Therapists
Too many practice owners fall into the trap of treating their staff like family. It feels caring, but it blurs boundaries and leads to therapist burnout and business chaos. We’ve been there, and…
I Don't Have Time: The Shawshank Conundrum
If you’ve ever whispered I don’t have time while drowning in back-to-back sessions, paperwork, and payroll, you’re not alone. The truth is, most clinicians stay stuck in therapist burnout and…
Retreats, Rest & Revenue: The Dual Life of a Clinician-Entrepreneur
Feeling fried, curious about therapist retreats, or secretly dreaming of side hustles for therapists that will actually restore you? We get it - and we made this episode for clinicians who want rest…
Delegation Disasters & Hiring Heartbreaks
When it comes to running a therapist business, nothing derails growth faster than the wrong hire. In this episode, we get real about the delegation problems, the bad hires, and the lessons that cost…
Freedom Isn’t Found in the Exit (And Scaling Doesn’t Have to Kill You)
Freedom after selling your practice isn’t guaranteed - and scaling doesn’t have to break you. In this episode, we unpack what happens when “I’ll feel free after the exit” meets real life. We explore…
The Realities of Being a Mom Boss
Being a mom therapist means wearing more hats than most people can imagine - and switching between them in the blink of an eye. In this raw and real episode, we talk candidly about balancing…
Scale, Sell, or Stay: How to Know What’s Next for Your Practice
When the walls feel tighter than ever, that crossroads of deciding to scale, sell, or stay is real - and confusing. In this episode, we unpack the deeply personal, strategic, and emotional decision…
Scaling Without Selling Your Soul: Building a Business That Loves You Back
Therapist burnout doesn’t start with big breakdowns - it starts with tiny betrayals of your time, your energy, and your vision. In this episode, we get real about the emotional toll when you scale…
Group Practice - Business Growth or Burnout Multiplied?
Ever wonder if you're the only one silently struggling while running a practice? You're not. This episode dives deep into the raw reality of therapist burnout - and what comes after.In this episode,…
Frequently Asked Questions
Off The Chair has published 21 episodes since July 2025, covering topics in Business, Entrepreneurship.
Off The Chair is currently dormant with new episodes weekly. Average episode length is 51m.
Sign up on Grep.FM to access contact details for Off The Chair, including email and social media links.
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