Designer Practice Podcast: A Private Practice Podcast for Therapists and Counsellors 152. Earn Income Outside the Therapy Room: Creating a Practice That Lights You Up with Kara Cruz
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Jan 20, 2026 
Kara Cruz, a licensed marriage and family therapist who runs a fully virtual practice and trains clinicians. She explores earning income beyond one-on-one therapy, using groups to multiply revenue, matching income ideas to your energy, and practical steps to pick and launch a new offering. Short exercises, tiny habits, and a structured bootcamp are highlighted as ways to get started.
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Burnout From Recreating Agency Schedules
- Kara recreated the same overbooked schedule she experienced in agency work and burned out from back-to-back sessions.
- She slowed down, dropped parts of her caseload, and rebuilt a practice that felt energizing and sustainable.
Diversify Income To Choose Clients
- Diversifying income creates freedom to only accept best-fit clients and refer others.
- Multiple streams reduce scarcity-driven overbooking and protect clinician wellbeing.
Account For Group Back-End Work
- Remember group clinical hours also cover prep, marketing, and admin hidden work.
- Build structures and support so those backend tasks don't erase the group's profitability.
