You’ve been out of the therapy world for a while.
Maybe you stepped back to raise kids. Maybe you worked in an agency. Maybe life just… happened.
And now you’re back—but you’re terrified to charge what you actually need.
This episode is for the therapist asking:
“Who am I to charge $200 or $300 when I’ve been out of practice for years?”
Tiffany tackles a powerful listener question and busts the myth that experience is what makes you worth premium fees. Spoiler: it’s not.
Listen to the episode:
In this episode, Tiffany shares:
- Why being strategic matters more than being seasoned when setting your fee;
- How burnout and scarcity actually make you a worse clinician—and how ease makes you better;
- Why serving low-fee, Medicaid-dependent clients in the past doesn’t mean you’re stuck there;
- The skill gap (not a personal failure) that keeps you from attracting premium clients—and how to close it;
- Why building a premium-fee practice is a learnable skill—not something you’re born knowing.
If you’ve been hiding behind “I need more time,” “I just got back,” or “I’m not ready yet”—this is your wake-up call.
Email Tiffany at tiffany@leaninmakebank.com with the subject line: “Ready.”
Let’s build the practice your future self will thank you for.
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Resources mentioned
Email Tiffany: tiffany@leaninmakebank.com

More about Tiffany
Tiffany McLain, LMFT is a clinical fee strategist for therapists in private practice. Her mantra is, “Full fees are the new black.” Via her program, The Lean In. MAKE BANK. Academy, she helps therapists ethically earn 30 to 50% more per month while seeing fewer clients by showing them how to think about and directly address fees in a clinically appropriate manner.
The Lean In. MAKE BANK. Academy is a program that addresses the underlying money mindset stories that keep therapists broke so they can become THAT therapist who charges premium fees, cash pay. With the LIMB 4-step framework to make BANK, regular coaching calls to help you go to the next level, a phenomenal community of funny and intelligent therapists, be ready to get real raw and real rich.


