Brace yourself. This episode is a truth bomb that may rattle your nervous system, piss you off—or finally give you the relief you didn’t know you needed.
Tiffany makes the bold, controversial claim:
Only rich therapists should offer low-fee therapy.
If you’re not independently wealthy, subsidizing your clients’ care is costing you your body, your relationships, your clinical presence, and your long-term financial health.
This isn’t a hot take—it’s a hard truth.
And in this episode, Tiffany breaks it down piece by piece so you can finally stop blaming yourself for being burned out, broke, and overwhelmed.
Listen to the episode:
In this episode, Tiffany shares:
- Why real therapy (the kind that changes generational systems) requires time, money, and energy;
- What you actually need in order to hold space for deep, paradigm-shifting work;
- Why therapists doing low-fee work are either wealthy, new to the field—or silently falling apart;
- How the system benefits from your exhaustion—and why it’s time to opt out;
- What it looks like to build a practice that actually supports you emotionally, financially, and physically.
This is not your responsibility.
And if you’re not rich, you literally can’t afford to keep sacrificing yourself.
Email Tiffany at tiffany@leaninmakebank.com with the subject line: “Ready.”
Let’s build a practice that pays for your values—without costing you everything.
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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.


