E138: $1.5 Million in Insurance Clawbacks: Dr. Anna DiNoto’s Story

In this episode, we’re speaking with Dr. Anna Dinoto, a neurodivergent psychologist with a decades-long career spanning clinical, forensic, and neurodiverse care—and the courage to break free from outdated industry models.

Anna built a group practice in the early days of ABA therapy, only to realize she was carrying a broken business model that didn’t serve her, her team, or her values. 

This episode is a thoughtful, unflinching look at growth, rupture, and repair—and you absolutely won’t want to miss it. 

Listen to the episode:

In this episode, Anna will share:

The early industry dynamics that pushed her into group practice (and why it worked… until it didn’t);

How she navigated ethical tensions and staff resentment in a bloated insurance-dependent business;

What she learned from managing employee expectations about money and power;

Why she walked away—and how her new model reflects her values;

The difference between real clinical mastery and martyrdom in leadership.

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More about Anna

Dr. Anna DiNoto is a neurodivergent psychologist with a playful twist! As the owner of Sandbox Therapy Group in Monroe, Washington, she brings over 20 years of expertise in neurodiversity, specializing in evaluations for complex clinical cases with a focus on neurodiverse patients. When she’s not creatively collaborating with clients, you can find her running around with her two kids, hitting the gym (or pavement – she LOVES to run!), jamming to new tunes on Spotify, and volunteering in her community.

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About the podcast

The Money Sessions podcast by Tiffany McLain, LMFT is full of deep, thoughtful, and sometimes raw conversations with real therapists who are in the midst of leaning into raising fees and making bank – all while working with the clients they are passionate about serving.

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