This is your unpopular opinion alert—but someone needs to say it.
If you’re taking insurance or charging low fees that don’t allow you to pay your bills, take care of your kids, and save for retirement, your practice is out of integrity.
You’re modeling a lie—both to your clients and to yourself.
In this fiery, no-fluff episode, Tiffany dismantles the illusion that therapists can do high-quality, transformative work while chronically undercharging. She shows you exactly how low fees erode your integrity, deplete your energy, and keep the entire field stuck in burnout and self-sacrifice.
Listen to the episode:
In this episode, Tiffany shares:
- Why low fees aren’t generous—they’re dishonest;
- The hidden “subsidy system” keeping therapists broke and exhausted;
- The hard truth about who can actually afford to charge low fees (and why you’re probably not one of them);
- How cheap therapy devalues the profession and undermines client transformation;
- The financial and emotional red flags that prove your fees are too low.
If your clients are changing—but you’re the one deteriorating—it’s time to face what that says about your business model.
Integrity starts with truth—and truth starts with charging enough to live.
Email Tiffany at tiffany@leaninmakebank.com with the subject line: “I’m Ready.”
She’ll walk you through how to raise your fees, reclaim your integrity, and build a practice that honors your worth—without apology.
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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.


