E158: Why Does Building a Practice Feel So Hard Right Now? — with Allison Puryear

In this episode, Tiffany sits down with the incomparable Allison Puryear, founder of Abundance Practice Building and one of the original voices in the therapist–business space. Allison has been helping therapists build sustainable, ethical, full private practices for over a decade — long before Instagram therapists, “passive income,” or big therapy tech took over the landscape.

Allison and Tiffany pull back the curtain on what’s actually happening in the industry right now. If you’ve been wondering:

“Why is filling my practice harder than it used to be?”
“Why am I doing everything ‘right’ but suddenly not getting clients?”
“Is something wrong with ME?”

…this conversation is your antidote.

This episode is part industry truth-telling, part strategy session, and part intimate behind-the-scenes between two long-time colleagues who’ve seen the full arc of private practice — pre-pandemic, boom times, and now.

Listen to the episode:

In this episode, Allison will share:

  • The actual timeline of how private practice has changed from 2014 → 2025 (and why it feels harder now)
  • Why the pandemic created a false “new normal” for filling practices
  • The impact of Big Therapy Tech (VC-backed platforms) on referrals — and why therapists can’t out-market them online
  • The real reason therapists feel more discouraged and hopeless today
  • How to market effectively in 2025 — even with tech giants owning the SEO game
  • The truth about group practice and online courses — and why most therapists skip the step that would make them the most money with the least chaos
  • Why self-trust, consistency, and community matter more now than ever

More about Allison Puryear

Allison Puryear (rhymes with “career”) is a therapist who burned out on agency work & then built successful private practices in 3 wildly different markets. After her caseloads grew faster in each “saturated” market, Allison realized that practice building is not rocket science when you have clarity, confidence, & a figured-out formula. So, Allison started Abundance Practice Building to help other therapists build their own full & happy private practices – because a happy therapist is a better therapist, y’all!

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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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