Like many therapists, Alyssa started out doing what she thought she had to do: accepting insurance, keeping her fees relatively low, and packing her schedule with clients just to make the numbers work.
At one point, she was seeing 28 clients a week at an average of about $110 per session—all while trying to care for two little ones and manage her own neurodivergent needs.
The math wasn’t working.
And neither was the lifestyle.
In this honest conversation, Alyssa shares what happened when she began questioning the system she was operating in—and ultimately raised her fee to $300 per session while reducing her caseload and reclaiming her time and energy.
This episode is a powerful look at what happens when therapists stop building practices around survival and start building them around the life they actually want.
Listen to the episode:
In this episode, Alyssa will share:
- What it looked like to run a practice seeing 28 clients per week
- The pressure many therapists feel to stay on insurance panels
- How motherhood and neurodivergence shaped Alyssa’s priorities around work
- The mindset work behind raising her fee from $110 to $300 per session
- What happened when she began charging her new rate
- How she redesigned her practice to support her family and her nervous system
- Why fewer clients can lead to more sustainable clinical work
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More about Alyssa
Alyssa Desroches is a licensed therapist, mom of two, and private practice owner who works with driven, neurodivergent adults navigating burnout and identity integration. Her recent business evolution has centered on moving off insurance, embodying premium fees, and building success that doesn’t require self-abandonment
