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When a thriving seven-figure practice implodes, it never happens all at once. It happens slowly, quietly, through the small paper cuts that no one warns you about. In this episode, we take you inside a real-time autopsy of a private practice undone by clinician burnout, a broken mental health system, and the relentless weight of decisions made in survival mode. This is what it looks like when success on paper collides with the truth underneath.

We walk through the rise, the unraveling, and the reckoning that ultimately led to selling a medical practice not out of strategy, but out of necessity. And if you have ever wondered how a seven-figure business can still leave you drowning in fear, debt, and shame, this is the episode you have been waiting for. Nothing is sugarcoated. Everything is honest. Because clinician burnout is not a mindset problem. It is a system problem created inside a broken mental health landscape.

Inside this story, you will hear how one founder went from feeling unstoppable to confronting the limits of capacity, leadership, loyalty, and regulation. You will see exactly how the combination of a thousand cuts, clinician burnout, and a broken mental health system created a perfect storm that even a seven-figure revenue line could not withstand. And you will hear what happens after the collapse, including the unexpected freedom that comes with finally selling a medical practice you once thought you would build forever.

What you will learn

• How clinician burnout sneaks up on even the most driven founders and why a broken mental health system accelerates it

• The operational blind spots that create a thousand cuts long before anyone sees the collapse of a seven-figure practice

• The emotional and psychological toll of selling a medical practice when your identity is tied to its success

• Why money alone cannot protect you from clinician burnout, a thousand cuts, or the realities of a broken mental health industry

• The unexpected clarity that emerges after letting go, healing, and rebuilding on your own terms

If this episode hits something raw, share it with the clinician who still believes they have to white knuckle their way to success. Leave a review, subscribe, and stay with us as we continue to expose the realities behind seven-figure growth, the truth about clinician burnout, and what comes after selling a medical practice in a broken mental health system shaped by a thousand cuts at every turn.

Connect with us!

Website: www.offthechair.com

Instagram: @offthechairpodcast

YouTube: @offthechairpodcast

Colleen Long, Psy.D.

Website: www.claritypsychologicaltesting.com

LinkedIn: Dr. Colleen Long

Jennifer Politis, PhD, LPC

Website: www.wellnesscounselingBC.com

Instagram: @wellnesscounselingnj

TikTok: @wellnesscounseling

LinkedIn: Jennifer Politis

Erika Bugaj, MA, MSW, LICSW

Website: www.dandelioncounselingcare.com

Instagram: @dandelioncounselingcare

LinkedIn: Erika Bugaj