Hiring in private practice is never just about filling rosters. The model you choose — contractors or employees — shapes your cash flow, your culture, your compliance risk, and ultimately your ability to grow. Most psychology practice owners start with contractors. It feels flexible and lower-risk. But as practices scale, many owners hit the same wall: high turnover, limited buy-in, and a team that feels more like a collection of individuals than a cohesive practice. That’s w