There’s a stage of practice growth where things look successful on paper but feel increasingly complex behind the scenes. Demand grows. Decisions multiply. Responsibility concentrates around you. This is the point where effort stops working and structure becomes essential.

When we talk to clinicians at Disco Rodeo Consulting, we often hear: “I started this practice because I wanted to do meaningful work, but now I’m buried in decisions and logistics.” Sound familiar? Starting a private practice is like standing at the base of a mountain you’re determined to climb. You feel the excitement. You know your purpose. But there’s still that voice whispering, “Where do I even begin?” The truth is: your practice isn’t just about seeing clients or earnin