Here’s the thing about team culture: it is not pizza lunches or inspirational posters on the wall. Those things can be fun, but they don’t create the kind of culture that keeps clinicians engaged, clients cared for, and practice owners sane. Culture shows up in the quiet moments. The way your team handle stress when the waitlist blows out. How admin respond when Medicare claims get messy. Whether your clinicians share knowledge or guard it. Whether people feel safe saying “I’

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