Episode 191

full
Published on:

24th May 2025

Episode 191: Why a Great Group Practice Beats Going Solo: Dialectics, Support, and Less Stress [featuring Sabrina Longley]

In this episode, Patrick Casale and Sabrina Longley, LCSW at Resilient Mind Counseling, talk about why authenticity, open communication, and a supportive work environment matter so much for therapists who’d rather work for someone else than run their own practice. They also share how embracing your identity and using dialectics can boost confidence and create a healthier, more collaborative workplace.

Here are 3 key takeaways:

  1. The Power of Authenticity: Sabrina beautifully highlights how living authentically at the intersection of her identities (Black, fat, neurodivergent, extroverted, and more) has been non-negotiable for her well-being and effectiveness as a therapist. When workplaces embrace this authenticity, it fuels real connection and reduces burnout.
  2. Entrepreneurship isn't for Everyone: There’s immense value in group practice—especially for those who crave structure, community, and stability. Sabrina reminds us that thriving as a therapist doesn’t require running your own business; finding the right container can be just as empowering.
  3. Leadership is About Relationship, Not Just Revenue: Patrick’s approach as a group practice owner—centering transparency, vulnerability, and accountability—creates psychological safety for his team. Open communication, a willingness to receive feedback, and acknowledging power dynamics are essential for retention and growth.

Whether you’re a therapist seeking the right clinical setting or a practice leader looking to build an inclusive and supportive team, these insights are a great reminder: You can build (and find) workplaces where everyone has permission to show up as themselves.

More about Sabrina:

I'm an LCSW working in NC with no dreams of becoming a private practice owner. Instead, I have been seeking (and have found) my therapeutic "home". I hold many intersectional identities, and finding the right fit has taken hard work and lessons learned. I live in the triangle area of NC and have worked in IOP and outpatient level of care.

–––––––––––––––––––––

🎙️Listen to more episodes of the Neurodivergent Entrepreneur Podcast

🎙️Spotify: https://ndpod.org/Spotify

🎙️Apple: https://ndpod.org/Apple-Podcast

🎙️ YouTube: https://ndpod.org/YouTube

🧠 Neurodivergent Entrepreneur Freebie Vault: https://ndpod.org/Freebie-Vault

✈️ Learn about Retreats

🗨️ Join the free Empowered Escape FB Community

–––––––––––––––––––––

Thanks to Our Sponsors: The Receptionist for iPad!

The Receptionist for iPad

Thanks to The Receptionist for iPad for sponsoring this episode.

The Receptionist for iPad is a HIPAA-ready digital check-in system that eliminates the need to walk back and forth from your office to the waiting room to see if your next appointment has arrived. Clients or patients can check in for their appointments, and you'll be immediately notified by text, email, or your preferred channel. Break free from interruptions and make the most of your time, because it is valuable. Start a free 14-day trial of the Receptionist for iPad by going to thereceptionist.com/privatepractice. Make sure to start your trial with that link to get your first month free if you decide to sign up.

Free Gifts for Our Listeners

Free Podcasting Workbook

Get a practical podcasting workbook for therapists considering starting a podcast, created by Patrick Casale, host of the podcasts All Things Private Practice and Divergent Conversations.

You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain.

Grab your free copy of the Podcasting Workbook: https://ndpod.org/Free-Podcasting-Workbook

Move Beyond Private Practice As A Neurodivergent Entrepreneur

Move Beyond Private Practice As A Neurodivergent Entrepreneur is a FREE 5-part mini-course designed for therapists who want sustainable financial independence beyond one-on-one work.

Access your free mini-course here: https://ndpod.org/Neurodivergent-Entrepreneur

Show artwork for The Neurodivergent Entrepreneur

About the Podcast

The Neurodivergent Entrepreneur
Honest conversations about building a business while Autistic, ADHD, or both — the self-doubt, the chaos, and everything in between.
The Neurodivergent Entrepreneur is a podcast for ADHD, Autistic, and otherwise neurodivergent entrepreneurs who are building businesses, creative work, and lives that actually fit how their brains work. Hosted by Patrick Casale, this show is for people who
want to create meaningful work, make money, grow their impact, and build something sustainable without losing themselves in the process.

Being a neurodivergent entrepreneur can feel like holding a lot of contradictions at once. You may have big ideas, deep passion, creative energy, and a strong desire to do things differently. You may also be navigating burnout, masking, self-doubt, perfectionism, rejection sensitivity, executive dysfunction, inconsistent energy, and the pressure to keep showing up when your capacity is already stretched. This podcast speaks to that reality honestly, because building a business around your brain, your values, and your lived experience can be powerful, complicated, messy, and deeply personal.

Patrick Casale is a therapist, entrepreneur, speaker, retreat host, group practice owner, and neurodivergent business owner who has built, grown, burned out, pivoted, and kept going. His work brings together clinical insight, lived experience, business perspective, and real conversation about what it actually takes to create something that feels aligned. His conversations are direct, compassionate, unfiltered, and practical, with room for both the emotional reality of entrepreneurship and the concrete decisions that shape a sustainable business.

New episodes drop every Wednesday and feature honest conversations with neurodivergent entrepreneurs, creators, therapists, business owners, and leaders. Together, Patrick and his guests explore entrepreneurship, identity, mental health,
creativity, leadership, systems, money, visibility, community, sustainable growth, and the behind-the-scenes reality of creating work that matters.

Build the business. Protect your capacity. Create work that actually fits.