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There's a reason your practice feels capped.
There's a reason $300 per session feels theoretical instead of inevitable.
And it has nothing to do with your clinical skill, your niche, or "this economy."
It's this: you are not in the room.
In this episode, Tiffany builds on her conversation with Sarayu and names the uncomfortable truth most therapists avoid: if you are not consistently putting yourself in spaces with people who have the resources to pay your Life First Fee, you are unconsciously choosing to stay stuck.
Not because you're lazy.
Not because you're bad at business.
But because fear, shame, and old class conditioning are quietly running the show.
In this episode, Tiffany breaks down:
Why therapists instinctively avoid rooms where people can easily pay $300–$400 per session
The real emotions that surface when you imagine being around wealth, power, and influence (imposter syndrome, envy, shame, fear)
How "networking with struggling therapists" and outdated marketing tactics protect you from discomfort—but sabotage your income
Why this is not a moral failure, but is a strategic problem
The two things required to do the unimaginable (leave insurance, raise fees, step into authority):
a container for regulation and integration
clear, strategic steps so you know what you're doing and why
Why staying out of the room doesn't just hurt your business—it harms the future of therapy itself
How therapists excluding themselves from power has opened the door for AI, tech companies, and non-clinicians to define the field
Why agency in your business is the gateway to real cultural impact
How booking your first Life First Fee client fundamentally changes how clients experience you
This episode isn't about marketing tactics.
It's about agency.
If therapists are not in the rooms where decisions are being made, we will be replaced, undercut, and erased.
And the way back starts in your private practice.
If you're ready to stop hiding, stop circling scarcity, and finally be in the room where it happens, email Tiffany at tiffany@leaninmakebank.com with the word "Room."
Because your clients are not just paying for therapy.
They're paying to experience agency—and it starts with you embodying it first.
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