The 4 Things I Would Do Differently If Starting My Practice From Scratch in 2026

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If I were starting my private practice from scratch in 2026, I would do things very differently.

Not because private practice is dead.

Not because AI has made therapists irrelevant.

And not because you need another 47 certifications before you're allowed to charge what you're worth.

Quite the opposite.

I would get much more intentional from the very beginning.

Because the practice you build is going to be shaped by the decisions you make before you ever have a full caseload.

What you train in.

What you charge.

Who you position yourself for.