Artwork for podcast Marketing Therapy
31. Why You *Really* Want a Full Caseload (It’s Not Just Clients)
Episode 3130th September 2025 • Marketing Therapy • Anna Walker
00:00:00 00:27:50

Share Episode

Shownotes

When you picture your dream private practice—full caseload, stable income, predictable schedule—what do you actually hope to feel? Safety? Confidence? Freedom? In this episode, we dig into the emotional disconnect many therapists experience after reaching their big goals, and why those milestone moments don’t always feel the way you expected.

If you've been hustling toward "maintenance season" only to still feel anxious, flat, or unsatisfied, you're not alone. I’m sharing what I’ve learned (in my own business and with thousands of therapists) about why the numbers alone don’t deliver lasting security—and how you can start accessing the feelings of success today, not someday.

This conversation will help you reframe what you're really chasing, and give you practical tools to start showing up more grounded, confident, and steady in your practice and your marketing.

Here’s what you’ll learn in this episode:

1️⃣ Why hitting milestones like a full caseload or revenue goal might not bring the emotional relief you expect

2️⃣ The deeper desires that often hide beneath therapists’ goals—and how to start honoring them now

3️⃣ Specific practices to help you access confidence, stability, freedom, or contribution—without waiting to “arrive”

Resources & Links Mentioned:

Connect + Subscribe

Enjoying the podcast? Subscribe so you never miss an episode—and feel free to share it with a fellow therapist who’s building their private practice.

Explore more marketing support for therapists: The Walker Strategy Co website


About Marketing Therapy

Marketing Therapy is the podcast where therapists learn how to market their private practices without burnout, self-doubt, or sleazy tactics. Hosted by marketing coach, strategist, and founder of Walker Strategy Co, each episode brings you clear, grounded advice to help you attract the right-fit, full-fee clients and grow a practice you feel proud of.

Transcripts

Anna Walker:

Hey y'all.

2

:

Welcome back to Marketing Therapy,

episode 31 last week's episode,

3

:

talking about the seasons of private

practice and the seasons of you as

4

:

a clinician, has brought up some

interesting conversations and concepts.

5

:

Now, as I mentioned in that episode, I've

worked with thousands of therapists over

6

:

the last six years, and one of the cool

parts about that is I've been able to

7

:

see clinicians go through the seasons and

reach the one that is so often the goal.

8

:

And that's what we called

the maintenance season.

9

:

Now, if you didn't catch last week's

episode, we talked about how the

10

:

maintenance season is that place

where things start to click, they

11

:

start to feel a little bit easier.

12

:

You feel like your caseload is consistent,

the referrals are coming in, and for

13

:

that reason, it's usually the place

that most clinicians are striving for.

14

:

It becomes the big goal.

15

:

You have the steady caseload,

you have the consistent income.

16

:

Things feel predictable and sustainable.

17

:

But what is really interesting about

watching therapists arrive at maintenance

18

:

season is that so often they don't

feel the way they thought they would.

19

:

Some therapists expected to reach this

place and feel relief or stability, but

20

:

find themselves still feeling anxious.

21

:

Some expected pride in themselves,

but instead they feel kind of flat

22

:

or even strangely disappointed.

23

:

Pointed others, and this is interesting.

24

:

They feel like it cost them

more freedom than it gave them.

25

:

And I think this is a concept we

should spend a little bit more time

26

:

looking at, not just for the clinicians

who are sitting here listening in

27

:

the maintenance season, but for

those who are striving toward it.

28

:

Now, I've experienced this so many times

in my own business, especially early

29

:

on when I would hit milestones that I

thought, I, man, I thought I wanted them.

30

:

I thought they would make

a huge difference for me.

31

:

Time and time again, they didn't deliver

the feeling I thought they would.

32

:

I hit an income goal, but

things didn't really change.

33

:

I filled confident copy the first time

I launched it and I was terrified.

34

:

Instead of feeling like I

made it, I felt more pressure.

35

:

I felt like the bar had just moved higher

and over the last handful of years as

36

:

I started to run into the same tension.

37

:

I've done a lot of coaching and

mindset work to realize that the

38

:

external milestones I'm hitting in my

business, the quote unquote success,

39

:

whatever I'm seeing on paper, doesn't

automatically create my internal state,

40

:

and that I'm in charge of that piece.

41

:

And so in this episode, I wanna talk

about helping you connect to the feeling

42

:

of success, whether or not you've

reached the state that you want to be in.

43

:

Yeah, because the real driver

here is not just the goal itself.

44

:

The real driver behind what you're

wanting to do in your practice isn't

45

:

just having a full caseload or reaching

a certain revenue number per month.

46

:

It's about the feeling that you

believe that goal is going to unlock.

47

:

And if we don't connect to those feelings

along the way, that's when we hit the

48

:

milestones and we still feel empty.

49

:

But if we do connect to them now,

because there are ways to feel the way

50

:

you want to feel right now, then you can

avoid the burnout and the scarcity and

51

:

chasing goals that never truly satisfy.

52

:

So that's where I really want to go.

53

:

In today's episode, I wanna talk about

the trap that I see a lot of therapists

54

:

fall into chasing numbers and instead

dig into the deeper desires underneath.

55

:

Your desire for a full practice.

56

:

And then as always, I'd love for you to be

able to walk away with something tangible.

57

:

And so we will give you some

very practical ways to connect to

58

:

those feelings right now along the

journey, regardless of if you've

59

:

quote unquote hit the goal yet.

60

:

So let's start by talking about this

trap that I see a lot of clinicians

61

:

fall into because many therapists

believe success equals one thing.

62

:

More clients, the full caseload, and

everything they do in their practice

63

:

gets measured against that single metric.

64

:

I am successful if my caseload is full.

65

:

I am not.

66

:

If it isn't, and once I get there,

then I will feel safe and stable

67

:

and confident and successful.

68

:

But the thing that if you've

reached it, you know, and if you

69

:

haven't yet, let me tell you.

70

:

Numbers will not automatically

shift how you feel inside.

71

:

We talk all the time about the fact

that caseloads naturally ebb and flow

72

:

clients, graduate seasons change.

73

:

If you are tying your stability, your

competence, your freedom, your safety

74

:

to numbers, then let me tell you,

you are always going to be on edge.

75

:

I have realized in my own personal

therapy work over the last couple of

76

:

years that stability and security are

my top personal values at the root of

77

:

every decision I make in my life, it's

guided by my desire to feel those things.

78

:

And so when I would hit these

milestones in my business and didn't

79

:

feel stable, I still felt unsafe.

80

:

I couldn't trust it.

81

:

I couldn't enjoy it.

82

:

I spoke last week about a clinician

I just recently talked to who

83

:

only has 15 clinical hours in

her caseload, and yet she keeps

84

:

overbooking it because she's terrified

that it's all just gonna go away.

85

:

So the scarcity thinking

it can look like that.

86

:

Hair on fire, panic.

87

:

When a few clients graduate at once,

oh my goodness, what am I gonna do?

88

:

Everything's wrong.

89

:

Can I survive?

90

:

The absolute spiral of anxiety that I

see lots of therapists get caught in.

91

:

Sometimes it shows up more In comparison.

92

:

What you see other clinicians doing

versus what you are doing, what they

93

:

seem to be achieving that you are

not, or just this general feeling like

94

:

success is always just over there.

95

:

Not right here.

96

:

One of the most detrimental ways I see

this scarcity trap show up though is

97

:

in this kind of pick me energy that

clinicians show up to consultations

98

:

and relationship building, networking

with, there is a sense of desperation

99

:

and constant second guessing, feeling

like they need this next client, they

100

:

need this networking relationship.

101

:

And let me tell you, that

shows up in your marketing.

102

:

But if we look at all of these examples

of this scarcity trap, what we see is

103

:

that this happens when you outsource your

feelings of success to external numbers.

104

:

So if you're like me and stability

is your deepest desire, but you only

105

:

let yourself feel stable, when your

caseload is 100% maxed out, then you

106

:

will always be at risk of losing it.

107

:

It.

108

:

So whatever deeper desires are underneath

your goals, please know that they

109

:

can't be supplied only by numbers.

110

:

They need internal

practices to back them up.

111

:

And when you get stuck in this

trap, scarcity thinking ends

112

:

up negating all the other ways

that you are already successful.

113

:

Right here, right now, every client.

114

:

You've helped experience transformational

breakthroughs, every skill you've

115

:

built, every step you've taken to launch

and market and grow your practice.

116

:

It keeps you chasing instead of

appreciating where you are right now.

117

:

And I'll see therapists who

are in those earlier seasons.

118

:

They're not used to the ebb and flow.

119

:

They haven't realized that they're

gonna be on these ups and downs, and

120

:

so they panic at every single ebb.

121

:

But when we look at that clinician

a couple years later, they've

122

:

learned to ground, hopefully, in

the deeper desires and connect to

123

:

feelings of success regardless.

124

:

Of what their calendar might say

this week, and those ebbs and flows,

125

:

they don't shake them nearly as much.

126

:

So if chasing numbers isn't enough,

then what do you actually want?

127

:

When you say you want a full

caseload, that's where we need to

128

:

get under the surface and talk about

the desires beneath the desire.

129

:

Okay.

130

:

Like I said, when I sit down

with a clinician and I say, what

131

:

is your hope for your practice?

132

:

I want a full caseload.

133

:

I wanna make this much money a year.

134

:

I wanna see this many clients

a week, whatever that might be.

135

:

But what you're really saying

is, I want the feelings.

136

:

I think those circumstances will give me,

137

:

sometimes it's competence.

138

:

It's a desire to feel capable

and confident in your skills.

139

:

When my caseload is full,

then I will feel capable and

140

:

confident in what I've done here.

141

:

Sometimes it's contribution, knowing

you're making a difference in people's

142

:

lives, and while you might feel

like you're contributing in those

143

:

earlier stages, you're not doing

as much contribution as you could

144

:

be unless that caseload is full.

145

:

Maybe you're like me and it is stability.

146

:

It's steady income, a

predictable schedule, a sense

147

:

of safety that you're wanting.

148

:

Maybe it's confidence, knowing that you

are being chosen and trusted and valued

149

:

by your clients and your referral sources.

150

:

Maybe, and this is a very common one I

see for many clinicians, it's freedom.

151

:

You got out of agency or community

mental health or group practice

152

:

work in order to create something

that allows you margin in your life.

153

:

That could be financial margin,

time margin, emotional space,

154

:

being able to sign off at 5:00

PM and not feel bad about it.

155

:

To chaperone a field trip for your

kids to take a vacation, to buy a home.

156

:

Maybe what you really want is freedom.

157

:

I'm curious which of those resonates most.

158

:

I find that contribution is what

often brings therapists into this

159

:

profession, the desire to make a

difference in people's lives, but

160

:

often as they start to grow their

practices, stability and freedom

161

:

usually become the bigger drivers as

they're growing, and then the competence

162

:

and the confidence those naturally

build through the process of growing

163

:

their business and serving clients.

164

:

It's an interesting byproduct as I watch

our Confident Copy students graduate.

165

:

Of course, they're leaving the program

with great website copy and a really

166

:

clear sense of their niche, but so often

I hear about them leaving with a greater

167

:

sense of confidence in who they are.

168

:

I just spoke with a student yesterday

who said, I've learned so much

169

:

more not just about marketing,

but about who I am as a clinician.

170

:

I feel more confident in what I do in

the room, not just in my marketing.

171

:

She was connecting to those

feelings of confidence already.

172

:

Now, here's why I think naming

the deeper desire matters here.

173

:

If you don't, then you risk continuing

to chase the numbers and never

174

:

feel that sense of satisfaction

when you do name them though.

175

:

You can actually find ways to experience

those things right now to experience

176

:

freedom, to experience stability, to

experience confidence or competence

177

:

or contribution, regardless of whether

your practice is technically full.

178

:

Remember, we're trying to stop

outsourcing the way you feel to what

179

:

your calendar says or your bank account.

180

:

Okay?

181

:

So let me ask you, when you imagine

your practice being full reaching

182

:

maintenance, what's the deeper

feeling that you're chasing?

183

:

Is it competence, stability, freedom,

or maybe it's something else.

184

:

But once you know what you're actually

chasing, then the next question is, how

185

:

can we connect to those feelings now?

186

:

Instead of waiting for the

quote unquote finish line,

187

:

I don't want you to have to wait

until your caseload is full to

188

:

feel the way you want to feel.

189

:

And I'm not telling you this as

some pie in the sky woowoo thing.

190

:

I'm telling you this because

I've learned how to do it myself.

191

:

And the freedom and the stability

that doing that unlocks is something

192

:

that, quite frankly, no level of full

caseload or revenue can do for you.

193

:

Success is not just something

at the end of the road.

194

:

It's something you can

practice in small ways today.

195

:

So, like I said, I do wanna give

you a couple practical ways to begin

196

:

implementing this in your life and start

connecting to the feelings of success

197

:

regardless of your caseload status.

198

:

If you find that competence is

one of those deep, deep desires

199

:

for you, then make a list of

client wins or breakthroughs.

200

:

Spend some time journaling on those

incredible light bulb moments that you

201

:

have supported in your clients . If

you've been through our magnetic niche

202

:

method, you know that the program

starts by you reflecting on what it

203

:

is that you do well in the room and

what you might have brought into the

204

:

room with a really successful session.

205

:

Remind yourself that these are the

receipts of your skill and your impact.

206

:

This is proof right here, right now.

207

:

That you are incredibly talented and

skilled at what it is that you do.

208

:

If you realize that you're very, very

motivated by this sense of contribution,

209

:

then consider revisiting thank

you notes or comments from clients

210

:

you've jotted down over the years,

the feedback they've given you about

211

:

what you've helped them experience.

212

:

Recall moments where someone

reflected the difference you made?

213

:

Remember the way that you've

contributed to your client's lives.

214

:

If stability is the deeper desire for

you, I really encourage you to create some

215

:

grounding rituals that you can engage in.

216

:

That can be budget check-ins or monthly

revenue reviews, weekly scheduling.

217

:

Setting boundaries and

218

:

setting goals for your practice

that don't require you to be quote

219

:

unquote full in order to be safe.

220

:

So that means that you can pay

your bills and be okay even if

221

:

you've got a couple empty spots.

222

:

This sometimes means you need to

revisit things like your fees.

223

:

In order to be able to structure your

life in such a way that you can be stable

224

:

and you can be safe even when things

aren't full, but build some scaffolding

225

:

around how your practice runs that

allows you to experience safety even

226

:

if that caseload isn't full right now

227

:

and in whatever way makes sense for you.

228

:

Track progress over time.

229

:

Rather than panicking over one slow

week or one slow month, because again,

230

:

the ebbs and flows are normal, how

can you start to remind yourself of

231

:

the long-term progress or stability

that you've created for yourself?

232

:

Like I mentioned, stability is my number

one goal, and because of that, I love

233

:

to return to the data because sometimes

things can feel a certain way, but

234

:

the data can actually say otherwise.

235

:

So I have some monthly practices where

I look at the data, I look at what we've

236

:

completed this month and what's ahead in

order to remind myself that we're good

237

:

and to also trust that if for whatever

reason we are not, I am capable of making

238

:

changes to get where we need to go.

239

:

If you are motivated by a sense of

confidence, a desire to feel confident

240

:

when your caseload is full, then

please take some time to remember the

241

:

training you invested in, the risks

you've taken, the steps you've already

242

:

shown up for how far you've come from

your internship years, from your time

243

:

in the agency, whatever it might be.

244

:

Take a minute and appreciate

where you are today.

245

:

Acknowledge that you have done hard

things before and you can do them again.

246

:

You can feel confident right here,

right now in your ability to grow

247

:

your caseload and serve your clients

even if you're still growing, even

248

:

in the middle of that process.

249

:

And what a beautiful gift to yourself

if you're here because you're motivated

250

:

by freedom, the ability to create

margin and freedom in your life.

251

:

Then please let me encourage

you to practice the freedom

252

:

you already have right now.

253

:

That could be big or small.

254

:

That might be taking a sick day

without guilt because you can,

255

:

that could be going for a walk and

building in rest to your schedule.

256

:

Being mindful that that is

freedom, but look at your life.

257

:

Look at what you're creating.

258

:

Where have you already created

opportunities for freedom?

259

:

Practice those.

260

:

Be mindful of them.

261

:

Realize that freedom is not going

to come when the caseload is full,

262

:

but instead is just going to grow.

263

:

You have it here right now.

264

:

You can connect to it right now, and

that freedom will only grow as you do.

265

:

You know, at Walker Strategy Code, we

have a client wins folder Every month

266

:

we collect feedback and client wins.

267

:

So sometimes that's testimonials from you

guys about how your practice is growing.

268

:

Your template finally launched

and you feel so excited about it.

269

:

You feel so much better about your niche.

270

:

You've got five clients from

networking, whatever that might be.

271

:

Sometimes it's that, but sometimes

it's feedback we've gotten.

272

:

About the team, how responsive we

are, how helpful we've been, the

273

:

service people have gotten from us.

274

:

And every month in our all hands

call, which is how we start our

275

:

month together as a team, we

review these and we celebrate them.

276

:

And this has become a built in

way to stay connected to our

277

:

impact and to our contribution

as a team at Walker Strategy Co.

278

:

Remember, you don't have to wait

for the huge milestone here.

279

:

You can build reminders

into your regular rhythm.

280

:

And what's so cool here is that therapists

who do this, they start showing up

281

:

differently instead of the anxious,

scarcity driven energy where they're

282

:

always striving, striving, striving.

283

:

They have this kind of grounded,

confident presence about them.

284

:

Can you think of a clinician like that?

285

:

I know I can.

286

:

And what's powerful here is that

that shift is huge for them and how

287

:

they show up to their work, but it's

also absolutely magnetic to clients.

288

:

That pick me energy, that scarcity

trap we talked about earlier,

289

:

that is repelling to clients.

290

:

They can sense that and whether or

not it's actually something they can

291

:

name, it can lead them to feel like

they aren't connecting with you.

292

:

Clients are looking for

someone steady, not panicked.

293

:

If you can show up to your practice

as steady, not panicked, then

294

:

you're aligning with what it is

that those clients are looking for.

295

:

I can think of a student

who used to panic.

296

:

Every time clients graduated.

297

:

She sent me an email just about every

single time she hit one of those ebbs.

298

:

In her practice, it would be

like, Anna, what do I need to do?

299

:

Can we meet?

300

:

What do we have to do?

301

:

And often we would, especially in the

early days, but I've watched her mature

302

:

as a practice owner, and now she's learned

to stay grounded in her own skills.

303

:

And in what she's seen be true

over time, kind of that long-term

304

:

progress I was mentioning.

305

:

And she's not shaken in the same way

by them, those ebbs and those flows.

306

:

It's not to say that they don't

make her feel anything, right?

307

:

She's not a robot, but they don't throw

her off course the way they used to.

308

:

So I encourage you to think

about this for yourself.

309

:

What's one small practice you could

add this week to start connecting to

310

:

the feeling you're actually after.

311

:

How could you start feeling

that wave right now?

312

:

Because remember, the way you

feel doesn't just impact you.

313

:

It shows up in your marketing

and clients can sense it too.

314

:

The way you feel about your practice

doesn't just live inside you.

315

:

You are not a vacuum.

316

:

It comes through in the way you

market and network and write how

317

:

you show up in consult calls.

318

:

If you show up to those consult calls

with that pick me energy and that

319

:

sense of desperation, it can lead

them to wonder if this therapist

320

:

isn't confident in themselves,

can they really hold space for me?

321

:

And again, these aren't

necessarily conscious.

322

:

By your client.

323

:

They might not get off the consult call

and have that question, but it can be the

324

:

underlying effect of showing up this way.

325

:

But if your grounded confidence

could reassure your clients, then

326

:

they can feel steadier just by being

around you and what a gift to them.

327

:

How does scarcity sound in marketing?

328

:

I am still building my caseload,

so I have openings right now.

329

:

It's okay to say that, but

there's a certain energy

330

:

behind a statement like that.

331

:

Please reach out.

332

:

I really need new clients over

apologizing or over explaining

333

:

your fees or your schedule or your

availability, not holding boundaries.

334

:

A client wants a 5:00 PM session

and you're usually off at

335

:

four, but sure you'll do it.

336

:

A website that's generic or hesitant or

overly focused on your needing clients

337

:

rather than them getting support.

338

:

Now, here's some shifts.

339

:

I mentioned the first example

for scarcity sounding.

340

:

I'm still building my caseload,

so I have openings right now.

341

:

What if instead, I specialize

in working with this niche and I

342

:

currently have space for new clients.

343

:

Can you hear the

difference in energy there?

344

:

Language that reflects clarity.

345

:

Here's who I help, here's how I help them.

346

:

Here's what to do next.

347

:

Confidently.

348

:

Stating your fees and your

availability without apology.

349

:

Holding the boundaries, holding

the cancellation policies.

350

:

Marketing that communicates your

expertise and reassurance, that grounded

351

:

presence you offer to your clients.

352

:

Okay.

353

:

Now what's interesting to see here is

that marketing isn't just words on a page.

354

:

It's not what you write on your website.

355

:

It's not how pretty it is.

356

:

It's not the networking

conversation you have.

357

:

It's not what you post on Instagram.

358

:

Marketing is an energy transfer, and when

you're in an energy of scarcity, clients

359

:

feel that anxiety and they hesitate.

360

:

If you are in the grounded energy, clients

feel your steadiness and they trust you.

361

:

That therapist I mentioned who used to

panic during the ebbs and the flows.

362

:

Once she became grounded in her deeper

desires, her marketing became more

363

:

confident and the results they followed,

and she remains fully booked, private

364

:

pay, fully booked here and there

with ebbs and flows in New York City.

365

:

So when you practice connecting

to those deeper feelings now.

366

:

The stability, the contribution,

the freedom, whatever that

367

:

is, it's not just for you.

368

:

It's gonna change how you show

up to your marketing as well.

369

:

And that is what ultimately

attracts the right clients and

370

:

gets you closer to the goal.

371

:

So as we end our episode

today, here's the takeaway.

372

:

When you say you want a full

caseload, it's rarely just

373

:

about the number of clients.

374

:

It's about what you think

that number will bring you.

375

:

But if you only let yourself feel those

things, once you hit the milestone,

376

:

you will stay stuck in scarcity.

377

:

And even when you do hit the number,

378

:

it may not feel the way

you thought it would.

379

:

But when you start connecting to

those feelings right here, right now,

380

:

you free yourself from that trap.

381

:

You show up more grounded and

more confident, and you make

382

:

this entire journey of private

practice a whole lot lighter.

383

:

And a whole lot more enjoyable.

384

:

So I wanna leave you with the question,

what is the deeper feeling underneath

385

:

your desire for a full practice?

386

:

And what is one way you can connect to

that this week, right here, right now?

387

:

Now, if you want some extra

support in thinking about these

388

:

kinds of shifts, I encourage you

to jump into our private podcast.

389

:

Today's full caseload.

390

:

It's where I really dig deep into

the modern tactics that I'm seeing

391

:

fill caseloads, including both

mindset and strategy, helping you get

392

:

out of outdated advice or scarcity

thinking, and into the mindset of

393

:

what it takes to be successful today.

394

:

If you haven't jumped in there, you can

get instant access@walkerstrategycode.com

395

:

slash tfc.

396

:

And if you're really ready to

go deeper, not just to connect

397

:

to your why, but to actually put

it into words in your marketing.

398

:

That is exactly what we do inside of

Confident Copy in CC, you come away not

399

:

only with the Stronger to marketing, but

like I mentioned earlier, a whole new

400

:

level of confidence in yourself in how

you show up and in the work that you do.

401

:

The incredible life-changing work.

402

:

Now, remember, you do not have

to wait until you've arrived

403

:

to feel successful, okay?

404

:

You can choose to access and feel

those things right now and that.

405

:

Is actually what's gonna help you build

the practice you're working toward.

406

:

Thanks for being here today.

407

:

I'll see you in the next episode.

Links

Video

More from YouTube