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How She Rebuilt Her Caseload and Confidence by Going Private Pay with Perinatal Therapist Caitlin Silverstein
Episode 8011th February 2026 • Business Of Therapy • Kelly McKenna, Therapist & Business Coach
00:00:00 00:50:41

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I’m excited to welcome Licensed Clinical Social Worker Caitlin Silverstein to the podcast!

Caitlin, who specializes in women’s mental health, went from earning $45/session with an insurance-based group practice to now charging up to $250/session!

She’s created a thriving 6-figure practice while only seeing 15-18 clients every week.

The best part? She didn’t blow up her caseload or completely burn out to do so!

In today’s episode, we’re diving into how she rebuilt her caseload and confidence by going private pay.

In this episode, we cover:

  1. Caitlin’s transition from insurance-based group practice to sustainable private pay
  2. What the early stages of building her own private practice really looked like
  3. How most of her clients chose to come with her + how she navigated that transition
  4. How joining Reels Membership and PPA gave her structure + confidence
  5. What going off insurance actually required
  6. How intentional Instagram marketing (not going viral) worked for Caitlin
  7. Why niching her messaging helped Caitlin attract the right clients
  8. What her practice, income, and work-life balance look like now

Connect with Caitlin:

  1. Follow on Instagram @motherhoodunrocked
  2. Follow on TikTok
  3. Check out her website

Connect with Kelly:

  1. Follow on Instagram @businessoftherapy and @sitwithkelly
  2. Check out the Business of Therapy website

Make sure to hit follow/subscribe so you never miss an episode!

Resources & Links:

  1. This episode is sponsored by Alma, the financially rewarding way to go in-network
  2. I recommend setting up an intro call scheduler within Jane - use code: KELLY2MONTH for a 2-month grace period
  3. Private Practice Academy Bundle (PPA)
  4. Reels Membership
  5. Business Coaching Waitlist
  6. Free training
  7. Caption Guide

Mentioned in this episode:

FREE Training: How to Market & Grow Your Private Practice on Instagram

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