How to Grow Your Therapy Practice: From Solo to Thriving Group

You’ve built a thriving private practice. Your calendar is full, your reputation is solid, and referrals keep coming. But somewhere between back-to-back sessions and late-night admin, a question starts to form:

Is it time to grow?

At Breksey, we love working with therapists who are at this very inflection point—practitioners who are the experts in their niche, have mastered solo systems, and are now feeling the pull toward something bigger.

But growth isn’t just about hiring more people. It’s about building a structure that aligns with your clinical values, supports your wellbeing, and serves your community. Here’s how to move from solo to group with clarity and care.

1. Start with Inner Work: What’s Your Purpose for Growing?

Before diving into logistics, take a moment to reflect. Scaling a practice is not just a business decision—it’s an identity shift.

• Are you looking to reduce your clinical hours while maintaining income?

• Do you feel called to mentor early-career therapists?

• Are you seeing unmet needs in your community that your solo practice can’t fill?

Knowing your “why” gives you a north star. It helps you make decisions that are not only strategic, but personally meaningful.

2. Redefine Your Role: From Clinician to Practice Leader

One of the hardest parts of growing a group practice is letting go of the role you’ve mastered.

As a solo clinician, you likely wear all the hats—therapist, scheduler, biller, marketer. But in a group practice, your success depends on your ability to:

• Build and lead a team

• Design systems that scale efficiently

• Focus on the long-term health of the business

This doesn’t mean you have to stop seeing clients entirely but you will need to shift how your spend your time and energy.

3. Design Your Hiring Process Like You Design Your Intakes

Just like matching a client with the right therapist is essential for outcomes, matching your practice with the right clinicians is critical for sustainability.

Ask yourself:

• Do I want full-time employees or part-time contractors?

• What specialties or modalities would complement our existing offerings?

• How will I maintain clinical quality and culture as we grow?

Think of your first hire as a foundation, not a fix. A strong cultural and clinical fit will pay dividends far beyond caseload numbers. 

4. Build Systems Before You Feel Ready

This is where many practices stumble: they wait to put systems in place until they’re overwhelmed. But thoughtful infrastructure makes growth feel good—for you and your team.

Consider:

• Client intake: Is your intake process smooth, equitable, and scalable?

• Scheduling & billing: Can your tools support multiple clinicians without breaking down?

• Marketing: How will you ensure a steady stream of clients for new hires?

At Breksey, we help practices automate client inquiries to optimize conversions—so your hires start strong and your systems stay solid.

5. Stay Grounded in Relationships

The heart of a successful group practice isn’t a flashy website or a clever growth hack. It’s trust. Between you and your team. Between your practice and your clients. The good is news that this is likely what you're already best at. 

Growth brings new challenges—team dynamics, financial decisions, leadership pressure. But staying connected to your values, and to the relationships that matter, will keep you anchored.

You’re Not Just Growing a Business. You’re Expanding Your Impact.

Moving from solo to group is more than a milestone—it’s a transformation. You’re creating access. You’re building careers. You’re shaping the future of care in your community.

And you don’t have to do it alone.

Breksey supports therapists in building sustainable, values-aligned group practices—with systems that grow with you.