The Money Sessions

A $55 Fee Raise in THIS Economy?! Here's What It Takes.

September 7, 2026·15 min
Episode Description from the Publisher

Ready to set your fee? You choose the dream, we'll do the math.🎁 Download our FREE Life First Fees Private Practice Calculator 👉🏽 https://www.leaninmakebank.com/free Ready to charge Life First Fees? Click here to fill out an application "But Tiffany, how can I raise my fee when I don't even have enough clients?" That's exactly the question one therapist asked Tiffany after describing the practice she desperately wanted: 17 sessions a week. $200,000 a year. Enough space to actually enjoy her life. The problem? Getting there would require a $55 fee increase with her existing clients—and she hadn't received a new referral in weeks. So how do you raise your fees when you don't yet have evidence that anyone will pay them? You stop waiting for the evidence. Because if you need your desired future to exist before you're willing to move toward it, you will stay trapped inside the reality you already have. In this episode, Tiffany challenges the conventional order of operations therapists have been taught to follow: Get the referrals. Fill the caseload. Then raise the fee. What if that's backwards? What if the practice you want requires you to make decisions before you have proof that they will work? In this episode, Tiffany explores: Why waiting for evidence before making a change can keep you stuck indefinitely The paradox of wanting a different practice while continuing to make decisions based on your current reality Why "I'll raise my fees once I have enough clients" may be exactly what's keeping you from building the practice you want How fear around your current caseload can keep you loyal to a business model that isn't actually working for you Why your current circumstances are not evidence of what is possible for your future The difference between following the status quo and having the audacity to create a new reality What Prince can teach therapists about creating a world that doesn't exist yet Why conviction has to come before evidence How taking decisive action can create the evidence you were waiting for A real example of a therapist raising her fees by $85/session without clients saying no Why being in demand can start with the decision to act like the practice you want is possible The economy doesn't have to be perfect. Your current caseload doesn't have to be perfect. Your clients don't have to prove to you that they can pay more. You have to decide what you're building. Because the therapist who waits until the world says, "Yes, you can do that," may be waiting forever. But the therapist who decides, "This is the practice I'm creating—and I'm going to learn what it takes to build it," creates the possibility for evidence to follow. That's what Life First Fees require. Not blind optimism. Conviction. Action. Strategy. And the willingness to move before the evidence arrives. Because you can keep building the practice that's merely fine. Or you can have the audacity to build the one you actually want. If you're ready to stop waiting for permission and start creating your Life First Practice, email Tiffany at tiffany@leaninmakebank.com with the word "Icon." Because "fine" is not the goal.</p

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