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Notes on building a practice that works.
On operations, systems, brand, and the real work of running a growing clinic in Canada.
Clinical Virtual Assistance


The Loose Systems Threshold: Clinic Systems and Growth-Stage Breaking Points
The first years of private practice can feel heavier than expected. Here’s what early practice support can look like - and how better systems, capacity planning, and structure can make the work more sustainable.
The loose systems threshold is when informal workflows are no longer enough for your clinic. This point usually appears when you add something new. It could be a new program or a different type of client. Every day seems okay, with the cracks starting to show during s
Angie Lamb
Apr 85 min read


Private Practice Support for New Therapists: What It Can Look Like in the First Two Years
The first years of private practice can feel heavier than expected. Here’s what early practice support can look like - and how better systems, capacity planning, and structure can make the work more sustainable.
Capacity is physiological, not just mental. When systems reduce ambiguity, context switching, and open loops, your nervous system can settle and the work starts to feel lighter.
Angie Lamb
Mar 137 min read
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