Insurance, Self-Pay, and Screaming Into the Abyss

Ann and Matt get painfully honest about the realities of being therapists navigating insurance panels, self-pay rates, and the constant mental math of survival in private practice. They talk burnout, boundaries, and the emotional toll of trying to do ethical, meaningful work in a broken system while also daydreaming about building a model magic castle and collectively screaming into the void. Equal parts real talk and coping through imagination.