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There are people out there who want therapy and can easily afford $300, $400, even $500 per session.

They're not rare.
They're not mythical.
They're not just in Silicon Valley or Manhattan.

They're everywhere.

But many of them will never walk through your door — not because they don't need therapy, and not because they don't value therapy.

They won't come because they don't trust therapists around money.

In this episode, Tiffany pulls back the curtain on a dynamic that's quietly shaping the future of our profession: the toxic relationship therapists have with money — and how it's pushing well-resourced clients away from therapy altogether.

After a decade of working behind the scenes with therapists and hearing what's really happening inside private practices, Tiffany shares the uncomfortable truth:

When therapists publicly shame wealth, criticize colleagues for charging premium fees, or martyr themselves financially, we don't just hurt ourselves.

We damage the credibility of the entire profession.

And the clients who could most easily pay Life First Fees?
They see it.

They read the Facebook threads.
They watch the Instagram commentary.
They notice the resentment and the guilt around money.

And then they quietly go somewhere else.

Executive coaches.
Consultants.
Energy healers.
High-end coaching programs.

Not because those professionals are more qualified — but because they appear more confident about the value of their work.

In this episode, Tiffany breaks down:

• Why therapists with toxic money beliefs are unintentionally repelling well-resourced clients

• How therapist culture often shames colleagues who want financial stability and freedom

• Why people who can afford therapy are actively paying attention to how therapists talk about money

• The hidden ways martyrdom and self-sacrifice show up in therapist business models

• Why marketing strategies alone cannot fix a broken relationship with money

• How unresolved attachment wounds often get projected onto financial exchanges with clients

• What happens in sessions when therapists feel anxious, ashamed, or conflicted about charging fees

• Why many high-income clients end up working with coaches instead of therapists

• The professional authority therapists actually hold — and why we routinely undervalue it

• How raising the bar around money conversations can elevate the entire field

This episode is a direct call to therapists to step into professional leadership — not just clinically, but financially.

Because therapy is not a charity model.
It is a professional service grounded in deep psychological expertise.

And when therapists treat it that way, clients respond accordingly.

If we want a profession that is respected, sustainable, and capable of transforming lives, we have to transform how we talk about money.

If you're ready to build a Life First Practice and charge fees that support the life you actually want, email Tiffany at tiffany@leaninmakebank.com with the word "Ready."

Or apply to work together through the link in the show notes.

It's time for therapists to stop apologizing for earning well.

It's time to raise the bar — for ourselves, for our clients, and for the profession.

Ready to set your fee? You choose the dream, we'll do the math. 🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free

Ready to charge Life First Fees? Click here to fill out an application

In this episode of The Money Sessions, Tiffany sits down with therapist Alyssa Desroches, a neurodivergent clinician and mom of two young children who realized the way she was running her practice simply wasn't sustainable.

Like many therapists, Alyssa started out doing what she thought she had to do: accepting insurance, keeping her fees relatively low, and packing her schedule with clients just to make the numbers work.

At one point, she was seeing 28 clients a week at an average of about $110 per session—all while trying to care for two little ones and manage her own neurodivergent needs.

The math wasn't working.
And neither was the lifestyle.

In this honest conversation, Alyssa shares what happened when she began questioning the system she was operating in—and ultimately raised her fee to $300 per session while reducing her caseload and reclaiming her time and energy.

This episode is a powerful look at what happens when therapists stop building practices around survival and start building them around the life they actually want.

• What it looked like to run a practice seeing 28 clients per week

• The pressure many therapists feel to stay on insurance panels

• How motherhood and neurodivergence shaped Alyssa's priorities around work

• The mindset work behind raising her fee from $110 to $300 per session

• What happened when she began charging her new rate

• How she redesigned her practice to support her family and her nervous system

• Why fewer clients can lead to more sustainable clinical work

LIMB Academy

Fun With Fees Calculator

Alyssa Desroches Website

Ready to set your fee? You choose the dream, we'll do the math.
🎁 Download our FREE Fun with Fees Calculator 👉🏽 https://www.leaninmakebank.com/free

This episode is unlike anything Tiffany has ever done on The Money Sessions.

A week before recording an entire season of the podcast, Tiffany received a winding, honest email from a therapist named Maggie. Maggie was already charging $250 per session. She had a full practice. On paper, everything looked "successful."

And yet… something wasn't right.

Instead of booking a private consult, Maggie made a bold proposal:
What if we recorded the conversation — live — and let listeners hear the decision-making process in real time?

Tiffany said yes.

What follows is a raw, unscripted, fly-on-the-wall conversation where nothing is polished and nothing is hidden. You'll hear Tiffany think out loud, name unconscious dynamics, challenge money stories, and explore what Life First Fee really means — even (especially) for therapists who "already charge a lot."

This episode is part money work, part psychoanalytic process, and part mirror.

If you've ever wondered:

• "Is it enough to just raise my fee?"

• "Why do I still feel anxious even though I'm doing well?"

• "What if something is still off — even when the numbers look good?"

…this episode is for you.

• Why charging $250/session doesn't automatically mean you're living your Life First Fee

• The difference between saying your fee and actually committing to it

• What happens when a practice looks ideal on paper but feels unsustainable in the body

• The hidden cost of seeing 18–20 clients a week — even at high rates

• How "being busy" can keep you from facing deeper questions about desire and ease

• Why Maggie's nervous system — not her spreadsheet — was sounding the alarm

• The unconscious stories therapists tell themselves about worth, entitlement, and greed

• How many therapists are closer than they think… but still not in reality

• What it really looks like when 100% of your caseload pays your Life First Fee

• LIMB Academy

• Fun With Fees Calculator