Off The Chair
Claim This Podcastby Dr. Colleen Long
Podcast Overview
<p>In a world where a nail artist can out-earn a licensed therapist, behavioral health professionals have no choice but to get scrappy, color outside the lines, and start writing our own rules. The old path—graduate school, licensure, paneled with insurance, packed calendar of 1:1s—is broken. It’s time for a new blueprint. </p><p></p><p>That’s where Off the Chair comes in. We’re not just talking about surviving the grind, we’re exploring radically different ways to thrive. From building passive income streams to launching scalable service lines, we dive into business models that break the mold. We cover how modern technology; AI, digital products, automation, and online communities—can even help clinicians step out of the therapy chair and into a more expansive, creative, and financially free version of practice. </p><p></p><p>Off the Chair is the no-BS podcast for therapists and clinicians from all disciplines, trapped in a broken healthcare system, ready to break out of burnout, reclaim their income, and build values-driven businesses beyond mis-managed care and trading hours for dollars. </p><p></p><p>Hosted by Dr. Colleen Long—a clinician-entrepreneur who has built, broken, and rebuilt thriving mental health companies—this show brings you weekly conversations on what it really takes to succeed in today’s broken behavioral health system. Whether you're a growth-minded psychologist, a private practice owner, or a therapist wondering how to scale without selling your soul, Off the Chair is your roadmap to redefining what success looks like in mental healthcare. </p><p></p><p>What You’ll Learn </p><p>- Business & Practice Management: Navigate the operations side of private practice with insight into EMRs, scheduling workflows, profitability pivots, and systems that scale. </p><p>- Hiring & Leadership: From managing your first intern to leading multi-state teams, get real-world advice on creating aligned, sustainable teams (and firing fast when it’s not a fit). </p><p>- Financial Freedom for Clinicians: Understand compensation models, create recurring revenue streams, and stop trading time for money—all without compromising your ethics. </p><p>- Mental Health Industry Reform: Challenge the status quo with honest dialogue on insurance gatekeeping, clinician burnout, and what it takes to build a more human-centered system. </p><p>- Personal Resilience & Growth: Behind every spreadsheet is a dark night of the soul. We talk mindset, mission drift, and how to stay motivated when the math doesn’t math. </p><p>- Overcoming Challenges: The podcast addresses common challenges faced by therapists, such as negative reviews, legal threats, and the fear of failure, offering strategies for navigating these obstacles. </p><p></p><p>Overall, Off the Chair aims to empower clinicians to: Become more effective leaders and managers. Build strong, efficient, and profitable practices. Enhance their personal well-being and achieve a fulfilling career. Stay ahead of the curve in a constantly evolving industry. Why Listen? Off the Chair isn’t just about the logistics of running a practice—it’s about reclaiming your creativity, your autonomy, and your voice as a leader. No jargon, no perfectionism. Just vulnerable, strategic conversations that meet you in the messy middle. </p><p></p><p>New episodes drop every Tuesday. </p><p></p><p>Connect with us! </p><p></p><p>Website: <a rel="noopener noreferrer nofollow" href="http://www.offthechair.com" target="_blank">www.offthechair.com</a> </p><p>Instagram: <a rel="noopener noreferrer nofollow" href="https://www.instagram.com/offthechairpodcast/" target="_blank">@offthechairpodcast</a></p><p></p><p>Dr. Colleen Long, Psy.D. </p><p>Website: <a rel="noopener noreferrer nofollow" href="http://www.drcolleenlong.com" target="_blank">www.drcolleenlong.com</a> </p><p>LinkedIn: Dr. Colleen Long </p>
Language
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Publishing Since
7/30/2025
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Recent Episodes
December 23, 2025
The Clinician Holiday Reset Series Part I: Rest
<p>Burnout doesn’t always mean you need more rest. Sometimes it means your nervous system is asking for a different rhythm—or even a different container for your work.</p><p>In this special three part holiday series of <i>Off the Chair</i>, Dr. Colleen Long dives into the science of nervous system regulation, winter hibernation, and why clinicians feel more depleted than ever during December. You’ll learn how seasonal biology, unfinished stress cycles, trauma physiology, and systemic pressure collide—especially for therapists, psychologists, physicians, and helpers who feel for a living.</p><p>This episode helps you identify <b>what kind of tired you’re actually experiencing</b>—the kind a nap will fix, the kind that needs a nervous system reset, or the kind that signals a deeper career redesign. You’ll also hear why December is not a neutral month for clinicians, how rest can bring uncomfortable clarity, and why evolving your work is not failure—it’s biology.</p><p>If you’re feeling exhausted, flat, or quietly done, this episode offers language, permission, and practical tools to slow down without shame and listen to what your nervous system is asking for next.</p><p><b>Who this episode is for:</b></p><ul><li>Therapists, psychologists, counselors</li><li>Physicians, psychiatrists, dentists</li><li>Coaches, healers, helpers</li><li>Burned-out professionals considering a career pivot</li></ul>
December 16, 2025
Redefining Success: A Therapist's Path to Peace with Sarah Olson
<p>Burned out, questioning everything, and wondering if you’re allowed to want something different from your work and your life? This episode is for therapists, group practice owners, and mental health leaders who have hit a wall and know they cannot go back to “business as usual.”</p><p></p><p>In this conversation, Sarah Olson opens up about slamming into burnout at full speed, even while her practice and life looked successful from the outside. She traces the moment everything stopped working, the fog that made it hard to think straight, and the reckoning that forced her to step back, rest, and rebuild her relationship to work, productivity, and worth.</p><p></p><p>You’ll hear her talk about how hard it actually is to delegate, release control, and trust a team when you’ve been holding everything together for too long. Sarah describes what it took to take real time off, reconnect with her body, and how healing her own trauma shifted everything.</p><p></p><p>Key takeaways:</p><p>➡️ Burnout can manifest unexpectedly, even when things seem to be going well.</p><p>➡️ Recognizing the signs of burnout is crucial for recovery.</p><p>➡️ Taking a break is not a sign of weakness but a necessary step for mental health.</p><p>➡️ Delegation can be challenging but is essential for sustainable practice management.</p><p>➡️ Self-care should not be viewed as selfish but as a priority for well-being.</p><p>➡️ Redefining success involves understanding personal limits and needs.</p><p>➡️ Quality work can be achieved in shorter, focused periods rather than long hours.</p><p>➡️ It's important to listen to your body and respect its signals.</p><p>➡️ Leadership styles can shift significantly after experiencing burnout.</p><p>➡️ Finding peace in professional life is a continuous journey.</p><p>➡️ Listening to your body is crucial for maintaining well-being.</p><p>➡️ Healing personal trauma can enhance professional practice.</p><p>➡️ Small changes can lead to significant improvements in well-being.</p><p>➡️ Prioritizing what truly matters can help manage stress and burnout.</p><p></p><p>If you've ever wondered what sustainable work-life balance as a clinician could look like, Sarah outlines a pathway there in this episode.</p><p></p><p>Episode chapters:</p><p>00:00 – The burnout experience</p><p>03:40 – Recognizing the signs of burnout</p><p>07:32 – The decision to step back</p><p>18:30 – The shift in mindset</p><p>24:58 – Finding community and support</p><p>26:45 – Recognizing personal limits and the need for rest</p><p>29:12 – The journey back from burnout</p><p>30:50 – Learning to delegate and trust the team</p><p>33:02 – Navigating the challenges of group practice ownership</p><p>35:47 – Understanding burnout and its impact</p><p>38:22 – Shifting perspectives on productivity</p><p>42:16 – Finding motivation and embracing change</p><p>46:03 – Dismantling old beliefs about success</p><p>53:33 – The evolution of leadership in practice ownership</p><p>01:03:02 – Leading with connection and inspiration</p><p>01:06:58 – Listening to your body: a journey to self-care</p><p>01:14:12 – Shifting therapy practices: from management to leadership</p><p>01:18:47 – Marketing and building a sustainable practice</p><p>01:21:31 – Advice for clinicians: small steps to avoid burnout</p><p></p><p>If this episode speaks to you, hit subscribe so you don’t miss future conversations. Leave a review so other clinicians can find these stories, and share this episode with a colleague who is on the edge of burnout and needs to know they are not alone.</p><p></p><p>Connect with us!</p><p>Website: <a target="_blank" rel="noopener noreferrer nofollow" href="http://www.offthechair.com">www.offthechair.com</a></p><p>Instagram: @offthechairpodcast</p><p>YouTube: @offthechairpodcast</p><p>TikTok: @offthechairpodcast</p>
December 9, 2025
Autopsy of a Practice Part III: Your Not Broken, The Game is Rigged
<p>Burned out, morally injured, and wondering if you’re the problem? Good news and bad news: it's not you, it's the system. This episode is for clinicians, group practice owners, and mental health leaders who feel trapped between their ethics, insurance demands, and the crushing weight of “doing it all.”</p><p></p><p>In this conversation, we unpack the evolving challenges facing clinicians in independent practice, especially the shift from “I’m just burned out” to recognizing true moral injury. We look at how systemic forces, insurance requirements, and changing rules in healthcare are reshaping what it even means to do ethical, sustainable clinical work.</p><p></p><p>You’ll hear how isolation in leadership, constant multitasking, and opaque power dynamics erode both capacity and integrity over time. The episode also explores why so many group practice owners feel like they “failed,” when in reality the rules changed without their consent or control.</p><p></p><p>What you’ll learn</p><p>➡️ Why your group practice didn’t fail just because you “couldn’t hack the rules”</p><p>➡️ The difference between burnout as a capacity failure and moral injury as an integrity failure</p><p>➡️ How clinicians become the vicarious “fall guy” for insurance companies and broken systems</p><p>➡️ Why burnout can stop being a phase and start to feel like an identity you can’t escape</p><p>➡️ How isolation at the top quietly harms clinical judgment, leadership, and well-being</p><p>➡️ What it looks like to reinvent your work using technology and AI without losing your humanity</p><p>➡️ Why “off the chair” means refusing to believe that suffering is the price of legitimacy in this field</p><p></p><p>If you’ve ever thought, “I can survive this if I can just see a way out,” this episode sketches the contours of that way out. It offers language, frameworks, and possibilities for clinicians who are ready to stop surviving in silence and start reimagining what practice can look like.</p><p></p><p>Episode chapters</p><p>00:00 – Introduction to the journey of clinicians</p><p>06:46 – The illusion of freedom in group practice</p><p>09:05 – The changing landscape of healthcare</p><p>10:26 – The new power dynamics in healthcare</p><p>12:53 – The burden of multitasking in practice management</p><p>13:11 – Understanding moral injury vs. burnout</p><p>17:55 – The impact of moral injury on clinicians</p><p>21:13 – The isolation of leadership in healthcare</p><p>25:07 – Navigating workplace turmoil</p><p>27:48 – The burden of leadership in mental health</p><p>30:27 – The impact of insurance on mental health practices</p><p>36:43 – The journey to selling a practice</p><p>40:24 – Reinventing mental health care in a changing landscape</p><p>45:58 – Embracing technology for sustainable practice</p><p>48:33 – Finding hope and healing in the chaos</p><p>50:33 – Understanding human behavior and cues</p><p>51:24 – Taking action for change</p><p></p><p>If this episode resonated with you, hit subscribe so you don’t miss future conversations. Leave a review to help other clinicians find this show, and share this episode with a colleague who is quietly burning out or carrying moral injury alone.</p><p></p><p>Connect with us!</p><p>Website: <a target="_blank" rel="noopener noreferrer nofollow" href="http://www.offthechair.com">www.offthechair.com</a></p><p>Instagram: @offthechairpodcast</p><p>YouTube: @offthechairpodcast</p><p>TikTok: @offthechairpodcast</p>
22 total episodes available
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- What is Off The Chair?
<p>In a world where a nail artist can out-earn a licensed therapist, behavioral health professionals have no choice but to get scrappy, color outside the lines, and start writing our own rules. The old path—graduate school, licensure, paneled with insurance, packed calendar of 1:1s—is broken. It’s time for a new blueprint. </p><p></p><p>That’s where Off the Chair comes in. We’re not just talking about surviving the grind, we’re exploring radically different ways to thrive. From building passive income streams to launching scalable service lines, we dive into business models that break the mold. We cover how modern technology; AI, digital products, automation, and online communities—can even help clinicians step out of the therapy chair and into a more expansive, creative, and financially free version of practice. </p><p></p><p>Off the Chair is the no-BS podcast for therapists and clinicians from all disciplines, trapped in a broken healthcare system, ready to break out of burnout, reclaim their income, and build values-driven businesses beyond mis-managed care and trading hours for dollars. </p><p></p><p>Hosted by Dr. Colleen Long—a clinician-entrepreneur who has built, broken, and rebuilt thriving mental health companies—this show brings you weekly conversations on what it really takes to succeed in today’s broken behavioral health system. Whether you're a growth-minded psychologist, a private practice owner, or a therapist wondering how to scale without selling your soul, Off the Chair is your roadmap to redefining what success looks like in mental healthcare. </p><p></p><p>What You’ll Learn </p><p>- Business & Practice Management: Navigate the operations side of private practice with insight into EMRs, scheduling workflows, profitability pivots, and systems that scale. </p><p>- Hiring & Leadership: From managing your first intern to leading multi-state teams, get real-world advice on creating aligned, sustainable teams (and firing fast when it’s not a fit). </p><p>- Financial Freedom for Clinicians: Understand compensation models, create recurring revenue streams, and stop trading time for money—all without compromising your ethics. </p><p>- Mental Health Industry Reform: Challenge the status quo with honest dialogue on insurance gatekeeping, clinician burnout, and what it takes to build a more human-centered system. </p><p>- Personal Resilience & Growth: Behind every spreadsheet is a dark night of the soul. We talk mindset, mission drift, and how to stay motivated when the math doesn’t math. </p><p>- Overcoming Challenges: The podcast addresses common challenges faced by therapists, such as negative reviews, legal threats, and the fear of failure, offering strategies for navigating these obstacles. </p><p></p><p>Overall, Off the Chair aims to empower clinicians to: Become more effective leaders and managers. Build strong, efficient, and profitable practices. Enhance their personal well-being and achieve a fulfilling career. Stay ahead of the curve in a constantly evolving industry. Why Listen? Off the Chair isn’t just about the logistics of running a practice—it’s about reclaiming your creativity, your autonomy, and your voice as a leader. No jargon, no perfectionism. Just vulnerable, strategic conversations that meet you in the messy middle. </p><p></p><p>New episodes drop every Tuesday. </p><p></p><p>Connect with us! </p><p></p><p>Website: <a rel="noopener noreferrer nofollow" href="http://www.offthechair.com" target="_blank">www.offthechair.com</a> </p><p>Instagram: <a rel="noopener noreferrer nofollow" href="https://www.instagram.com/offthechairpodcast/" target="_blank">@offthechairpodcast</a></p><p></p><p>Dr. Colleen Long, Psy.D. </p><p>Website: <a rel="noopener noreferrer nofollow" href="http://www.drcolleenlong.com" target="_blank">www.drcolleenlong.com</a> </p><p>LinkedIn: Dr. Colleen Long </p> - How often does this podcast release new episodes?
This podcast updates daily.
- Where can I listen to this podcast?
This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
Yes, this podcast regularly features guests.
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