Your caseload is full.
Your income doesn't reflect it.
Let's fix that.
Take control of your rates. Take real vacations. See fewer than 20 clients a week. Same income.
I'M READY TO ELEVATE MY PRACTICE
FACT: You may have a full caseload, but because you're still undercharging and overworking, you are one slow month away from being back to working for someone else.
Not because you're not working hard enough....
Because no one taught you how to run the business underneath the clinical work.
Right now, you've been thinking you need to create an ebook, launch a course, or become a coach in order to have sustainable income in your private practice.
In reality, the answer you've been looking for is not more work.
By taking control of your rates, restructuring the panels and platforms that underpay you, and reducing your caseload, you get the practice and the life you built this for.
THE EBOOK CAN WAIT. THE MODEL COMES FIRST.
The good news?
Being fully booked is already the hardest part. You did that.
What you have been missing is fixing the model underneath: your rates, auditing your insurance panels, the leaks in your systems, and income sources that pay you what the work is actually worth.
Whether that means negotiating higher reimbursement from the panels you keep, reducing the ones that underpay you, or building your private pay practice, the audit shows you your move. This is not a get-off-insurance program. It's a get-paid-properly program.
That's what The Lounge is built for.
Here's what becomes possible
Taking client calls and doing billing from your vacation. Being underpaid by 20 different insurance companies, each with its own portal, its own rules, and its own way of paying you less. Scrolling job listings on Indeed at 11pm wondering if going back to a W2 would honestly be easier. Doing the math on how many more sessions you'd have to add to feel a difference, and realizing there are no more hours to give.
You are not imagining it. The model you're running was never built to pay you well. It was built to keep you busy.
IT’S YOUR CHOICE
You can keep doing what you’ve been doing —
taking clients and doing billing and admin on vacation, looking at job listings on indeed in case you have to go back to work, and researching which modalities will get you cash pay clients all while you're still on 20 different underpaid insurance rates…
Or you can finally restructure your practice so that it actually aligns with the hours and the income you've been wanting.
The power of designing your practice around your lifestyle starts here.
step into...
The Lounge
A structured membership for licensed therapists and psychiatric nurse practitioners who are fully booked, underpaid for their caseload, and ready to fix the model, not just push through it.
LET'S ELEVATE MY PRACTICE
YOUR MONTHLY PRACTICE ELEVATION RESOURCE
CREATED TO HELP YOU RAISE YOUR RATES, RECLAIM YOUR TIME, AND KEEP MORE OF WHAT YOU EARN.
Turn the caseload you already built into consistent income, protected time off, and a practice that runs without you holding it all up.
What You Get Inside The Lounge
Monthly Lounge Strategy Sessions with Yvette
Live 90-minute coaching + Q&A calls for personalized support. Work through rate decisions, panel exits, systems bottlenecks, and boundary blocks, and walk away with clarity and an action plan. Hot seats included, replays always posted.
The Practice Elevation Signature Curriculum
Your complete four-module course built on the B.O.S.S Blueprint. Audit what your practice is actually paying you, restructure your rates and income sources, build systems that run without you, and finally pay yourself like the CEO you are. Start with the Practice Reset Snapshot to find your exact starting point.
The Boss Clinician Toolkit
Over 20 plug-and-play workbooks, swipe files, and trackers: rate increase email templates, the Insurance Panel Audit Tracker, the Platform Exit Roadmap, SOP templates, the PTO income calculator, and more. Less guesswork, more structure.
The Lounge Community
Surround yourself with clinicians who understand exactly what it means to be fully booked and still underpaid. Ask questions, post your wins, get feedback, and swap referrals in a space built for your growth circle..
The Replay Vault
A growing library of past kits, recorded coaching calls, and bonus trainings — all saved and ready when you are. No pressure to keep up, just plug in when you need it. The longer you stay, the more value you unlock.
The Private Practice Business Plan
Your fillable, lender-ready business plan built section by section as you move through the curriculum. By the end of Module 04, you hold a complete document you can hand to a bank, a grant committee, or your own annual review..
Live Challenge Access
Members get free access to live Lounge challenges throughout the year. Focused sprints designed to help you implement faster, together.
This is not like what you've tried before.
Most therapist business programs are built for clinicians who are just starting out: client attraction, niche clarity, how to set up a Psychology Today profile. You already did that work. You're full. Another marketing course cannot fix a full practice that underpays you.
The Lounge starts where those programs end. The curriculum begins with your real financial numbers, not your marketing strategy. The coaching addresses rate restructures, panel negotiations, and systems, not visibility. And everything inside is built for one clinician: the one who already built the caseload and is ready to make it produce what it should.
Go All-In with
The Lounge
Four phases. One rebuilt practice.
The curriculum is sequential because the work builds in order. You cannot optimize a model you haven't measured. You cannot sustain a practice you haven't systematized. Every phase unlocks the next one.
BUILD: Rebuild the Foundation
Get financial clarity. Calculate your real numbers. Step into the CEO seat. Design a practice model built around your income goal and your actual life.
OPTIMIZE: Fix What's Not Working
Restructure your rates, income sources, and client mix. Negotiate higher reimbursement, reduce or exit the panels and platforms that underpay you, and build a referral pipeline that doesn't depend on a directory.
SYSTEMATIZE: Build the Infrastructure
Create the systems, SOPs, and support structure that let the practice run without you running everything. Billing, admin, intake, and your first operational hire, in the right order.
SUSTAIN: Build a Practice That Pays You
Pay yourself consistently. Take real time off. Reduce your caseload without losing income. Build the practice that protects your time, your health, and your long-term capacity.
Business development doesn't end. Neither does the Lounge.
The Practice Elevation curriculum is your foundation. Once you've completed the four phases, you don't graduate and leave. You return.
Every January you update your business plan with the previous year's real numbers. Every quarter you check your income sources against your targets. Every time you raise a rate, exit a panel, hire someone, or consider a new offer, there's a curriculum module, a coaching call, and a community conversation waiting for you.
A clinician who has been in the Lounge for three years has done the Build phase at Year 1 rates and the Optimize phase at Year 3 rates. The same modules hit differently when the practice is different. The same coaching call is more useful when the problem is more sophisticated.
Who the Lounge is built for
This is for you if...
This is not for you if...
Choose your path into the Lounge
*Real practice transformation doesn't happen in 30 days. The clinicians who get results are the ones who stay long enough to do the work in sequence, apply it, and return to deepen it. That's why the Lounge runs on a 6-month commitment.
Hey, I’m Yvette Howard, LCSW
Licensed clinical social worker. Group practice owner. Doctoral candidate. And the person who spent years building a multi-six-figure group practice while navigating burnout, platform dependency, and all the things nobody tells you about running a mental health business..
I know what it feels like to have a full caseload and still not be paying yourself what you should. I know what it feels like to be on a platform and realize it's making more off your sessions than you are. I know what it feels like to mean to raise your rate for six months and find a new reason not to every time. And I know what it feels like to wonder if the answer is adding something else entirely, a course, transformation coaching, anything, before realizing the practice underneath had to be fixed first.
Instead of throwing it all away, I fixed it, for myself and for my group practice. That's what the Lounge is. Not a course you take and forget. A structured home where you fix the model, document the progress, and stay as long as your practice is growing. Which is always.
Yvette
FAQs
frequently Asked questions
How much time does this take each month?
Are CEUs included?
Is this a business expense / tax deductible?
What if I've already taken a course or done 1:1 coaching?
What happens after I complete the four modules?
Can I cancel?
You built a full practice. Now build one that pays you like it.
You don't need more clients. You need the practice you already built to produce what it should: consistently, sustainably, and on your terms.
The Lounge is where that work happens. In sequence. With a strategist, a community, and a structured curriculum that stays relevant as long as your practice keeps growing.
*Real practice transformation doesn't happen in 30 days. The clinicians who get results are the ones who stay long enough to do the work in sequence, apply it, and return to deepen it. That's why the Lounge runs on a 6-month commitment.
