The Real State of Private Practice As We Head into 2026 (And What It Means for You) with Jena Castro-Casbon
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What is the new roadmap for starting a private practice for SLPs and OTs?
Starting a private practice isn't what it used to be. Today's clinicians are starting private practices much quicker, easier, and cheaper than before. And they aren't guessing their way through it or getting stuck in analysis paralysis, they're following a tried and true roadmap in order to save time, money, and frustration. There is no reason to reinvent the wheel or struggle to figure out how to start a private practice on your own. We've helped thousands of SLPs and OTs through this process and now we want to help you too. For a limited time, I'm offering a free copy of our private practice roadmap, specifically for SLPs and OTs who are curious about private practice and want to see what the journey looks like.
To download your free copy, please visit startyourprivatepractice dot com backslash roadmap to sign up. Now on to the episode. Hi there, and welcome to the final episode of the Private Practice Success Stories podcast for the year 2025. As we close out this year, I want to do something a little different than a typical year-in review, because I want to share what I've been hearing firsthand from private practice owners and those in the making. If you felt financial pressure this year, if you've noticed your workload creeping up while your pay stays the same, and if you found yourself Wondering, is this really sustainable for the next one, two, or five or more years? You're not imagining it. The system is shifting.
And what I've seen in 2025 tells me something important: that more clinicians than ever are turning to private practice, not out of greed and not to build an empire, but to create stability, flexibility, and breathing room in a world that feels increasingly unpredictable. And people who are already in private practice are making shifts too. Shifts to increase their profitability and decrease their working hours. So today I'm I wanna walk you through five major shifts that I've seen in private practice in 25 and what they actually mean for you and how to think about what your next steps will be in a way that feels grounded and not overwhelming. Whether you're a total beginner or you already have an established private practice, you are not gonna want to miss this episode because it should help you really think through your plans for the next year.
Why are clinicians launching private practices before they’re burned out?
So stay tuned. I'm Jenna Castro-Kasbon, speech language pathologist, business coach, and creator of the Start Your Private Practice System. And I'm on a mission to turn stuck SLPs into successful private practitioners. If you're tired of dealing with high productivity requirements, high caseload sizes, and low pay, it's time to take control of your professional, personal, and financial life and finally get the freedom, flexibility, and financial abundance that you deserve by working with private clients in your own practice. Join me here each week as I share tips, best practices, and inspirational interviews on the Private Practice Success Stories podcast. If you're a private practitioner or one in the making, you're in the right place, so let's get started.
Okay, so in this episode, we're talking about shifts that I observed that started in 2025 that you're gonna want to know about in order to be successful in 2026. Now, the first big shift that I saw this year was that people are no longer waiting until they are fully burned out to start a private practice. Instead, clinicians of all ages and all levels of experience in the profession are starting. Private practices small and on the side, one evening a week, two private clients on Saturdays, a few telehealth sessions after work. This isn't about quitting your job tomorrow. In today's economy, that would be very risky. So instead, this is about creating another income stream so that your entire financial life doesn't depend on one employer, one district, or one reimbursement rate.
And what I've seen over and over Over again is this. When a clinician adds two or three private clients a week, something starts to shift internally. They breathe differently, they show up at work differently, and they stop feeling so trapped.
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Chapters
8 chapters
1
What is the new roadmap for starting a private practice for SLPs and OTs?
0:00–2:14
2
Why are clinicians launching private practices before they’re burned out?
2:14–4:27
3
How is reimbursement uncertainty driving clinicians toward multiple income streams?
4:27–5:40
4
What diversified services (packages, programs, tele‑therapy, etc.) are reshaping private practices in 2025?
5:40–7:35
5
How can clinicians add new income streams strategically without over‑extending themselves?
7:35–9:26
6
What is a ‘lifestyle private practice’ and how does it differ from growth‑focused models?
9:26–11:12
7
Why do many private‑practice owners need to shift into a CEO mindset to become profitable?
11:12–13:12
8
What actionable steps should listeners take now to build a stable, flexible practice in 2026?
13:12–14:05
Speakers
1 identifiedMore from Private Practice Success Stories
She Spent 5 Years Too Scared to Start - Now She Has a 4-Room Clinic with Tiffany Fairdosi
She Started With Two Clients on the Side - Now She Has Nine SLPs and a Clinic with Samantha Taylor
From 2 Clients on the Side to Ready to Hire — Then She Decided She Didn't Want To with Bianca Gizzi Fusco
She Told Her Dad She’d Never Start a Private Practice - Now She Has a Successful Clinic and Growing Team with Sarah Landry
She Started at 26 With One Referral - Now She Has a Downtown Office and a 3-Year School Contract with Becca Vilsaint
She Didn't Hate Her Job BUT She Left to Start a Private Practice Anyway with Heather Danielkiewicz