187: Building a Sustainable Private Practice During Perimenopause: Scheduling, Systems, and Self-Compassion

What happens to your private practice—and your finances—when perimenopause hits and you just don’t feel like you used to?

As therapists and health practitioners, we’re used to holding space for others—even when our own capacity is changing. If you’re noticing changes in your energy, focus, or mood and wondering how to keep your practice (and your finances) healthy, this episode might be just what you need.

In this episode, I break down the real impact of perimenopause on therapists, from brain fog and fatigue to the tough decisions about reducing your caseload or raising your fees.

I share some practical ways to adjust your schedule, automate your money systems, and, most importantly, ask for support so your business and finances work with your new reality. Remember—your practice can and should support you through every season of life!

Supporting Yourself Financially and Professionally Through Perimenopause in Private Practice

(00:04:14) Perimenopause's Impact on Therapists

(00:07:59) Align Business with Current Reality

(00:12:15) Prioritize Time, Health, and Money

(00:15:11) Streamline Finances, Seek Support

(00:18:33) Money Clarity for Therapists

Private Practice Finances for Therapists Experiencing Perimenopause

If you’ve been noticing a shift in your health, energy, or focus as you move through your late 30s or 40s—especially the ups and downs of perimenopause—you’re not alone.

Let’s be honest: perimenopause comes with a “whole list of not fun”—from hot flashes and brain fog to headaches, irritability, and unrelenting fatigue. If your capacity isn’t what it

used to be, please know that adjusting your expectations and routines isn’t just okay—it’s necessary.

Listen in for practical steps to create more ease in your schedule, value your expertise as your career progresses, and make sure your money truly supports you through this transitional season. I encourage you to create a clear system and habits for yourself, so you don't have to think fresh every time you sit down to work on your money. Having a nice, clear checklist of the tasks that you do whenever you do money time will help clear mental barriers and make the best use of the energy you have in that moment.

(00:15:37) "Let's reduce the cognitive load associated with your finances when that cognitive energy right now would probably better serve you somewhere else because it might be in more limited supply than it used to be." - Linzy Bonham

Financial Self-Care for Therapists Navigating Perimenopause Challenges

Here are 3 key takeaways for therapists in private practice:

· Accept Your New Reality: Your energy and focus may look different than they used to. Instead of holding yourself to past standards, adapt your schedule and expectations—this is about working with your reality, not against it.

· Let Your Business & Money Support You: Adjust your caseload, consider increasing your fees, and schedule self-care. Your financial decisions now can directly support your health and quality of life.

· Simplify Your Systems—And Ask for Help: Clear routines, automation, and seeking support (like hiring a bookkeeper) can help lighten your mental load, freeing up energy for both your work and your wellness.

Ready to feel confident with your money?

Are you a Solo Private Practice Owner?

I made this course just for you: Money Skills for Therapists. My signature course has been carefully designed to take therapists from money confusion, shame, and uncertainty – to calm and confidence. In this course I give you everything you need to create financial peace of mind as a therapist in solo private practice. Want to learn more? Click here to register for my free masterclass, “The 4 Step Framework to Get Your Business Finances Totally in Order.”

This masterclass is your way to get a feel for my approach, learn...