Lindsay Goldfarb didn't set out to build a therapy business, she started seeing a few clients to bridge a gap between jobs and accidentally discovered a niche serving young adults who wanted a therapist they could actually relate to.

Lindsay walks us through the full arc of going from solo clinician to founder of a growing group practice in Washington, D.C. She shares how overwhelming demand, a data-minded approach to risk, and a willingness to invest early — in admin support, branding, and physical space — allowed her to scale without burning out or losing the culture she was building.

For practice owners and service-based founders navigating the messy middle between doing the work and running the business, this conversation cuts to the heart of what it actually takes to make that shift — and why waiting until you're "ready" often means waiting too long.

Lindsay brings a rare combination of clinical training and analytical thinking to the business side, having grown the Sterling Group from a solo practice to a multi-therapist team while navigating two maternity leaves and a post-2020 return to in-person care.

Key takeaways include why hiring admin support before your first clinician creates leverage, how brand and vibe function as trust infrastructure rather than just marketing, the importance of slowing down to build systems after a fast growth phase, and why in-person connection is making a strong comeback with younger clients and teams alike.

Topics covered: solo-to-group practice transition, niche discovery, early-stage hiring strategy, brand investment for professional services, founder-to-CEO mindset shift, culture and accountability tension, demand-driven growth, in-person vs. virtual service delivery, accessibility in mental health.

Resources: The Sterling Group, Psychology Today provider profiles, Dan Martell's delegation framework, Michael Gerber's concept of the entrepreneurial seizure.

If you're a practice owner or service-based founder building something bigger than yourself, subscribe so you don't miss the conversations that make the journey feel a little less lonely.

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Episode Produced by Riggg Productions