Guilt-Based Money Mindset in Cash-Based Practices

Alicia Kollmar MS, OTR/L

Published on: 10/10/2025

This article explores the common feelings of guilt therapists may experience when choosing to run a cash-based private practice instead of accepting insurance. It encourages thoughtful reflection on personal values, money mindset, and professional goals, emphasizing that guilt shouldn't drive business decisions. Therapists are reminded that it's okay not to serve everyone and that choosing a sustainable path is essential for long-term success.