McCance Method Blog

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists. I built my group practice to 55 therapists and multiple 7-figures, and then I sold it.
If I’m being honest, I had systems in place, but they still depended on a person to keep everything moving.
If my admin was on another call, stepped away for lunch, or an inquiry came in after hours, there was always a chance something could get missed. We had a follow-up process too, but it lived in a spreadsheet and relied on someone remembering who needed to be contacted and when. It worked, until it didn’t. And after hearing practice owners describe those same cracks in their intake process on coaching calls for four years, I built the system I wish I’d had in my own clinic. It’s called ClinicMonk™

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists (I scaled my own practice to 55 therapists and multiple 7-figures before I sold it).
I recently hosted my Success Panel with four group practice owners who are 10 steps ahead of where most of you are right now. Lavonda who is just outside Philadelphia, Iván in Oakville, Christina in Denver, and Caitlin in Lethbridge, with teams of four, six, ten, and twenty-seven therapists between them.
The business side turned out to be learnable for all four of them. What took the longest was getting past the story they were telling themselves before they started. So if you’ve been circling the idea of scaling to a group practice, this one’s for you.

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists.
Are you leaking revenue without even knowing it? Most practice owners are, and the frustrating part is that it’s money you’ve already earned by doing the work and seeing the client. It just quietly slipped out somewhere between the session and your bank account.

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists. If you’ve ever looked at your slow calendar and thought, “My marketing must not be working,” I want to offer you a different explanation. (Stay with me, this one really matters.)

Your marketing is probably working just fine. People are finding your website, they’re reaching out, and then somewhere between that first inquiry and a booked consult call, they’re getting lost. What you’re missing is a CRM, and in 2026 every therapy practice needs one to catch those leads.

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists. If you’ve been wondering how therapists get found in AI search now that your clients are asking ChatGPT for help before they ever open Google, you’re asking exactly the right question. The way people look for a therapist has shifted, and the good news is that catching up is a lot simpler than it sounds (I promise!). I’m going to walk you through what to change on your website, why it works, and how to do most of it from a lawn chair in your backyard.

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists.
The other day in coaching, one of my members said something that got my attention. She’d put all the Clinic Growth Map™ systems in place, everything was finally flowing, and for the first time in years she had free time. But her honest reaction was, “I don’t know what to do with myself, and it feels uncomfortable.” She was so used to seeing 30 clients a week that stillness felt strange.
If you’ve ever felt that, I want you to know there’s nothing wrong with you. You’re not weird, you’re just part of our high achieving tribe (and I’m a lot like you).

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists (I scaled my own practice to 55 therapists and multiple 7-figures before I sold it). I recently sat down with Milly Feliz for part three of my group practice success series, and her story is one I’ve been so excited to share.

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists (I scaled my own practice to 55 therapists and multiple 7-figures before I sold it). I recently sat down with Antoinette, the owner of Maple Leaf Counseling in Southern California, for part two of my group practice success series, and she shared some incredible insight!

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists (I scaled my own practice to 55 therapists and multiple 7-figures before I sold it). I recently sat down with Tricia Wright, Founder and CEO of Arnica Counselling Inc. in British Columbia, for part one of my group practice success series.

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists. I scaled my own practice to 55 therapists and multiple 7-figures, so I know how much rides on that first phone call.
A fear I hear all that time is that you put in the work to get someone to book a consult, the call goes well, and then they say they need to “check their insurance” and you never hear from them again. The good news is that converting more clients usually has very little to do with your fees, and a lot to do with how you talk about them.

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists. I scaled my group practice to 55 therapists and multiple 7-figures, and one of the biggest reasons we were able to do that was retention. We weren’t constantly replacing people, and that made a huge difference in how we grew.

Most practice owners focus all their energy on hiring (and I get it, hiring feels like growth), but if you’re losing therapists as fast as you’re bringing them on, you’re stuck on a treadmill. I want to walk you through exactly how I approached retention in my group practice, because it doesn’t require a massive budget, and it starts with something a lot of people overlook.

Welcome therapists and group practice owners! I’m Nicole McCance, a psychologist turned business coach for therapists, and I want to talk about the hidden revenue lever in your practice that you may not have thought of: reducing your no shows and cancellations. I scaled my group practice to 55 therapists and multiple 7-figures, and this was one of the things I was most strict about, because at scale, a small cancellation problem becomes a very big one.