From Wendy: Your Therapy Business in 2026
- Wendy McSparren
- Jan 12
- 4 min read

Hi, I’m Wendy – therapist, group practice owner, and founder of Admirra, a CRM for therapists.
Running a therapy business is rewarding, but it’s also challenging. Between referrals, client intake, schedules, and team coordination, it’s easy to feel like you’re juggling more moving pieces than one person can handle. If your brain feels like it’s constantly spinning, bouncing between spreadsheets, shared inboxes, folders, and half-finished notes, I want you to know you’re not alone.
I know because I’ve been there.
There was a point when my days were filled with tracking referrals across spreadsheets, checking alias emails, and trying to remember where each potential new client was in the intake process. I remember wondering things like: Who followed up last? Did we verify insurance? Which therapist actually has room right now? Why are some people converting and others disappearing, and how do I even see that clearly?
I cared deeply about the people reaching out for help, but because everything lived in too many places at once, some people still slipped through the cracks.
At the time, I didn’t think of these as “business operations” problems. They just felt like the cost of growing. Looking back, I realize how much mental energy it took to hold all of that in my head.
If any of this sounds familiar, you’re not behind, and you’re not doing anything wrong. You’re doing your best with the tools you have.
But there is another way, and it starts with noticing what isn’t working and being intentional about the changes that could make your day, and your therapy business, feel lighter.
What Do You Want in 2026?
Before we talk about systems or solutions, let’s slow down for a moment.
When you think about your practice in 2026, what do you actually want more of?
Maybe it’s more clarity, more time with clients, or more confidence in the decisions you’re making. Maybe it’s fewer loose ends at the end of the day, or fewer moments where you’re wondering if something important got missed.
For a long time, I didn’t ask myself those questions. I was too busy reacting. Every new referral meant another row in a spreadsheet. Every intake meant another email thread to track down. I told myself that if I could just stay organized enough, things would feel easier, but the truth is that trying to hold everything together across scattered systems takes a toll.
You might want more visibility into what’s really happening in your practice. Why people reach out, where they find you, which referrals convert, and where others fall away.
You might want to understand patterns instead of guessing. Are clients dropping off at a certain point in the process? Are certain insurance types harder to place? Are there times of the week where demand consistently outpaces availability?
You might want more confidence when it comes to staffing decisions. Knowing which therapists are full, who has room, and where there’s a gap that needs to be filled. Seeing clearly when it might make sense to hire a Saturday therapist, or expand a particular specialty, instead of relying on gut feeling alone.
Or maybe what you want most is simply more ease. One single place where referrals, communications, documents, and insurance verification all live – like a CRM for therapists – so you don’t have to switch between tabs or tools. Less mental juggling. Less wondering who touched a client last or whether a follow-up went out.
If any of this resonates, it’s worth paying attention to. Wanting more clarity, more support, and more breathing room doesn’t mean your practice is broken. It means you’re paying attention to what it needs next.
Your Vision for 2026
Take a moment to imagine your therapy business a few months or a year from now. What would it feel like if your days were a little lighter, a little clearer, a little more manageable?
Picture starting the morning with a sense of calm. You glance at your schedule or your client list and can instantly see what’s happening without chasing details. The quiet wins might feel like this:
You can see which clients need follow-up, and checking in doesn’t feel like a scramble.
You have a sense of where your team has room, so scheduling or coverage decisions feel easier.
Patterns start to emerge, like which referral sources bring in the most engagement, or which sessions tend to fill fastest. You can easily notice these patterns without hunting for answers.
Routine tasks like sending reminders or sharing documents flow naturally, so you’re not mentally juggling every step.
By the end of the day, you feel grounded rather than pulled in a dozen directions.
Take a deep breath and picture that day. What does it feel like for you to move through your work with more ease, more confidence, more space to focus on the parts of your practice that matter most? Which of these quiet wins would make the biggest difference for you right now?
You’re Not Alone
I know what it feels like to carry the weight of your therapy practice on your shoulders – tracking clients across spreadsheets, threads, and folders, and worrying that something will slip through the cracks. I’ve been there. I’ve felt that tension between wanting to provide excellent care and needing to manage all the moving pieces.
You’re not the only one who feels this way. Many therapy business owners quietly juggle inefficient systems, varied client needs, and team management. And here’s the thing: you don’t have to do it all yourself, or figure it out perfectly. Small changes can make a world of difference, like looking for patterns, creating visibility, and building more structure to create sustainability.
Take a moment to hold the vision you imagined earlier: a practice where your team is supported, your clients are seen, and your days feel clearer and lighter. A practice where you can focus on the work that matters most, instead of scrambling to keep up. That vision is possible, and it starts with noticing what’s possible for you and giving yourself permission to make the changes that feel right.
As you step into the new year, remember: you’ve got this. You can create a different, more sustainable vision for your practice, one small change at a time.
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