I can help you build a profitable practice that energizes your team, helps clients, and runs smoothly.
Work with me
Whether you want a program to train your team to improve their performance metrics, personalized consulting, or a live coaching for your clinic or mastermind group, here’s where to start.
The Client Retention System
Client Retention…but make it relational.
I’m the first to admit: the term “client retention” sounds kind of corporate and salesy.
But here’s the thing: while client retention is great for business, it’s even better for clients. Why? Because the research on change in psychotherapy indicates that clients start to experience a significant reduction in symptoms and meaningful shifts in old patterns after a minimum of 8 sessions. That’s why client retention is, at its heart, a client-centred process.
Most conversations about client retention focus on the importance of booking sessions in advance. And while that’s important, booking is actually the end result of a sequence of relational and client-centred interactions that make the client actually excited to book more sessions.
This program covers the full client journey — from the first consultation call through to preventing premature dropout. Eighteen video modules, practical worksheets, scripts, and templates your team can implement immediately.
What’s inside:
A full retention roadmap from consultation call to session five and beyond
Talking points and scripts for the booking conversation, first sessions, and treatment planning
Tools for identifying and addressing retention leaks in each clinician’s caseload
Role plays, worksheets, and follow-up email templates ready to use immediately
Who it’s for:
Group practice owners who notice their therapists are leaking clients, but can’t seem to get through to them on how to stop it
Individual therapists who are skilled and caring, but see client retention as pushy and too business-centred
Group practice owners who would like to improve client average number of visits so they can get more out of their marketing spend, or decrease it
Practice owners and therapists who want a relational approach to client retention
Self Paced Plan
Practitioner Access
for therapists in solo practice · 12 month access
Practice Owner Plan
Clinic Access
lifetime access | a seat for every therapist at your clinic (including future hires!)
Have questions? Let’s chat!
“Elana’s Client Retention program has helped the therapists on my team have productive conversations that have led to positive outcomes. Her videos and templates provide client-centred language that support clinician discussions with clients around the treatment course.”
Rebecca Rauscher, M.Ed, RCC-ACS
Clinical Director and Founder of Boundless Heart Counselling Group, Vancouver, BC
1:1 Consulting
For clinic owners who want a precisely tailored strategy for their practice.
Retention. Hiring. Financial sustainability. Leadership. Staying visible in a highly saturated industry. Group practice ownership involves particular challenges. And let’s not talk about those razor thin profit margins (actually…let’s).
I’m usually not the first business coach group practice owners have worked with. My clients usually arrive at me after they’ve had some early support setting up their systems, hiring, and getting started. I tend to see people when they’re set up…but not quite reaping the benefits of group practice ownership.
Most of my clients engage my consulting services engage on an ongoing basis — monthly when things are steady, every couple of weeks when there’s a specific problem to work through or a shift they’re trying to make. Once they see continuously reliable results, my clients usually contact me on an as-needed basis. Much like therapy, my greatest accomplishment is when my clients no longer need me.
When there’s a problem to solve, we’ll look at the full picture: systems, structure, procedures, team dynamics, financial realities, and mindset. If you’re not already tracking your performance and money metrics, this will be one of our first orders of business!
Most people arrive feeling discouraged, frustrated, or lost in the weeds. My clients often have the ingredients of a successful group practice, but are finding that some business things feel clunky and anxiety provoking. The first priority is always to find where we can make the most immediate difference, so that you leave with clarity, a sense of possibility, and a concrete plan for moving forward.
Who this is for:
Group practice owners navigating a specific challenge — retention, growth, team performance, or leadership
Owners who want strategic thinking, not just checklists and boilerplate advice
Group practice owners who have set up their systems and hired their team, but still aren’t making enough money
Group practice owners who need an expert eye to assess their practice for optimization and growth opportunities
Strategic Focus Package
$950 CAD
3 sessions
Deep Dive Package
$1,950 CAD
6 sessions
The High Performing Practice Membership
For performance-focused practice owners who want support, accountability, and resources designed to optimize your clinic operations.
“I know that data is important, but I don’t know how to find it.” “I don’t want to come across as insensitive or greedy, so I avoid having performance conversations with my team.” You’re not alone if this stuff takes up a lot of real estate in your brain. The truth is, you might not have control, but you do have influence.
The High Performing Practice brings my individual consulting work into a group format. We meet twice a month for group coaching and co-working, with practice resources, replays and a private community to support you between meetings
This is not a “how to start a group practice” group. If you’re already up and running and ready to optimize, you’re in the right place.
This group is for you if:
You’re an established clinic owner with foundational systems in place and consistent leads coming in
You want to focus on KPIs: conversion, retention, utilization, cancellations, revenue, profit
You’re ready to stop guessing at what’s driving performance in your practice and start leading with data
You want to communicate with clarity and confidence to your team, and feel less anxious about how your team will receive your feedback
It’s also a great fit for:
Group practice owners who want to roll out the Client Retention System with intention
Performance-focused practice owners who want ongoing coaching, accountability, and community
Owners who want to track their retention, optimize their systems, and communicate with their team
Owners who want the tools, the community, and the coaching to put it all into practic
The High Performing Practice
$297 CAD
per clinic owner · per month
Common questions…
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The math maths. Think about it: if a therapist retains one additional client per month who continues for four to six more sessions, the program pays for itself within the first month. Similarly, if a therapist applies these strategies and increases their average number of visits per client even incrementally, the increase in revenue blows this investment out of the water.
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Fair question. Most online programs fail for the same reason: they’re too long, too abstract, and too easy to deprioritize when things get busy. The Client Retention System was built with that in mind.
The modules are short and focused. The tools — scripts, templates, worksheets — are designed to be used in the next session, not filed away for later. And the content is clinically grounded, which means therapists find it credible rather than salesy. In my experience, therapists engage with training when it feels relevant to their actual work and provides them with an immediate win. This program delivers on both fronts.
That said — no program works without accountability. Which brings us to the next question.
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Accountability is everything, and it has to come from you as the clinic owner. A few things that work well: build completion into your onboarding process so it’s an expectation from day one, use your quarterly check-ins to discuss what therapists are applying and where they’re getting stuck, and consider making completion a condition of certain privileges or opportunities within the clinic. In my clinic, I sent each therapist a small gift card when they sent me a screenshot of their completion certificate. It’s amazing how a tiny incentive can motivate people!
If you purchase the program and want specific guidance on rolling it out with your team, reach out — I’m happy to talk through an accountability structure that fits your clinic’s culture.
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I’ve been running and expanding my own group practice since 2021, and working in the field for over twenty years. I have also been a client to many business consultants and coaches. I’ve received financial coaching specifically for group practice owners, coaching on how to build out a niche program, marketing consulting, and leadership coaching. I’ve consulted with HR experts, lawyers, and financial experts. The strategies I implement stem from my own extensive learning, as well as firsthand experience building my own successful clinic. I've tested my methods on my own team, and refined them through years supervising and coaching other therapists and practice owners.
I’m also a seasoned therapist. That matters because the challenges group practice owners face aren’t just business challenges. They require someone who understands both the business side and what actually happens in the therapy room. I've lived on both sides of that equation, and I bring both to every engagement.
“Elana has a particular knack for zoning in on key performance and client retention issues. Being a relational therapist, she knows the importance of maintaining attunement, repairing ruptures, and following up with clients without being intrusive.”
Colette Mrazek, M.Ed, RCC-ACS
Founder of Colette Mrazek & Associates
Not sure which option is right for you?
If you’re looking at this page and thinking “I need something but I’m not sure what,” that’s a totally normal place to be. Let’s hop on a free Zoom call, and we can figure it out together.
Zero pressure.