For therapists navigating the collision of care, capitalism, power, and integrity
The mental health field is changing rapidly. Private equity and venture capital are reshaping care delivery, organizational demands are intensifying, and therapists are being asked to do more inside systems that often prioritize scale and efficiency over relationship. At the same time, clinicians are living inside ongoing social, political, and economic upheaval—carrying the same challenges their clients bring into the room.
Head/Heart Business Therapy exists for therapists who feel the strain of holding this double load and want support applying their clinical wisdom not just to clients, but to the workplaces, systems, and structures shaping their professional lives.
You Already Have the Skills.
Therapists already know how to work with complexity, power, and human behavior. We are trained in attunement, boundaries, accountability, and ethical decision-making.
What’s often missing is support and real-world examples for applying relational skills to workplaces and businesses that therapists built without being given the training, language, or support to run them sustainably.
This isn’t Burnout.
It’s Systemic Strain.
Today’s professional stress for mental health clinicians isn’t due to burnout or poor boundaries. It’s what happens when attachment patterns meet organizational power, when private equity and venture capital reshape the business of mental health, and when therapists are asked to practice inside systems increasingly driven by scale and efficiency rather than relationship.
At the same time, clinicians are living inside ongoing social, political, and economic upheaval. The result is increased emotional labor: holding systemic strain in our personal lives while being expected to stabilize it professionally, often without adequate authority, support, or agency.
Sarah Buino, LCSW, RDDP, CADC, NMT
Organizations are Relational Systems.
At Head/Heart Business Therapy, we treat organizations as relational systems shaped by psychology, history, power, and culture. Whether you own a practice, lead within one, or work inside structures you didn’t create, the same dynamics you recognize in clinical work are alive in meetings, policies, compensation models, and leadership decisions.
Therapists don’t leave their clinical identities at the door—they bring them into every system they touch.
Reclaiming agency inside complex systems
Reclaiming agency inside complex systems
Head/Heart Business Therapy helps therapists and leaders:
engage power ethically rather than avoid it
make decisions without self-abandonment
navigate money, leadership, and authority with clarity
reduce unintentional harm in therapy rooms, workplaces, and the systems shaping our profession
This work is about reclaiming our personal agency and creating workplaces where therapists can thrive, not just endure.
Whether you own a practice, lead within one, or work inside systems you didn’t design, Head/Heart Business Therapy supports therapists who want to engage complexity, power, and change without losing integrity.
The future of mental health care will be shaped by those who bring relational intelligence, agency, and integrity to the forefront. Not just in the therapy room, but in the systems that surround it.
Meet Sarah
Sarah is energized by supporting other helping professionals and healthcare organizations. She still holds a small caseload of individual clients, but now focuses her talents on healing at the group and organizational level by integrating not only her clinical knowledge, but also her business experience.
Conversations with a Wounded Healer
