A couple of weeks ago, I finally did something I should have done years ago. I hired an executive assistant.
Within the first week alone, she freed up five to ten hours of my time. Email and calendar were organized. Podcast post-production was handled. Course migrations between platforms were completed without me touching them.
What surprised me most was not just the time savings. It was how quickly the relief showed up. I usually tell people to expect a longer onboarding period, but this reminded me of something I already knew and apparently needed to relearn.
The right support doesn’t just save time. It unlocks growth you didn’t know was waiting.
Here are the four support services that do exactly that, plus two that are incredibly helpful once the basics are in place.
The 4 Support Services That Truly Unlock Growth
1. CPA and Bookkeeper
This is the only true “must-have” for most therapists.
Tax compliance isn’t optional, and financial clarity is the difference between guessing and actually knowing whether your practice is profitable. A solid CPA and bookkeeper help you stay compliant, understand your numbers, and make informed decisions as you grow.
If you can, find someone who understands therapy practices specifically. That context matters more than most people realize.
2. Intake Coordinator
This should be your first hire when you’re ready to stop being on call 24/7.
An intake coordinator responds to inquiries quickly, handles scheduling, and converts calls into actual clients while you’re seeing clients or living your life. This single role can dramatically reduce missed opportunities and lost revenue.
It’s also one of the fastest ways to improve both growth and quality of life.
3. Insurance Biller
If you take insurance and want to add clinicians without drowning in claims, you need billing support.
Insurance billing is detail-heavy work that doesn’t require your brain, but it does require consistent, expert attention. A dedicated biller keeps claims moving, reduces errors, and protects your cash flow.
This role is essential if insurance is part of your growth strategy.
4. Executive Assistant
This one surprised me the most.
I used to think executive assistants were only for “big” practices or “important” business owners. In reality, they’re for anyone who wants to run their business instead of just working in it.
An executive assistant can handle:
- Email and calendar management
- Project coordination
- Admin follow-ups
- Even personal tasks that quietly drain your energy
These are the things that eat up your day without moving the needle. Removing them creates space for leadership, strategy, and growth.

