Should I Open My Own Practice – A Conversation with Dr. Casey Schack 

Starting your own practice can feel like standing at the edge of a cliff. You know the potential that lies ahead, but taking that first step is filled with uncertainty and fear.

In this video, I sat down with Dr. Casey Schack, a physical therapist and Coaches Club member, to talk about her journey from employee to practice owner. Her story is one many clinicians can relate to – wanting more autonomy, purpose, and connection, but unsure where to start.

The Turning Point

For years, Casey worked in a variety of healthcare settings, building relationships and developing her skills. But eventually, she began asking the question so many professionals face: Why not me? 

She loved her work but felt ready for something more – something she could shape herself. That’s when she reached out to me for advice on how to take the leap. With a little encouragement and a lot of courage, she decided to do it.

“The scariest part,” she said, “was asking myself, what if no one wants to come see me? What if this doesn’t work?”

Those questions are real, and they stop many great professionals from ever starting. But Casey’s story shows what happens when you take that leap anyway.

Building a Practice the Right Way

Instead of relying on the traditional route of dropping off donuts at doctors’ offices, Casey focused on relationships. She stayed connected with her existing network, reached out authentically, and let her work speak for itself.

Her business grew through word of mouth – one patient at a time. She specialized in helping older adults and those focused on wellness and longevity, offering care that extended far beyond short-term rehab.

“I think people just want to live better,” Casey said. “They’re living longer, and they want quality of life. That’s what we can really help with.”

The Ripple Effect

For Casey, success has meant more than a full schedule and a thriving practice. It’s also about the example she’s set for her daughters.

“They’ve always been my biggest cheerleaders,” she said. “They’ve seen me work hard, go back to school, and now build something of my own. I think it shows them that even when it’s hard, you can do the things you love.”

That’s the real power of this journey – it doesn’t just change your professional path; it changes how the people around you see what’s possible.

Lessons from Casey’s Journey

• Start small. Test the waters with a few clients before making the full leap.

• Keep your overhead low. Avoid big leases or unnecessary expenses early on.

• Be authentic. Relationships built on honesty and genuine care go further than marketing gimmicks.

• Remember the “why.” The goal isn’t just running a business – it’s helping people and creating a life you love.

Final Thoughts

Casey’s story is a reminder that you don’t have to have everything figured out to start. The key is to take that first step, stay true to your values, and be willing to grow through the process.

If you’ve been thinking about opening your own practice – or making any big career move – take some inspiration from Casey: the fear won’t disappear, but neither will the opportunity.