{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/695842c7c4b2cc952cc66623/69616968b2f959184267a8bf?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"EP672 ☕️ Why Growth Often Feels Worse Before It Feels Better","thumbnail_width":200,"thumbnail_height":200,"thumbnail_url":"https://open-images.acast.com/shows/695842c7c4b2cc952cc66623/1768591257805-d06424ba-74a2-43f6-a279-e2df25ec940e.jpeg?height=200","description":"<p>In this episode of&nbsp;<em>Coffee with Goughy</em>, I talk honestly about a stage of growth most clinic owners hit but rarely say out loud. The moment when success starts creating pressure instead of freedom. When everyone needs you. When the business quietly starts owning you.</p><p><br></p><p>I share:</p><p><br></p><p>• Why growth often feels worse before it feels better</p><p>• The identity shift I had to make as a clinic owner</p><p>• Why doing more nearly kept me stuck</p><p>• And what actually has to change if freedom is the real goal</p><p><br></p><p>No hype. No theory. Just a real conversation for clinic owners who know something isn’t working the way it should.</p><p>Grab your coffee and listen in.</p><p><br></p><p><strong>00:00 – What is Coffee with Goughy?</strong></p><p><strong>01:00 – How the live format works</strong></p><p><strong>05:33 – Question: Why did growth feel exciting when I was struggling, but heavy now that I’m doing better?</strong></p><p><strong>06:34 – The first two years of business explained</strong></p><p><strong>07:49 – Are you still in love with the business when the excitement is gone?</strong></p><p><strong>09:22 – Wanting outcomes instead of adrenaline</strong></p><p><strong>10:23 – The hidden weight of responsibility</strong></p><p><strong>12:15 – Why most business owners fail after year two</strong></p><p><strong>14:29 – Question: I think I’ve outgrown being a clinician. How do I know when it’s time to level up?</strong></p><p><strong>15:25 – The grief nobody talks about in business growth</strong></p><p><strong>17:17 – Personal story: Outgrowing your past identity</strong></p><p><strong>19:27 – From clinician to entrepreneur</strong></p><p><strong>21:04 – Control vs fear</strong></p><p><strong>23:01 – Question: I have 2 front desk staff and 3 physios. What’s my next step?</strong></p><p><strong>23:40 – The future clinic model explained</strong></p><p><strong>26:08 – Why adding more providers breaks service</strong></p><p><strong>27:21 – Question: I just transitioned from insurance to cash pay. Where could this break?28:09 – Insurance vs cash pay profit margins</strong></p><p><strong>29:14 – How cash pay clinics actually scale</strong></p><p><strong>30:09 – How to double profits in 2026</strong></p><p><strong>31:30 – The real sweet spot for clinic owners</strong></p><p><br></p><p>👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business.&nbsp;</p><p><br></p><p>🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/</p><p><br></p><p>👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: www.paulgough.com/free</p><p><br></p><p>💬 Got thoughts or takeaways?&nbsp;</p><p><br></p><p>Share them with us!</p><p><br></p><p>Tag Paul or drop a comment – we actually read them 😉</p><p><br></p><p>📲 Follow Paul here:</p><p><br></p><p>🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/</p><p>📘 Facebook: facebook.com/PaulGoughPhysioRooms</p><p>📸 Instagram: @ThePaulGough</p><p>🎥 YouTube: Paul Gough Media</p><p>🐦 Twitter/X: @ThePaulGough</p><p>🌐 Website: www.paulgough.com</p>","author_name":"The Paul Gough"}