What to Do When Cash Flow Slows Down (Action Plan)

Every private practice has slower seasons. Even when you are doing everything right, there will be months when inquiries dip, cancellations increase, or patients pause care for reasons beyond your control. A slowdown in cash flow is not a sign that your practice is failing. It is a sign that you need a simple, steady plan to support yourself until things pick back up again.

Below is an action plan that keeps your nervous system regulated and your practice moving forward without panic.

Step One: Review your patient rollout

Instead of scrambling for entirely new strategies, start by looking at the patients already in your world.

Ask yourself:
• Who is due for a follow-up?
• Who requested a refill but has not been seen recently?
• Who mentioned wanting medication adjustments?
• Who paused care and may need support again?

You are not chasing people. You are providing continuity of care. A simple, thoughtful check-in can reconnect someone who already trusts you.

Step Two: Spend 20 minutes reviewing your pricing

Slower seasons are a clear signal to reflect on your rates. You do not have to increase them immediately, but ask yourself:

• Are my prices aligned with my workload?
• Do my rates reflect the value and time I provide?
• Am I undercharging out of guilt or fear?

Money conversations feel emotional for many PMHNPs. You are not just pricing a service. You are pricing your time, your expertise, and the boundaries that protect your energy. This is an area where guidance matters. In Strong Roots, we help you evaluate pricing with clarity so you feel grounded and confident in every number you choose.

Step Three: Do a focused marketing push (not a scattered one)

When cash flow dips, the instinct is to try everything at once. That usually leads to burnout. Instead, choose one simple marketing action you can repeat consistently.

A few effective options:
• Update your Psychology Today profile. Add a video. Refresh your first two sentences.
• Join two local Facebook groups where patients or providers gather and introduce yourself.
• Reach out to three local therapists or PCPs with a warm, supportive note. Not a pitch. Just a connection.

You do not need ten marketing strategies. You need one strategy you can sustain.

Step Four: Get support sooner rather than later

Cash flow stress can hit your nervous system quickly. It can make you question your decisions, your skills, and your ability to run a practice. You do not need to navigate that alone.

Inside Strong Roots, we help you:
• identify exactly where the slowdown is coming from
• create a personalized action plan
• stabilize your systems
• rebuild confidence so you do not spiral during slower seasons

Private practice becomes sustainable when you have guidance during the quiet months, not just the busy ones.

If you are feeling the weight of a slower season, this is your invitation to get supported. Join us inside Strong Roots Mentorship. We take you step by step from ground zero to seeing patients and beyond, without the overwhelm.