Occupational Therapy
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December 11, 2025

Why OTs Shouldn’t Have to Pay Thousands for “Start Your Private Practice” Courses (And What Actually Works Instead)

Pediatric OTs are frequently targeted with pricey private practice courses that promise freedom but provide little real support. This blog breaks down why these programs often fail — and what OTs truly need to build a thriving, sustainable career without financial risk.

author
Jen Wirt

Why OTs Shouldn’t Have to Pay Thousands for “Start Your Private Practice” Courses (And What Actually Works Instead)

If you’re an OT, you’ve seen the explosion of ads:

“Launch your dream private practice!”
“Make six figures as a pediatric OT!”
“Financial freedom starts here!”

And then:
Only $2,997 for lifetime access!

These programs promise support, autonomy, and financial transformation.
But many OTs walk away with:

  • A big credit card bill
  • A bunch of templates
  • A course portal they never have time to finish
  • Zero paying clients
  • Zero systems
  • Zero actual infrastructure
  • More stress than they started with

OTs deserve better than this.

Let’s talk about why these offers fall short — and what OTs actually need to thrive.

The Real Problem: OTs Don’t Need More Information — They Need Real Infrastructure

1. A Course Can’t Build a Caseload

You can watch every module, fill out every worksheet, and follow every checklist — but none of that brings families to your door.

Caseloads grow through:

  • Insurance contracts
  • Marketing systems
  • Referral networks
  • Local presence
  • Operational credibility
  • Parent word-of-mouth

A $2,000 course does not do this for you.

2. The Price Tag Isn’t Fair

Most pediatric OTs are already stretched thin:

  • Graduate school debt
  • Licensure fees
  • CEU costs
  • High cost of living
  • Underpaid roles in schools or outpatient
  • Unpaid admin work

The idea that OTs should now spend thousands more on a course is not supportive — it’s predatory.

3. Building a Private Practice Is a Full Administrative Job

Most OTs don’t realize how long and complex the process is until they’re already months in.

A course won’t:

  • Credential you with insurance
  • Handle authorizations
  • Collect payments
  • Process denials
  • Market you locally
  • Fill your calendar
  • Build your systems
  • Create your compliance policies
  • Manage scheduling and cancellations

These are operational problems, not educational ones.

4. Most OTs Don’t Actually Want to Run a Business

They want:

  • Autonomy
  • Time with families
  • Flexibility
  • Higher earning potential
  • A caseload that fits their life

They do NOT want to become:

  • Billing specialists
  • Web designers
  • Social media managers
  • Marketing strategists
  • Scheduling coordinators
  • Insurance experts
  • Accountants

Running a business is a second full-time job — and most OTs already have one.

5. There’s a Better Model — One That Doesn’t Require Paying Thousands

OTs should never have to buy access to:

  • A caseload
  • Administrative support
  • Operational systems
  • Billing and claims teams
  • Scheduling infrastructure
  • Parent matching
  • A sustainable income

These are things a practice should provide for you, not charge to you.

What OTs Actually Need to Build a Thriving Career

1. Real administrative support

Billing, scheduling, verifications, claims, documentation simplicity.

2. A caseload pipeline

Local families brought to you, not the other way around.

3. Compensation that matches the work

Transparent, predictable, competitive.

4. A model that honors your clinical expertise

Not one that turns you into an unpaid business manager.

5. A way to build a “private practice”–style career without taking on all the risk

OTs deserve freedom — not financial instability.

The Bottom Line: OTs Don’t Need More Courses — They Need Support

Occupational therapists are irreplaceable in pediatric development.
They should not have to burn out or go into debt chasing a dream that requires an administrative army to execute well.

There is a better path — one that gives OTs freedom, autonomy, and real earning potential without requiring them to become full-time business owners.

OTs don’t need another $2,000 guide.
They need a model that actually supports them.

If you’re an OT looking for a sustainable, flexible, high-impact way to grow your clinical career, we’d love to connect.

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