Relational Consultation for Owners, Supervisors & Therapists in Leadership
Ever find yourself having so much fun and being so busy you have no idea how you ended up where you are… yeah, same.
So, I think this is a painfully short summary of how it kinda started and how it’s going. I will leave out the details about flooding, power outages, construction delays, EHR debacles, power washer mishaps, sneaky squirrels, and insurance nightmares.
In the beginning, I wasn’t trying to build something big. I was trying to build something manageable—a small office, one thoughtful associate (now Cody Norris, LMFT), and a way to do good clinical work without the weight and bureaucracy of large systems. Cody and I wanted care to feel real and obtainable again.
We grew so fast, the reason being that there was a significant need for associates to have good supervision and a place that felt sustainable to work. Cody and I found that there was such a stark contrast between what was taught in school and what the actual application of these skills was. So I kept hiring. Until I couldn’t hold it anymore.
Along the way, I gathered an extraordinary group of women who believed in what we were creating: a practice rooted in accessibility, compassion, and care for the people who give care. A place where new therapists are seen as humans first. A collective built on mentorship, curiosity, and shared responsibility rather than hierarchy and fear. All of these women had something very much in common. It wasn’t that we all came from the county. It was because we knew that we could do this differently. Something more aligned with what we were missing ourselves. Community. Mentorship. Grace.
What began as a 100% telehealth practice in my garage has since grown into over 8,000 square feet of office space, 38 employees, multiple wellness programs, training pathways, insurance contracts, and all of the complexity that comes with running an associate-centered, insurance-based group practice.
My Consulting Approach
My approach to consulting is relational, not prescriptive.
This work is not about forcing outcomes, hitting arbitrary milestones, or optimizing you into exhaustion. It’s an invitation to slow down, look inward, and bring light to the places that are asking for your attention—personally, professionally, and relationally.
Together, we explore:
Where you feel stuck, overwhelmed, or isolated
Where your intuition has gone quiet—and how to reconnect with it
How your leadership style intersects with your nervous system
What sustainability actually looks like for you
How to lead without abandoning yourself
This is about becoming more secure in your intuition and more grounded in your entrepreneurial spirit—not by pushing harder, but by listening more honestly.
I consult from real experience, not theory. I’ll share what worked, what didn’t, and the messy, uncomfortable truths in between. I’ve burned out. I’ve rebuilt. I’ve questioned everything: my identity, my purpose. And I’ve learned that this work—while demanding—can also be deeply meaningful and connective when done with care.
If you’re building, growing, or reimagining your practice or leadership role, I’ll meet you where you are—with honesty, empathy, and deep respect for the complexity of what you’re holding.
Practice Support & Relational Consultation Intake
This intake is designed to help me understand your practice in its full context—logistically, relationally, and intentionally. There are no right or wrong answers. Only honesty about where you are and what you’re calling in.
I hold consultation with the same care I hold clinical work: with curiosity, respect, and an understanding that leadership and ownership can be profoundly isolating.
To schedule a 60 minute consult, please select a time HERE
Please complete the intake before we begin:
https://forms.gle/gkWijGZofHYjLJA26
PS: The very first business consultation I ever scheduled for myself, I burst into tears within minutes. I was overwhelmed, exhausted, and didn’t know where to start. I make space for all of this—because it is part of the role. My hope is that we will laugh, cry, reflect, and celebrate together. Because we’re human.
A Few Things You Should Know
Beyond the intake and the credentials:
I am playful and loud.
I laugh a lot.
I swear A LOT.
I am more relational than formal.
I am honest because you don’t have time to waste. I will be direct and I will hold space for whatever you’re carrying. I don’t believe in gatekeeping. I will tell you everything I know because you shouldn’t have to learn everything the hard way.
I will challenge you when needed.
I will cheer for you always.
This work is hard. Leadership can feel lonely. And you don’t have to do it alone.
So—let’s get into it.
Need more support? Like the math kind…
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Melissa supports practice owners, supervisors, and leadership teams in developing confident, values-aligned leadership. Her coaching helps leaders strengthen decision-making, build sustainable structures, and lead with both authority and integrity—without burning out or losing sight of why they started.
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From profit and loss statements to long-term financial planning, Melissa brings deep expertise in business management, budgeting, and sustainability. She helps practices understand their numbers clearly, make informed decisions, and create systems that support growth without sacrificing care.
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Melissa excels at identifying inefficiencies and creating streamlined, thoughtful systems that actually work in real-world clinical environments. Her approach to process optimization reduces overwhelm, improves accountability, and allows clinicians and leaders to focus more fully on care.
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With a strong understanding of organizational dynamics, Melissa supports practices in building healthy, functional teams. Her work in optimizing human resources centers on clarity, communication, and sustainability—helping teams feel supported while maintaining clear expectations and structure.
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Melissa offers informed guidance around Medication-Assisted Treatment programs, supporting practices in building compliant, ethical, and effective systems that integrate medical and behavioral health care with intention and clarity.
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Melissa provides hands-on assistance with CARF accreditation, including support for achieving and maintaining three-year accreditation. She helps practices understand standards, organize documentation, implement compliant systems, and approach accreditation as a meaningful process rather than a stressful hurdle.
Melissa Maitre CEO | Executive & Leadership Consultant
Melissa Maitre is the backbone and steady force behind much of what keeps practices sustainable, ethical, and thriving. As CEO and a true juggernaut of business operations, Melissa brings clarity to the areas that often feel the most overwhelming for practice owners and clinical leaders: money, systems, people, and long-term stability.
Melissa has a rare ability to translate complex business structures into language that feels accessible and actionable. She understands that behind every spreadsheet, policy, and process are real humans doing emotionally demanding work—and she approaches leadership and consultation with that understanding at the forefront.
Her areas of expertise include: