Fellow Fastlaners,
I’m Domenique—nurse practitioner, founder of a successful solo private practice, someone who’s done everything “right”… and still finding myself constantly exhausted.
I built a private practice from the ground up and have served hundreds of clients through cash-pay, mental healthcare. But I’ve reached the point where continuing to scale 1:1 appointments means scaling my burnout. I want a bigger life—financially and energetically.
Here’s where I am now:
Here’s what I’m trying to figure out:
I’d be incredibly grateful for any ideas, guidance, or real talk from others who’ve made the leap from health care expert to entrepreneur.
Thank you in advance!
I’m Domenique—nurse practitioner, founder of a successful solo private practice, someone who’s done everything “right”… and still finding myself constantly exhausted.
I built a private practice from the ground up and have served hundreds of clients through cash-pay, mental healthcare. But I’ve reached the point where continuing to scale 1:1 appointments means scaling my burnout. I want a bigger life—financially and energetically.
Here’s where I am now:
- I offer mental health expertise, med management, strategic consultation, and care coordination, but have been experiencing BURNOUT bad
- I’ve built a trusted reputation in Seattle’s wellness space (including partnerships with therapists, clinics, and fertility centers)
- I’m exploring creating concierge-level services for high-net-worth households: private wellness advising, mental health strategy, med literacy, executive functioning support, and family care coordination
Here’s what I’m trying to figure out:
- How can I monetize my mental health expertise to scale? I know I’m more valuable than my hourly rate. I’m looking at retainers, hiring other providers, and ultra-premium concierge packages—but I’m open to ideas.
- Who pays top dollar for private emotional regulation and life navigation? Athletes? Founders? Elite fertility clients? I know these people exist, and that I’d be a perfect, trusted medical advisor for them, but breaking into their world feels… gated.
- Has anyone here successfully built a concierge business serving UHNW clients—health-related or not? I’d love to learn what worked, what didn’t, and how you made the leap from trading hours to building leverage.
- Should I find a way to scale via digital products/teams/automation? My time and energy are limited. I need something that scales, not drains me further.
I’d be incredibly grateful for any ideas, guidance, or real talk from others who’ve made the leap from health care expert to entrepreneur.
Thank you in advance!
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