The roadmap 370+ psychiatrists used to build $300K+ integrative private practices.
Without the 18-month “figuring it out” detour or the $50K in mistakes most providers make. Personalized to your stage and hosted inside Dream Practice School, our free Skool community. Yours free in 90 seconds.
- The exact phases, milestones, and action steps from idea to $20K/month
- How to skip the $30K–$50K mistakes most providers make in year one
- Instant access to Dream Practice School, the free Skool community where every lesson and resource in the roadmap lives
Get Your Personalized Roadmap
Tell us where you’re starting from and we’ll send the version built for your stage, plus your invite to Dream Practice School.
The roadmap adapts to where you’re starting.
Most providers walk in at one of these four stages. The roadmap is personalized to yours.
A custom plan — not a generic checklist.
The roadmap walks you through the exact sequence of decisions, builds, and business moves that actually get you to a profitable practice. Every lesson, template, and resource it points to lives inside Dream Practice School, the free Skool community you’re invited to the moment you sign up.
The 4 Phases of Building a Practice
What to focus on (and when), including the normal emotional rollercoaster so you don’t quit in the messy middle.
Financial Planning That Actually Works
How to run real numbers, set income goals, and build a realistic plan — not a fantasy budget.
Your Unique Selling Proposition
Practical prompts to craft messaging that makes the right patients say “YES, this is what I need.”
Insurance-to-Cash Transition
Why 90% of psychiatrists stay trapped in med-only practice — and the model that sets you free.
The $50K Mistake Map
The biggest mistakes new practices make — and exactly how to avoid them.
Your Minimum Viable Practice
The 3 things you actually need to launch. Everything else is a distraction.
Your roadmap is hosted inside Dream Practice School.
Dream Practice School is our free community on skool with 5,600+ psychiatric providers. Every lesson, recording, and template your roadmap points to lives there, so when you fill out the form you get two emails: your roadmap, and your invite to the School.
Accept the invite and every link in your roadmap opens with one click. You also get everything else inside:
- Five full courses, from Just Exploring through Optimize a Private Practice
- The Dream Practice Vault: 100+ hours of workshop and masterclass recordings
- Templates, spreadsheets, and swipe files, including the Job-to-Practice Transition Calculator
- A community of providers a few steps ahead of you, with Elana and her team in it
Hi, I’m Dr. Elana Miller.
I built my own integrative private practice from scratch — twice.
I’m a Harvard, USC, and UCLA-trained psychiatrist. After residency in 2017, I built an integrative private practice from scratch — no insurance contracts, no rushed visits, no one telling me how to care for my patients. Then I did it again, after surviving cancer in between.
Since 2019, I’ve helped 370+ psychiatrists, PMHNPs, and psych PAs build practices that fit their lives. This roadmap is the system I wish had existed when I was starting out — condensed into a personalized plan so you don’t have to figure it out alone.
From the providers who followed it.
Psychiatrists and PMHNPs who started with this roadmap and went on to work with Elana.
“I now understand that what I bring to the table is uniquely different from most other psychiatrists.”
“I’m now charging $1,000 for intakes and $325 for follow-ups — up from $350 and $150. That’s over a $200K difference in one year.”
“I now work 25–30 hours/week and make $25–30K/month. This is one of the best decisions I made when starting my practice.”
The path forward — customized to your stage.
Free. 90 seconds. Delivered to your inbox along with your invite to Dream Practice School, so you can stop researching and start building.