Good Enough Isn't Good Enough: From Couch to COO with Kara James, MS, LPC
Fri Dec 12 2025
Meet Kara James, MS, LPC, a Licensed Professional Counselor who cracked the code on scaling clinical excellence. Starting with 15 years on the front lines of mental health—from juvenile justice to in-home family therapy—Kara realized her clinical passion had an unexpected twin: the business of wellness.
In this episode, Bob and Dave talk with Kara—now the Chief Operating Officer of Wellness Counseling, overseeing three thriving locations and 29 staff members—sits down to discuss her core belief: "good enough isn't good enough."
The Dual Brain: How her clinical background in modalities like CBT and Relational Life Therapy provides unique, "fiercely compassionate" insight into creating operational systems where therapists truly thrive.
Rewiring the Business: Kara shares her visionary, outside-the-box approach to running a group practice, and how stepping outside of defined roles allowed her to transition from full caseload to executive leadership.
The Path of Discomfort: Learn about her direct-yet-loving approach to therapy (and business), encouraging both clients and staff to work through discomfort, identify persistent patterns, and reshape limiting beliefs to achieve exceptional results.
If you've ever wondered how to bring creative, systems-level thinking to a field rooted in human connection, this episode is a masterclass in operational excellence driven by clinical compassion.
With your Hosts Robert Bianchi, ESQ., NREMT and David Bruno, Esq.!!!
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Meet Kara James, MS, LPC, a Licensed Professional Counselor who cracked the code on scaling clinical excellence. Starting with 15 years on the front lines of mental health—from juvenile justice to in-home family therapy—Kara realized her clinical passion had an unexpected twin: the business of wellness. In this episode, Bob and Dave talk with Kara—now the Chief Operating Officer of Wellness Counseling, overseeing three thriving locations and 29 staff members—sits down to discuss her core belief: "good enough isn't good enough." The Dual Brain: How her clinical background in modalities like CBT and Relational Life Therapy provides unique, "fiercely compassionate" insight into creating operational systems where therapists truly thrive. Rewiring the Business: Kara shares her visionary, outside-the-box approach to running a group practice, and how stepping outside of defined roles allowed her to transition from full caseload to executive leadership. The Path of Discomfort: Learn about her direct-yet-loving approach to therapy (and business), encouraging both clients and staff to work through discomfort, identify persistent patterns, and reshape limiting beliefs to achieve exceptional results. If you've ever wondered how to bring creative, systems-level thinking to a field rooted in human connection, this episode is a masterclass in operational excellence driven by clinical compassion. With your Hosts Robert Bianchi, ESQ., NREMT and David Bruno, Esq.!!!