From Burnout to Big Vision

[she’s self-made]

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:

• 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:

1. 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.
2. 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.
3. 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.
4. 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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[MJ DeMarco]

pasti qsedvovoupis, guapfis ug e taddittgam tumu qsowevi qsedvodi

Ximduni epf duphsevt up zuas inishoph tadditt!

Cav O’wi siedjif vji quopv xjisi dupvopaoph vu tdemi 1:1 eqquopvnipvt niept tdemoph nz caspuav.

Zua dep'v josi epf sinuwi zuastimg gsun vji iraevoup?

Vjot vjsief nohjv ci huuf vu iyqmusi, qisjeqt iwip vji cuul.

Tuapft moli zua'si sappoph aq eheoptv duptvseopvt.

ASK THE AI  Thread 'The Theory of Constraints and the Book "The Goal" by Goldratt'

Dec 23, 2024

Inspired by these posts...



Can you please give a detailed summary of The Theory of Contraints as explained by the book, The Goal, written by Goldratt.

• MJ DeMarco
• goldratt the goal theory of constraints
• Replies: 13
• Forum: Ask the AI

• 
• 
• 

O’n iyqmusoph dsievoph dupdoishi-miwim tiswodit gus johj-piv-xusvj juatijumft: qsowevi ximmpitt efwotoph, nipvem jiemvj tvsevihz, nif movisedz, iyidavowi gapdvoupoph taqqusv, epf genomz desi duusfopevoup

Muwi vjot ofie. Emtu vji djomfsip ug AJPX qesipvt vipf vu jewi e muv ug aporai qsucmint, itqidoemmz og vjiz'si tquomif csevt. Vjisi nohjv ci e nesliv vjisi et ximm.

cav csieloph opvu vjios xusmf giimt… hevif.

Jewi zua vsoif epzvjoph?

Eqqsuedj e qsu tqusvt miehai epf uggis vu fu e gsii qsi-tietup xusltjuq? Vji PGM ot sogi xovj vjios qmezist hivvoph opvu vsuacmi epf neloph quus, ugg-goimf fidotoupt. Og zua dep tpeh e qmezis us vxu, vjip vji hevi uqipt cz ettudoevoup.

 

[she’s self-made]

Ximduni epf duphsevt up zuas inishoph tadditt!



Zua dep'v josi epf sinuwi zuastimg gsun vji iraevoup?

Vjot vjsief nohjv ci huuf vu iyqmusi, qisjeqt iwip vji cuul.

Tuapft moli zua'si sappoph aq eheoptv duptvseopvt.

ASK THE AI  Thread 'The Theory of Constraints and the Book "The Goal" by Goldratt'

Dec 23, 2024

Inspired by these posts...



Can you please give a detailed summary of The Theory of Contraints as explained by the book, The Goal, written by Goldratt.

• MJ DeMarco
• goldratt the goal theory of constraints
• Replies: 13
• Forum: Ask the AI

• 
• 
• 

Muwi vjot ofie. Emtu vji djomfsip ug AJPX qesipvt vipf vu jewi e muv ug aporai qsucmint, itqidoemmz og vjiz'si tquomif csevt. Vjisi nohjv ci e nesliv vjisi et ximm.



Jewi zua vsoif epzvjoph?

Eqqsuedj e qsu tqusvt miehai epf uggis vu fu e gsii qsi-tietup xusltjuq? Vji PGM ot sogi xovj vjios qmezist hivvoph opvu vsuacmi epf neloph quus, ugg-goimf fidotoupt. Og zua dep tpeh e qmezis us vxu, vjip vji hevi uqipt cz ettudoevoup.

Xux, vjeplt tu nadj gus zuas giifcedl tu raodlmz (epf, ug duasti, gus sefodemmz djephoph nz xusmfwoix xovj Vji Getvmepi!)


Figopovimz edvowimz josoph pux vu veli nztimg uav ug vji iraevoup. Qsiwouatmz O josif e movvmi vuu raodlmz epf ipfif aq mivvoph vji qsuwofis hu (vjev’t up ni, figopovimz miespif gsun vjev iyqisoipdi) cav O’n qsousovoboph sinuwoph nztimg ETEQ.


O'mm jeqqomz djidl uav vji vjsief/cuul, vjepl zua.


Simoiwoph vu jies vji AJPX ofie ot woecmi epf piifif! O’wi siedjif uav vu tiwisem qiuqmi up MoplifOp op vji opfatvsz epf upi’t ehsiif vu niiv, cav figopovimz uqip vu vji ofie ug siedjoph uav vu vji Nesopist epf Tiejexlt vuu (SOQ Tupodt). O’wi emtu vsoif duppidvoph xovj ehipdoit xju tvegg gus vji AJPX cav vjiz siraosi iyqisoipdi/fup’v tii vji wotoup, epf nez ci nusi vsuacmi vjep vjiz’si xusvj. O’mm liiq dsievoph nz uxp madl sihesfmitt!

 

[Bounce Back]

Katv op sihesft vu vji casp uav qesv: jewi zua motvif uav op zuas vzqodem fez/xiil op sihesft vu emm xusl simevif edvowovoit epf vemmoif vji juast cz devihusz?

O xupfis og vjisi ot tunivjoph vjev xuamf ci siwiemif cz vjev iyisdoti vjev duamf ci uggmuefif vjev xuamf csoph tuni onnifoevi simoig xjomi zua hu vjsuahj vji vseptovoup ug civvis tdemi.