Live Cohort · For therapists considering or making the pivot

PMHNP Pivot: Both/And · Live Cohort

An eight-week live cohort for therapists weighing — or actively navigating — the leap into prescribing. The closest non-residential version of the Both/And retreat. You bring the question; the cohort, the framework, and Dr. Baker bring the held space where the answer surfaces.

8 weeks · weekly live calls Max 16 therapists For LCSWs, LPCs, LMHCs, LMFTs Live on Zoom · all recorded
Why a live cohort

A decision this weighty deserves company

You can read every article and listen to every podcast about the PMHNP pivot and still circle the question for years. What moves a decision is being held in a room with people doing the same work — held by someone who has already crossed.

A held space for the decision itself

Two hours, every week, where the question gets real attention — with a clinician who has made the exact crossing and a small group of therapists asking it alongside you.

The both/and framework, in real time

Dissolve the either/or trap with the people whose careers depend on it dissolving cleanly. The reframe lands differently when you watch it land in others.

Office hours with Dr. Baker

Weekly drop-in office hours for the specific clinical, financial, and logistical questions your individual decision raises. No one else can give you these answers from your two angles.

A cohort that survives the eight weeks

Sixteen therapists. A private community channel that stays open. Accountability pods that hold through the years it takes to actually pivot, if you choose to.

The curriculum

Eight weeks, four movements

The same arc as the Both/And retreat — Land, Excavate, Build, Integrate — stretched over eight weekly sessions so the work has time to land.

01

Land · The question underneath the question

Name the real question you're carrying. Identify the part of you that's already decided, and the part that hasn't. Set the container for the next eight weeks.

Land · Wk 1
02

Excavate · What's really in the way

Surface the true blocks — fear of starting over, the identity grief of leaving therapy-only, the money story underneath. Trauma-informed and clinician-led.

Excavate · Wk 2
03

Reframe · Both/And

Dissolve the either/or trap. Your depth as a therapist is not what you'll leave behind — it's what makes you a rare and powerful prescriber.

Excavate · Wk 3
04

Worth, money & the cost of becoming

The honest financial picture of the pivot — tuition, lost income during school, the runway needed. Separate the cost story from the worth story.

Excavate · Wk 4
05

The decision framework

A clear, honest way to make the go / not-yet / no call — readiness, fit, runway, support. No one prescribes your answer; the framework gives you the questions.

Build · Wk 5
06

Vision · The integrated prescriber-therapist practice

What does a practice that holds both look like? Compensation models, scope, the kind of patients you'll serve, and what your day will actually feel like.

Build · Wk 6
07

Your next-step map

The honest mechanics of the pivot — prerequisites, program selection (BSN, ABSN, MSN, post-master's), state licensure paths, financing. Translated into your personal first moves.

Build · Wk 7
08

Integrate & commit

Land the decision — go, not-yet, or no — and commit to what's next. Pair into accountability partnerships. The cohort survives the cohort.

Integrate · Wk 8
Is this you?

Wherever you are on the question

The deciders

Still weighing whether to pivot at all

The "should I?" has lived in you for months or years. You want honest clarity, a real framework, and permission to choose either way.

The doers

Decided, navigating the how

You've committed and you're in it — prerequisites, programs, licensing. You need direction, the integrated-clinician identity, and a cohort who understands.

Open to licensed therapists and counselors — LCSW, LMHC, LPC, LMFT, and similar.

Format

Eight weeks · same rhythm

Every Wednesday evening for eight consecutive weeks. Recorded for anyone who has to miss a session, but the work is built around live presence.

90

Live group call

Wednesdays · 90 min. Curriculum, practice, group discussion. The core of the week.

60

Office hours

Following day · 60 min. Drop in with the specific clinical, financial, or logistical question your week raised.

Cohort channel

Always open. A private channel for cohort members. Stays active for 12 months after the cohort ends.

Investment

Live cohort tuition

The live cohort is held twice yearly. Cohort size is capped at 16 therapists. Payment plans available.

Other Both/And formats

Three ways to do this work

The retreat

PMHNP Pivot Both/And · Retreat

Four days, residential, held in one weekend. The deepest version of the work — with on-site trauma-informed support and bodywork.

You are here

PMHNP Pivot Both/And · Live Cohort

Eight weekly live sessions with a small cohort. The middle path — depth without the residential weekend.

Self-paced

PMHNP Pivot Both/And · Self-Paced

The full curriculum on your own timeline. Six modules with workbook. For therapists who want the framework without the live container.

Reserve your seat

Eight weeks. Sixteen therapists. One question worth holding well.

The live cohort runs twice yearly. Tell us where you are on the question and we'll be in touch about the next cohort date and fit.