06/13/2026
The most expensive employee in your practice is you. And you're spending your highest-value hours on your lowest-value work.
I want to walk you through math that's going to be uncomfortable.
If you're an OTP running your own practice and doing your own admin — scheduling, intake calls, invoicing, formatting handouts, chasing payments, posting on social — track your time honestly this week.
For most OTPs I talk to, it's 8 to 12 hours a week. Let's call it 10 for easy math.
Now your session rate. Say it's $120/hour.
↳ 10 hours × $120 = $1,200/week in revenue you're not generating
↳ $4,800/month
↳ Close to $60,000/year in revenue that doesn't exist — not because demand isn't there, but because your calendar is full of tasks that don't require your clinical license.
Now the other side. A virtual assistant who handles scheduling, invoicing, and basic admin runs $10–$35/hour. Let's call it $25.
↳ 10 hours × $25 = $250/week
So you're spending $250 to free up $1,200 of your time. That's a $950 difference, every single week.
You're not saving $950 by doing it yourself. You're losing $950 by not hiring.
I know what some of you are thinking: but I'm not turning clients away right now, so those hours wouldn't automatically become revenue.
Fair. But ask yourself this — if you had 10 more hours back this week, could you fill even two of them with paying clients? Two sessions at $120 is $240, which almost covers the entire cost of the VA. Everything above that is profit you didn't have before. And the hours you don't fill with clients? You get those back. Your evenings. Your weekends. Your sanity. The freedom you built this practice for in the first place.
This isn't opinion. It's math.
Run your real numbers — your admin hours times your session rate, minus what a VA would cost. Write that number down. The math will make the decision for you.