Thriving Practice with Tracy Cherpeski
Aug 19, 2026 · 48 min · 18 segments
What if the biggest threat to your practice is not a lack of patients, but administrative burden? In this episode, Tracy Cherpeski sits down with Damien Adler, a psychologist and co-founder of Zanda…
Damien AdlerGuest
Tracy CherpeskiHost
I think it's interesting, too, because... every person that we've worked with has said like, oh yeah, I started my practice because I wanted, the big one was autonomy, right? And an agency over how I conduct myself, you know, within all of the legal parameters and all of that.
And I'm curious, like for you, what was it like running a practice before? And what's it, you know, what was it like once you did implement good systems and find a way to reduce that administrative burden?
I think my story would be quite familiar to people because what happened when we started the practice, it started to grow.
So the local community and the referral sources, people started sending us lots of clients and we thought, that's amazing, thank you.
But what it meant is, so we'd see patients during the day, Then I'd be writing and my wife would be writing notes in the evening.
We would be invoicing, following up on things, managing schedules, doing most of that manually.
Then on weekends, there would be work that needed to be done to sort of get ready and prepare for the start of the week.
And even worse than that, when we first started, we were not only doing the clinical work and the administrative work, But we were even doing the things like the cleaning of the practice.
We were pleased that there was some money flowing in and that part of it was looking to be tracking well, but that administrative side was just something that we thought there's no way.
And we had an idea, an automated practice, the sort of where we can ask, but also the team members that we... should come in, do their work and as much as possible, spend their time with the patients and then go home and then forget about it.
Now, once we, and I'll, I'm going to, close the arc quickly in terms of the end state when we then started building a practice management system and where we ended up is a system where we could grow and we did we scaled the practice but where so many things were happening just automatically and that we're able to just do the work and go home.
So we had the practice for about 14 years and we've had Xander for about 16 years.
And now it's in fact, Xander is even so much better now than even a few years ago when we sold that thing.
These new features and things we've added would take away even more Of course.
More administration, as AI has become a thing and we can do even so much more.
I think it's interesting, too, because... every person that we've worked with has said like, oh yeah, I started my practice because I wanted, the big one was autonomy, right? And an agency over how I conduct myself, you know, within all of the legal parameters and all of that.
And I'm curious, like for you, what was it like running a practice before? And what's it, you know, what was it like once you did implement good systems and find a way to reduce that administrative burden?
I think my story would be quite familiar to people because what happened when we started the practice, it started to grow.
So the local community and the referral sources, people started sending us lots of clients and we thought, that's amazing, thank you.
But what it meant is, so we'd see patients during the day, Then I'd be writing and my wife would be writing notes in the evening.
We would be invoicing, following up on things, managing schedules, doing most of that manually.
Then on weekends, there would be work that needed to be done to sort of get ready and prepare for the start of the week.
And even worse than that, when we first started, we were not only doing the clinical work and the administrative work, But we were even doing the things like the cleaning of the practice.
We were pleased that there was some money flowing in and that part of it was looking to be tracking well, but that administrative side was just something that we thought there's no way.
And we had an idea, an automated practice, the sort of where we can ask, but also the team members that we... should come in, do their work and as much as possible, spend their time with the patients and then go home and then forget about it.
Now, once we, and I'll, I'm going to, close the arc quickly in terms of the end state when we then started building a practice management system and where we ended up is a system where we could grow and we did we scaled the practice but where so many things were happening just automatically and that we're able to just do the work and go home.
So we had the practice for about 14 years and we've had Xander for about 16 years.
And now it's in fact, Xander is even so much better now than even a few years ago when we sold that thing.
These new features and things we've added would take away even more Of course.
More administration, as AI has become a thing and we can do even so much more.
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