Head/Heart Business Therapy

Head/Heart Business Therapy Professional healing and transformation for therapists and mental health organizations.
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Sarah Buino, LCSW, RDDP, CADC, NMT is a speaker, educator, consultant, therapist, and the founder of Head/Heart Therapy and Head/Heart Business Therapy. She is a Licensed Clinical Social Worker, Registered Dual Diagnosis Professional, Certified Alcohol and other Drug Counselor, and NARM Master Therapist. She holds a master’s degree from Loyola University in Chicago and undergraduate degree from Mi

ami University in Oxford, Ohio. For more than a decade, Sarah has applied her social work skills supporting individuals, groups, helping professionals, and organizations with issues as varied as wellness for helping professionals, shame resilience, anti-racism in healthcare, and healing developmental trauma. Sarah founded Head/Heart Therapy in 2014, which quickly grew into an important resource both in Chicago and nationally.

There's a special kind of heartbreak in loving the work and feeling angry at the conditions around it.Because therapy ca...
08/07/2026

There's a special kind of heartbreak in loving the work and feeling angry at the conditions around it.

Because therapy can be beautiful and save lives.

And also there are parts of the field that p**s me off. No, thank you.

I'm curious what you would change about the field, if you could. Comment below and let me know! 👇

For more conversations about therapists, power, healing, and the systems we're trying not to recreate, Conversations with a Wounded Healer is in the link in bio.

What if the biggest challenge facing therapists isn't burnout… but evolution?🔥Recorded live at the Revolutionary Practic...
08/06/2026

What if the biggest challenge facing therapists isn't burnout… but evolution?
🔥
Recorded live at the Revolutionary Practice Summit, Sarah Buino challenges therapists to rethink burnout, empathy, leadership, and the future of psychotherapy.
🔥
The latest episode of Conversations With a Wounded Healer is ready for you now on YouTube at Head Heart Business Therapy, Apple Podcasts, Spotify, or your favorite podcast app.

08/05/2026

💭 What's the latest true crime documentary on Netflix??? 💭

Some therapists aren’t tired of therapy. They’re tired of everything around therapy.The notes, the billing, their emails...
08/03/2026

Some therapists aren’t tired of therapy. They’re tired of everything around therapy.

The notes, the billing, their emails. Or the pressure to care deeply and still somehow run your business like a pro.

That emotional toll adds up. And then one day you’re like… why am I fantasizing about becoming a florist in a town where nobody knows me?

Real question: what do we want to build that doesn't exist right now? What support systems do we wish the industry had in place that would help us survive being a therapist in the now times?

For more honest conversations about healing, leadership, power, and the very weird business of being a therapist, listen to Conversations with a Wounded Healer. It’s hanging out in the link in bio.

08/02/2026

“Am I safe with you and your politics?”

That’s not manipulation or boundary-crossing. That's a client's survival strategy helping them discern if they're safe with you.

In a world where identities are constantly under attack, many clients are assessing whether the therapy room is a place they can be fully honest.

This episode of Conversations With a Wounded Healer with Dr. Danica Harris explores the evolving realities therapists are facing around politics, ethics, self-disclosure, and relational safety.

And honestly? The field needs more nuanced conversations like this. Hear more in your favorite podcast app or on YouTube.

Therapists make the worst leaders when they're trying to make everyone comfortable. And I say that as someone who has li...
07/31/2026

Therapists make the worst leaders when they're trying to make everyone comfortable. And I say that as someone who has lived it.

It's typical in our profession. This is what happens when you take someone trained to minimize hierarchy in the therapy room and hand them actual organizational authority with zero preparation for what that means.

This doesn't actually work in the therapy room or in the workplace. Because power is there whether we like it or not.

Both your clients and your team need you to own your your power and know how to use it with compassion and skill.

That's not a betrayal of your values as a therapist, it's what ethical leadership actually requires.

The therapist-to-leader transition in mental health is one of the most under-resourced professional shifts I know of.

Right Use of Power may be the most important tool a therapist leader can learn.

💾 Save this for the moment you catch yourself shrinking from your own authority.
📤 Send to someone who just stepped into a leadership role and is figuring it out alone.
➕ Follow for honest conversations about therapist leadership development, group practice culture, and power in mental health organizations.

👇 Do you think therapists make better or worse leaders than people who came up through traditional corporate management tracks, and what actually makes the difference?

07/29/2026

Trying to remember what it was like before the whole world went bonkers 😮‍💨

07/27/2026

Every workplace has unwritten rules.

They’re not taught. They’re absorbed.

Employees learn what gets rewarded, what gets ignored, and what gets people into trouble. That’s culture.

Not the values on your website, but the behaviors people learn because they need to belong.

As a leader, these implicit rules are worth paying attention to.

👇 What’s one unwritten rule you’ve noticed in your practice that should be made explicit?

07/26/2026

One thing about helpers? We’re REALLY good at ignoring our own limits. 😅 Francine Proulx-Kenzle puts words to why burnout happens so easily when we’re constantly giving without support, rest, or safety to say, “I’m struggling.” You can’t pour endlessly from an empty cup. And honestly, you shouldn’t have to.

Follow for more Conversations With a Wounded Healer where the latest episode is ready for you on YouTube, Spotify, Apple Podcasts, or your favorite podcast app.

Nobody in grad school pulled me aside and said "hey, if you're going to teach this stuff to clients, you should be using...
07/24/2026

Nobody in grad school pulled me aside and said "hey, if you're going to teach this stuff to clients, you should be using it yourself."

I honestly wish this is something we did learn in grad school.

There's this assumption baked into therapist training that exposure to the material is the same as integration of it. But it's not.

You can have a full theoretical framework for trauma, attachment, and nervous system regulation and still be running on fumes, people-pleasing your way through supervision, or white-knuckling your way to Friday.

The knowledge lives in your head. The healing has to happen somewhere else.

And I think a lot of therapist burnout, compassion fatigue, and clinical impairment starts here. Not from lack of skill, but from the gap between what we know and what we're practicing in our own lives.

Graduate programs teach us to hold space for clients doing their work. Very few of them require us to do the healing work ourselves.

That's a training culture issue. And it follows us into practice ownership, supervision, leadership, and in the therapy room.

The most undertaught skill in this field is the willingness to be a client.

💾 Save this for the next time you catch yourself coaching others through something you're avoiding.
📤 Share with a therapist who needs permission to prioritize their own healing.
➕ Follow for real conversations about therapist development, mental health leadership, and what it actually means to do this work sustainably.

👇 Should personal therapy be a required and ongoing condition of licensure, not just a grad school suggestion?

Address

1440 W. Taylor Street, Suite 4190
Chicago, IL
60607

Opening Hours

Monday 10am - 6pm
Thursday 10am - 6pm

Telephone

+17733409577

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