The Paul Gough Show
If you're a physical therapy clinic owner looking for tips, tools and strategies for growing your business, this is the podcast for you. Your host is Paul Gough - a former Professional Soccer Physical Therapist turned successful business owner and best selling Author from the UK. As well as running his own 4 location clinic, Paul works with clinic owners from all across the USA, Canada, Britain, Australia and beyond. Paul talks about everything from marketing, sales and hiring staff to leadership, finance and the mindset needed to become a world class clinic owner.
Episodes
EP777 ☕"$500 To A $1M — What Are The Most Tactical Things To Make That Jump?" [Coffee with Goughy Live in LA]
In this special 'Coffee with Goughy: Live From LA' episode, I answer:"Half a million to a million — what are the most tactical things to make that jump?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGough📸 Ins
EP776☕"Don't Ask What If It Goes Wrong...Ask What If It Goes Right?" [Coffee with Goughy Live from LA]
In this special Coffee With Goughy: Live From LA episode, I discuss:Instead of asking "what if it goes wrong?" the more powerful question is "what if it goes right?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePa
EP775☕"How Do I Stop 'Friend-Zoning' My Leads? I Keep Giving Away Everything For Free In The DMs Instead Of Converting Them Into Paying Coaching Clients."
In this special Coffee with Goughy Live From LA episode, I answer:"How Do I Stop Friendzoning My Leads? I Keep Giving Away Everything For Free In The DMs Instead Of Converting Them Into Paying Coaching Clients."👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podc
EP774☕"My Kids Are All Under 18. If I Died Tomorrow, Should They Inherit Millions At 25, 30, Or Never?” [Coffee with Goughy]
In this episode, I answer:"My kids are all under 18. If I died tomorrow, should they inherit millions at 25, 30, or never?” "One of my children works in the business. The other has never shown any interest. Do I leave everything equally, or reward the child who helped build it?”👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/
EP773☕"We've Hit A Complexity Ceiling. Our Goal Is To Reach Eight Figures ($10 Million), But We Can't Seem To Break Through. What's The Devil We Can't See That's Holding Us Back?" [Pint with Paul Live From LA]
In this special 'Pint With Paul: Live From LA' episode, I answer: "We've Hit A Complexity Ceiling. Our Goal Is To Reach Eight Figures ($10 Million), But We Can't Seem To Break Through. What's The Devil We Can't See That's Holding Us Back?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – ht
EP772☕"How Do I Consistently Train And Develop My Team? How Often Should I Be Coaching Them — Weekly, Monthly?" [Pint with Paul Live from LA]
In this special 'Pint With Paul: Live From LA' episode, I answer:"How Do I Consistently Train And Develop My Team? How Often Should I Be Coaching Them — Weekly, Monthly?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/
EP771☕"My Wife Just Financed An $80,000 Car. I Just Spent Six Months Agonizing Over Whether I Could Afford A $300 Marketing Campaign!" [Coffee with Goughy]
On this episode I answer:"My Wife Just Financed An $80,000 Car. I Just Spent Six Months Agonizing Over Whether I Could Afford A $300 Marketing Campaign. Something Doesn't Add Up.""I Bought A $42,000 Laser Machine Because A Rep Told Me It Would 'Pay For Itself In 90 Days.' It's Been Eight Months. It's A Very Expensive Coat Rack." 👉📘 Grab your FREE copy of any one of my six best-selling marketi
EP770☕"How Do I Stand Out In An Oversaturated Cash-Based PT Market?" [Coffee with Goughy Live From LA]
In this special 'Pint With Paul: Live From LA' episode, I answer:"I'm In Heavy Competition With Other Cash-Based Clinics That Have All The Funnels And Workshops But Lack My Experience And Credentials. What Are Some Things I Can Do To Differentiate Myself From Them?""As A Mom Who Prioritizes Family And Isn't Trying To Build A $3 Million Clinic Right Now, What Are One To Three Simple Things I Can Do
EP769☕"Hulk Hogan Told America To Take Their Vitamins And Say Their Prayers. Then He Got Caught Doing Neither. Paul — What's The PT Clinic Version Of That Hypocrisy?”
On this episode of Coffee with Goughy, I answer:"Hulk Hogan Told America To Take Their Vitamins And Say Their Prayers. Then He Got Caught Doing Neither. Paul — What's The PT Clinic Version Of That Hypocrisy?”“Hogan And Trump Both Built Empires On Personality Over Substance. You're A PT Clinic Owner Who Markets Himself On Social Media. Are You Any Different? Or Are You Just Hulk Hogan With A Microp
EP768☕"How Do You Develop Self-Belief?" And "Is There A Workflow Or Nurturing System For B2B Marketing?" [Pint With Paul Live From LA]
In this special 'Pint With Paul: Live From LA' episode, I answer:"How Do You Develop Self-Belief?""Is There A Workflow Or Nurturing System For B2B Marketing?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGoug
EP767☕"Is My Hulk Hogan Loving Head PT A Closet Trump Fan?" [Coffee With Goughy]
In today's episode I answer:"One Of My Therapists Watched The Hulk Hogan Netflix Doc And Now He Won't Stop Saying 'Brother' To Every Patient. Should I Be Worried About His Taste In Wrestling Or Is He A Closet Trump Fan?""A Patient's Husband Showed Up Screaming In My Lobby Over A Bill. The Visit Happened. I Have The Notes."👉📘 Grab your FREE copy of any one of my six best-selling marketing books rig
EP766☕"How Do You Maintain Peak Energy And Stay In Peak State Every Day — Especially As A Dad And Business Owner?" [Pint with Paul Live From LA]
In this special 'Pint With Paul: Live From LA' episode, I answer:"How Do You Maintain Peak Energy And Stay In Peak State Every Day — Especially As A Dad And Business Owner?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.c
EP765 "Is This The Most Successful Model To Work Towards Building In The Next 2-3 Years?"
In this episode, I break down why the most successful PT clinics are evolving into wellness facilities and the numbers prove it. My CEO group is hitting 2.5x labor efficiency ratios and 25-30% margins by adding tech and wellness services alongside PT. If you're capping out at $300K doing one-on-one, this is the model to work toward. Stop being in love with the method and start chasing the outcome.
EP764☕"How Do You Recruit And Find An Elite-Level PT In Today's Environment?" [Pint with Paul, Live from LA]
In this special 'Pint With Paul: Live From LA' episode, I answer:"How Do You Recruit And Find An Elite-Level PT In Today's Environment?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGough📸 Instagram: @ThePaulG
EP763☕"My Therapist Has More Instagram Followers Than I Have Patients!!" [Coffee With Goughy]
In today's episode I answer:"My therapist has more Instagram followers than I have patients. She's building her brand on my time. She said, 'I'm the reason people walk through your door.'"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https:/
EP762☕"My Therapist Asked What's My Plan If She Leaves? ...Is She Leaving?" [Coffee with Goughy]
Today I answer:"My Therapist Asked What's My Plan If She Leaves? ...Is She Leaving?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGough📸 Instagram: @ThePaulGough🎥 YouTube: Paul Gough Media🐦 Twitter/X: @ThePaul
EP761☕"I Caught My Staff Talking About Me. Do I Fire Them Or Fix It?" [Coffee With Goughy]
Today I answered these questions:"I caught my staff talking about me. Do I fire them or fix it?""What are you most excited for this weekend?" (The Cash Pay Summit)"What do you hope people leave with?" (The Cash Pay Summit)👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgou
EP760☕"How Do You Judge Your Success As A Dad?” [Coffee With Goughy]
In today's episode I answer:“How Do You Judge Your Success As A Dad?”“What Are You Most Proud Of As A dad and or business?”👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGough📸 Instagram: @ThePaulGough🎥 YouTube
EP759🔥Stop Being the Same as Everybody Else (You're Not Special Yet) [Paul on Fire]
In this fired-up rant, I break down what it really means to become a "unique self-creation" — and why your tattoos, car, and haircut don't count. I challenge the idea that following society's rules about marriage, routines, and success will ever make you happy, using the classic fisherman parable to drive it home. It's a wake-up call to stop living by everyone else's blueprint and start designing
EP758 The Gucci Bag Principle: Why Your Best Clients Will Happily Pay You $350 a Session
In this episode, I go deep on something that most clinic owners get completely wrong - what your patients are actually paying you for. Spoiler: it's not the treatment.I get asked:"Why will a patient pay you $350 when they can get the same treatment for $150 around the corner?""What did Mr. Gucci understand about his customers that most clinic owners completely miss?""Why do some clients disappear
EP757☕“My Spouse Quit Her Corporate Job To Help Run The Clinic. Revenue Has Dropped 30%. Was This A Mistake?” [Coffee With Goughy]
In today's episode I answer:“My Spouse Quit Her Corporate Job To Help Run The Clinic. Revenue Has Dropped 30%. Was This A Mistake?” “My Business Coach Told Me To Stop Taking Medicare Patients If I Ever Want To Be Rich. Is It Wrong to Deny Them?” "A Competitor Is Offering Free Evals And Undercutting Every Clinic In Town. Do I Match Them Or Hold My Price And Pray?" Register Now: https://cashpaysummi
EP756☕"My Therapist Just Came Out As Transgender. Half My Patients Are Requesting Transfers. Do I Protect My Employee Or My Revenue?" [Coffee With Goughy]
In today's episode I answer:"My Therapist Just Came Out As Transgender. Half My Patients Are Requesting Transfers. Do I Protect My Employee Or My Revenue?" "I'm The First Person In My Family To Own A Business. They Call Me 'The Rich One' Like It's A Slur.” Register Now: https://cashpaysummit.com/👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunn
EP755 "If 90% of the profession is insurance-based, why should anyone listen to someone pushing cash pay?" [Coffee with Goughy]
Insurance-based clinic owners are calling me reckless. They say cash pay is a fad. So I decided to answer them live on air.Here's what gets thrown at me and how I answered:Insurance-based clinic owners are calling you reckless - they say cash pay is a fad. What do you say to their face?People are calling your cash model a scandal - charging patients directly and cutting out insurance. How do you s
EP745 ☕"I Missed My Baby's First Year Building The Clinic. Was I Wrong?" [Coffee With Goughy]
On this episode of Coffee with Goughy, we go over some comments left on my social media:The viral post that sparked massive debate — "I Missed My Baby's First Year Building The Clinic. Was I Wrong?"Why people react so emotionally and quickly when I question how we think about parenting on social mediaThe comment that said "You have the rest of your life to make money — you can never get that time
EP744 "How do I turn a $100-per-session insurance patient into a $2,000–$3,000 lifetime customer?"
In this episode, I sit down with an insurance-based clinic owner who's running at 90% insurance and 10% cash pay. He wants to shift gears but he's scared. He doesn't know how to make the transition without blowing up what he's already built.Here's what gets asked and answered:How do we shift from 90% insurance to more cash pay without risking the business we've already built?Do I need to close the
EP743 "How do I get my wellness services up and running in the next 30 days - when I'm still treating full-time?"
In this episode, I sit down with a clinic owner Craft Castrall who's got all the assets in place — red light therapy, neurofeedback, shockwave, whole body vibration, body composition analysis — but he can't figure out how to get it all up and running in the next 30 days while he's still treating patients 25–30 hours a week.Here's what gets answered:How do I get all of my services up and running in
EP742 "You say clinics should raise prices - what about the patients that can't afford it?"
Here's what gets thrown at me and how I answered:Isn't cash pay just a way for clinics to charge more and leave everyday patients behind?You say clinics should raise prices - what about the patients that can't afford it?What do you say to the claims that you're just encouraging people to abandon insurance to make a little bit more money?Isn't cash pay just a model that works in wealthy areas like
EP741 "Are rising staff wages killing clinic profitability or just exposing weak business models?"
In this episode, I answer more questions from the Hollywood press ahead of the Cash Pay Summit in May. Here are the most important questions I answered on this podcast:"Are rising staff wages killing clinic profitability or just exposing weak business models?""Why do clinic owners get stuck between $20K and $50K a month and never break through?""Why do so many clinics look successful online but ar
EP740☕"My Spouse Says the Clinic Is Ruining Our Marriage. Is She Right?" [Coffee with Goughy]
In this episode I answered these questions:"My Spouse Says the Clinic Is Ruining Our Marriage. Is She Right?""My Front Desk Person Has More Power Than I Do and She Knows It. How Do I Handle This?""TikTok PTs With Zero Experience Are Stealing My Patients. How?"Register Now: https://cashpaysummit.com/👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiof
EP739 The AI-First Clinic: How Owners Are Hitting 35% Margins With Fewer Staff and Zero Voicemails
In this special episode, I answer live questions from journalists across Los Angeles and California on the topics PT clinic owners can't afford to ignore — risk, growth, AI, and why 99% of the profession is already falling behind.Here's what gets covered:Is the real reason that clinics don't grow because the owners may just be scared that they're not taking enough risk?Why do so many clinic owners
EP738✨Live From Hollywood - the Cash Pay Summit Press Conference (21 Tough Questions Answered About the Profession in 55 min)
Live from Hollywood, California — I invited the press in, sat down, and answered every question they threw at me. No filters. No fluff. Just the raw, behind-the-scenes strategies that took me from a small town clinic in England to building one of the most recognized business coaching brands in the physical therapy world.If you've ever wondered whether there's a smarter way to run your practic
EP737☕"My Staff Want a Climate Change Policy. I Just Want More Patients! What Do I Do?" [Coffee With Goughy]
In this Eps of Coffee with Goughy Live from Hollywood i answered these 3 questions. "My Staff Want a Climate Change Policy. I Just Want More Patients! What Do I Do?""I Accepted a Business Loan From My Dad and Now He Thinks He Owns the Place.""My Kids Haven't Seen Me Eat Dinner With Them in Four Months; I Just Can't Afford to Stop."Register Now For the Cash Pay Summit may1-3: https://cashpaysummit.
EP736✨Live From Hollywood - The Cash Pay Summit Press Conference: "Why Staff PT's Should Not Be Given Pay Raises"
Hollywood Cash Pay Summit Press Conference:Isn't cash pay just a way for clinics to charge more and leave everyday patients behind?What about the patients that can't afford it?Isn't cash pay just a model that works in wealthy areas like Los Angeles?Is cash pay actually under threat, or are owners just not evolving fast enough?Why are so many busy clinics still struggling to make real profit?What d
EP735 The One Thing Killing Your Clinic Culture (And How to Fix It) [Live from Liverpool]
In this session, I'm pulling back the curtain on what separates the business owners who thrive from the ones who just get by. Here's the truth: the best business owners don't do the most things — they ask the best questions. And today, I'm challenging you to think bigger, lead bolder, and build with intention.We're diving into the power of your story — why your clinic
EP734☕Is This The End Of Traditional "In Clinic" PT? (With Dr. Chris Castel Of CareWear) [Coffee with Goughy]
The old PT model is dead — and the math proves it.I sat down with Dr. Chris Castell, who's been in this profession since the 1980s, and what he laid out is a wake-up call every clinic owner needs to hear.Paying $90,000 in salary to collect $95 from Medicare isn't a business plan — it's a slow bleed. But right now, we're standing at the greatest opportunity this profession has seen in decades. Hybr
EP733☕ "My Staff Refuses To Treat Based On Political Views. What Do I Do?" [Coffee with Goughy]
Question 1: “One of my therapists refuses to treat a patient due to making a political comment during a session.. now the patient has complained. What do I do?”Question 2: “I dropped my biggest insurance contract and lost 40% of my revenue overnight. Did I move too fast?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Pau
EP732 Stop Scrolling, Start Posting: The Simple Social Media Strategy Every PT Clinic Owner Needs
Let me ask you something — do you even know who you're posting for? Because until you answer that question, nothing else matters.Here's the truth: most PT clinic owners are either ignoring social media entirely or throwing random posts at the wall and hoping something sticks. Both are leaving money on the table.In this episode, I'm breaking down a dead-simple strategy that any clinic owner can exe
EP731🤖AI Speed Dating | Real PT Owners Share How AI Changed Everything
Let me be straight with you — if your phone isn't being answered, money is walking right out the door. Period.I sat down with real clinic owners who were missing calls, losing patients to the clinic down the street, and watching revenue disappear. One owner was answering only 40% of calls. Another was catching one out of five. That's not a phone problem — that's a revenue problem.In this
EP730 The Porsche Won't Fix What's Broken Inside — But Building the Right Business Might [PPM Live Dublin]
In this episode recorded live at PPM Dublin, I take you on a raw and honest trip through my own journey, from physio at Hartlepool United to building a business that eventually changed my life — not because of the money, but because I finally figured out what was actually driving me. I'll show you why most business owners are chasing the wrong ladder, why your childhood is probably running your cl
EP729 The Most Exciting Time in History to Own a Clinic Is Right Now — Here's How to Seize It [PPM Live Dublin]
Every missed call is a missed patient, and I'm done watching clinic owners bleed money while their phones go to voicemail. In this episode recorded live at PPM Dublin, I break down exactly why the most visible clinics will crush the most talented ones, why I made the decision to go all-in on AI as a media company — and what happened when real clinic owners like Jay and Jordan stopped missing calls
EP728 How AI Will Let You Grow Your Clinic Without Growing Your Payroll [PPM Live Dublin]
The physio clinic of my future isn't built on the best treatments or the biggest staff — it's built on being smart with my time and ruthless about cutting waste. In this episode recorded live at PPM Dublin, I break down exactly how AI is quietly handing clinic owners back hours they didn't know they were losing, why your marketing assistant probably only needs six hours to do what used to take her
EP727 Paul Meets Kevin Mao | "Not Organized, Not a Natural Entrepreneur — And I Built a Thriving Cash Practice Anyway"
Eight years ago Kevin Mao (https://www.balanceandbodyrestoration.com/) was 31 years old, treating 16 patients a day, drowning in notes, and sneaking business modules on his honeymoon because he knew something had to change.Today he runs a thriving cash pay practice in one of the most expensive and politically charged states in America. But this isn't a highlight reel.This is the conversation behin
EP726☕️The Wellness Opportunity PTs Are Missing - W/ Stimpod Stan [Coffee with Goughy]
Your Patients Are Spending $6,000 a Year on Wellness — and None of It Is Coming to YouThey trust you with their body. They just don't know yet that you can give them everything else they're looking for too.I sat down with Stimpod Stan fresh back from a nine-clinic tour across England to talk about the two plays that are changing everything right now. Ai in your non-clinical roles to claw back the
EP725🔥Stop Running Your Clinic Like a Charity! [Paul on Fire]
Many clinic owners are quietly using credit cards, loans, and lines of credit just to keep their businesses alive.If your marketing is weak, your prices are too low, or your model isn’t profitable, the problem isn’t the economy or insurance companies. It is the decisions being made inside the business.This episode is a wake up call for any clinic owner who wants a business that actually supports t
EP724☕"My Ops Manager Stole From Me —And Bought A Boat!" [Coffee with Goughy]
I answer you questions and discuss: "My ops manager has been stealing from me for 3 years. I only found out because she bought a boat. A BOAT. Where do I even begin?"“I gave my entire team a raise in January to boost morale. February was my worst month in 5 years. I want to reverse the raises. Can I do that?” “I promoted my best clinician to manager and now I've lost my best clinician and gained a
EP723☕"I Took Out A Second Mortgage To Keep My Clinic Open!" [Coffee with Goughy]
Stop Conforming to a Broken System!Three clinic owners. Three brutal confessions. Zero sugarcoating.Question 1: I Took Out a Second Mortgage to Keep My Clinic Open — Was That a Mistake? Question 2: One Therapist Is Generating 80% of My Revenue — How Do I Fix That?Question 3: I'm Exhausted and Thinking About Selling — Am I Quitting Too Soon?These aren't edge cases — this is happening in PT clinics
EP722 Stop Flying Blind — The 6 Numbers Every PT Clinic Owner Must Know to Build a $1.5 Million Practice!
Stop Being a Great Clinician and Start Being a Great Business Owner!Here's the hard truth — your clinical skills got you started, but they will never get you to where you want to go. The top 1% of PT clinic owners aren't winning because they're better at treating patients. They're winning because they know their numbers cold.And right now? You're probably flying blind.In this episode, I'm handing
EP721☕My Staff Posted "Unfollow Me If You Voted for Trump" What Do I Do? [Coffee with Goughy]
This week I'm answering two questions that most podcast hosts won't touch.My Staff Posted "Unfollow Me If You Voted for Trump" What Do I Do?My staff saw my house on Zillow and said “Must be nice.” Should I be considering pay increases?If you're a clinic owner trying to build something real in 2026, these are conversations you need to be having. Grab your coffee and let's get into it.👉📘 Grab y
EP720 Charge What You're Worth and Watch Your Practice Explode — Your Price Is Your Power! [PPM Live Dublin]
You have a choice to make TODAY.Are you going to keep doing the same thing that's kept you stuck, or are you finally going to commit to building the practice you've always said you wanted?The truth is, most physical therapists are leaving thousands of dollars on the table every single month — not because they lack skill, but because they lack the self-belief to charge what they're actually worth.
EP719☕"I Owe The IRS $160,000 And Just Hired Two New Staff — Did I Make The Biggest Mistake Of My Life?" [Coffee with Goughy]
I answer your questions and discuss:"I owe the IRS $160,000 and just hired two new staff — did I make the biggest mistake of my life?""I accidentally sent a voice note complaining about my staff to the staff group chat — am I screwed?""I missed my baby's first year building my clinic — was it wrong to sacrifice memories I'll never get back?""Patients keep requesting only one of my therapists — I'm
EP718☕"My Kid Wants to be a PT...I Don't Have the Heart to Tell Her It Has Left Me Broke!" [Coffee with Goughy]
My kid wants to become a physical therapist… but I’m barely making it. What do I tell her?Do I encourage her to follow the same path?Do I warn her about the debt, the ceilings, the pressure?Is it the profession that’s broken… or the way I built my business?In this episode of Coffee with Goughy, I answer this question head on.We talk about income ceilings, ownership, responsibility, and the differe
EP717 Are You Still Relying On Word Of Mouth In 2026? [PPM Live Dublin]
Live from PPM Live Dublin, I’m breaking down the biggest opportunity — and the biggest mistake — facing clinic owners right now.AI is the gold rush.But if you use it just to cut payroll and chase efficiency… you’ll miss the real win.In this episode, I explain:Why robotic service is killing clinicsHow AI should free your team to deliver world-class human experiencesWhy “good enough” beats perfect e
EP716 Paul Meets: Eric Wallace | From Clinician to CEO
This is not an episode about marketing.It is about pressure.In this new format of Paul Meets, I sit down with Eric Wallace (https://www.motusrx.com/) from Wisconsin and we talk about what business ownership really feels like when the cameras are off.Fully booked but stuck.Leading people but feeling alone.Successful on paper but still asking, is this it?If you run a clinic and you have ever wondere
EP715 What Will Your Clinic Look Like in 2030? [PPM Live Dublin]
Live from PPM Live Dublin, I’m asking one big question:What will your clinic look like in 2030?The biggest disruption isn’t AI — it’s the AI-fuelled patient. Faster. Smarter. Comparing you to Amazon, not the clinic down the road.In this episode, I break down:Why speed, clarity, and communication now winThe danger of outdated systems and poor serviceHow patients research and judge you before they a
EP714 Done Is Better Than Perfect — Here's How to Start Winning Today [PPM Live Dublin]
Live from PPM Live Dublin, I’m breaking down why AI isn’t the threat — it’s the amplifier.In this episode, I explain why Google searches are dropping, why GPT is recommending the most visible experts, and why authority online now determines who wins.We talk about:Why the expert will dominate in the AI eraThe difference between strategy and executionHow “we tried that” kills growthWhy your clients
EP713☕Is Growing My Clinic Going To Cost Me My Family? [Coffee with Goughy]
In this episode of Coffee with Goughy, I tackle a question that sits quietly in the back of a lot of clinic owners’ minds:Is growing my clinic going to cost me my family?I talk openly about the fear that success means sacrifice, that pushing for more revenue, more margin, and more leadership somehow makes you selfish. And I explain why the real danger is not growth. It is building a business that
EP712🔥Every Time You’re Offended, It’s Your Fault [Paul on Fire]
In this Paul on Fire episode, I break down why getting triggered is a decision — and why every time you take offense, you give away your power. If you want a successful life and a successful business, you must take full personal responsibility for your emotional reactions.I talk about why people get easily offended, how identity and inherited beliefs shape your worldview, and why the most reactive
EP711 The Difference Between Earning More and Building Wealth [PPM Live Dublin]
Live from PPM Live Dublin, I’m breaking down why £50k is survival, £100k is upgrades… and £250k should be your minimum as a clinic owner.In this episode, I explain why the old game of referrals and “I Googled you” is over — and why the future belongs to those who build influence, not just transactions.We talk about:The shift from social media to interest mediaWhy followers don’t matter — but
EP710 How to Build the Courage to Play Big and Stop Letting Fear Win [PPM Live Dublin]
In this session, I’m talking directly to clinic owners who are still waiting for perfect.I break down why good enough is still good enough, why perfection is usually just fear in disguise, and why your inability to be visible online over the next five years will wipe you out.Inside this episode, I share:• Why perfection is killing your progress• What’s really stopping you from going all in• W
EP709☕"Is Selling Beneath Me?" [Coffee with Goughy]
Today we’re talking about the biggest lie in private practice:“Selling is beneath me.”If you’re a PT who thinks marketing feels salesy…If you’ve got staff who say they “just want to treat” and don’t want to sell…If you secretly hate asking patients to commit to a plan of care…You need this episode.And if you’re hiring?You’d better listen closely. These attitudes are walking into interviews every s
EP708 The AI-Fueled Patient Is Coming. Are You Ready? [PPM Live Dublin]
In this special episode of The Paul Gough Audio Experience, I take the stage and deliver one of the most direct and thought-provoking talks yet.I challenge clinic owners to confront the reality of the “new world” we’re living in… and what it means for the future of private practice.Inside this episode, I break down:• Why 2026 will not look like 2025• The rise of the AI-fuelled patient• Why most cl
EP707 You’re Comfortable And That’s the Problem [PPM Live Dublin]
Most clinic owners say they want growth.But what they really want is comfort.In this live episode from PPM Live Dublin, we unpack the real reasons clinics stay stuck: fear of hiring, avoiding hard conversations, micromanaging small tasks, and running your business on memory instead of systems.If you have ever delayed hiring because you were scared of getting it wrong…If your roles and responsibili
EP706 What Does Your Calendar Say About You? [PPM Live Dublin]
Most clinic owners say they want freedom.But if I looked at your calendar right now, would it say “business owner” or “busy clinician”?In this episode recorded live at PPM Live Dublin, we talk about self accountability, why confused buyers buy nothing, how to simplify your offers, why nice cultures don’t build great businesses, and the real reason your clinic exists in the first place.Your busines
EP705🔥Stop Blaming The World For Your Miserable Life [Paul on Fire]
You are not stressed because of society.You are stressed because you are playing by rules that were never built for business owners.In this Paul On Fire episode, I break down why most entrepreneurs feel out of control, why “following the rules” creates mental torture, and why the only solution is to play your own game.If you want control, you need different rules.👉📘 Grab your FREE copy of any one
EP704☕️"My Staff Are Offended By Everything Lately. Is This A Generational Thing Or Am I Just Old?" [Coffee with Goughy]
On this episode of Coffee with Goughy, we discussed these 2 questions:Q1: My staff are offended by EVERYTHING lately. Is this a generational thing or am I just old?Q2: My senior therapist said, ‘This feels corporate and soulless.’ It stung. Am I becoming what I used to hate?”Coffee with Goughy This isn’t about tech.It’s not about politics.It’s about leadership.We talk about profit-first thinking,
EP703☕"My Team Is Mostly Liberal. They’re Worried About Ai Speeding Up Climate Change!" [Coffee with Goughy]
On this episode of Coffee with Goughy, we discussed these 5 questions:Q1: If I Bring in AI, Will My Staff Think I’m Replacing Them?Q2: How Do I Know If This Is a People Problem or a System Problem?Q3: I Launched an Offer… Why Is No One Seeing My Stuff?Q4: My Team Is Politically Different From Me — How Do I Align Them?Q5: Can I Grow Without Burning Out?What happens when my team’s values don’t align
EP702 Paul Meets: Ashley Kranz | From Hospital Burnout to a Profitable Cash Pay Clinic
In this episode of Paul Meets, I sit down with Ashley, a clinic owner from South Florida who spent over a decade inside the hospital system before finally making the leap to build her own cash pay practice.And here’s the truth.She didn’t leave because she was confident.She didn’t leave because everything was perfectly lined up.She left because staying had become unbearable.We talk about what
EP701 How to Ease Any Head Trash & Self Doubt, Make Use Of, Implement, & Profit Massively From Everything You've Heard [Live from PPM]
Life is coming fast.Family emergencies. Staff quitting. Economic shifts. The call you didn’t expect.In this live episode from PPM Live, I break down why most clinic owners are busy… but not profitable — and why that’s dangerous.If your business isn’t positioned, predictable, and making real profit, you’re gambling.I share:• How to become the go-to expert in your niche• Why payroll problems signal
EP700☕"I Don’t Know Who’s In Control Anymore…Me, My Staff, Or The Front Desk Dog!"
Most clinic owners don’t lose control overnight.They give it away… slowly.In this episode of Coffee With Goughy, I answer two brutally honest questions from clinic owners:“I don’t know who’s in control of my clinic anymore… me, my staff, or the front desk dog.”“How do you balance being a present family man and still build a successful business?”We go deep.You’ll hear why letting staff vote on stra
EP699☕"Do I Need To Relax?" [Coffee with Goughy Live at PPM]
This Coffee with Goughy session wasn’t planned. And that was the point.I opened the mic, grabbed a coffee, and let the conversation go where it needed to go. What came out was one of the most honest, raw, and important discussions we’ve had about business, life, pressure, confidence, and what really drives entrepreneurs.Here are the core themes I walked everyone through:Remember TomorrowDon’t Conf
EP698 From Inconsistent Posts to Booked Solid [Live from PPM]
Hey — it’s Paul Gough here.This episode is all about cutting through the noise when it comes to social media for clinic owners. If you've ever asked, “How do I get more followers?” or “What time should I post?” — you’re asking the wrong questions.In this LIVE recording from PPM Live, I hand the mic over to Jason Massey — our in-house brand manager and social media genius —
EP697 Paul Meets: Allison Feldt | From New Mom to Multi-Million Dollar Clinic Owner
In this episode of Paul Meets, I sit down with someone I’ve known since the very early days of her journey, Allison Feldt (https://bodymotionpt.com/).Allison’s story is one of the most important conversations I’ve had on this podcast.She started her business in 2017 just weeks after having her second child. No safety net. No guaranteed income. No clear plan. Just a deep need to make some
EP696 The Pivot in 2026 [Live from PPM]
In this session, I talk directly to physical therapists who are running businesses, not hobbies. We get into marketing that works, why relying on referrals keeps you stuck, and how owners trap themselves by staying too close to treatment instead of stepping into leadership.I break down what’s changing in private practice, where the biggest opportunities are right now, and what clinic owners must s
EP695🔥Numb And Drowning In Debt [Paul on Fire]
You cannot be happy while you’re drowning in debt.Not calm. Not fulfilled. Not at peace.If you think you are, you’re lying to yourself.This rant is about the dangerous lies we tell ourselves around balance, comfort, and “me time” while quietly avoiding the decisions that would actually fix the problem.We talk about:• Why debt kills clarity, confidence, and real happiness• The brutal trade offs bet
EP694 ☕ "I Wanted A Team. What I Got Was A Group Chat That Never Stops." [Coffee With Goughy]
In this episode, I slow things down and sit with the questions most clinic owners think about but rarely say out loud.Questions like:• My clinic is doing okay financially, but I feel constantly tense. Is that normal?• I’ve built a clinic that depends on me for everything. Is that success or failure?• How do I know if I’ve outgrown being a clinician, but I’m scared to admit it?• What are the signs
EP693 Meta Ads Success [Live from PPM]
Look — if you think Facebook and Instagram ads don’t work anymore… or that you need to spend thousands to make them work… you’re dead wrong.In this episode, I hand the mic to one of the sharpest marketers on my team — Sarah Miller — the woman behind hundreds of my most successful ads over the last 10 years.Sarah’s been working with me since 2014 — back when I was still in
EP692 Why Old School SEO Is Dead [Live from PPM]
If you think SEO still works the way it did in 2015 — or even 2022 — you're in for a rude awakening.On this episode of The Paul Gough Audio Experience, I bring you a critical update from my own team’s tech and AI expert, Skyler Lerner — who just rocked the stage at PPM Live with one of the most important talks of the year.We’re talking about how Google search has fundament
EP691 ☕ "My Wife Wants Me Home For Kids We Don't Even Have." [Coffee With Goughy]
In this conversation, we slow down and sit with the questions most clinic owners never say out loud. Not marketing questions. Not tactics. The deeper ones that shape how you show up as an owner.We talk about:The pressure of being needed everywhereOutgrowing the clinician identityHiding behind being busyWhy charging more still feels uncomfortableAnd the quiet fear of staying the same five years fro
EP690 The Highest Impact & ROI Marketing Campaigns (Live from PPM)
If you're a frustrated physical therapy clinic owner — stuck on the hamster wheel of insurance, low margins, and feeling like you're working harder than ever for less — then this podcast is for you.I’m Paul Gough, former professional soccer physio turned 4-location cash-pay clinic owner in the UK — where healthcare is completely free. Yep, free. And yet, I built a thriving business that
EP689 Paul Meets: Croft Castrell | From Full Caseload to Freedom Without Burning Out
In this episode of Paul Meets, I sit down with Croft Castrell, a San Jose clinic owner who’s built a thriving, fully booked practice but found himself trapped in the very success he worked so hard to create.Croft shares his journey from recovering accountant to one of the most respected neuromuscular massage therapists in the US, including starting a business in March 2020 just in time f
