What if the next step in your career was simply saying "yes" to yourself? For many clinicians, the idea of starting a private practice feels like a "someday" dream. But for today’s guest, "someday" arrived a lot sooner than she expected — and it completely changed her career.

I’m thrilled to introduce you to Kara Nelson, a pediatric speech-language pathologist, mom, and the founder of Sahuarita Speech Spot, a private practice serving families in a rural-suburban community in Southern Arizona, just 20 miles north of the Mexico border.

Kara specializes in gestalt language processing and neurodiversity-affirming therapy, supporting children from first words through early literacy. She has grown her practice beyond traditional speech therapy by adding reading tutoring, school contracts, and community partnerships, all while raising her family and figuring out how to scale a business without losing the heart of the work. She is a shining example of what happens when you combine clinical expertise with a leap of faith—and she’s been a joy to watch grow from the very first steps of her journey all the way to where she is now.

From working as a speech tech in the schools to building a thriving practice with a brick-and-mortar location and a growing team, Kara’s story proves that private practice isn’t just for the "type A" planners—it’s for anyone willing to go all in.

In this episode, Kara shares how she moved from feeling stuck in the school system to creating a practice that fits her life, her family, and her community.

Kara Nelson has been working in the schools since 2007, starting as a speech language technician before earning her master’s degree from Northern Arizona University. She spent over 15 years in educational settings before realizing she was ready for something different.

A self-described "all or nothing" person, Kara didn’t waffle when the idea of private practice took hold. She started small—mobile and part-time—while continuing to work in early intervention and the schools. But it wasn’t long before her caseload grew, and so did her vision.

Today, Kara runs a busy practice that offers both speech therapy and literacy support out of a permanent location. She’s learned to leverage technology, streamline her systems, and even bring on a team member. And through it all, she’s stayed grounded in her mission: helping kids communicate and connect.

1. How Kara transitioned from school-based work to private practice—and why she knew it was time
2. The value of starting mobile to build momentum without the overhead
3. The unexpected doors that opened—like renting space in a church
4. Her advice for clinicians who are nervous about taking the leap

Kara’s journey is a powerful reminder that you don’t have to have every detail figured out before you start. You just have to begin. Whether it’s gaining confidence to have parents in the room, posting on Facebook to find clients, or deciding to build walls in a leased space—each step builds on the last.

Her story does not have to be the exception. You, too, can create a practice that grows with you—if you’re willing to take the first step.

Want to build a private practice that fits your life—whether you’re type A, type B, or somewhere in between? The Start Your Private Practice Program can give you...