Leap into the unknown
- Alex Heumann
- Jan 22
- 4 min read
Updated: Jan 22

Many of the interviewees from the study stated their reasoning for entering into business ownership was to obtain the freedom that being self-employed provided. Participant 13 on the discussion of autonomy v. financial stability,
“Autonomy in terms of me being able to make my own decisions is definitely, I think, more important than financial stability… because that's the work culture that I want to create is being established, and yes, money is important, right? But that's not the sole focus of what my business.”
This perspective highlights the intrinsic motivations that drive occupational therapists (OT's) toward entrepreneurship, emphasizing the desire for autonomy and the ability to shape their professional environment.
This autonomy allows OT's to create a practice that aligns with their values and vision, fostering a work culture that prioritizes client-centered care and community impact. However, the pursuit of such autonomy is not without its challenges, particularly in terms of financial stability. Here are some key barriers related to financial stability that OT's may face when considering entrepreneurship:
Initial Costs: Starting a business often requires significant upfront investment, including expenses for licensing, equipment, office space, and marketing. Many OTs may find it challenging to secure the necessary funding, particularly if they are not familiar with financial planning.
Unpredictable Income: Unlike traditional employment, where income is typically stable, entrepreneurship can lead to fluctuating earnings. This uncertainty can be daunting, especially for those with financial obligations such as student loans or family responsibilities.
Insurance and Reimbursement Challenges: Navigating the complexities of health insurance and reimbursement can be a significant barrier. OTs must understand the intricacies of billing and coding, which can impact their revenue stream and financial viability.
Time Investment: Building a successful business requires substantial time and effort, which can detract from the time available for client care. This can create a tension between the desire for financial stability and the need to maintain a work-life balance.
Lack of Business Training: Many OTs may have limited experience in business management, marketing, and financial planning. This lack of training can hinder their ability to effectively manage the financial aspects of their practice.
Market Competition: The presence of established practices and competition in the market can pose a barrier to entry for new business owners. OTs must find ways to differentiate their services and attract clients in a crowded marketplace.
As demonstrated by participant 3, the balance between autonomy and financial stability is a complex interplay that influences the entrepreneurial journey of OTs. They may seek to create a practice that not only fulfills their professional aspirations but also addresses the needs of their communities. This dual focus can lead to innovative service delivery models that prioritize both client outcomes and sustainable business practices.
In conclusion, while the desire for autonomy drives many OTs to pursue entrepreneurship, financial stability remains a significant barrier. Addressing these challenges through education, mentorship, and community support can help aspire OT entrepreneurs navigate the complexities of business ownership and achieve their professional goals.
Furthermore, "What I'm putting out into the world, whether it's a product or service, is meaningful to people. Then eventually I should be able to achieve financial stability. But my number one priority is basically taking this risk and being able to follow this mission. And with that, that choice is autonomy."
The goals might be different for each business owner but the freedoms business ownership presents are a common trend, the autonomy takes precedence over the financial need.
The Value of Meaningfulness in Occupational Therapy and Entrepreneurial Autonomy

Occupational therapy is fundamentally centered on enhancing the quality of life for individuals through meaningful engagement in daily activities. As an occupational therapist, the focus is not only on rehabilitation, but also on empowering clients to find purpose and satisfaction in their lives. This meaningfulness translates into a deeper connection with clients, fostering trust and collaboration, which are essential for effective therapeutic outcomes.
Autonomy as an Entrepreneur
Transitioning into entrepreneurship allows occupational therapists to harness their skills in a new and impactful way. The autonomy that comes with business ownership is a significant motivator for many professionals in the field:
Creative Freedom: Entrepreneurs have the ability to design services and products that reflect their vision and values, allowing them to create meaningful solutions tailored to specific needs.
Flexible Work Environment: Business ownership offers the flexibility to set one’s own hours and work conditions, enabling a better work-life balance that can enhance personal well-being.
Direct Impact: As an entrepreneur, the ability to directly influence the quality and accessibility of services can lead to significant improvements in clients' lives, aligning professional goals with personal values.
Risk and Reward: While financial stability is a goal, the willingness to take risks for a greater mission can lead to innovative practices that challenge the status quo in occupational therapy.
The Interplay of Meaningfulness and Autonomy
The interplay between meaningfulness and autonomy is pivotal in the journey of an entrepreneurial occupational therapist. By prioritizing meaningful contributions to society, entrepreneurs not only fulfill their professional aspirations but also create a sustainable business model that resonates with clients. This alignment of purpose and autonomy fosters a sense of fulfillment that transcends financial success.
In conclusion, the combined value of meaningfulness in occupational therapy and the autonomy of entrepreneurship creates a powerful framework for professional growth and client impact. By focusing on the mission to enhance lives through meaningful engagement, occupational therapists who venture into entrepreneurship can achieve not only personal satisfaction but also contribute positively to the broader community. Ultimately, the journey is not solely about financial stability; it is about making a difference that matters.
Interview and Survey results gathered from Entrepreneurship and OT, Alex Heumann OTD, 2022.
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