Fear can hold you back from being all you can be.  I have had to face a lot of fear head on with running my own business for 27 years now.  Over the years, I have seen that business ebbs and flows.  It has taken time, but I now can handle the ebb and flow.  I can focus more on the "business" part of my business when there are fewer patients to see.  I learned that time off is mandatory, not a luxury, in order to be the best doctor(and person) that I can be.  A week every quarter is a must!  Figure it into your budget. Not everyone will be a perfect "fit" for you/your business and that is okay.  Try not to take it personally.  Get all the support you can from other positive people and small business owners.  And take it one day at a time. Everything changes!