EP 184: Therapists Thriving w/ Private Pay ft Courtney Fyvolent
The Entrepreneurial Therapist Podcast
Release Date: 07/23/2025
The Entrepreneurial Therapist Podcast
Are you using or considering using AI note takers in your therapy sessions and wondering how to introduce it ethically, confidently, and without damaging the therapeutic relationship? In today’s episode, I sit down with returning guest Dr. Elisabeth Morray, VP of Clinical at Alma, to unpack what it actually looks like to have real conversations with clients about AI in the therapy room. We talk about informed consent, client autonomy, fear-based reactions to AI, and how to frame this technology as an optional, collaborative experiment rather than a forced change. Dr. Morray shares her...
info_outlineThe Entrepreneurial Therapist Podcast
What if “doing well” no longer feels secure because the income that once worked no longer meets your financial needs? In this episode, I’m sharing what I’m seeing across conversations with therapists right now and what I’m personally experiencing as well. Inflation, debt, cost of living, and long-term goals are forcing many therapists to confront a hard truth: paying the bills isn’t the same as feeling financially safe. Wanting more doesn’t mean you’re ungrateful. It means you’re awake. We talk about why hitting a new level of financial security requires doing...
info_outlineThe Entrepreneurial Therapist Podcast
What would it actually take to add an extra $5,000 a month to your therapy practice without burning out or stacking more one-to-one sessions? In this episode, I dive headfirst into one of my favorite topics: additional revenue streams and how therapists can strategically scale beyond the traditional one-to-one model. I walk you through why relying on a single income stream is risky, how unexpected life events can impact your business, and why building flexibility into your revenue can transform not just your income, but your health, energy, and quality of life. I break down the two most common...
info_outlineThe Entrepreneurial Therapist Podcast
Is private practice really “broken,” or is the therapy industry simply evolving faster than we expected? In this episode, I sit down with Allison Puryear for a grounded, honest conversation about the major shifts happening in the therapy industry as we head deeper into 2026. We unpack what is actually behind the slowdown so many therapists are feeling, why what worked from 2020 to 2023 no longer works the same way, and how big therapy tech, virtual care, insurance dynamics, and AI are reshaping access to care. Allison brings decades of perspective to help us zoom out, calm the panic, and...
info_outlineThe Entrepreneurial Therapist Podcast
What if the reason you haven’t hit multi-six figures yet has nothing to do with your strategy and everything to do with your identity? In this episode, I’m diving into one of the biggest (and most overlooked) reasons entrepreneurial therapists stay stuck: the identity ceiling they’re unconsciously living under. I’m sharing why you don’t need permission to evolve, why mindset (not marketing) is often the real bottleneck to growth, and how the identity you’re operating from determines what feels “safe” or “possible” in your business. We’ll talk about what it really takes to...
info_outlineThe Entrepreneurial Therapist Podcast
Is SEO still worth your time as a therapist in a world dominated by AI and constant algorithm changes? In this replay of one of our most downloaded episodes of the year, I sit down with SEO expert Chris Morin from Moonraker to break down what actually moves the needle when it comes to getting your private practice website to rank on Google. We talk honestly about whether Google is still relevant, how AI fits into modern SEO (without turning your website into generic fluff), and why content creation is still one of the most powerful and accessible marketing strategies for therapists today. In...
info_outlineThe Entrepreneurial Therapist Podcast
Is the marketing you’re doing right now actually creating long-term freedom or just another version of burnout in disguise? In this replay of one of the most downloaded episodes of the year, I’m breaking down the best marketing strategies I truly believe in if you value flexibility, rest, and sustainability as much as growth. I walk you through what freedom-based marketing really means, why hustle-heavy strategies eventually backfire, and how to start thinking about your marketing decisions through the lens of your future life. I cover what works best for both practice builders and...
info_outlineThe Entrepreneurial Therapist Podcast
What would actually happen to your business—and your family—if you suddenly couldn’t work? This question has been sitting heavy on my heart, especially as a single parent, a homeowner, and a business owner who has experienced unexpected seasons of not being able to work in the past. In today’s episode, I’m taking you behind the scenes of the systems, savings, and safety nets I’m putting in place so my business can not only survive but thrive through a crisis. Then, I sit down with legacy consultant Colleen Watson to dive deeper into the legal, financial, and emotional layers of...
info_outlineThe Entrepreneurial Therapist Podcast
What if planning your year could feel motivating, expansive, and actually fun? In this episode, I walk you through exactly how I’m preparing for 2026—mindset, strategy, rhythm, and the behind-the-scenes reality of being a mom, therapist, and entrepreneur all at once. I share the rituals, tools, and questions I use every year to plan intentionally, avoid burnout, and build a business and life that actually feel good. From reviewing revenue to mapping out launches to honoring your real-life capacity, this is the episode that will flip planning on its head and make you excited for what's...
info_outlineThe Entrepreneurial Therapist Podcast
What do you do when life feels impossible… but your business still needs you? In this episode, I’m getting honest about something most people never talk about publicly: how to scale your practice when life absolutely sucks. I’m sharing the real mindset shifts, identity work, and business decisions that have helped me keep going—even in seasons where motivation disappears, personal life feels chaotic, and showing up online feels inauthentic. If you’ve ever felt like you’re putting on a mask just to keep your practice running, this conversation will feel like a deep exhale. Together,...
info_outlineAre therapists still thriving in private practice in this economy? In this episode, I sit down with Courtney Fyvolent, a trauma-informed EMDR and EFT specialist who successfully relocated her practice from Florida to South Carolina and built a full, private-pay caseload in the process. We talk about how she did it without relying on social media ads, what mindset shifts helped her stay the course during slow seasons, and why her clinical focus became her greatest marketing tool.
From ranking on Google through DIY SEO to forming authentic referral relationships over coffee, Courtney shares the steps that actually worked and what didn’t. If you’re a therapist wondering how to grow (or rebuild) your caseload without burning out, or if you’re craving more depth and connection in the way you work, this episode will give you both strategy and inspiration. You’ll walk away feeling empowered that yes, you can build the practice you want, even in a saturated market.
Topics Covered In This Episode:
-
5:15 – The exact steps Courtney took before moving states that made all the difference
-
7:12 – The surprising key to referrals that doesn’t involve networking events or cold DMs
-
8:27 – Why intensives aren’t her biggest income driver—and what actually is
-
10:08 – What to focus on when the phone stops ringing
-
11:42 – The retention method therapists rarely talk about but desperately need
-
13:21 – The small action that gets clients calling back months (or even years) later
-
17:52 – Why your consultation call may be the real make-or-break for your business
I hope you let Courtney’s story and grounded strategy give you the clarity, confidence, and spark you need to grow your own thriving business. If you love what you hear, don’t forget to subscribe, leave a review, and share this episode with a fellow therapist who needs the reminder that success is still possible—even now.
Resources Mentioned:
Needing help to get more private pay clients right now? I have a free 1 hour masterclass where I teach the same systems that Courtney used to fill her own practice. Watch it here: https://www.theentrepreneurialtherapist.com/free-webinar
Connect with Courtney: healingvalleyscounseling.com
Find out more about Alma here: helloalma.com/danielle