Group Practice (R)evolution: Questions to Ask When Applying for a Job with Sthefany Alviar
Conversations With a Wounded Healer
Release Date: 06/11/2025
New Ways to Survive and Thrive as an Entrepreneur with Uriah Guilford, Productive Therapist - Group Practice (R)evolution
Conversations With a Wounded Healer
Scan any therapists' forum and you’ll discover that the operational strategies that group practices have relied on no longer work. Could organizing principles like collaboratives, collectives, and cooperatives offer group practices new ways to thrive? Uriah Guilford, MFT, thinks so! He has had success bucking the industry’s tried-and-true practice model. Uriah’s evolution from traditional group practice owner to collaborative model speaks to his willingness to take on risks within reason. GUEST BIO Uriah Guilford, MFT, is a licensed therapist and a group practice owner. He's also...
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302 - Creating Conditions in Which People Can Heal with Michael Sykes
Conversations With a Wounded Healer
The answer to righting the world’s many wrongs is more love. Love is also the problem. If you’re new here, then solving this conundrum may seem hopeless. Fear not! In part one of my conversation with Michael Sykes, we began with a simple question: How can we encourage ideas or policies rich in love for each other when so many of us struggle to love ourselves? In part two, Michael and I dig into the societal pressures, inherited traumas, and self-doubts that have disconnected us from our authentic loving natures. GUEST BIO Michael Sykes is the founder of Equitable Solutions and...
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301 - Realize How Much You’re Worth with Michael Sykes
Conversations With a Wounded Healer
Some people remind us to trust the process, even when it seems hopeless. Michael Sykes is one of those people. He's the cheerleader encouraging us on the uneasy journey to authenticity. What I appreciate most is his commitment to integrity, even when the path toward that innate wholeness feels inaccessible. He doesn't shy away from sharing the most heart-centered version of himself with the world. Sure, he may metaphorically faceplant from time to time (who hasn't?!). But, Michael stays the course—and he's created a guide to help us do the same. GUEST BIO Michael Sykes is the founder of...
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How Can We Support New Clinicians Through Imposter Syndrome And More? with Sierra Waller - Group Practice (R)evolution
Conversations With a Wounded Healer
Chats with group practice employees are more fun when you’re not their practice owner! Maybe a bit more revealing, too. Such is the case with my guest, Sierra Waller, LCPC, an early-career therapist working at Health In Tandem, a small group practice in Chicago. Apologies if you’ve landed here hoping for a gripe-and-gossip session. Instead, Sierra and I dig into her experiences as a newer therapist in a group practice setting. This trajectory from grad school straight into private practice has become increasingly common. Subsequently, there’s a learning curve to be aware of on both sides...
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300 - How to Be a Conscious Leader Without Closing Off Your Heart with Julianne Guinasso
Conversations With a Wounded Healer
How do leaders keep their heads clear and hearts open in the heat of difficult conversations? I ask because it’s only natural for leaders (and any human, really) to bristle at opposition to their ideas, critique of their efforts, or recommendations for improvement. Being in community with each other requires a high level of mutual responsibility. But the practice of accountability can activate deeply entrenched defense mechanisms, even in the most self-aware among us (note to self). In part two of my conversation with Julianne Guinasso, LMFT, and co-founder of Level Up Leaders, we explore...
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299 - Changing Systems From the Inside with Julianne Guinasso
Conversations With a Wounded Healer
Outward change (to our profession, our communities, and our world) can only happen when we start from within—and we're gonna need all the help we can get. Julianne Guinasso, LMFT, is a role model for these contentious times. She's a therapist in private practice and the co-founder of Level Up Leaders, a partnership that helps mental health group practice owners cultivate psychologically safe, trauma-informed work cultures. Our two-part conversation begins with an honest assessment of the "becoming" process and offers some helpful reframes for when things feel especially sticky. GUEST BIO...
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What the Growing Political Divide Means for Your Business with Gabrielle Juliano-Villani - Group Practice (R)evolution
Conversations With a Wounded Healer
I'll start by stating the obvious. Being a group practice owner or group practice therapist in "unprecedented times" is a challenging endeavor. Our people and profession are struggling under the pressures of late-stage capitalism, antagonistic politics, and rage-bait algorithms —the same forces that affect our clients. I'll follow up the obvious with a hard truth. Some of the ills are coming from inside the house, er, practice. I believe in the good and essential aspects of the group practice model. I also believe that the only way out is through. And together. As does Gabrielle...
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298 - What’s Wrong With Me If I’m Not Thriving? with Nora Alwah
Conversations With a Wounded Healer
Are you an n’betweener? Before you answer, I recommend queuing up part one of my conversation with Nora Alwah, LPC, the coach, therapist, TEDx speaker, and community-builder. She coined the term n’betweener© to describe those who, like herself, feel suspended between two (or more) identities; not fully inhabiting one or the other. In part two, Nora and I explore ways that folks can expand their capacity for understanding in a world that increasingly devalues the experiences of n’betweeners. GUEST BIO Nora Alwah (she/her) - Coach. Therapist. TEDx speaker. Writer....
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297 - Global Perspectives on Identity, Mental Health, and Psychology with Nora Alwah
Conversations With a Wounded Healer
Many of us know what it feels like to navigate a middle space. Folks who are gender-fluid come to mind. But I’m also thinking of those who balance a privileged identity with their relationship to a traditionally oppressed group. Or anyone whose ethnicity is not commonly associated with the culture in which they grew up. How do we express this complicated identity in terms that others might understand or empathize with? Nora Alwah, founder of n’betweener©, a global platform and space of belonging, helps folks voice their truth and transform the pain of being an n’betweener into...
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Managing Beginnings and Endings as a Business Owner with Rebecca Slusher - Group Practice (R)evolution
Conversations With a Wounded Healer
There’s an obvious throughline that runs from productive feedback to authentic relationships. And vice versa. Rebecca Slusher, LPCP, is the owner of Balanced Life Counseling in Chicago. She understands that managing the group's needs for connection, empathy, and equitable conflict resolution, while navigating the daily realities of doing business, is a work in progress — and that’s okay! GUEST BIO Rebecca Slusher (she/her) is the owner of Balanced Life Counseling and has been in practice for 15 years in the Logan Square community. The practice specializes in working with both individuals...
info_outlineHow can we improve communication between practice owners and employees?
Sthefany Alviar reveals insights from the contrast between her current role at Mirjam Quinn and Associates and a previous, less supportive private practice. She and Sarah explore issues such as financial transparency, the challenges of transitioning from salaried to contractual pay, and the importance of clear administrative support. Sthefany emphasizes the value of aligning personal values with those of the practice, noting how Miriam's openness about financials and future plans contributes to a positive workplace culture.
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Group Practice (R)evolution is a new platform and podcast series offering insights from owners, employees, and experts, and resources to support this wildly ambitious vision for the future.
Podcast episodes are available for free in this feed for a limited time. If you want to hear more episodes like this one and access Sarah’s “why do you stay?” interview template…
Join other leaders in the Group Practice (R)evolution!
Regular podcast listeners can get a full year of membership for only $19.99 by using the discount code PODCAST. So visit: https://tinyurl.com/GPRPodcast and click on “have a coupon” and enter PODCAST to enjoy all the perks of Group Practice (R)evolution for a year!
Available episodes include:
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The Ideals of Therapy vs the Limitations of Capitalism with Jeff Levy
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Sustainable Solutions for Staff Retention and Satisfaction with Jennifer Froemel
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Creating Emotional Safety, Belonging, and Buy-In With Your Staff with Mirjam Quinn
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About Our Guest:
Dr. Sthefany Alviar earned her doctorate from the Wright Institute in Berkeley, CA in 2020 and now serves as a postdoctoral fellow at Mirjam Quinn and Associates (MQA), a thriving private practice. With an integrative approach rooted in attachment and relational frameworks, she provides virtual therapy for clients of all ages. Dr. Alviar specializes in supporting individuals navigating complex trauma, anxiety, depression, relationship challenges, and behavioral difficulties. Her expertise extends to parent-child dynamics (PCIT), performance anxiety, cultural identity exploration, LGBTQ+ concerns, and neurodivergent experiences.
IG: @mirjamquinnandassociates
Practice Website: https://mirjamquinnandassociates.com/sthefany-alviar/
LinkedIn: https://www.linkedin.com/in/sthefany-alviar-psyd-ms-7b9530113