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Pivoting and Transitioning in Private Practice | TPOT 140

The Practice of Therapy Podcast with Gordon Brewer

Release Date: 08/10/2020

How Traditional Therapy Misses the Mark for Men | Marc Azoulay | TPOT 409 show art How Traditional Therapy Misses the Mark for Men | Marc Azoulay | TPOT 409

The Practice of Therapy Podcast with Gordon Brewer

Today’s episode is one I’ve been looking forward to for a long time. We’re diving into a topic that doesn’t get talked about nearly enough in our field—men’s mental health—and why so many traditional therapy approaches miss the mark when it comes to helping men heal. My guest is Marc Azoulay, LPC, LAC, CGP, ACS—the founder of Men’s Therapy Online and host of The Men’s Therapy Podcast. Marc brings a powerful blend of psychoanalysis, neuroscience, and Buddhism to his work, and he’s built an incredible community that helps men get real, get connected, and get results. In...

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The Practice of Therapy Podcast with Gordon Brewer

​​In today’s episode, I am sitting down with Darshana Avila for a truly fascinating and important conversation about the intersection of sexuality, somatic work, and trauma healing. As therapists, we often talk about the mind and body connection, but many of us shy away from exploring how that connection relates to our clients’ sexuality, intimacy, and sense of pleasure. Darshana brings a deeply trauma-informed and culturally sensitive approach to this work, helping clients reconnect with their bodies, navigate consent, and move beyond shame into embodied wholeness. In our discussion,...

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Well, y’all are in for a treat today. My guest, Dr. Jason Branch, brings some serious fire and fresh perspective to this conversation. He’s been in the counseling world for over two decades, as a clinician, educator, and entrepreneur, and what I love most about him is how real he gets about the struggles we all face in private practice: imposter syndrome, perfectionism, and finding the courage to just keep showing up. Jason has an incredible way of using analogies that stick: salamanders, gators, and what he calls being D.U.N. - doing things that are different, uncomfortable, and new....

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When I first connected with Wendy Pitts Reeves, I knew she was someone who truly gets it — the ups, downs, and constant balancing act of running a private practice. In this episode, Wendy joins me to share her powerful framework, The Seven Pillars of a Thriving Private Practice, and it’s one you’ll want to take notes on. Wendy has spent decades building her own successful practice in Tennessee and now helps other therapists do the same through her coaching and podcast, Ideal Practice. In our conversation, we dive into what it takes to build a business that’s not just profitable, but...

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Today’s episode is one I’ve really been looking forward to because we’re diving into something that’s transforming the way we think about mental health treatment: low-dose ketamine therapy. My guest, Dr. Sharon Niv, is the co-founder of Joyous, a public benefit company helping make this kind of care more accessible and affordable than ever before. Sharon brings a fascinating background in cognitive psychology, meditation, and technology, and she’s helping bridge the gap between neuroscience and therapy in a way that’s incredibly gentle, safe, and empowering for both clients...

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I’m so glad to welcome Julie Herres back to the podcast! Julie is the founder of GreenOak Accounting, the host of the Therapy for Your Money Podcast, and the author of Profit First for Therapists. This time, she’s joining me to talk about her brand-new Profit First for Therapists Workbook — a hands-on companion to her original book that helps you actually implement the Profit First system in your practice. In this episode, we dig into what it really takes to build a financially sustainable practice. Julie explains how she helps therapists move from confusion to clarity by using simple...

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What if private practice wasn’t the end goal but the launchpad? In this episode, Gordon talks with Carly Hill, LCSW, business strategist and host of The Thriving Therapreneur Podcast, about how therapists can outgrow the office by adding coaching, creating digital offers, and building freedom-based businesses. Carly shares her journey from burnout to building a seven-figure coaching brand and breaks down exactly how clinicians can protect their license while expanding beyond therapy. You’ll learn the key differences between therapy and coaching, how to ethically separate your businesses,...

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Ops expert Brie Chrisman (CEO, BosCo) shares how to increase profit in private practice without adding more clients, clinicians, or ad spend—by tightening expenses, streamlining workflows, delegating $20 tasks, and optimizing client onboarding. In this episode, you’ll learn: Why “profit = revenue − expenses” (and why most owners only push the revenue side) How to reclaim 21+ hours/year with simple email templates The $20 vs. $200 task rule for smarter delegation SOPs that make onboarding, training, and busy-day brain fog easier The #1 lever for growth: client onboarding (lead →...

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The Practice of Therapy Podcast with Gordon Brewer

I am thrilled to share this week’s episode with you because it’s not just any guest joining me—it’s my dear friend, Uriah Guilford. Uriah and I have traveled together, dreamed together, and collaborated on countless projects over the years. He’s one of the most creative people I know, and today we’re diving into something that’s changing the way therapists run their practices: AI and the future of intake. If you’ve ever wondered how to save time, stop drowning in admin work, and create a smoother experience for your clients, you do not want to miss this conversation. Uriah...

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I can hardly believe we’ve reached 400 episodes of The Practice of Therapy Podcast! When I started this show back in 2017, my goal was simple: to share resources, lessons, and encouragement for therapists building their practices. Over the years, I’ve learned so much (often the hard way), and I’ve been blessed by the many incredible guests and colleagues who have shared their wisdom here. In this special milestone episode, I’ve invited friends, past guests, and fellow practice owners to share their #1 tips for success in private practice. You’ll hear insights on money, delegation,...

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More Episodes

In this solo episode, Gordon gives tips and tricks on pivoting in private practice. Whenever you're thinking about making a change, the first thing to consider is "why?" What is driving your decisions and is private practice the right fit for you? One way to think about your "why" is by doing a brain dump. Get all your thoughts out on paper - Gordon does this every single week. Stay tuned as he speaks about knowing your numbers in private practice and the importance of outsourcing.

Think About Your Why

COVID has caused most of us to think about what we are doing and how we can change things. Think about your "why." Why are you thinking about going into private practice? Many people want to make more money in private practice. However, why do you want the money? Think about your lifestyle. What is the life that you want to create for yourself within your practice? What is going to feed you emotionally, spiritually, and physically?

A person can go into private practice and realize that it's no different than working nine to five for someone else. It's not the best fit for everyone. You need to have a massive drive to succeed in private practice. An entrepreneurial spirit is an absolute must – there should be a growth mentality there. At the end of the day, you have to be a self-starter, and you have to hold yourself accountable. If you're not wired this way, then private practice may not be the best fit.

Understand Your Numbers

If you are in private practice and you're not making a profit, you will not survive. Get a clear picture of your numbers as you begin to change things in private practice. If you're thinking about adding another person to your practice, make sure you understand your practice's financial side. Do a deep dive into your numbers and understand how all the financial pieces work. How much do you get per session? What does it cost you per session? Break things down in that way.

Outsource Your Admin Work

Once you reach a critical mass with your clients, spending time on admin work is not a good use of your time. You make money by seeing clients, so don't spend too much time working on admin work. Once you outsource your admin work, you'll find that it pays for itself. That way, you have more free time to see clients. The hardest part around this is a mindset shift. You have to get your head around the idea of return on investment. In order to make money, you need to spend money. Think about the math!

Do A Brain Dump

Think about all of the things that are important to you. Every week, write down everything you need to do and everything you want to accomplish. Take a sheet of paper and jot down all of the things that you wish to change in your private practice. This way, you can capture all of those thoughts. Map out how you want to get to where you want to go. If you're creative, you can take these thoughts and create a visual map on a poster board.

Cut Out The Deadwood

Have a space that is comfortable for you and allows you to do the things that you want to do. Throw things away or donate items that you do not need anymore. This is called cutting out the deadwood. You can do this in private practice. Look at your systems and processes. Are there things that you are doing that no longer serve you? Maybe your clients are filling out too many forms. Think about how you can streamline your systems. Also, think about your subscriptions. It may be time to change your cell phone plan. Are you paying for things that you don't use? Then it's time to clean things up and cut the deadwood.

 

Being transparent… Some of the resources below use affiliate links which simply means we receive a commission if you purchase using the links, at no extra cost to you. Thanks for using the links!

 

Resources

TherapyNotes.com - use the promo code "GORDON" to get 2 months free.

 

Self Care Podcast Interview with Gordon Brewer

Business Models for Private Practice

Paul Jarvis |How Keeping Your Practice Small Could Be Big... | TPOT Podcast 086

For all of my digital products and courses, I am offering a 20% discount for the month of August. Use the promo code "AUG2020" to get the discount.

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Meet Gordon Brewer, MEd, LMFT

Gordon is the person behind The Practice of Therapy Podcast & Blog. He is also President and Founder of Kingsport Counseling Associates, PLLC. He is a therapist, consultant, business mentor, trainer, and writer. PLEASE Subscribe to The Practice of Therapy Podcast on iTunesStitcher and Google Play. Follow us on Twitter @therapistlearn and Pinterest “Like” us on Facebook