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Ashley Comegys | Moms Building Online Therapy Practices | TPOT 143

The Practice of Therapy Podcast with Gordon Brewer

Release Date: 08/31/2020

Kristin Meador | Building a Profitable Private Practice | TPOT 399 show art Kristin Meador | Building a Profitable Private Practice | TPOT 399

The Practice of Therapy Podcast with Gordon Brewer

Running a private practice is rewarding, but the financial side can feel overwhelming. That is why I am excited to have Kristin Meador, CPA on the show today. Kristin is not only a Certified Public Accountant but also a Profit First Professional who works closely with therapy practice owners across the country. She is here to take the stress out of your numbers and show you how to build a more profitable and sustainable practice. In this episode, you will learn: How to simplify your bookkeeping and actually use your numbers to make decisions Why Profit First works so well for private practice...

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The Practice of Therapy Podcast with Gordon Brewer

Have you ever tried to calm yourself down during a panic attack - only to find that the very tools you’ve been taught suddenly don’t work? That was the turning point for Caitlin Rose, a performance neuroscience coach and founder of Build Resilience. Her own struggle with trauma and anxiety led her to uncover a hidden truth: it’s not just about regulation, it’s about capacity. In this episode of The Practice of Therapy Podcast, Caitlin shares how understanding the difference between nervous system regulation and capacity can transform the way therapists support clients - and the way we...

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The Practice of Therapy Podcast with Gordon Brewer

What if the key to filling your private practice isn’t more credentials, certifications, or complicated marketing strategies— but a few simple tweaks to your Psychology Today profile? In this episode of the Practice of Therapy Podcast, Gordon sits down with Aaron Price, founder of , to uncover the hidden power of Psychology Today. With nearly 60% of therapy seekers finding their clinician through this platform, your profile could be the single biggest factor in whether your phone rings—or stays silent. Aaron shares exactly what makes a profile stand out, the common mistakes most...

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The Practice of Therapy Podcast with Gordon Brewer

Have you been wondering how AI fits into the world of therapy and private practice?  In this episode, I sit down with Dr. Stephanie Thrower—a psychologist, career coach, and AI educator—who’s using tech to help therapists expand their impact, streamline their work, and step into new possibilities beyond one-on-one sessions. We’re talking practical tools, smart marketing strategies, and how to use AI without losing your voice (or your sanity). Whether you’re just getting curious or already experimenting with AI, you’re going to walk away inspired and equipped. In this episode,...

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The Practice of Therapy Podcast with Gordon Brewer

Most of us didn’t get into therapy because we dreamed of being business owners. We wanted to help people. We wanted to do meaningful work. But somewhere along the way, we realized that to have the freedom and flexibility we crave, we’d need to go into private practice —and that meant running a business. Which meant dealing with money. Enter: panic. Linzy Bonham, a former trauma therapist turned financial coach and educator, knows this all too well. When she started her own practice, she quickly noticed that no one was talking about how to manage the financial side of things. There was no...

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Rachel Bentley | Why Your Inner Critic Might Be Running Your Private Practice | TPOT 394 show art Rachel Bentley | Why Your Inner Critic Might Be Running Your Private Practice | TPOT 394

The Practice of Therapy Podcast with Gordon Brewer

When it comes to leading a private practice, most people focus on strategy, logistics, and profitability. But what if the secret to becoming a better therapist, leader, and human being isn’t outside of you, but inside? In this episode, Gordon Brewer sat down with Rachel Bentley of Next Level Private Practice to explore how Internal Family Systems (IFS)—or "parts work"—has completely transformed the way she leads, supervises, and shows up in the therapy room. Spoiler: it’s not just about helping your clients—it starts with understanding yourself. Resources Mentioned In This...

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The Practice of Therapy Podcast with Gordon Brewer

Think compliance is just about HIPAA? Think again. In this episode, Gordon sits down with Dr. Tiana Kelly—licensed professional counselor, compliance expert, and co-founder of Private Practice by Design—to unpack what compliance really looks like in a modern private practice. From late notes and misgendering mistakes to the growing use of AI and how to document for maintenance clients, Tiana breaks it all down in a refreshingly honest and approachable way. Whether you're a new therapist still figuring out documentation or a seasoned practice owner ready to level up your systems, this...

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The Practice of Therapy Podcast with Gordon Brewer

Ready to Build a Private Practice People Actually Want to Work In? If you've ever wondered what it really takes to build a group practice with heart, soul, and systems that don’t make your team want to scream into a pillow, this episode is for you. Gordon sits down with the brilliant (and refreshingly honest) Tara Vossenkemper, founder, leadership nerd, and culture whisperer, to talk about the magic behind creating a practice culture where therapists actually feel seen, supported, and inspired. They’re diving into everything from core values that aren’t just fluff, to EOS (aka the...

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The Practice of Therapy Podcast with Gordon Brewer

Ever feel like you're stuck between a full caseload and a full calendar of doctor’s appointments - for your parents?  You're not alone.  In this episode of The Practice of Therapy Podcast, Marissa Wells joins Gordon to talk about what it really looks like to juggle private practice while caring for aging family members. She’s not here to preach “perfect balance”—because let’s face it, that doesn’t exist. Instead, Marissa shares her wisdom on finding harmony, navigating proactive grief, setting real boundaries, and reconnecting with joy in the midst of it all. Whether...

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The Practice of Therapy Podcast with Gordon Brewer

Ever feel like you're crushing it in session but completely lost when it comes to your practice’s finances? You’re not alone—and you're definitely not broken. In this episode of The Practice of Therapy, Andrea Rotondo is here to pull back the curtain on the real reason so many therapists avoid their numbers (spoiler: it’s not laziness), and how to stop letting fear and overwhelm run the show. If QuickBooks makes you want to cry, if you’ve ever Googled “what is a P&L?” at midnight, or if you just want to feel a little more confident talking to your accountant, this...

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More Episodes

In this episode, Ashley Comegys gives us the basics of building an online practice. We talk through some of the challenges of being a full-time virtual therapist and how clients react to telehealth during COVID-19. Stay tuned as Ashley explains the process behind getting licensed in several states and the importance of flexibility during these uncertain times.

Meet Ashley Comegys

Ashley Comegys is a licensed clinical social worker with an online therapy practice that helps women with anxiety navigate life transitions, grief, trauma, and loss. She has been working with clients online since 2014 and loves the ability to work with clients who may not be able to make it into a traditional office for therapy. Through cross country moves, and a growing family, Ashley has built a successful online practice, working with clients in Louisiana, Hawaii, and Colorado. Ashley is passionate about helping other mom clinicians build their own online therapy practices so they can have the time freedom and flexibility to have a career and raise their family.

To help moms get started with building their online practices Ashley has created a free guide called The ABCs of Online Therapy: A Quickstart Guide for Mom Clinicians to Take Their Practice Online. You can download the free guide at bit.ly/momABCguide.

Telehealth During COVID

The reality is, schools can shut down at any time. Working with clients online will give you the flexibility and freedom that a brick and mortar office doesn’t provide. For example, do you share an office space with someone else? Then you may be limited to which hours you can go in there. Working with clients online, you have the flexibility to work around your schedule and your childcare. It cuts down on the extra time for commuting too! No one knows what the outcome will be from COVID; it’s time to pivot and adjust your expectations and find success in online practice.

Flexibility with Clients

Clients have been willing to be very flexible during COVID. There are a lot of moms who understand the importance of being flexible. Even those clients who aren’t moms, they understand the need to be flexible. Nothing is normal right now. Some days we can work from home, while other days we need to be in the office. Ashley has very understanding clients.

Adjusting Your Schedule

When you need to make adjustments to your schedule, Ashley says that it needs to be an upfront conversation. Tell your clients the situation and prepare them for possible changes. Also, be willing to have options for your clients. For the most part, our clients are also going through difficult times too; they understand and relate to you. Communication is critical during these uncertain times.

Getting Licensed In Several States

Getting licensed in several states happened organically for Ashley because she kept moving around. As a military spouse, it’s hard because each state is so different. The only beneficial thing is that Ashley’s application went to the front of the line in Hawaii. Compared to some applications, the Hawaii application wasn’t too bad. Most of Ashley’s clients are in Hawaii, even though Ashley lives in Louisiana. Plus, Ashley works with military families that moved to Colorado. So, she got licensed in Colorado – it was a simple process compared to other states.

Marketing Your Private Practice

Get a good website! That will be a significant source of referrals for your practice. When you market to too many people, then you’re marketing to no one. Think about your physical location. That will be the most accessible place to start marketing. A website will be the easiest way for people to find you. Plus, you can still have a lunch meeting with someone in your area that is a natural collaborator with you. That way, you can connect with other counselors and get a referral source.

Starting Your Virtual Practice

Get the basics in order. Figure out what is the EHR system that you are going to use. There is a variety of systems out there, which one will be best for you? After you get the nuts and bolts, you can start picking up the phone and finding clients. Ashley has a free guide to help you get started. You can find it here: https://bit.ly/momABCguide.

 

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!

Ashley's Resources

The ABCs of Online Therapy: A Quickstart Guide for Mom Clinicians to Take Their Practice Online

Ashley's Website

Ashley's Facebook Group

Raised To Empower

Email Ashley

Resources

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Click on this link, nominate yours truly, and write your most intriguing questions for the “Up Close and Personal Podcast Mini-Series.”

Use the discount code “AUG2020” on all of the Practice of Therapy e-courses and digital products at Gumroad and Teachable.

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Cool Resources

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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 wherever you listen to it. Follow us on Twitter @therapistlearn, and Pinterest, “Like” us on Facebook.