Ashley Comegys | Moms Building Online Therapy Practices | TPOT 143
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 08/31/2020
How Therapists Can Use Social Media Without Feeling Fake | Jazzmyn Proctor | TPOT 424
The Practice of Therapy Podcast with Gordon Brewer
Marketing can feel uncomfortable for a lot of therapists. Most of us were trained to be neutral, private, and to keep the focus on the client. So when someone tells you that you need to show up on social media or talk about your work publicly, it can feel a little strange. But visibility matters more than ever when it comes to building a private practice. In this episode, I’m joined by Jazzmyn Proctor, a therapist, podcaster, and marketing mentor who helps clinicians show up online in ways that feel authentic and sustainable. Jazzmyn shares how she started building her presence while still...
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Scaling a Private Practice with Intensives, Classes, and Conferences | Dr. Wyatt Fisher | TPOT 423
The Practice of Therapy Podcast with Gordon Brewer
Couples therapy can be some of the most rewarding work we do as therapists, but it can also be one of the most challenging. Many couples don’t reach out for help until things feel like they’re falling apart. By the time they sit down in your office, there are often years of resentment, hurt, and miscommunication built up beneath the surface. In this episode, I’m joined by Dr. Wyatt Fisher, a psychologist and couples therapist who has spent years refining his approach to helping couples work through those deeper issues. Wyatt shares how his own personal and professional experiences shaped...
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Doing Couples Therapy as a Husband-and-Wife Team | Kiana & Andrew Joyner | TPOT 422
The Practice of Therapy Podcast with Gordon Brewer
If you’ve ever thought about offering couples therapy in your private practice but felt intimidated by the complexity of it, you’re going to love this conversation. In this episode, I’m joined by Kiana and Andrew Joyner, a married duo who run their practice together and specialize in couples work. Kiana is a licensed therapist, and Andrew is a certified professional coach, and together they bring a really unique dynamic into the therapy room. We talk about what it actually looks like to do couples counseling as a husband and wife team, how they divide roles between therapy and coaching,...
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Diversifying Your Income Without Burning Out | Jenny Melrose | TPOT 421
The Practice of Therapy Podcast with Gordon Brewer
If you’ve ever thought, “There has to be a way to make money in my private practice besides just seeing more clients,” this episode is for you. In this conversation, I’m joined by Jenny Melrose, host of the Practice to Profit podcast, and we dive into what it really looks like to diversify your income as a therapist. We talk about moving from one-to-one work into one-to-many offers, creating resources based on the same questions your clients ask over and over, and building income streams that do not require you to be in the therapy room 40 hours a week. Jenny shares practical ideas...
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Private Practice Profit Margins: What’s Healthy (and What’s a Red Flag) | Gretchen Roberts | TPOT 420
The Practice of Therapy Podcast with Gordon Brewer
Running a private practice usually means you did not set out to become a numbers person. You are trained to help people, not to read profit and loss statements or stress about tax projections. But the reality is this. If you own a practice, you are running a business. In this episode, I sit down with of to talk about the financial side of private practice in a way that feels practical and doable. We unpack how to use your financial reports as a management tool, what healthy profit margins actually look like, and the payroll mistakes that can quietly drain your profit. We also talk about cash...
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Treating Neuroplastic Pain in Therapy and Private Practice | Dr. Melissa Tiessen | TPOT 419
The Practice of Therapy Podcast with Gordon Brewer
What if chronic pain isn’t a sign that your body is broken—but that your nervous system is trying to protect you? In this episode, Dr. Melissa Tiessen, a clinical psychologist and neuroplastic pain specialist, joins the show to unpack a paradigm-shifting way of understanding chronic pain and persistent physical symptoms. Drawing on neuroscience, trauma-informed therapy, and real-world clinical experience, Melissa explains how pain can exist without tissue damage—and why that realization can actually be good news. You’ll learn how neuroplastic pain develops, why symptoms can move,...
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Diversifying a Private Practice Through Couples Work | Erin Valente | TPOT 418
The Practice of Therapy Podcast with Gordon Brewer
What if couples therapy isn’t about fixing the other person at all? In this episode, Gordon sits down with Erin Valente, a couples therapist based in Los Angeles, to talk about one of the most common mistakes couples make when they come to therapy—and why real change doesn’t live with one partner, but in the relationship itself. They explore why couples work can feel intimidating for therapists, how regulation and co-regulation shape meaningful conversations, and what it really takes to help couples move out of blame and into connection. Erin also shares how she’s structured her...
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Free Continuing Education for Therapists | Tobin Richardson | TPOT 417
The Practice of Therapy Podcast with Gordon Brewer
In today’s episode, I’m excited to introduce you to Tobin Richardson, the founder of a platform called Save the Therapist. When I first learned about what Tobin is building, I knew this was something many of you would want to hear about. Continuing education is a requirement for all of us, but let’s be honest. It can be expensive, time-consuming, and sometimes hard to fit into an already full schedule. Tobin saw that problem firsthand and decided to do something about it. He created a platform that offers high-quality, accredited continuing education for therapists that is completely...
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Preventing Burnout in Private Practice | Dr. Julie Merriman | TPOT 416
The Practice of Therapy Podcast with Gordon Brewer
There are some conversations you record where you know right away that they’re going to land differently. In today’s episode, I sit down with Dr. Julie Merriman, a therapist, professor, and longtime advocate for helpers who are quietly burning out. We talk about something that hits close to home for many of us in this profession: what happens when we’re really good at helping everyone else, but don’t know how to receive ourselves. Julie shares how so many therapists become what she calls “floating heads of competence.” We’re full of knowledge, skill, and clinical insight, yet...
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When Narcissism Walks Into Your Therapy Office | Dr. Anthony Mazzella | TPOT 415
The Practice of Therapy Podcast with Gordon Brewer
If you’ve ever found yourself thinking, “Why is this client so hard to reach?” or “Why does every conversation turn into a power struggle?” this episode is for you. Today, I’m joined by Dr. Anthony Mazzella, a psychoanalyst who specializes in working with narcissistic dynamics. We go far beyond surface-level conversations about narcissism. This isn’t about labels, buzzwords, or quick fixes. It’s about what’s actually happening underneath the behavior and what truly helps. We talk about why arguing over “reality” never works, why confrontation often backfires, and how...
info_outlineIn 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
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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.