Ashley Comegys | Moms Building Online Therapy Practices | TPOT 143
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 08/31/2020
Integrating Sexuality and Somatic Work in Private Practice | Darshana Avila | TPOT 408
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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Boundaries, Growth, and Private Practice Success | Dr. Jason Branch | TPOT 407
The Practice of Therapy Podcast with Gordon Brewer
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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The Keys to Private Practice Success | Wendy Pitts Reeves | TPOT 406
The Practice of Therapy Podcast with Gordon Brewer
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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Low-Dose Ketamine Treatment Options in Private Practice | Sharon Niv, Ph.D. | TPOT 405
The Practice of Therapy Podcast with Gordon Brewer
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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Making Profit First Work For You in Private Practice | Julie Herres | TPOT 404
The Practice of Therapy Podcast with Gordon Brewer
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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Structuring Coaching Alongside Your Private Practice | Carly Hill | TPOT 403
The Practice of Therapy Podcast with Gordon Brewer
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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Boosting Private Practice Profit Without Adding More Clients | Brie Chrisman | TPOT 402
The Practice of Therapy Podcast with Gordon Brewer
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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Streamlining Your Private Practice with AI | Uriah Guilford | TPOT 401
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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Celebrating 400 Episodes: Private Practice Insights You Can’t Miss | TPOT 400
The Practice of Therapy Podcast with Gordon Brewer
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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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...
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
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.