Ashley Comegys | Moms Building Online Therapy Practices | TPOT 143
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 08/31/2020
The Practice of Therapy Podcast with Gordon Brewer
I am so excited for today’s episode because we’re diving into one of the most transformative tools in private practice right now: AI. And joining me is someone who has been living at the intersection of mental health, creativity, and digital marketing for nearly two decades—Greg Goodman of Goodman Creatives. Greg isn’t a therapist, but his story is rooted deeply in the world of mental health. Inspired by his father’s work as a clinician, he built a career helping therapists share their voice, grow their practices, and create meaningful impact through smart, authentic marketing....
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If you’ve ever ended a workday wondering, “Where did all my time go?”—this episode is going to change the way you run your business. In today’s conversation, I sit down with executive coach Samantha Perinello, a powerhouse in helping business owners reclaim their time, streamline their operations, and finally build the kind of practice that doesn’t rely on them for every little task. Samantha has a remarkable track record—her clients regularly get back 10 to 14 hours every single week—and she’s here to break down exactly how that happens. We dive into the real reasons so many...
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In today’s episode of The Practice of Therapy Podcast, I’m excited to introduce you to someone who made a big impact on me at the Wise Practice Conference—Derrick Boger. Derrick is a licensed clinical mental health counselor, military veteran, former firefighter, and the founder of Transformation Christian Counseling in Greensboro, North Carolina. His journey into the therapy world is rooted in a lifelong commitment to serving others, and you’ll hear that passion come through in every part of our conversation. In this episode, Derrick and I dive deep into what it really looks like to...
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Welcome back to the Practice of Therapy Podcast! I’m Gordon Brewer, and I am so glad you’re here today because we’re diving into a topic that every private practice owner needs to be thinking about—whether you’re brand new or decades into the work. I’m thrilled to welcome back my friend and financial powerhouse, Carla Titus. Every time Carla joins us, she brings clarity, strategy, and a whole lot of honesty about what it really takes to run a profitable, sustainable practice. And today, we’re talking about something most of us don’t think about until we’re exhausted, burned...
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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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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...
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.