David Hall | What We've Learned About Group Practice And Avoiding Pitfalls | TPOT 146
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 09/21/2020
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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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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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, David Hall joins to speak about making the transition from private practice to group practice. First, think about if you’ll add employees or independent contractors to your practice. Then, decide how you will pay them; there are many different structures to set this up. However, you need to know the financial side of your practice before you start paying others. Stay tuned as we talk about keeping it simple and the reasons why you may want to think twice before starting a group practice. Lastly, catch our free live webinar on September 25th: Solo To Group Practice.
Meet David Hall
Dr. Stephen “David” Hall heads up content and creative direction as the “Chief Maven” of PsychMaven. He began his work as a psychotherapist in 2005, and he currently holds clinical licenses in Family Therapy and Mental Health Counseling. He has built up multiple counseling practices in his years as a clinician, first in Georgia and then in his home state of Tennessee. In 2015, he led the start-up of an independent psychiatry clinic, Haven Family Psychiatry, in Knoxville, TN. Dr. Hall maintains a psychotherapy caseload and supervises postgraduate therapists in the practice he leads in the clinic, Haven Counseling Center at Haven Family Psychiatry.
Transitioning To Group Practice
At one point, you’ll realize the only way that you can grow is by doing something different. David realized that he could grow if he brought new people to practice. Do you feel like you can’t take on any new clients? Then it could be time to think about starting a group practice. Whether you are thinking about a part-time contractor or bringing on full-time employees, you'll hear about some factors to help you know when the situation and timing are right in our upcoming webinar.
Paying Your Staff
Most people will start with independent contractors when creating their group practice. However, don’t try and be too generous when it comes to paying your contractors. Make sure that you are keeping enough for yourself. You don’t want to be paying your contractors from your profits. Most therapists didn’t get into therapy to make loads of money. Most therapists want to help people. This idea extends to our employees and contractors. You cannot sustain your mission unless there are margins.
Group Practice Can Be Simple
David made things too complicated when starting his group practice. He realized that he could run a simple practice and be more profitable. For David, this was far less stressful. At first, it was super stressful, and he didn’t sleep well at night. When he crossed the bridge of realizing how the practice could be, a huge weight was lifted off his shoulders. Now, David can lead a group of therapists and not live in constant stress. Have a vision of why you want to start a group practice. Don’t try and do too much. Learn how to delegate and outsource well.
Why You Might Think Twice Before Starting A Group Practice
Sometimes there can be pressure for what you “should” do. That’s not true. If you want to start a group practice, then do it. However, don’t start a group practice because you think that’s what you should be doing. Some people LOVE their private practice. It can be simple with little distractions; maybe it’s your sweet spot. If private practice is a paradise for you, you don’t need to start a group practice. It doesn’t matter if you’re introverted or extroverted; group practice can be right or wrong for anyone. Embrace the trueness of who you are.
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!
David’s Resources
Sign up for the webinar: Solo to Group Practice: Adding More Therapists to Grow Your Time & Income
PsychMaven
PsychMaven on Facebook
PsychMaven on Instagram
PsychMaven on LinkedIn
Haven Family Psychiatry
Resources
Use the promo code "GORDON" to get 2 months of Therapy Notes free.
Learn more about GreenOak Accounting
Listen to Therapy For Your Money Podcast
Solo to Group Practice: Adding More Therapists to Grow Your Time & Income
Use my link for 1 Month FREE of Brighter Vision services
Brighter Vision Fall Into Cash Event
Sign up for Killin’It Camp – October 5-7, 2020
G Suite for Therapists | The E-Course
Session Note Helper 3.0
Money Matters in Private Practice | The Course
Join the G-Suite for Therapists Users Group
Cool Resources
Follow @TPOTpodcast on Instagram
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.