Libsyn Directory

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

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,...

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...

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...

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...

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...

The Unconventional Path: Why Your Practice Doesn’t Need Another Resolution | TPOT 414

The Practice of Therapy Podcast with Gordon Brewer

As we step into a new year, many of us feel it—that quiet but persistent pressure to do more, fix more, and somehow have everything figured out right now. New goals, new systems, bigger numbers—and for practice owners, that pressure can feel especially heavy and often pretty lonely. In today’s episode, I want to invite you to think about January differently—not as a month for pushing harder or becoming more efficient, but as a chance to slow down and get honest about what you can actually hold. Drawing on Barbara Brown Taylor’s Home by Another Way and Oliver Burkeman’s 4,000 Weeks,...

How AI Can Transform Private Practice Marketing | Greg Goodman | TPOT 413

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....

Why Private Practice Owners Feel Overwhelmed (and How to Fix It) | Samantha Parrinello | TPOT 412

The Practice of Therapy Podcast with Gordon Brewer

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...

How Personal Calling Shapes Your Private Practice | Derrick Boger | TPOT 411

The Practice of Therapy Podcast with Gordon Brewer

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...

The Exit Plan Every Therapist Should Have (But Most Don’t) | Carla Titus | TPOT 410

The Practice of Therapy Podcast with Gordon Brewer

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...

More Episodes

In 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.

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