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
Are you burning out in private practice without realizing it? In this episode of The Practice of Therapy Podcast, Gordon talks with Kristin Oja, DNP, founder of STAT Wellness, about optimizing stress resilience and preventing burnout. Kristin shares a functional medicine perspective on why burnout is not always caused by work alone. Often, it is the buildup of stressors outside of work, including sleep, caffeine, exercise, relationships, technology, self-talk, and lack of recovery. Kristin explains the idea of the “stress bucket” and how even good things, like exercise, intermittent...
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Is SEO dead, or is it just changing? In this episode, I’m joined again by Natalie Moore, a licensed marriage and family therapist and SEO coach for therapists in private practice. Natalie breaks down the difference between SEO and AIO, or artificial intelligence optimization, and explains why therapists don’t need to panic about AI search replacing traditional SEO. We talk about how private practice owners can make their websites easier to find on Google, ChatGPT, Perplexity, and other AI search tools. Natalie shares why specialty pages, Google Business Profiles, clear niche messaging, and...
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What happens when the therapist is the one who needs support? In this episode, I’m talking about the very real challenges therapists face when life disrupts their ability to work. Private practice can offer freedom and flexibility, but it can also leave clinicians vulnerable when illness, grief, natural disasters, burnout, or unexpected emergencies come up. We’ll look at why therapists need a safety net, how financial stress impacts clinicians, and what it means to prepare your practice for the unexpected. From emergency grants and burnout prevention to referral networks and professional...
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Can you really build a successful private practice right out of grad school? In this episode of The Practice of Therapy Podcast, I talk with Jarrod Hoffman about building a private practice right out of grad school and the lessons he has learned in those early years of practice ownership. Jarrod shares his experience of stepping into private practice, navigating pricing, working through imposter syndrome, and learning how to communicate the value of the work he does. We also talk about why niching matters, how our own stories often shape the clients we feel called to serve, and why private...
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When I started my private practice nearly 20 years ago, there were not nearly as many resources available for therapists as there are today. I learned a lot by trial and error, and looking back, there are definitely some things I would do differently. In this episode, I’m sharing what I wish I had known when I first started private practice. One of the biggest lessons I learned is that I made things more complicated than they needed to be. From keeping paper records to waiting too long to outsource, I can see now how simpler systems would have made a big difference early on. I talk about the...
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Are you charging enough in private practice, or does guilt keep getting in the way? In this episode, Gordon is joined by Bianca Hughes, LPC, therapist, speaker, mentor, and founder of Authentically BU and the Soulful Clinician Collective. Bianca shares how she moved from hospital work into private practice and the mindset shifts that helped her build a career that feels aligned, sustainable, and authentic. Gordon and Bianca talk about money mindset, imposter syndrome, marketing, confidence, and why therapists need to see themselves as both clinicians and business owners. Bianca also shares why...
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In this episode, I’m joined by Dr. Phebe Brako for a really thoughtful conversation about what it means to make therapy more culturally responsive. So many of the clinical theories we learn were developed through a Western lens, and while those theories can be helpful, they don’t always fit every client, every family system, or every cultural background. Dr. Phebe talks about why therapists need to examine their own worldview, stay curious about their clients’ lived experiences, and be willing to adapt the models they use in the therapy room. We talk about culture, family systems, CBT,...
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Private practice has changed a LOT over the last few years… and therapists are still trying to figure out what comes next. In this episode, Gordon talks with Lex E. Santi about the evolution of therapy after telehealth, online platforms, insurance shifts, and changing client expectations. They dive into why more clinicians are entering private practice, why clients still crave in-person connection, and how companies like BetterHelp, Alma, and Headway are reshaping the profession. They also explore the pressure therapists feel to market themselves, build niches, and create an online presence...
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Grief is something every one of us will face at some point, and yet most of us have no idea what to say when someone is hurting. In this episode, I’m joined by Shelby Forsythia, a grief coach, author, and host of the Grief Grower podcast. Shelby shares her own story of profound loss and how it shaped the work she does today, helping people navigate grief in a way that actually honors what they are going through. We talk about why so many common phrases miss the mark, what grieving people are really experiencing beneath the surface, and how grief doesn’t just affect your emotions, it...
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Thinking about starting a private practice in 2026? There’s a lot to consider… and it’s not as simple as it used to be. In this episode of The Practice of Therapy Podcast, I’m joined by Brandy Mabra, who brings nearly two decades of experience across private practice, corporate healthcare, and entrepreneurship. We dig into what’s really happening in the industry right now—from AI and changing business models to profitability and long-term sustainability. If you’re wondering whether now is the right time to start (or grow) a practice, this conversation will help you think more...
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.