Libsyn Directory

Alison Pidgeon | Being A Group Practice Boss | TPOT 147

The Practice of Therapy Podcast with Gordon Brewer

Release Date: 09/28/2020

Private Practice Profit Margins: What’s Healthy (and What’s a Red Flag) | Gretchen Roberts | TPOT 420

The Practice of Therapy Podcast with Gordon Brewer

Running a private practice usually means you did not set out to become a numbers person. You are trained to help people, not to read profit and loss statements or stress about tax projections. But the reality is this. If you own a practice, you are running a business. In this episode, I sit down with of to talk about the financial side of private practice in a way that feels practical and doable. We unpack how to use your financial reports as a management tool, what healthy profit margins actually look like, and the payroll mistakes that can quietly drain your profit. We also talk about cash...

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...

More Episodes

In this episode, Alison explains what it is like to run a group practice, like a boss! Alison is into tracking data; she likes to make her decisions based on numbers. You’ll hear loads of tips about having a group practice. For instance, don’t wait to delegate for when you’re stressed out and on the verge of burn out – it’s probably time to delegate today! Stay tuned as Alison explains how she finds the best clinicians for her practice, the ways that she compensates her staff, and why she utilizes an employee model rather than an independent contractor model.

Meet Alison Pidgeon

Alison Pidgeon, MA, LPC is the Founder and CEO of Move Forward Counseling LLC. What started out as a solo private practice in early 2015 quickly grew into a group practice and has been expanding ever since.

Alison has been working in the mental health field since 2003. She graduated from Immaculata University with a master's degree in counseling psychology in 2007. She earned her license as a professional counselor (LPC) in 2009. Her time spent working in community mental health helped to shape her as a leader and made her aware of the problems which exist in the mental health system.

Taking what she learned from the traditional model of mental health care, Alison set out to create something different when she started her private practice. Her attention to detail to the whole client experience and treating her staff exceptionally well have created a reputation of excellence that is recognized by the community.

Learn How To Delegate

Practice owners get caught in the trap of bootstrapping everything like answering the phone and cleaning the office. Why? Because they want to save money. However, you are putting a hard cap on how large you can grow your business. There’s a way to make sure you’re hiring trustworthy people who will do good work and be reliable. It’s possible to delegate sooner than you need to. People wait too long to start delegating. Don’t wait until your drowning at work.

Find Good Clinicians

When starting a group practice, it’s essential to find the best clinicians. However, whenever clinicians wanted to join Alison, they said they couldn’t because they needed health insurance. That’s why Alison decided to switch from an independent contracting model to an employee model. That way, Alison can offer her employees the opportunity to have health insurance. This has been a total game-changer for Alison. Her turnover rate is a lot lower. Plus, she gets so many more applications with the employee model.

Moving Toward Group Practice

Look at your systems. This will have to change when you hire people. Most likely, your systems will only work for a private practice rather than group practice. For instance, you may need multiple phone extensions. Plus, you’ll need to change up your website. Change your wording from “I” to “we.” Also, think about whether or not you want to be a boss. Managing people is a significant aspect of group practice. If that sounds terrible, then group practice may not be right for you. Think long and hard about what you love to do.

Determining Fit

It would help if you were clear about your mission, vision, and values. Your values will speak a lot about the culture of your practice. You can even print these things out and have your potential clinicians look it over. The clearer you are about what you want will help you attract the right people and repel the wrong people. Having a problem employee is a nightmare and not worth the stress. That’s why Alison is picky about who she hires. Alison wants her clinicians to be organized, timely, and self-sufficient. If a clinician isn’t organized enough to manage themselves, it will not be a good fit. Also, Alison values boundaries – you can’t teach good judgment. So Alison wants to know if her potential clinicians have good boundaries with their clients.

Recruiting

Alison uses Indeed.com, plus she has an employment page on her website. She gets quite a few resumes through that as well. Therapists talk to each other. So one therapist will tell their friends. That’s why Alison likes to have an employment page on her website so that people can reach out to her directly.

Compensation

Alison says that compensation will depend on the laws in your state. In Pennsylvania, there’s not a lot of options. Alison pays her therapists more to see a client and less for administrative work. She doesn’t go the salaried route because your therapists will get paid the same amount no matter how many clients they have. At a minimum, they have to do twenty-five hours a week. If they want more, then they can earn a bonus. However, they don’t need to work forty hours a week if they don’t want to.

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