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Alison Pidgeon | Being A Group Practice Boss | TPOT 147

The Practice of Therapy Podcast with Gordon Brewer

Release Date: 09/28/2020

Gary Katz | Build a Group Practice on Connection, Not Chaos | TPOT 388 show art Gary Katz | Build a Group Practice on Connection, Not Chaos | TPOT 388

The Practice of Therapy Podcast with Gordon Brewer

🎧 Ready to Grow Your Practice Without Losing Your Soul? This Episode’s for You. In this episode, Gordon sits down with Gary Katz—psychotherapist, group practice owner, and intimacy expert—who’s scaling his business across state lines without sacrificing connection, clinical quality, or his sanity. Gary opens up about what it really takes to grow a group practice that feels good, not just on paper, but in your body, your calendar, and your team culture. From building tight-knit pods of therapists to letting go of perfection and people-pleasing, this conversation is packed with honest...

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Edy Nathan | Supporting Clients Through Complex Grief in Private Practice | TPOT 387 show art Edy Nathan | Supporting Clients Through Complex Grief in Private Practice | TPOT 387

The Practice of Therapy Podcast with Gordon Brewer

Let’s talk about grief. (I know—what a fun little opener, right?) But hang in there, because Edy Nathan doesn’t talk about grief the way most people do. There’s no clinical detachment or textbook jargon here. Edy speaks from the kind of deep, personal knowing that only comes from living it. She lost her partner at 27—a heartbreak that didn’t just shatter her world, but reshaped it completely. Instead of stuffing it down or soldiering through, Edy got curious. She studied grief, sat with it, wrote about it, and eventually made it her life’s work. Today, she helps others see grief...

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Kerry Thomas | Mood, Food, and Medicine in Private Practice | TPOT 386 show art Kerry Thomas | Mood, Food, and Medicine in Private Practice | TPOT 386

The Practice of Therapy Podcast with Gordon Brewer

What if your private practice could be a place where people stop trying to fix themselves—and start actually feeling what’s going on inside?  In this powerful episode, Kerry Thomas pulls back the curtain on her 25-year journey in mental health, sharing how a personal wake-up call challenged everything she thought she knew about therapy, medication, and what it really means to heal. We talk about the connection between nutrition and mood, why numbing emotions isn’t the answer, and how private practice therapists can stop pathologizing normal human experiences.  This one’s...

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Julie Herres | Private Practice Tax Changes Ahead | TPOT 385 show art Julie Herres | Private Practice Tax Changes Ahead | TPOT 385

The Practice of Therapy Podcast with Gordon Brewer

Let’s be honest: when someone says “Let’s talk tax law,” most of us want to fake a Wi-Fi outage and run for cover. But when Julie Herres joins The Practice of Therapy Podcast, you actually want to lean in. Somehow, she manages to make the ever-shifting sands of tax policy sound (dare we say it?) friendly — like a conversation over coffee with a really smart friend who also color-codes her spreadsheets. So, what’s happening with taxes in 2025? Buckle up, practice owners, because there’s a whole lot of “maybe” in the air. But Julie’s here to help us wade through the...

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Dori Lewis | Should you Consider Integrating Psychedelics into Trauma Work in Private Practice? | TPOT 384 show art Dori Lewis | Should you Consider Integrating Psychedelics into Trauma Work in Private Practice? | TPOT 384

The Practice of Therapy Podcast with Gordon Brewer

What if the path to healing trauma isn’t just through talk therapy, but through carefully guided psychedelic experiences? In this episode of The Practice of Therapy Podcast, I sit down with Dori, an experienced therapist and psychedelic facilitator, who shares her deeply informed perspective on the nuanced, responsible, and transformational use of medicines like ketamine, MDMA, and psilocybin mushrooms. Dori doesn’t just follow trends—she’s been on the frontlines, participating in research, working underground before legalization, and now helping clients access inner healing...

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Tamar Blue | Creating a Safer Space for Peer Support and Digital Therapy | TPOT 383 show art Tamar Blue | Creating a Safer Space for Peer Support and Digital Therapy | TPOT 383

The Practice of Therapy Podcast with Gordon Brewer

Are you ready to discover a powerful new way to support your clients—and yourself? In this episode of The Practice of Therapy Podcast, Gordon sits down with Tamar Blue, founder of , a revolutionary platform that empowers therapists, coaches, and mental health advocates to create secure, community-driven support groups online. Whether you're a provider looking to scale your services or someone seeking a safe space to heal and connect, this conversation is packed with insight, innovation, and heart. Don’t miss this inspiring story of how one woman turned a passion for peer support into a...

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Steve Bisson | Let the Work Find You: Niching with First Responders Through Podcasting | TPOT 382 show art Steve Bisson | Let the Work Find You: Niching with First Responders Through Podcasting | TPOT 382

The Practice of Therapy Podcast with Gordon Brewer

What Happens When the Work Finds You? Steve Bisson didn’t plan to become a go-to therapist for first responders—but sometimes, purpose arrives without a roadmap. In this episode, Steve shares how a chance encounter on a crisis team back in 1999 set off a chain of events that led to a passionate, purpose-filled career. From riding along in police cruisers to launching a podcast that speaks directly to the hearts of firefighters, paramedics, and law enforcement officers, Steve’s story is a powerful reminder that when you say yes to the work that moves you, incredible things happen. Whether...

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Jeremy Zug | Private Pay, Insurance, or Hybrid? Decide For Your Private Practice | TPOT 381 show art Jeremy Zug | Private Pay, Insurance, or Hybrid? Decide For Your Private Practice | TPOT 381

The Practice of Therapy Podcast with Gordon Brewer

What if the two most important questions in your practice— 'Is this financially viable?' and 'Am I doing the work I love?' — didn’t have to compete? In this eye-opening episode, Jeremy dives deep into the strategic crossroads every private practice owner faces, especially when considering whether to take insurance, stay private pay, or explore a hybrid model. He breaks down the real numbers, state-by-state reimbursement differences, and the often-overlooked red flags in insurance relationships—like sneaky non-quantitative treatment limitations and the true cost of claim denials....

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James Marland | Stop Trading Hours for Income: Scalable Growth in Private Practice | TPOT 380 show art James Marland | Stop Trading Hours for Income: Scalable Growth in Private Practice | TPOT 380

The Practice of Therapy Podcast with Gordon Brewer

Are you tired of the “time for dollars” trap—where every vacation, sick day, or even slow week hits your bottom line? In this episode, James Marland gets real about the burnout that comes from trading hours for income and why the solution isn’t just slapping together an online course. He dives into what it really takes to build something scalable and sustainable—without losing yourself or your sanity in the process. Whether you’ve toyed with the idea of creating a course or you’re just craving more freedom in your practice, this conversation is a must-listen. It's honest,...

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Dr. ​​Robyn Miller | Preparing For The Worst: Professional Wills in Private Practice | TPOT 379 show art Dr. ​​Robyn Miller | Preparing For The Worst: Professional Wills in Private Practice | TPOT 379

The Practice of Therapy Podcast with Gordon Brewer

What happens to our clients when we’re suddenly not there to care for them? In this powerful and eye-opening episode, Dr. Robyn Miller dives into the difficult but essential topic most therapists avoid: what happens when a therapist dies or becomes incapacitated. With compassion, clarity, and deep professional insight, Dr. Miller reveals the ethical, legal, and emotional chaos that can follow when we don’t have a solid closure plan in place—and how TheraClosure offers a dignified, comprehensive solution. If you’re a mental health professional who’s ever told yourself, “I’ll...

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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.

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!

Alison's Resources

Email Alison: [email protected]

Move Forward Counseling

Consulting with Alison

Alison Pidgeon | Buying An Office And Growing A Private Practice

Group Practice Boss

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.