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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

Kristin Meador | Building a Profitable Private Practice | TPOT 399 show art Kristin Meador | Building a Profitable Private Practice | TPOT 399

The Practice of Therapy Podcast with Gordon Brewer

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...

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Caitlin Rose | New Understandings in Neuroscience For Treating Trauma In Your Practice | TPOT 398 show art Caitlin Rose | New Understandings in Neuroscience For Treating Trauma In Your Practice | TPOT 398

The Practice of Therapy Podcast with Gordon Brewer

Have you ever tried to calm yourself down during a panic attack - only to find that the very tools you’ve been taught suddenly don’t work? That was the turning point for Caitlin Rose, a performance neuroscience coach and founder of Build Resilience. Her own struggle with trauma and anxiety led her to uncover a hidden truth: it’s not just about regulation, it’s about capacity. In this episode of The Practice of Therapy Podcast, Caitlin shares how understanding the difference between nervous system regulation and capacity can transform the way therapists support clients - and the way we...

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Aaron Price | Getting The Most From Your Psychology Today Profile | TPOT 397 show art Aaron Price | Getting The Most From Your Psychology Today Profile | TPOT 397

The Practice of Therapy Podcast with Gordon Brewer

What if the key to filling your private practice isn’t more credentials, certifications, or complicated marketing strategies— but a few simple tweaks to your Psychology Today profile? In this episode of the Practice of Therapy Podcast, Gordon sits down with Aaron Price, founder of , to uncover the hidden power of Psychology Today. With nearly 60% of therapy seekers finding their clinician through this platform, your profile could be the single biggest factor in whether your phone rings—or stays silent. Aaron shares exactly what makes a profile stand out, the common mistakes most...

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Dr. Stephanie Thrower | Why Every Private Practice Needs an AI Strategy (Yes, Even Yours) | TPOT 396 show art Dr. Stephanie Thrower | Why Every Private Practice Needs an AI Strategy (Yes, Even Yours) | TPOT 396

The Practice of Therapy Podcast with Gordon Brewer

Have you been wondering how AI fits into the world of therapy and private practice?  In this episode, I sit down with Dr. Stephanie Thrower—a psychologist, career coach, and AI educator—who’s using tech to help therapists expand their impact, streamline their work, and step into new possibilities beyond one-on-one sessions. We’re talking practical tools, smart marketing strategies, and how to use AI without losing your voice (or your sanity). Whether you’re just getting curious or already experimenting with AI, you’re going to walk away inspired and equipped. In this episode,...

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Linzy Bonham | Private Practice Shame Around Money | TPOT 395 show art Linzy Bonham | Private Practice Shame Around Money | TPOT 395

The Practice of Therapy Podcast with Gordon Brewer

Most of us didn’t get into therapy because we dreamed of being business owners. We wanted to help people. We wanted to do meaningful work. But somewhere along the way, we realized that to have the freedom and flexibility we crave, we’d need to go into private practice —and that meant running a business. Which meant dealing with money. Enter: panic. Linzy Bonham, a former trauma therapist turned financial coach and educator, knows this all too well. When she started her own practice, she quickly noticed that no one was talking about how to manage the financial side of things. There was no...

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Rachel Bentley | Why Your Inner Critic Might Be Running Your Private Practice | TPOT 394 show art Rachel Bentley | Why Your Inner Critic Might Be Running Your Private Practice | TPOT 394

The Practice of Therapy Podcast with Gordon Brewer

When it comes to leading a private practice, most people focus on strategy, logistics, and profitability. But what if the secret to becoming a better therapist, leader, and human being isn’t outside of you, but inside? In this episode, Gordon Brewer sat down with Rachel Bentley of Next Level Private Practice to explore how Internal Family Systems (IFS)—or "parts work"—has completely transformed the way she leads, supervises, and shows up in the therapy room. Spoiler: it’s not just about helping your clients—it starts with understanding yourself. Resources Mentioned In This...

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Dr. Tiana Kelly | Compliance Anxiety: Systems That Strengthen Your Private Practice | TPOT 393 show art Dr. Tiana Kelly | Compliance Anxiety: Systems That Strengthen Your Private Practice | TPOT 393

The Practice of Therapy Podcast with Gordon Brewer

Think compliance is just about HIPAA? Think again. In this episode, Gordon sits down with Dr. Tiana Kelly—licensed professional counselor, compliance expert, and co-founder of Private Practice by Design—to unpack what compliance really looks like in a modern private practice. From late notes and misgendering mistakes to the growing use of AI and how to document for maintenance clients, Tiana breaks it all down in a refreshingly honest and approachable way. Whether you're a new therapist still figuring out documentation or a seasoned practice owner ready to level up your systems, this...

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Tara Vossenkemper | The Culture Code for Group Practice | TPOT 392 show art Tara Vossenkemper | The Culture Code for Group Practice | TPOT 392

The Practice of Therapy Podcast with Gordon Brewer

Ready to Build a Private Practice People Actually Want to Work In? If you've ever wondered what it really takes to build a group practice with heart, soul, and systems that don’t make your team want to scream into a pillow, this episode is for you. Gordon sits down with the brilliant (and refreshingly honest) Tara Vossenkemper, founder, leadership nerd, and culture whisperer, to talk about the magic behind creating a practice culture where therapists actually feel seen, supported, and inspired. They’re diving into everything from core values that aren’t just fluff, to EOS (aka the...

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Marissa Wells | Private Practice Meets Caregiving | TPOT 391 show art Marissa Wells | Private Practice Meets Caregiving | TPOT 391

The Practice of Therapy Podcast with Gordon Brewer

Ever feel like you're stuck between a full caseload and a full calendar of doctor’s appointments - for your parents?  You're not alone.  In this episode of The Practice of Therapy Podcast, Marissa Wells joins Gordon to talk about what it really looks like to juggle private practice while caring for aging family members. She’s not here to preach “perfect balance”—because let’s face it, that doesn’t exist. Instead, Marissa shares her wisdom on finding harmony, navigating proactive grief, setting real boundaries, and reconnecting with joy in the midst of it all. Whether...

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Andrea Rotondo | Private Practice Finances Don’t Have to Suck | TPOT 390 show art Andrea Rotondo | Private Practice Finances Don’t Have to Suck | TPOT 390

The Practice of Therapy Podcast with Gordon Brewer

Ever feel like you're crushing it in session but completely lost when it comes to your practice’s finances? You’re not alone—and you're definitely not broken. In this episode of The Practice of Therapy, Andrea Rotondo is here to pull back the curtain on the real reason so many therapists avoid their numbers (spoiler: it’s not laziness), and how to stop letting fear and overwhelm run the show. If QuickBooks makes you want to cry, if you’ve ever Googled “what is a P&L?” at midnight, or if you just want to feel a little more confident talking to your accountant, this...

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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.