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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

Branding Your Private Practice: How to Stand Out and Get Found | Ritu Riedweg | TPOT 449 show art Branding Your Private Practice: How to Stand Out and Get Found | Ritu Riedweg | TPOT 449

The Practice of Therapy Podcast with Gordon Brewer

When therapists think about branding, it’s easy to immediately think about logos, fonts, colors, and websites. But your brand is so much more than what your practice looks like online. It is also the feeling people get when they encounter you, the story they associate with you, and ultimately, whether they feel like they can trust you. In this episode of The Practice of Therapy Podcast, I had the pleasure of talking with Ritu Riedweg about personal branding, marketing, and what therapists can do to make their practices easier to find and easier to connect with. Ritu brings an interesting...

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Working With High-Risk Teens in Private Practice | Katie K. May | TPOT 448 show art Working With High-Risk Teens in Private Practice | Katie K. May | TPOT 448

The Practice of Therapy Podcast with Gordon Brewer

Working with high-risk teens can feel overwhelming, especially when self-harm, suicidal thoughts, emotional dysregulation, or repeated hospitalizations are part of the picture. So how can therapists provide both compassion and structure without letting fear drive the treatment? In this episode, Gordon talks with Katie K. May about working effectively with high-risk teens and their families. Katie shares why validation matters, how therapists can provide strong clinical leadership, and why caregiver involvement is such an important part of the process. They also discuss proactive safety...

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Why Rapport Matters More Than Ever in Private Practice | Nora Anger | TPOT 447 show art Why Rapport Matters More Than Ever in Private Practice | Nora Anger | TPOT 447

The Practice of Therapy Podcast with Gordon Brewer

Building rapport isn’t just about helping clients feel comfortable. It can play a major role in whether they trust you, open up, and keep coming back. In this episode, I sit down with Nora Anger, LPC, to talk about building stronger therapeutic relationships in private practice. We discuss what clients really want from their therapists, common reasons they leave therapy, thoughtful self-disclosure, creating safety and trust, and how to balance compassion with challenging clients when they need it. Resources Mentioned In This Episode  Meet Nora Anger Nora Anger, MS, LPC, is a...

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Is Your Private Practice Too Dependent on You? | TaVona Denise | TPOT 446 show art Is Your Private Practice Too Dependent on You? | TaVona Denise | TPOT 446

The Practice of Therapy Podcast with Gordon Brewer

What happens to your private practice when you step away? In this episode, Gordon talks with TaVona Denise about what her Private Practice Vitality Report revealed about owner dependency, burnout, delegation, and the systems that keep a practice running. They explore why hiring more staff doesn’t always create more freedom, how to tell if your practice still depends too heavily on you, and the simple 30-day question that can uncover exactly where your systems need work. If you want to build a practice that can grow without requiring you to be involved in every decision, this conversation is...

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The Systems Your Private Practice Needs to Run Smoothly | Lisa Permar | TPOT 445 show art The Systems Your Private Practice Needs to Run Smoothly | Lisa Permar | TPOT 445

The Practice of Therapy Podcast with Gordon Brewer

A private practice can look successful on the outside and still feel exhausting behind the scenes. Clients are showing up, revenue is coming in, and everything appears to be working, but the owner may still be answering every question, fixing every exception, following up on loose ends, and carrying far too much of the practice in their own head. In this episode, Gordon talks with Lisa Permar about the small, repeated friction points that quietly drain a practice owner’s time, attention, and energy. They explore how everyday tasks around intake, scheduling, billing, documentation, and team...

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Private Practice Money Mistakes That Could Be Costing You | Margo Masri | TPOT 444 show art Private Practice Money Mistakes That Could Be Costing You | Margo Masri | TPOT 444

The Practice of Therapy Podcast with Gordon Brewer

Your private practice may look profitable on paper, but does the money actually feel available? In this episode, Gordon talks with Margo Masri, founder of Heartfelt CFO and Tax Services, about the financial decisions that can quietly create cash flow problems for private practice owners. They explore the risks of over-hiring, ignoring taxes, taking on office space too soon, and trying to grow without fully understanding the costs involved. Margo also shares why practice owners need to know what they personally need to live on, build financial systems that can grow with the business, and...

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The Neurodivergent Therapist’s Guide to Private Practice | Martin Altman | TPOT 443 show art The Neurodivergent Therapist’s Guide to Private Practice | Martin Altman | TPOT 443

The Practice of Therapy Podcast with Gordon Brewer

Have you ever wondered how much easier private practice could feel if you stopped fighting the way your brain works? In this episode, I’m talking with Martin Altman, LPC, about his experience as a therapist with ADHD and how understanding his own neurodivergence helped him find a niche that genuinely fit. We get into the strengths and challenges that can come with ADHD, how Martin stays present with clients, and why building the right systems can make private practice feel a whole lot more sustainable. Martin also shares a really helpful perspective on emotional hijacking and why distraction...

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The Emotional Weight of Private Practice | Lindsay Benson | TPOT 442 show art The Emotional Weight of Private Practice | Lindsay Benson | TPOT 442

The Practice of Therapy Podcast with Gordon Brewer

Therapists are great at taking care of everyone else, but we are not always so good at noticing what the work is doing to us. In this episode, I’m talking with Lindsay Benson about the hidden toll private practice can take on our nervous systems. We get into therapist burnout, the stress that builds up from sitting with difficult stories all day, and the small practices that can help us reset between sessions. Lindsay also shares her experience moving from insurance to private pay, offering therapy intensives, and building a practice that feels more sustainable. This is a great conversation...

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The Mindset Shifts That Make Private Practice Feel More Sustainable | Tyana Tavakol | TPOT 441 show art The Mindset Shifts That Make Private Practice Feel More Sustainable | Tyana Tavakol | TPOT 441

The Practice of Therapy Podcast with Gordon Brewer

What if the biggest thing holding your private practice back isn't your marketing strategy but your mindset? In this episode, I'm joined by Tyana Tavakol to talk about the beliefs that shape the way we build our practices. We explore scarcity versus abundance, the value of finding your niche, and why trying to appeal to everyone often keeps you from connecting with the clients who need you most. We also dive into building an online practice, creating meaningful professional relationships, and learning to trust your own expertise instead of comparing yourself to everyone else. If you've ever...

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Private Practice Stress: What’s Filling Your Bucket? | Kristin Oja | TPOT 440 show art Private Practice Stress: What’s Filling Your Bucket? | Kristin Oja | TPOT 440

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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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: alison@practiceofthepractice.com

Move Forward Counseling

Consulting with Alison

Alison Pidgeon | Buying An Office And Growing A Private Practice

Group Practice Boss

Resources

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Cool 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.