Libsyn Directory

Alison Pidgeon | Being A Group Practice Boss | TPOT 147

The Practice of Therapy Podcast with Gordon Brewer

Release Date: 09/28/2020

Beyond the Diagnosis: The Stories That Shape Our Clients | Dr. Travis Heath | TPOT 454

The Practice of Therapy Podcast with Gordon Brewer

What do we miss when a diagnosis becomes the whole story? Dr. Travis Heath joins Gordon Brewer to explore how narrative therapy helps us understand the stories clients tell about themselves—and the stories their families, communities, and culture tell about them. Together, they discuss how labels can both offer clarity and limit understanding, why slowing down matters in therapy, and how curiosity can open up new possibilities. Travis also shares ways therapists can reflect on their sessions, question familiar assumptions, and move beyond simply listing a client’s strengths to hearing the...

What Growing a Group Practice Really Takes | Whitney Owens | TPOT 453

The Practice of Therapy Podcast with Gordon Brewer

Growing a private practice takes more than adding clients and hiring therapists. It also means learning to delegate, trust your team, and let go of doing everything yourself. In this episode, Gordon Brewer welcomes back Whitney Owens, founder of Water’s Edge Counseling and Wise Practice Consulting. Whitney shares her journey from solo therapist to group practice owner, including the challenges of building a leadership team, navigating staff turnover, and creating systems that support growth. Gordon and Whitney explore how confidence develops through experience, why clear values matter in...

How Therapists Can Practice What We Preach About Mindfulness | Debi Trent Brown | TPOT 452

The Practice of Therapy Podcast with Gordon Brewer

Therapists spend a lot of time encouraging clients to slow down, practice mindfulness, and become more aware of what they need—but practicing those same things in our own lives can be much harder. In this episode, Gordon talks with Debi Trent Brown about mindfulness beyond meditation, the importance of creating small moments of joy, and what it means to live more authentically. They explore how the “rules” we pick up from family, culture, and society can quietly shape our choices, why pausing before we respond can help us better understand ourselves, and how consistency—not...

How to Make More Impact Without Adding More Clients | James Marland | TPOT 451

The Practice of Therapy Podcast with Gordon Brewer

What happens when being “successful” in private practice starts to look a lot like burnout? In this episode, Gordon talks with James Marland about the three traps that can keep therapists stuck in one-on-one work: the clock trap, calendar trap, and couch trap. They unpack why being fully booked isn’t always the same as being free, and how tying your income, time, and impact entirely to client hours can eventually become exhausting. James also shares practical ways therapists can begin thinking beyond traditional one-on-one work through workshops, courses, trainings, and other resources...

Supporting Postpartum Moms Through Private Practice | Hannah Short | TPOT 450

The Practice of Therapy Podcast with Gordon Brewer

One of the things I’ve learned over the years is that the work we feel most drawn to often has some connection to our own experiences. That doesn’t mean our story becomes the center of the therapy room, but it can absolutely shape the populations we care about, the problems we notice, and the kind of practice we want to build. In this episode, I talk with Hannah Short about how her own experiences with eating disorder recovery and postpartum helped shape her clinical niche. We also get into thoughtful self-disclosure, creating a practice where clients feel genuinely understood, moving from...

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...

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...

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...

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...

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...

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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