How Great Clinicians Fail; Reverse Interview with Julie Herres | TPOT 152
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 11/02/2020
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...
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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...
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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...
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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...
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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,...
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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....
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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...
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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...
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The Exit Plan Every Therapist Should Have (But Most Don’t) | Carla Titus | TPOT 410
The Practice of Therapy Podcast with Gordon Brewer
Welcome back to the Practice of Therapy Podcast! I’m Gordon Brewer, and I am so glad you’re here today because we’re diving into a topic that every private practice owner needs to be thinking about—whether you’re brand new or decades into the work. I’m thrilled to welcome back my friend and financial powerhouse, Carla Titus. Every time Carla joins us, she brings clarity, strategy, and a whole lot of honesty about what it really takes to run a profitable, sustainable practice. And today, we’re talking about something most of us don’t think about until we’re exhausted, burned...
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How Traditional Therapy Misses the Mark for Men | Marc Azoulay | TPOT 409
The Practice of Therapy Podcast with Gordon Brewer
Today’s episode is one I’ve been looking forward to for a long time. We’re diving into a topic that doesn’t get talked about nearly enough in our field—men’s mental health—and why so many traditional therapy approaches miss the mark when it comes to helping men heal. My guest is Marc Azoulay, LPC, LAC, CGP, ACS—the founder of Men’s Therapy Online and host of The Men’s Therapy Podcast. Marc brings a powerful blend of psychoanalysis, neuroscience, and Buddhism to his work, and he’s built an incredible community that helps men get real, get connected, and get results. In...
info_outlineIn this episode, Julie Herres interviews Gordon about how great clinicians can fail. First, clinicians can fail when they don’t know their numbers. It’s critical to understand the profit and loss of your business. Another significant mistake clinicians make is not charging enough for their sessions. A therapist must understand how their money mindset is holding them back from making enough money to run a private practice. Plus, we talk about the importance of having six months of income saved for emergencies, how to avoid debt, and why you need to stop bootstrapping.
Meet Julie Herres
Julie Herres is the owner of GreenOak Accounting. The firm provides bookkeeping, accounting, CFO, and tax services to mental health private practice owners throughout the United States. When Julie founded GreenOak Accounting she started working with a few therapists. Over time, more and more therapist referrals came in and she started noticing trends across the practices that were thriving. Based on those trends she developed success ratios as a way to quickly determine the health of a practice.
Know Your Numbers & Charge Enough To Understand Profit And Loss
Understand how the money is coming in. How are your patients paying you? Then, what do you do with the money after that? How are you paying yourself and your expenses? Most people don’t have a clear picture of what those numbers are. A big mistake people make is paying their clinicians too much when you start a group practice. Gordon made this mistake! He was paying his clinicians way too high, and he wasn’t covering overhead. It’s possible to pay clinicians a fair and competitive wage without having to overdo it. If Gordon knew his numbers better at the start, he wouldn’t have made this error.
Money Mindset: Therapists Should Not Feel Ashamed or Guilty About Making Money
Many clinicians grow up with money shame. We think that money is evil or making money is bad. As therapists, we have a caring heart. Sometimes we feel like when we charge people money, then we are doing something wrong. Therapists will think that if someone is paying you for something, you are putting a burden on them. It’s a myth! Most people that go to therapy expect to pay. It’s one of the mistakes that a lot of people make. Then, therapists won’t charge enough for their services.
Reserves: Prepare & Plan By Having 2-6 Months of Income Saved For Expenses
Set aside a reserve so you can pay for expenses or substantial tax bills. The minimum is at least two months. This money shouldn’t be touched unless you get into an emergency. However, six months of a money reserve is more ideal. This reserve should be created for both personal expenses and business expenses. When COVID hit, the people with reserves were better off than those who did not have a reserve. When thinking about switching to private practice, make sure to have your reserve first! Gordon spent a year accumulating his reserve before he made the dive into private practice.
Startup Expenses: Avoid Debt And Make The Practice Pay For Itself From The Beginning
There’s a way to avoid debt when going into private practice. For mental health, there isn’t as much equipment that needs to be purchased. It can be relatively inexpensive to start your practice – you only need a few basic things, and then you are ready to go. Make your practice pay for itself instead of getting a loan to get started.
Bootstrapping: Spend Money To Make Money Because Doing It All Is Not A Good ROI
Doing it all is not a good return on your investment. Sometimes you have to spend money to make money. People will hold off on spending money because they are trying to save. However, you are hurting yourself in the long run. For instance, you can hire a virtual assistant to help answer phone calls. If you can hire someone to answer the phone, then you can spend more time seeing clients. The less you are seeing clients, the less money you are going to make. Answering phone calls will not bring you income. Your time is better spent in the room with clients. Even if you pay someone $30 an hour, you can make $150 in a session.
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!
Julie's Resources
Call GreenOak Accounting: (571) 208-2065
Listen to Therapy For Your Money Podcast
Julie’s LinkedIn
Money Matters In Private Practice - Premium Content
(Coupon Code: Julie2020 for 20% off)
Mistakes To Avoid For A Stress-Free Tax Season
Learn more about GreenOak Accounting
Resources
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Profit First by Mike Michalowicz
Company of One by Paul Jarvis
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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.