How Great Clinicians Fail; Reverse Interview with Julie Herres | TPOT 152
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 11/02/2020
How Therapists Can Use Social Media Without Feeling Fake | Jazzmyn Proctor | TPOT 424
The Practice of Therapy Podcast with Gordon Brewer
Marketing can feel uncomfortable for a lot of therapists. Most of us were trained to be neutral, private, and to keep the focus on the client. So when someone tells you that you need to show up on social media or talk about your work publicly, it can feel a little strange. But visibility matters more than ever when it comes to building a private practice. In this episode, I’m joined by Jazzmyn Proctor, a therapist, podcaster, and marketing mentor who helps clinicians show up online in ways that feel authentic and sustainable. Jazzmyn shares how she started building her presence while still...
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Scaling a Private Practice with Intensives, Classes, and Conferences | Dr. Wyatt Fisher | TPOT 423
The Practice of Therapy Podcast with Gordon Brewer
Couples therapy can be some of the most rewarding work we do as therapists, but it can also be one of the most challenging. Many couples don’t reach out for help until things feel like they’re falling apart. By the time they sit down in your office, there are often years of resentment, hurt, and miscommunication built up beneath the surface. In this episode, I’m joined by Dr. Wyatt Fisher, a psychologist and couples therapist who has spent years refining his approach to helping couples work through those deeper issues. Wyatt shares how his own personal and professional experiences shaped...
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Doing Couples Therapy as a Husband-and-Wife Team | Kiana & Andrew Joyner | TPOT 422
The Practice of Therapy Podcast with Gordon Brewer
If you’ve ever thought about offering couples therapy in your private practice but felt intimidated by the complexity of it, you’re going to love this conversation. In this episode, I’m joined by Kiana and Andrew Joyner, a married duo who run their practice together and specialize in couples work. Kiana is a licensed therapist, and Andrew is a certified professional coach, and together they bring a really unique dynamic into the therapy room. We talk about what it actually looks like to do couples counseling as a husband and wife team, how they divide roles between therapy and coaching,...
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Diversifying Your Income Without Burning Out | Jenny Melrose | TPOT 421
The Practice of Therapy Podcast with Gordon Brewer
If you’ve ever thought, “There has to be a way to make money in my private practice besides just seeing more clients,” this episode is for you. In this conversation, I’m joined by Jenny Melrose, host of the Practice to Profit podcast, and we dive into what it really looks like to diversify your income as a therapist. We talk about moving from one-to-one work into one-to-many offers, creating resources based on the same questions your clients ask over and over, and building income streams that do not require you to be in the therapy room 40 hours a week. Jenny shares practical ideas...
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Private Practice Profit Margins: What’s Healthy (and What’s a Red Flag) | Gretchen Roberts | TPOT 420
The Practice of Therapy Podcast with Gordon Brewer
Running a private practice usually means you did not set out to become a numbers person. You are trained to help people, not to read profit and loss statements or stress about tax projections. But the reality is this. If you own a practice, you are running a business. In this episode, I sit down with of to talk about the financial side of private practice in a way that feels practical and doable. We unpack how to use your financial reports as a management tool, what healthy profit margins actually look like, and the payroll mistakes that can quietly drain your profit. We also talk about cash...
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Treating Neuroplastic Pain in Therapy and Private Practice | Dr. Melissa Tiessen | TPOT 419
The Practice of Therapy Podcast with Gordon Brewer
What if chronic pain isn’t a sign that your body is broken—but that your nervous system is trying to protect you? In this episode, Dr. Melissa Tiessen, a clinical psychologist and neuroplastic pain specialist, joins the show to unpack a paradigm-shifting way of understanding chronic pain and persistent physical symptoms. Drawing on neuroscience, trauma-informed therapy, and real-world clinical experience, Melissa explains how pain can exist without tissue damage—and why that realization can actually be good news. You’ll learn how neuroplastic pain develops, why symptoms can move,...
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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...
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.