Embracing Changes In Your Private Practice | TPOT 155
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 11/23/2020
The Practice of Therapy Podcast with Gordon Brewer
Thinking about starting a private practice in 2026? There’s a lot to consider… and it’s not as simple as it used to be. In this episode of The Practice of Therapy Podcast, I’m joined by Brandy Mabra, who brings nearly two decades of experience across private practice, corporate healthcare, and entrepreneurship. We dig into what’s really happening in the industry right now—from AI and changing business models to profitability and long-term sustainability. If you’re wondering whether now is the right time to start (or grow) a practice, this conversation will help you think more...
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Thinking about starting a private practice… but feeling unsure where to begin? In this episode, Katie Piura shares the mindset shifts every therapist needs to make before launching (or growing) a successful practice. From burnout in agency work to building something aligned and sustainable, Katie breaks down the real challenges therapists face and why being a great clinician isn’t always enough. We also get into the business side of private practice that grad school never taught you, including money mindset, marketing, and why asking for help might be the most important step you take. If...
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What if the thing keeping your clients stuck isn’t what they’re talking about… but what they’re avoiding feeling? In this episode, I’m joined by Tanya Dantus, and we dive into a really practical way of helping clients move through what’s actually underneath the surface. Tanya shares her RIFRA Method, which stands for Root, Impact, Feel, Reflect, and Act, and how this process helps clients stop intellectualizing and start creating real change. We talk about why so many people struggle to access their emotions, how that shows up in therapy, and what it looks like to guide someone...
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Thinking about taking insurance in your private practice or trying to figure out a better way to handle out-of-network clients? This is one of those decisions that almost every therapist wrestles with at some point. On one hand, insurance can help fill your caseload and make therapy more accessible. On the other hand, the admin work, lower reimbursement rates, and constant back and forth can leave you feeling stretched thin and frustrated. In this episode, I’m joined by Mark Florian, founder of Deputy Care, and we get into what is really happening behind the scenes with insurance,...
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Private pay versus insurance is one of the biggest decisions therapists face, and honestly, it’s also one of the most misunderstood. In this episode, we’re breaking down what therapists often get wrong when thinking about these two models. It’s not just about money or convenience. It’s about how you want to run your practice, who you want to serve, and where you’re willing to spend your time and energy. If you’ve been going back and forth on whether to take insurance, go private pay, or try a hybrid approach, this conversation will help you think about it in a much clearer way....
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What happens when you open the floor and let your audience ask anything? That’s exactly what we did in this episode, and the questions did not disappoint. We’re diving into the big ones therapists are quietly asking right now. Is AI going to replace us? Are companies like BetterHelp helping or hurting the field? And how do you actually stand out when clients can talk to a chatbot instead of a human? I’m sharing my honest thoughts on where all of this is headed, what most therapists are getting wrong about AI, and why the human connection in therapy still matters more than ever. If...
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Most of us know the feeling. You pick up your phone to check one thing and suddenly twenty minutes have disappeared. For many people, this has become a daily pattern, and it is starting to show up more and more in therapy sessions. In this episode, I sit down with Eli Singer to talk about digital overwhelm and the complicated relationship many of us have with our phones and devices. Eli has spent years working in the digital world, including building one of the early social media agencies in North America. After stepping away from that work, he began focusing on helping people develop...
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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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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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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,...
info_outlineThis episode is all about embracing the changes that 2020 has thrown at us. As we adjust to the new normal, it's time to think about what opportunities we can find. For instance, if you haven't already, maybe it's time to ditch your physical office and go full-time into telehealth. Also, it's time to start thinking about diversifying your income through Gumroad or Teachable. Tune in as I speak about all sorts of ways you can embrace the curveball that is 2020.
Start With Your Why
What are your priorities? Why do you want to be in practice? Why do you want to do the things that you do? This year we learned a lot about making a transition to a whole new business model, and that's the switch to telehealth. Frankly, telehealth will become the new normal over the next year. So, it's time that you think about how you have your practice structured and set up. One of the things about being online is that your office space becomes less important. You don't need the furniture anymore!
Think About Your Practice Moving Forward
The boundaries around the types of people you can see for therapy has now widened a great deal. Your potential client base can be the entire state you are licensed in. So, how are you going to start to market your practice? You can think about a broader reach. Does your website need to be updated? This could be a great time to make upgrades and changes. That way, it will reflect that you can see clients from a broader geographic location. Think about doing things in different ways.
It's A Great Time For Private Practice Owners
There is such a demand for mental health services during 2020. When you switch to telehealth, it will reduce the geographic bounds of what you do. Are you thinking about having a group practice? The therapists that you can hire has now broadened too; they no longer have to commute! The pandemic allows for more work and less commute time. It's time to think about things differently.
Write Down Your New Priorities
When you write down your new priorities, it will help with the overwhelm. When we are overwhelmed, there will be a sense of anxiety. To battle anxiety, do a brain dump! In your planner, make a list and write down everything that captures your attention at the moment. It's a journaling exercise in many ways, and it gives us a new perspective on things.
Why You Need To Embrace Change
Our routines have been turned upside down. Particularly for those who have children. It's challenging to navigate work with homeschooling. We need to accept the fact that our routines are messed up. Now, it's time to look at small ways to change our routine and make it work for us. We are creatures of habits, and we get used to doing things the same way each time. When we change that up, it becomes unsettling. Instead, we need to focus on self-care. If you want to learn more about practicing self-care as a private practice owner, listen to my episode with Veronica Cisneros: Unapologetic Self-Care in Private Practice.
The Importance Of Connecting With Others
The pandemic has caused us to feel isolated and disconnected from people that matter most to us. Thanksgiving is around the corner. However, many of us have pulled back from our traditions, and we are not getting together with family. It's a hard decision to make. Allow yourself to embrace change, lean into it, and take ownership of how you will reorganize your life. We think about our relationships with others differently during 2020 – embrace it! I recently did an episode with Kathryn Esquer about connecting with other private practice owners during 2020. You can listen to the episode HERE. Plus, try The Teletherapist Network for two weeks free using my link: https://teletherapistnetwork.com/gordon.
Diversify Your Income
There are so many great opportunities to create income for yourself in the online space. For instance, you can sell digital products or some sort of activity you'd like to share with other therapists. To sell those digital products, like Paperwork Packets and the Session Note Helper, I use Gumroad. Another idea for creating additional income streams is doing online courses. I know for many of us that once we got out of graduate school, we loved teaching other people things. There is an excellent opportunity to increase income, and that's by creating online courses or seminars, that kind of thing. The platform I use for that is Teachable. Give yourself permission to think outside the box and create other income streams for yourself so that you're not solely dependent on client interactions.
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!
Resources
Use the promo code "GORDON" to get 2 months of Therapy Notes free.
Learn more about GreenOak Accounting
Teachable
Gumroad
Brighter Vision
Listen to Private Practice Elevation
Money Matters in Private Practice | The Course (use code julie2020)
The Group Practice Outfitter Waitlist
G Suite for Therapists | The E-Course
Session Note Helper 3.0
Join the G-Suite for Therapists Users Group
Cool Resources
Follow @PracticeofTherapy on Instagram
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.