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4 Ways To Be In Private Practice as a Clinician | TPOT 183

The Practice of Therapy Podcast with Gordon Brewer

Release Date: 06/21/2021

Gary Katz | Build a Group Practice on Connection, Not Chaos | TPOT 388 show art Gary Katz | Build a Group Practice on Connection, Not Chaos | TPOT 388

The Practice of Therapy Podcast with Gordon Brewer

🎧 Ready to Grow Your Practice Without Losing Your Soul? This Episode’s for You. In this episode, Gordon sits down with Gary Katz—psychotherapist, group practice owner, and intimacy expert—who’s scaling his business across state lines without sacrificing connection, clinical quality, or his sanity. Gary opens up about what it really takes to grow a group practice that feels good, not just on paper, but in your body, your calendar, and your team culture. From building tight-knit pods of therapists to letting go of perfection and people-pleasing, this conversation is packed with honest...

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Edy Nathan | Supporting Clients Through Complex Grief in Private Practice | TPOT 387 show art Edy Nathan | Supporting Clients Through Complex Grief in Private Practice | TPOT 387

The Practice of Therapy Podcast with Gordon Brewer

Let’s talk about grief. (I know—what a fun little opener, right?) But hang in there, because Edy Nathan doesn’t talk about grief the way most people do. There’s no clinical detachment or textbook jargon here. Edy speaks from the kind of deep, personal knowing that only comes from living it. She lost her partner at 27—a heartbreak that didn’t just shatter her world, but reshaped it completely. Instead of stuffing it down or soldiering through, Edy got curious. She studied grief, sat with it, wrote about it, and eventually made it her life’s work. Today, she helps others see grief...

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Kerry Thomas | Mood, Food, and Medicine in Private Practice | TPOT 386 show art Kerry Thomas | Mood, Food, and Medicine in Private Practice | TPOT 386

The Practice of Therapy Podcast with Gordon Brewer

What if your private practice could be a place where people stop trying to fix themselves—and start actually feeling what’s going on inside?  In this powerful episode, Kerry Thomas pulls back the curtain on her 25-year journey in mental health, sharing how a personal wake-up call challenged everything she thought she knew about therapy, medication, and what it really means to heal. We talk about the connection between nutrition and mood, why numbing emotions isn’t the answer, and how private practice therapists can stop pathologizing normal human experiences.  This one’s...

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Julie Herres | Private Practice Tax Changes Ahead | TPOT 385 show art Julie Herres | Private Practice Tax Changes Ahead | TPOT 385

The Practice of Therapy Podcast with Gordon Brewer

Let’s be honest: when someone says “Let’s talk tax law,” most of us want to fake a Wi-Fi outage and run for cover. But when Julie Herres joins The Practice of Therapy Podcast, you actually want to lean in. Somehow, she manages to make the ever-shifting sands of tax policy sound (dare we say it?) friendly — like a conversation over coffee with a really smart friend who also color-codes her spreadsheets. So, what’s happening with taxes in 2025? Buckle up, practice owners, because there’s a whole lot of “maybe” in the air. But Julie’s here to help us wade through the...

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Dori Lewis | Should you Consider Integrating Psychedelics into Trauma Work in Private Practice? | TPOT 384 show art Dori Lewis | Should you Consider Integrating Psychedelics into Trauma Work in Private Practice? | TPOT 384

The Practice of Therapy Podcast with Gordon Brewer

What if the path to healing trauma isn’t just through talk therapy, but through carefully guided psychedelic experiences? In this episode of The Practice of Therapy Podcast, I sit down with Dori, an experienced therapist and psychedelic facilitator, who shares her deeply informed perspective on the nuanced, responsible, and transformational use of medicines like ketamine, MDMA, and psilocybin mushrooms. Dori doesn’t just follow trends—she’s been on the frontlines, participating in research, working underground before legalization, and now helping clients access inner healing...

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Tamar Blue | Creating a Safer Space for Peer Support and Digital Therapy | TPOT 383 show art Tamar Blue | Creating a Safer Space for Peer Support and Digital Therapy | TPOT 383

The Practice of Therapy Podcast with Gordon Brewer

Are you ready to discover a powerful new way to support your clients—and yourself? In this episode of The Practice of Therapy Podcast, Gordon sits down with Tamar Blue, founder of , a revolutionary platform that empowers therapists, coaches, and mental health advocates to create secure, community-driven support groups online. Whether you're a provider looking to scale your services or someone seeking a safe space to heal and connect, this conversation is packed with insight, innovation, and heart. Don’t miss this inspiring story of how one woman turned a passion for peer support into a...

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Steve Bisson | Let the Work Find You: Niching with First Responders Through Podcasting | TPOT 382 show art Steve Bisson | Let the Work Find You: Niching with First Responders Through Podcasting | TPOT 382

The Practice of Therapy Podcast with Gordon Brewer

What Happens When the Work Finds You? Steve Bisson didn’t plan to become a go-to therapist for first responders—but sometimes, purpose arrives without a roadmap. In this episode, Steve shares how a chance encounter on a crisis team back in 1999 set off a chain of events that led to a passionate, purpose-filled career. From riding along in police cruisers to launching a podcast that speaks directly to the hearts of firefighters, paramedics, and law enforcement officers, Steve’s story is a powerful reminder that when you say yes to the work that moves you, incredible things happen. Whether...

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Jeremy Zug | Private Pay, Insurance, or Hybrid? Decide For Your Private Practice | TPOT 381 show art Jeremy Zug | Private Pay, Insurance, or Hybrid? Decide For Your Private Practice | TPOT 381

The Practice of Therapy Podcast with Gordon Brewer

What if the two most important questions in your practice— 'Is this financially viable?' and 'Am I doing the work I love?' — didn’t have to compete? In this eye-opening episode, Jeremy dives deep into the strategic crossroads every private practice owner faces, especially when considering whether to take insurance, stay private pay, or explore a hybrid model. He breaks down the real numbers, state-by-state reimbursement differences, and the often-overlooked red flags in insurance relationships—like sneaky non-quantitative treatment limitations and the true cost of claim denials....

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James Marland | Stop Trading Hours for Income: Scalable Growth in Private Practice | TPOT 380 show art James Marland | Stop Trading Hours for Income: Scalable Growth in Private Practice | TPOT 380

The Practice of Therapy Podcast with Gordon Brewer

Are you tired of the “time for dollars” trap—where every vacation, sick day, or even slow week hits your bottom line? In this episode, James Marland gets real about the burnout that comes from trading hours for income and why the solution isn’t just slapping together an online course. He dives into what it really takes to build something scalable and sustainable—without losing yourself or your sanity in the process. Whether you’ve toyed with the idea of creating a course or you’re just craving more freedom in your practice, this conversation is a must-listen. It's honest,...

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Dr. ​​Robyn Miller | Preparing For The Worst: Professional Wills in Private Practice | TPOT 379 show art Dr. ​​Robyn Miller | Preparing For The Worst: Professional Wills in Private Practice | TPOT 379

The Practice of Therapy Podcast with Gordon Brewer

What happens to our clients when we’re suddenly not there to care for them? In this powerful and eye-opening episode, Dr. Robyn Miller dives into the difficult but essential topic most therapists avoid: what happens when a therapist dies or becomes incapacitated. With compassion, clarity, and deep professional insight, Dr. Miller reveals the ethical, legal, and emotional chaos that can follow when we don’t have a solid closure plan in place—and how TheraClosure offers a dignified, comprehensive solution. If you’re a mental health professional who’s ever told yourself, “I’ll...

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More Episodes

Is the traditional private practice a good fit for you? This episode is all about the different ways you can be in private practice and why it may or may not be suitable. First, Gordon explains what type of clinician would excel at private practice and how it can be a great challenge for most people. Then, Gordon dives into the four different ways to be in private practice as a clinician. Tune in for tips and tricks on how to start, grow, and expand your practice.

Is Private Practice Right For You?

Private practice isn't necessarily for everyone. It takes a certain kind of person to be in private practice. The number one reason people want to go into private practice is because of the autonomy that it gives them. Being your own boss and just working for yourself is appealing because it gives you a lot of flexibility in your time. However, it's not for everyone. Many people want to work for someone else because they get benefits, they're an employee, their income is predictable, and they may have a retirement plan and health insurance already ready to go.

People that are in private practice need to have an entrepreneurial spirit about them. Private practice owners need to like the challenge of entrepreneurship. However, many people do not like the challenge and the risk that is involved with private practice. If you are interested in private practice but you're not interested in growing something big, then you don't have to. You can have a very successful private practice as a solo practitioner. Since Covid, it's possible to build just completely online practice. That's one model of private practice.

Get the FREE PDF download- 4 Ways To Be In Private Practice.  This will help you compare the 4 different models.

Working As An Independent Contractor

Another model of private practice is putting yourself out there as an independent contractor. One way you can do this is through popular online platforms like BetterHelp, Talkspace, etc. When you sign up to be a therapist on platforms like these, you are signing up as an independent contractor. They will provide you with a platform, and they will provide you with clients. For some people, that might be very appealing. Even if you are an independent contractor, you are still self-employed. This is one thing that many people will get in trouble with because you still have to pay your self-employment taxes.

Find An Accountant And An Attorney

For people who are still going the full contractor route, form a separate entity for yourself like an LLC. Talk to an accountant and an attorney about your options. That way, you will have more protection. If you're contracting yourself out, you're just contracting out your LLC. There are different ways you can be taxed as an LLC, so it will be critical to get an accountant's opinion. Depending on how much you are making is how you should set up your entity.  

Growing A Group Practice

Another thing you should think about is going into a group practice. Maybe you're already a solo practice. If you love the entrepreneurial sides of things, leading people, the excitement of growing a company, and bringing on more and more people, then start a group practice. Whether you are thinking about a part-time contractor or bringing on full-time employees, there are some factors that help you know when the situation and timing are right. Check out the Solo to Group Practice: Adding More Therapists to Grow Your Time & Income Webinar to learn more about growing group practice.

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.

Ethical Business Practice for Psychotherapists (1 CE hour)

Using Google Workspace in Private Practice Webinar

Solo to Group Practice: Adding More Therapists to Grow Your Time & Income

Money Matters In Private Practice | The Course

Get your FREE Financial Analysis Guide...

Google Workspace for Therapists | The E-Course

Purchase The Full Focus Planner™

Join my Focus Groups

Session Note Helper 3.0

Join the Google Workspace 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.