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
What It Really Takes to Run a Profitable Private Practice | Brandy Mabra | TPOT 431
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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Why A Lot of Therapists Struggle in Private Practice | Katie Piura | TPOT 430
The Practice of Therapy Podcast with Gordon Brewer
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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How This Simple Method Transforms Private Practice Sessions | Tanya Dantus | TPOT 429
The Practice of Therapy Podcast with Gordon Brewer
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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Are Superbills Worth It in Private Practice? | Mark Florian | TPOT 428
The Practice of Therapy Podcast with Gordon Brewer
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 vs Insurance: What Therapists Get WRONG | Avivit Fisher | TPOT 427
The Practice of Therapy Podcast with Gordon Brewer
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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Thoughts on AI and Tech Platforms in Private Practice | TPOT 426
The Practice of Therapy Podcast with Gordon Brewer
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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Helping Clients Navigate Digital Overwhelm in Private Practice | Eli Singer | TPOT 425
The Practice of Therapy Podcast with Gordon Brewer
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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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,...
info_outlineIs 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.