Reflections From My Private Practice Journey | TPOT 199
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 10/11/2021
The Practice of Therapy Podcast with Gordon Brewer
Are you burning out in private practice without realizing it? In this episode of The Practice of Therapy Podcast, Gordon talks with Kristin Oja, DNP, founder of STAT Wellness, about optimizing stress resilience and preventing burnout. Kristin shares a functional medicine perspective on why burnout is not always caused by work alone. Often, it is the buildup of stressors outside of work, including sleep, caffeine, exercise, relationships, technology, self-talk, and lack of recovery. Kristin explains the idea of the “stress bucket” and how even good things, like exercise, intermittent...
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Is SEO dead, or is it just changing? In this episode, I’m joined again by Natalie Moore, a licensed marriage and family therapist and SEO coach for therapists in private practice. Natalie breaks down the difference between SEO and AIO, or artificial intelligence optimization, and explains why therapists don’t need to panic about AI search replacing traditional SEO. We talk about how private practice owners can make their websites easier to find on Google, ChatGPT, Perplexity, and other AI search tools. Natalie shares why specialty pages, Google Business Profiles, clear niche messaging, and...
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What happens when the therapist is the one who needs support? In this episode, I’m talking about the very real challenges therapists face when life disrupts their ability to work. Private practice can offer freedom and flexibility, but it can also leave clinicians vulnerable when illness, grief, natural disasters, burnout, or unexpected emergencies come up. We’ll look at why therapists need a safety net, how financial stress impacts clinicians, and what it means to prepare your practice for the unexpected. From emergency grants and burnout prevention to referral networks and professional...
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Can you really build a successful private practice right out of grad school? In this episode of The Practice of Therapy Podcast, I talk with Jarrod Hoffman about building a private practice right out of grad school and the lessons he has learned in those early years of practice ownership. Jarrod shares his experience of stepping into private practice, navigating pricing, working through imposter syndrome, and learning how to communicate the value of the work he does. We also talk about why niching matters, how our own stories often shape the clients we feel called to serve, and why private...
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When I started my private practice nearly 20 years ago, there were not nearly as many resources available for therapists as there are today. I learned a lot by trial and error, and looking back, there are definitely some things I would do differently. In this episode, I’m sharing what I wish I had known when I first started private practice. One of the biggest lessons I learned is that I made things more complicated than they needed to be. From keeping paper records to waiting too long to outsource, I can see now how simpler systems would have made a big difference early on. I talk about the...
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Are you charging enough in private practice, or does guilt keep getting in the way? In this episode, Gordon is joined by Bianca Hughes, LPC, therapist, speaker, mentor, and founder of Authentically BU and the Soulful Clinician Collective. Bianca shares how she moved from hospital work into private practice and the mindset shifts that helped her build a career that feels aligned, sustainable, and authentic. Gordon and Bianca talk about money mindset, imposter syndrome, marketing, confidence, and why therapists need to see themselves as both clinicians and business owners. Bianca also shares why...
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In this episode, I’m joined by Dr. Phebe Brako for a really thoughtful conversation about what it means to make therapy more culturally responsive. So many of the clinical theories we learn were developed through a Western lens, and while those theories can be helpful, they don’t always fit every client, every family system, or every cultural background. Dr. Phebe talks about why therapists need to examine their own worldview, stay curious about their clients’ lived experiences, and be willing to adapt the models they use in the therapy room. We talk about culture, family systems, CBT,...
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Private practice has changed a LOT over the last few years… and therapists are still trying to figure out what comes next. In this episode, Gordon talks with Lex E. Santi about the evolution of therapy after telehealth, online platforms, insurance shifts, and changing client expectations. They dive into why more clinicians are entering private practice, why clients still crave in-person connection, and how companies like BetterHelp, Alma, and Headway are reshaping the profession. They also explore the pressure therapists feel to market themselves, build niches, and create an online presence...
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Grief is something every one of us will face at some point, and yet most of us have no idea what to say when someone is hurting. In this episode, I’m joined by Shelby Forsythia, a grief coach, author, and host of the Grief Grower podcast. Shelby shares her own story of profound loss and how it shaped the work she does today, helping people navigate grief in a way that actually honors what they are going through. We talk about why so many common phrases miss the mark, what grieving people are really experiencing beneath the surface, and how grief doesn’t just affect your emotions, it...
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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...
info_outlineI learned a lot of things about starting a private practice the hard way. I'm grateful to share the lessons that I learned from my journey and help you not make the same mistakes that I did. First, I speak about the importance of knowing your 'why' on starting a private practice. Once you know your 'why,' other aspects of your business will begin to fall into place. Tune in as I dive deep into lessons learned around finances, marketing, outsourcing, and systems. Plus, I direct you to all sorts of resources that will help you on your journey. Thanks for being with me!
Knowing Your 'Why' For Private Practice
Why did you want to go into this profession, to begin with? Why did you want to go into clinical work, become a therapist, a social worker, psychologist, marriage and family therapist, licensed professional counselor, or whatever you are within this particular profession? Your 'why' is an important piece to keep in mind as you build your private practice. So, I invite you to think about your inspiration. When we get busy with business, we can lose sight of our inspiration, and eventually, we will feel a little burnt out. Private practice is hard work! We have experienced a lot of struggles because of Covid, so knowing your why is more important than ever.
Private Practice Isn't For Everyone
One of the things that you need is a sense of wanting to feed the creative side of yourself. We can all feed our creative selves differently, but is a private practice adding to your creative side? One of the things that you need to be successful in private practice is an entrepreneurial spirit. In other words, you need to accept challenges along the way on your private practice journey. I love to learn about the business side of things; it's what inspired me to start The Practice of Therapy back in 2016. I started this podcast so I could share lessons learned around the business aspects of private practice.
Learning About The Financial Side of Private Practice
One of the first things you have to learn about private practice is the money side of the business. I put together a course on teaching people about the financial side of private practice. When you go into business, you need to have some money to kind of back that up. A lot of traditional companies do it through investors. In other words, they get people to give them money for some return on that investment. When we go into private practice, we want to be self-sufficient. If you're interested in learning more about managing the financial side of your practice, check out my course Money Matters In Private Practice.
Have Money Saved Before Starting Your Private Practice
So, I started in private practice, doing it part-time and working for an agency. The extra income took the pressure off of me when I built my private practice. I wouldn't recommend diving into private practice unless you have enough money to back yourself up. I spent a year saving money, so I had a reserve. That way, if something happened, I had a buffer to protect me through emergencies. You need at least three to six months of income and expenses saved away before you jump into full-time. It will take a tremendous amount of pressure off of yourself.
There Is More Than Enough Business For All of Us
One thing that I've learned during the pandemic is that there is more than enough business for all of us. It's a matter of being able to put yourself out there and market your practice in a way that people can find you. That's all marketing is, is just making sure that you've got a website that is performing well and you are networking with the right people. If you are insurance-based, you need to be on the right insurance panels. I have a Facebook Live where I give all sorts of marketing ideas. You can watch the replay HERE.
Keep It Simple
When I first started my practice, I made my systems and processes much more complicated than they needed to be. So one of the things I would recommend is to keep it simple and don't make it overly difficult for yourself. People start getting worried about regulations such as HIPAA, state requirements, and all that. You don't want to do anything illegal and unethical. However, these fears can hold us back. You don't need to make things overly complicated. The bottom line to HIPAA is that we protect client information; that's something we do anyway in our profession. Make sure that you encrypt your equipment, and you encrypt your storage of documents. Please read my blog about HIPAA Anxiety In Private Practice.
Outsource Your Administrative Functions In Private Practice
People are reluctant to invest in things that are going to be a better use of their time. When initially starting a practice, therapists do too much of the work that isn't a good return on their time. For instance, if you're still returning phone calls to your clients and scheduling your clients, then you might want to outsource. Whenever I do consult therapists, that's the first place I start. The more you can outsource your administrative functions, the easier it will be for your practice. You can bootstrap and do these things yourself when you don't have a lot of clients. However, at some point, you will have to outsource it. I recommend outsourcing if you have ten or more clients per week.
Think About Ways To Diversify Your Income
There are only so many clients you can see in one day. There are only so many clients you can see in a week. One of the things that you will want to think about doing is diversifying your income. If you're going to increase your revenue within your business, many people believe they need more clients. However, it might not be a good return on the investment of your time. So, the next logical step for a lot of people is starting a group practice. A group practice might not be for everyone. You need leadership skills, and you need to enjoy working with other people. Check out my free webinar Solo to Group Practice: Adding More Therapists to Grow Your Time & Income.
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.
Blueprint Health: First month free with promo code TPOTPODCAST
Using Google Workspace As A Practice Platform Course
Solo to Group Practice: Adding More Therapists to Grow Your Time & Income
HIPAA Anxiety In Private Practice
Money Matters In Private Practice
Marketing and Diversifying Income
Killin'It Camp
Get Your Copy of The Full Focus Planner
Join the Google Workspace for Therapists Users Group
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.