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
Release Date: 02/16/2026
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_outlineRunning 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 Gretchen Roberts of Red Bike Advisors 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 flow and why it is what truly keeps the doors open, especially during the ups and downs that come with business ownership. Since we are in tax season, we cover common tax mistakes, why taxes should not be a once-a-year event, and how to avoid those painful surprises at filing time.
If you have ever avoided looking at your numbers or felt unsure about what they are telling you, this conversation will help you think more like a business owner. Your practice needs financial clarity to stay sustainable. And you deserve a business that supports you, not one that burns you out.
Resources Mentioned In This Episode
Use the promo code “GORDON” to get 2 months of Therapy Notes free
Profit First for Therapists Workbook
Meet Gretchen Roberts
I’m Gretchen Roberts, CEO of Red Bike Advisors, a national tax, accounting, and advisory firm serving healthcare practices, dental practices, and scaling service businesses that need a truly strategic financial partner.
Since 2009, we’ve helped hundreds of practice owners, including dentists, medical practice owners, chiropractors, physical therapists, veterinarians, and alternative medicine practitioners, simplify their finances, optimize profitability, reduce tax burdens, and build businesses that generate real and lasting wealth.
Our mission is to help practice owners move from financial stress to becoming Financially Retired by Design by building a business that funds your life, freedom, and future. As a business owner myself, I bring an operator’s mindset that blends real-world experience with deep expertise in practice finance, tax strategy, profitability optimization, and exit readiness.
At Red Bike Advisors, we provide year-round partnership to healthcare practices generating one to fifteen million dollars in revenue. Our services include proactive accounting, strategic tax planning, financial advisory, and tax-focused wealth building that eliminates financial guesswork and supports long-term growth and exit readiness.