Are Superbills Worth It in Private Practice? | Mark Florian | TPOT 428
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 04/13/2026
What to Say to Someone Grieving (Most People Get This Wrong) | Shelby Forsythia | TPOT 432
The Practice of Therapy Podcast with Gordon Brewer
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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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...
info_outlineThinking 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, superbills, and out of network billing. We talk about why so many therapists start on insurance panels and then eventually want to move away from them, and what makes that transition so difficult.
We also unpack the hidden friction in the system, from denied claims to clients struggling to get reimbursed, and how all of that can impact both your income and your clients’ ability to stay in therapy.
If you’ve ever felt stuck between wanting to help more people and wanting to build a sustainable private practice, this conversation will give you a lot to think about.
Resources Mentioned In This Episode
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Meet Mark Florian
Mark Florian is the Founder of Deputy Care, a platform dedicated to helping private-pay clinicians increase patient retention by eliminating the “administrative dread” of insurance.
With over 15 years of experience building the technological “plumbing” of healthcare, Mark has served as the CTO of Advekit and was an early engineering leader at Zocdoc.
Today, he is on a mission to “kill the superbill,” replacing outdated PDF receipts with automated “payment floating” technology that allows patients to access their out-of-network benefits instantly.
Mark’s unique perspective sits at the intersection of high-scale health tech and the deeply personal relationship between therapist and client.