How to Make Therapy More Culturally Responsive | Dr. Phebe Brako | TPOT 434
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 05/25/2026
The Practice of Therapy Podcast with Gordon Brewer
What do we miss when a diagnosis becomes the whole story? Dr. Travis Heath joins Gordon Brewer to explore how narrative therapy helps us understand the stories clients tell about themselves—and the stories their families, communities, and culture tell about them. Together, they discuss how labels can both offer clarity and limit understanding, why slowing down matters in therapy, and how curiosity can open up new possibilities. Travis also shares ways therapists can reflect on their sessions, question familiar assumptions, and move beyond simply listing a client’s strengths to hearing the...
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Growing a private practice takes more than adding clients and hiring therapists. It also means learning to delegate, trust your team, and let go of doing everything yourself. In this episode, Gordon Brewer welcomes back Whitney Owens, founder of Water’s Edge Counseling and Wise Practice Consulting. Whitney shares her journey from solo therapist to group practice owner, including the challenges of building a leadership team, navigating staff turnover, and creating systems that support growth. Gordon and Whitney explore how confidence develops through experience, why clear values matter in...
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Therapists spend a lot of time encouraging clients to slow down, practice mindfulness, and become more aware of what they need—but practicing those same things in our own lives can be much harder. In this episode, Gordon talks with Debi Trent Brown about mindfulness beyond meditation, the importance of creating small moments of joy, and what it means to live more authentically. They explore how the “rules” we pick up from family, culture, and society can quietly shape our choices, why pausing before we respond can help us better understand ourselves, and how consistency—not...
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What happens when being “successful” in private practice starts to look a lot like burnout? In this episode, Gordon talks with James Marland about the three traps that can keep therapists stuck in one-on-one work: the clock trap, calendar trap, and couch trap. They unpack why being fully booked isn’t always the same as being free, and how tying your income, time, and impact entirely to client hours can eventually become exhausting. James also shares practical ways therapists can begin thinking beyond traditional one-on-one work through workshops, courses, trainings, and other resources...
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One of the things I’ve learned over the years is that the work we feel most drawn to often has some connection to our own experiences. That doesn’t mean our story becomes the center of the therapy room, but it can absolutely shape the populations we care about, the problems we notice, and the kind of practice we want to build. In this episode, I talk with Hannah Short about how her own experiences with eating disorder recovery and postpartum helped shape her clinical niche. We also get into thoughtful self-disclosure, creating a practice where clients feel genuinely understood, moving from...
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When therapists think about branding, it’s easy to immediately think about logos, fonts, colors, and websites. But your brand is so much more than what your practice looks like online. It is also the feeling people get when they encounter you, the story they associate with you, and ultimately, whether they feel like they can trust you. In this episode of The Practice of Therapy Podcast, I had the pleasure of talking with Ritu Riedweg about personal branding, marketing, and what therapists can do to make their practices easier to find and easier to connect with. Ritu brings an interesting...
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Working with high-risk teens can feel overwhelming, especially when self-harm, suicidal thoughts, emotional dysregulation, or repeated hospitalizations are part of the picture. So how can therapists provide both compassion and structure without letting fear drive the treatment? In this episode, Gordon talks with Katie K. May about working effectively with high-risk teens and their families. Katie shares why validation matters, how therapists can provide strong clinical leadership, and why caregiver involvement is such an important part of the process. They also discuss proactive safety...
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Building rapport isn’t just about helping clients feel comfortable. It can play a major role in whether they trust you, open up, and keep coming back. In this episode, I sit down with Nora Anger, LPC, to talk about building stronger therapeutic relationships in private practice. We discuss what clients really want from their therapists, common reasons they leave therapy, thoughtful self-disclosure, creating safety and trust, and how to balance compassion with challenging clients when they need it. Resources Mentioned In This Episode Meet Nora Anger Nora Anger, MS, LPC, is a...
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What happens to your private practice when you step away? In this episode, Gordon talks with TaVona Denise about what her Private Practice Vitality Report revealed about owner dependency, burnout, delegation, and the systems that keep a practice running. They explore why hiring more staff doesn’t always create more freedom, how to tell if your practice still depends too heavily on you, and the simple 30-day question that can uncover exactly where your systems need work. If you want to build a practice that can grow without requiring you to be involved in every decision, this conversation is...
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A private practice can look successful on the outside and still feel exhausting behind the scenes. Clients are showing up, revenue is coming in, and everything appears to be working, but the owner may still be answering every question, fixing every exception, following up on loose ends, and carrying far too much of the practice in their own head. In this episode, Gordon talks with Lisa Permar about the small, repeated friction points that quietly drain a practice owner’s time, attention, and energy. They explore how everyday tasks around intake, scheduling, billing, documentation, and team...
info_outlineIn 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, attachment, mindfulness, and why good therapy is not one-size-fits-all. This is such an important reminder that culturally responsive care is not a box to check. It is an ongoing commitment to learning, listening, and doing the work.
Resources Mentioned In This Episode
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Meet Dr. Phebe Brako
Phebe Brako, LMFT, LMHC, NCC, is a licensed therapist, educator, speaker, and host of Between Two Worlds with Dr. Phebe. She is the Founder and CEO of 253 Therapy and Consult, a group therapy practice based in University Place, Washington.
Phebe’s work focuses on culturally responsive therapy and the ways traditional clinical theories can be adapted to better serve Black, Brown, Indigenous, and other communities of color. She is also passionate about supporting the next generation of therapists through supervision, training, and consultation.
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