The Systems Your Private Practice Needs to Run Smoothly | Lisa Permar | TPOT 445
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 08/17/2026
The Systems Your Private Practice Needs to Run Smoothly | Lisa Permar | TPOT 445
The Practice of Therapy Podcast with Gordon Brewer
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...
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Private Practice Money Mistakes That Could Be Costing You | Margo Masri | TPOT 444
The Practice of Therapy Podcast with Gordon Brewer
Your private practice may look profitable on paper, but does the money actually feel available? In this episode, Gordon talks with Margo Masri, founder of Heartfelt CFO and Tax Services, about the financial decisions that can quietly create cash flow problems for private practice owners. They explore the risks of over-hiring, ignoring taxes, taking on office space too soon, and trying to grow without fully understanding the costs involved. Margo also shares why practice owners need to know what they personally need to live on, build financial systems that can grow with the business, and...
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The Neurodivergent Therapist’s Guide to Private Practice | Martin Altman | TPOT 443
The Practice of Therapy Podcast with Gordon Brewer
Have you ever wondered how much easier private practice could feel if you stopped fighting the way your brain works? In this episode, I’m talking with Martin Altman, LPC, about his experience as a therapist with ADHD and how understanding his own neurodivergence helped him find a niche that genuinely fit. We get into the strengths and challenges that can come with ADHD, how Martin stays present with clients, and why building the right systems can make private practice feel a whole lot more sustainable. Martin also shares a really helpful perspective on emotional hijacking and why distraction...
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The Emotional Weight of Private Practice | Lindsay Benson | TPOT 442
The Practice of Therapy Podcast with Gordon Brewer
Therapists are great at taking care of everyone else, but we are not always so good at noticing what the work is doing to us. In this episode, I’m talking with Lindsay Benson about the hidden toll private practice can take on our nervous systems. We get into therapist burnout, the stress that builds up from sitting with difficult stories all day, and the small practices that can help us reset between sessions. Lindsay also shares her experience moving from insurance to private pay, offering therapy intensives, and building a practice that feels more sustainable. This is a great conversation...
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The Mindset Shifts That Make Private Practice Feel More Sustainable | Tyana Tavakol | TPOT 441
The Practice of Therapy Podcast with Gordon Brewer
What if the biggest thing holding your private practice back isn't your marketing strategy but your mindset? In this episode, I'm joined by Tyana Tavakol to talk about the beliefs that shape the way we build our practices. We explore scarcity versus abundance, the value of finding your niche, and why trying to appeal to everyone often keeps you from connecting with the clients who need you most. We also dive into building an online practice, creating meaningful professional relationships, and learning to trust your own expertise instead of comparing yourself to everyone else. If you've ever...
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Private Practice Stress: What’s Filling Your Bucket? | Kristin Oja | TPOT 440
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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How AI Search Is Changing Private Practice Marketing | Natalie Moore | TPOT 439
The Practice of Therapy Podcast with Gordon Brewer
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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How to Protect Your Private Practice From the Unexpected | Jeanine Rousso | TPOT 438
The Practice of Therapy Podcast with Gordon Brewer
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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Building a Private Practice Right Out of Grad School | Jarrod Hoffman | TPOT 437
The Practice of Therapy Podcast with Gordon Brewer
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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What I’d Do Differently If I Started Private Practice Today | TPOT 436
The Practice of Therapy Podcast with Gordon Brewer
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...
info_outlineA 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 communication can become much bigger problems when there are no clear systems behind them. Lisa also shares her framework of moving from firefighter to builder to operator and explains why hiring more help does not necessarily solve the problem if the processes themselves are unclear.
Gordon and Lisa also discuss delegation, creating simple and useful SOPs, and what it takes to build a practice that can continue functioning when the owner needs to step away. Whether you are running a group practice or working solo, the goal is not to automate every interaction or remove the human side of your work. It is to create enough structure around the predictable and repeatable parts of your practice that you can protect your attention for the things that truly require your judgment and care.
Resources Mentioned In This Episode
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Meet Lisa Permar
Lisa Permar is an operations architect and the founder of Zero Friction Practice, where she helps private practice owners build the systems their businesses need to run smoothly without relying on memory, constant oversight, or late nights. Drawing on years of experience building the operational backends of businesses across multiple industries, Lisa specializes in helping clinical practices improve intake, scheduling, billing, cash flow, delegation, and documentation. Through the Zero Friction Method, she works alongside practice owners to install practical infrastructure, create clear playbooks, and remove the owner as the bottleneck so the practice can operate with greater clarity, consistency, and freedom.
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