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
Working With High-Risk Teens in Private Practice | Katie K. May | TPOT 448
The Practice of Therapy Podcast with Gordon Brewer
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...
info_outline
Why Rapport Matters More Than Ever in Private Practice | Nora Anger | TPOT 447
The Practice of Therapy Podcast with Gordon Brewer
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...
info_outline
Is Your Private Practice Too Dependent on You? | TaVona Denise | TPOT 446
The Practice of Therapy Podcast with Gordon Brewer
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...
info_outline
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...
info_outline
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...
info_outline
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...
info_outline
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...
info_outline
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...
info_outline
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...
info_outline
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...
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
Use the promo code “GORDON” to get 2 months of Therapy Notes free
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.
Free Practice Friction Quiz + Friction Tax Calculator
The assessment identifies their Practice Friction Type (Firefighter, Builder, or Operator), estimates the financial impact of operational friction inside their practice, and provides a clearer next step based on their results.
Podcast listeners will also receive 55% off The Friction Tax Blueprint, a step-by-step diagnostic that helps practice owners uncover where their practice is quietly draining time, money, and mental bandwidth.
Through five guided assessments and calculations, they’ll identify their biggest operational leaks, estimate the true cost of those inefficiencies, and walk away with a prioritized 30-day action plan so they know exactly what to fix first.
Discount code: THERAPY50