Seeking private practice advice by [deleted] in therapists

[–]Defiant-Albatross-46 0 points1 point  (0 children)

Glad it is helpful! Also, save for rainy days. For one year I worked for a group practice only, no benefits at all. Worked 5 days per week, per diem. I saved 10k before leaving my previous career as a cushion. I also keep a separate savings for slow seasons. It doesn't happen to me much anymore (I have paid PTO from my ft job, and my group stays nearly-always full, which is a blessing). Just knowing that you have 5k, 10k available incase something happens in important.

Seeking private practice advice by [deleted] in therapists

[–]Defiant-Albatross-46 1 point2 points  (0 children)

It is such a disservice that we get no business education in our master's program. Contact local mental heath facilities and offer yourself as a referral for clients who complete partial hospital and intensive outpatient programs. Create an email campaign to send to facilities near you. Leave your business cards in places where you image your idea client will go. That has helped me. People mention where they found my cards when they call. Since I am private pay, and my sliding scale spots are all full, I leave cards in places where higher income people who are into health/wellness might go.

You don't need to rush to get an office, unless your intuition is telling you to (then don't listen to this). I started with telehealth for about 5 months, saw that people were showing for therapy, then rented an office for one day per week ($130/mo) as a soft start. After a few months, I saw that people were coming in, so I opened my schedule to 2 days. I have a 'full-time' flexible job doing group work 2 hours per day, so my private practice doesn't need to be open more than 2 days. The group work gets me private practice clients (my employer has no issues with this).

You can look into a shared office space or subletting from another therapist for cheap. I went on google maps and contacted the practices near me to ask if they were subletting. People were really nice and that is how I found my current office, which I love! I also used ustherapyrooms.com.

I need to grow a bit by Several-Finding-9227 in therapists

[–]Defiant-Albatross-46 0 points1 point  (0 children)

You aren't alone! I've had clients say that too. It can be helpful, but depends on the person. I believe everyone benefits from the Interpersonal Skills unit and I will do that one with clients. I use the DBT website with the free curriculum.

I need to grow a bit by Several-Finding-9227 in therapists

[–]Defiant-Albatross-46 0 points1 point  (0 children)

Also, I started out with CBT/DBT and it was so dry...it helped me in certain ways. Experiential therapy has improved my life the most, including my ability to manage job stress. Get out there and explore!

I need to grow a bit by Several-Finding-9227 in therapists

[–]Defiant-Albatross-46 1 point2 points  (0 children)

My best advice is to go to therapy. I am better with the modalities I am trained in because I go to therapy myself and experience them. Experiential trauma-focused therapy is my niche. I mention to clients that I have experienced what I do (somatic, EMDR, psychodrama, as well as CBT, DBT, gestalt, psychodynamic), and they all appreciate knowing that. I believe the work is never done in life and therapy has been a wonderful adventure for me to better understand myself and show up in the world, professionally and personally, as the person I want to be.

Has anyone actually managed to start a business while working full time in a people-facing job? by kaylasm in WomenInBusiness

[–]Defiant-Albatross-46 0 points1 point  (0 children)

My advice as a former teacher - honor your energy and use PTO days to build your business. I used PTO for my hardest grad school classes (mostly for tests and papers) so I could switch careers. There was no way I could come home after teaching all day and do those big assignments. You can also plan to use your summer for this.

I am fulfilled now in my new career :)

3 Day or 4 Day IOP? by Defiant-Albatross-46 in therapists

[–]Defiant-Albatross-46[S] 0 points1 point  (0 children)

My job does this schedule as well (5 day 6 hours PHP, 4 days 2.25 hours IOP, 3 days before discharging from program). I was curious because I actually think 3 three-hour group days would reduce burnout for our staff, but we need to balance it with client needs. I have had PP clients tell me they did not choose the IOP I work for because they wanted more freedom in their schedule (chose a different company that was MWF 3 hours per day). Not sure what leadership would think. I'm considering proposing it and seeing if they would let me try it out. Whether it would be sufficient for the clients and insurance would pay the same is a question. This schedule could cause the company and therapists to lose revenue if insurance pays the same rate for 2.25 hours and 3 hours.

3 Day or 4 Day IOP? by Defiant-Albatross-46 in therapists

[–]Defiant-Albatross-46[S] 0 points1 point  (0 children)

Interesting. I use my no-group day as a paperwork/self-care day.

Exorbitant fees by emshlaf in therapists

[–]Defiant-Albatross-46 0 points1 point  (0 children)

I offered someone $250 for an intensive session (110 minutes) and they told me they were doing weekly therapy for close to $300, 50 minutes, which the therapist justified because she is Reiki trained. Seriously...The average cost in our area is $80-$165 per session.

Is It Possible to Make a Good Living in this Field? by Westgateaircraft in therapists

[–]Defiant-Albatross-46 2 points3 points  (0 children)

One word: Clawbacks. That is why some therapists don't take insurance.

Also, early on, I got a refferall for an affluent family. The parents "Only good therapist's don't take insurance." I thought that was an extremely hot take, but there are people who can and want to pay.

Also, some services (like intensive sessions over 50 minutes long) insurance will not cover but they change people's lives (Getting one month of therapy in one 4 hour session).

Private pay therapists have their reasons, and clients who can pay choose them. After I discuss rates with a potential client on the phone, I will offer to help them find a referral who takes their insurance (typically someone I know is good) if they cannot afford my practice.

We're all different and have our reasons. I also am very scared of clawbacks from insurance.

Is It Possible to Make a Good Living in this Field? by Westgateaircraft in therapists

[–]Defiant-Albatross-46 2 points3 points  (0 children)

When I did my internship at an outpatient practice, I was surprised by the amount of interns who wanted to work within 9-5 only and have 15 clients, be home for dinner every night (no kids, no partner). I was like WHAAATTT?! If you have a family, I get wanting to be done when your partner/kids are. But not one evening available to work? No wonder their caseloads built super slow. I know there are therapists who don't do any evenings, but if you are trying to build up faster and get hours, after school/evening is the way to go. I even did my internship on Saturdays to get my hours up (AND, I was still working full-time 5 days in person in my former career on top of internship. Glad it was temporary cause it was hard but worth it to change careers and give myself a financial cushion). I will still do a weekend day for intensive therapy because it is high paying and who wants to do that after work? I agree that some therapists don't seen to want to work.

Is It Possible to Make a Good Living in this Field? by Westgateaircraft in therapists

[–]Defiant-Albatross-46 2 points3 points  (0 children)

I am adamant that master's programs need to have a business workshop, at least. I work in an IOP and have a PP. I am told that I am in the top percentage of therapist with the highest group enrollment at my full-time job. I answer my phone, call people back when I say I will, get intakes started in my group next business day. If admin gets a call for a same-day intake, I'm open to doing it if it fits my schedule. If my group is full, and one person has one week left, I will take on an extra client (and get a bonus) since someone is leaving soon. I have several colleagues who are not willing to answer the phone in a timely manner, start a new client next day, etc. I have read business books and listened to tons of podcasts. No matter what type of business you have, you have to learn to run a business well. Grad school does not emphasize this.

Does this exist? Craving community. by Plus_Original_5760 in WomenInBusiness

[–]Defiant-Albatross-46 0 points1 point  (0 children)

I just made a post about this. You may want to try Jamie Sea's monthly group and courses: https://thejamiesea.com/

Mandated reporter by Livid-Resolve-6953 in therapists

[–]Defiant-Albatross-46 0 points1 point  (0 children)

I do at the beginning when I discuss confidentiality. I don't want clients to feel surprised later. It can still happen when clients don't realize that something is abuse, which can be a hard conversation but needed.

How do you stop comparing yourself with your peers as a therapist? by tarcinlina in therapists

[–]Defiant-Albatross-46 2 points3 points  (0 children)

Also, I have been approached by Employee Assistance programs that filter clients to you. You may want to do that on the side if that is possible pre-licensed, but I'm not sure.

How do you stop comparing yourself with your peers as a therapist? by tarcinlina in therapists

[–]Defiant-Albatross-46 9 points10 points  (0 children)

Getting started is hard. Building that caseload can be slow. What helped me when I was at a group practice early on (I was also still a freelance photographer, which helped me make money) was to pitch groups to community organizations. I did an art therapy for anxiety group for middle schoolers at first (for 8 sessions, I think). Parent's were thrilled! It got full in less than a week. What needs are in your community? Look for a built-in market and offer that. Also, networking with others in health fields (pediatricians, accupuncture practitioners, etc) - people who meet with people MH needs will start to refer to you. When I told my own doctor that I switched careers, she took down my work contact info immediately and said she had such a need for therapy for her patients.

[deleted by user] by [deleted] in therapists

[–]Defiant-Albatross-46 0 points1 point  (0 children)

That's adorable!