I have two little secrets to share with all you other therapists out there, especially those thinking of starting a private practice. I hate just giving these secrets away, but I’m going to, because they are pretty valuable, and both are something I wish someone would have shared with me before I started out.
Ready for it? Alright, then sit down. And get your egos in check, people. ‘Cause these are some tough truths I’m telling you, but you need to know them and it’s better to figure this out sooner rather than later.
Secret Number One: Not everyone is going to like you.
I’m serious. Not everyone is going to like you.
And that’s ok.
Because here’s the deal – the real deal, the one that no one told you in your expensive graduate school classes, the one that no fancy PhD research study has revealed, the one you are simply gonna have to face: You are not the right fit for everyone that walks through your door.
And that’s ok.
The entire process of therapy revolves around the therapist-client relationship. It has to feel good for both parties involved for it to work. Haven’t you ever had a client that just adored you, but you’d cringe when you’d see them on your schedule? Of course you have!
And that’s ok.
I tell everyone in their intake – especially my teens and tweens – that therapy is a two-way street. The client must feel comfortable with me, and be able to be real with me….otherwise, the whole thing just won’t work. So unless they feel that way, I don’t want to waste their time and money.
But it’s hard. It’s not easy to have someone come in for an appointment, and never call and schedule another one. At first, it hurt my feelers. And made me doubt it I was an effective therapist….and if my practice would make it.
Which leads me to Secret Number Two: It’s not about you.
If they don’t like you, than the therapy process most likely won’t work. And that’s not about you. That’s about the client, and what they need. Maybe the therapy process scared them. Maybe there simply wasn’t the comfort level on their end. Or, maybe it was a good-old fashioned case of Secret Number One.
And that’s ok.
Early in my practice, I saw a client for one session, and never heard from her again. In my opinion, it was a good session (I can usually tell if the session is not working, or the client and I simply aren’t gelling). I was somewhat perplexed that she never called back. My SOP is to give a client after the intake one shout-out (via text or email), then leave them alone if they don’t respond. She never responded, so I thought, well, ok, it most likely wasn’t about me, I just wasn’t a good fit.
Don’t get me wrong. Even if I know I’m not the right fit or someone never comes back after the initial intake, I wonder if they went elsewhere, or I ruminate over the session, wondering if I said something that offended the client or if didn’t ask the right questions. But then, I focus on my clinic full of clients that I do serve, that have seen me for multiple appointments, and are happy enough to refer me to others. At the end of the day, I only want what’s best for my clients. And if that’s not me, then I truly hope they find the right fit for themselves, and get the help they need.
That client I thought clicked? She eventually called me back….for a couple’s session! Seems that was more of what she wanted and needed.
And that’s ok.
I hope these secrets are helpful. If you have any little secrets that you’d like to share about your private practice, I’d love to hear them!
I’m near the one year mark – one year! – of owning my private practice. It was a dream and ultimate career goal from the time I decided to go back to grad school in 2010. Seven years later, an opportunity arose, in the form of a sudden and unexpected (boy, I didn’t see that one coming) job layoff, some office space that became available, a person willing to share the rent and just like that, a dream became reality.
Shy of one year in my practice, I just re-signed a lease (solo, yikes!) and couldn’t be happier. I’ve had some big successes co-mingled with a lot of hard lessons. Here are five rookie mistakes for you to avoid if/when you are thinking of opening your own private practice.
1) Find a Niche – I was all over the map when I started. Honestly. As a therapist, you can’t be everything to everyone. So don’t make the mistake of taking all business just for the sake of taking business. Figure out your strengths (and weaknesses), find your niche, and work on perfecting it. Refer cases beyond your expertise to others in your community. In time, they’ll refer back to you.
2) Stay Organized – Owning a business means you are all departments – IT, accounting, scheduling, marketing and everything in between. This is a constant challenge for me. When I’m not seeing clients, I schedule time in my day for meetings, marketing, social media management, paperwork or general planning, depending on what needs to be done. Set up systems that work for you so that your practice can run efficiently.
3) Safety First – I’ve taken new clients at 8:00 p.m. and weekend slots where my usually-bustling office building was desolate and I was isolated and alone. Looking back, considering the line of work I’m in, some of those clients would have been better for me to see during normal business hours until I got to know them better. Looking forward, I only schedule my known and established clients during my irregular times.
4) Have a Business Plan – I’m going to make all you MBA-types (and my accountant) cringe right here: I didn’t write one. Well, not an official one. Oh, I had a list of things to do (website, PLLC, business accounts, etc) and lots of ideas swimming in my head. But get your business plan down on paper, including all start-up costs, projected expenses, and number of clients you need weekly to break-even, turn a profit, and cover expenses. Refer to your business plan monthly, and make revisions as needed.
5) Don’t Panic – Owning a business has its ups and downs. Some months are better than others. Case in point: my most profitable month was one where I was off for a week on vacation. The next month was slow (and I mean, slooooooooow). During this slow month, someone approached me coming to work for them – notice I said “for” not “with.” I considered this offer for a few days (what if I don’t make it? what if business continues this slow? What if what if what if?) but decided to continue working to build my practice. Sure enough, not two weeks after turning down the offer, some well-paying, substance-use contract-work came my way. If I had panicked and thrown in the towel, I would have been giving up not only my dream, but this other, better-suited opportunity.
I’m still making mistakes, and learning from each and every one. Mistakes are simply par for the course of owning your own business. Don’t dwell on them. They happen to everyone – just don’t repeat them, and learn from them. Best of luck with your own practice, and I hope reading about my rookie mistakes help you avoid making your own.
It goes like this: I get a phone call from a potential client. We chat about therapy and their individual needs. We discuss appointment days and times. Then they ask if I take insurance. Instead of simply saying, “No, I don’t, I’m cash-pay only,” my first instinct is to say, “I am really sorry, I only take cash.”
Another scenario: I charge full-price to clients that fail to give a 24-hour notice of cancelling an appointment. This cancellation policy is clearly stated on my website, as well as in all intake paperwork signed by my clients. I also verbally state my policy to all clients in person when they fill out their credit card form (which I keep on file to charge no-shows). I’ve had to implement this policy on ocassion, and each time I found myself telling the client, “I’m sorry, but I have to charge you.”
Why, oh why, am I always compelled to say “I’m sorry?”
Studies have shown that women like to apologize. A lot. We do it in our personal and professional lives on a daily basis. In fact, in a 2010 study in Psychological Science, it states that women are more likely to see a need for an apologies in everyday situations, and suggests that men apologize less frequently than women because they have a higher threshold for what they consider offensive behavior.
So here’s the thing.
Nearly one-year into running my private practice, I am going to stop apologizing for my business policies. The truth is, I’m not sorry I don’t take insurance. I’m not sorry that I charge no-shows for my time. And I’m certainly not sorry that my latest policy is to charge for my intake upon making the appointment (no-shows at 8:00 a.m. on a Saturday morning or 8:00 p.m. at night – and I’ve had both – make me totally not sorry for this one).
I’m in a person-centered, helping profession, but at the end of the day, I have a business to run. My policies are sound and fair, and clearly spelled-out from the get-go. Apologizing makes me sound as if I did something wrong or am worried that I offended someone.
So I’m sorry – wait, not sorry, that I’m done apologizing. I’m proud of my business, and my practices, and for that, I’m not sorry.
I am nine months-plus into owning and running my private practice. From my first night in grad school through successive various agency work, it was my goal to work for myself as a sole practitioner. I opened my official doors on August 1, 2016 and want to share with you so far what I’ve learned.
There have been successes and set backs, and pretty much everything in between. I’m going to write about all of them here. I want to teach others who are considering hanging their own shingle over a shop certain things to do, and absolutely what not to do based on my own humble (and eye-opening) experience.
There’s a huge misconception in the mental health field about opening up your own business. The misconception is this: that people will care. I mean….don’t flatter yourself. You might be great at what you do. You might be marginally good-looking and charming. But you are 100%, absolutely, completely, unequivocally wrong that anyone will care. Trust me, I was one of those people with the same misperception before I started.
No one, I repeat, no one cares about your business.
Yeah, I said it.
Why does no one care? Because. Because there are other people out there that have the exact same thing, offer the exact same service or the exact same product. They’ve done it longer than you. They know more about it than you. Even if they don’t do it better than you, no one cares about that, either.
But you care. Of course you do, otherwise you wouldn’t have taken the leap of faith and done it.
So how do you make other people care? Here are five things I did to make my private practice turn a reasonable profit in nine short months, and to make people care about (and utilize) my business:
- Find Your Niche – In San Antonio, counselors are everywhere. In my zip code alone, there are 40+ counselors within a 10-mile radius. So why choose me? Because I meet people in their homes. Because I provide “Walk & Talk” sessions, where I meet people at work, parks, trails, etc. Because I have dual licenses in Counseling and Substance Abuse. None of those other 40+ people do what I do. And that’s not an accident on my part.
- Hustle – I am a constant marketer. I tell people what I do all the time and am shameless about self-promotion. In the hours I am not seeing client, I am busy marketing. I launched this website (with help). I had marketing materials and business cards made that I hand out on the regular. I’ll write more in-depth about my marketing practices – and the hustle – in future posts.
- LinkedIn Yoself – LinkedIn has been invaluable for me in reaching out to the local mental health community (and beyond) to let people know I am available. I engage with local businesses and agencies as well as individuals about my practice.
- Meet Up – My goal this year is to have one meeting per week with an agency, individual or company that could utilize my services (and that I can refer clients to if needed). This has proved invaluable during the hours that I don’t see clients. If I have a blank day (and believe me, there are some of those), I reach out and set up a meeting or tour of a facility. I’ve had three of those “meetings” so far this week. I’m aiming for 52 meetings (minimum) in 2017.
- Social Media-ize – Build a social media presence for your counseling practice. It doesn’t take a ton of time or energy, just some effort and advance planning. You can find me on Twitter, Instagram and Facebook as @jenniferseelpc. I am on Linkedin as well (see #3). I have a blog on my website (duh, obviously, you are reading). All of these help build my presence and spread my message, as well as connect with a vast audience and potential future clients.
I care about my business. I care about it a lot. I know you care about your counseling practice, too. So start making others care about it. Good luck to you, and check back here for more Private Practice Chronicles.
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