Navigate / search

How To Find Top Student Interns To Grow Your Practice

There is an “it” factor when looking for interns to train in your private practice.

Here’s how I’ve found amazing interns that stay at my clinic even after graduation.

Over the past several years I have trained and mentored many graduate students and new graduates working toward clinical licensure. Working with interns has been a great way to build my practice, leverage my time, and satisfy the part of me that loves mentoring.

Most graduate students who train at my clinic during school are offered a therapist position after graduation which creates a win-win situation — the student gets a job they’re already trained for and I get to add talented and enthusiastic therapists to my team! After interviewing several therapists, I’ve learned to be very selective about who I bring on at Wasatch Family Therapy.

I recently consulted with a private practice therapist who has a waiting list for new clients. As we started exploring the option of hiring a graduate student to train she expressed some concerns. Her biggest questions were: Read more

Would Your Practice Survive An Employment Tax Audit? (1099 vs. W-2 part 2)

Tax Calculator and Pen

Does the state tax commission really take the time to audit small private practices? I didn’t think so, until my practice was selected for an audit.

A few years ago my clinic was selected for an employment tax audit. Lucky me, right? When the auditor walked into my office suite and saw many offices with different names on the doors, he looked at me pleadingly and said, “Please, please don’t tell me that these therapists are all classified as 1099 contractors.”

Read more

The Difference Between Hiring Therapists As 1099 vs. W-2 (part 1)

Should you hire additional therapists for your practice as 1099 or W-2 employees? I’ll walk you through the decision process in this blog series so you can make an informed decision.

If your private practice is thriving and you are considering hiring additional therapists, one of the major questions is how to structure the employment relationship. Should you hire additional therapists as a 1099 contractor or W-2 employee?

In my private practice consulting experience and based on recent discussions in my Private Practice Toolbox Group it seems that most private practice therapists favor hiring therapists as 1099 contractors. When I ask why I often hear something like, “I hire 1099’s because then I’m not responsible to pay the therapists employment taxes and it provides some cushion against legal responsibility for the acts of therapists providing contract services.” While these statements are true, there is a lot more to consider when structuring the employment relationship and misclassification can be a costly mistake.

Read more

Evolution Of A Private Practice

This year marks my 10th year in private practice and I’ve spent a lot of time reflecting on and blogging about what’s contributed to the growth and longevity of my practice. As I started creating a timeline chronicling the evolution of my practice, it became clear that the growth of my private practice coincides with my online presence building efforts. I don’t think it’s an accident that when I began actively seeking media interviews, blogging, and building my social networks that my practice experienced tremendous growth.

Why Conventional Media Still Matters

I spill my practice building media tips in new issue of TILT Magazine

One of my favorite therapists to follow on Twitter is DeeAnna Nagel, co-founder of the Online Therapy Institute. She and co-founder Kate Anthony are well-known online therapy innovators and experts. A few months ago I was delighted when DeAnna invited to submit a feature article for their November Issue of TILT Magazine (Therapeutic Innovations In Light Of Technology) on the benefits of conventional media for practice building. Regular media interviews fave been a big factor in the continued growth of my practice Wasatch Family Therapy during an economic downturn. Here’s a snippet from the article…

Read more

Celebrating 10 Years Of Private Practice Success

tenth birthday cake

From solo practitioner to thriving clinic owner. Celebrating the milestones of 10 years of private practice.

Today marks the 10 years since of the founding of my private practice Wasatch Family Therapy, LLC. I started out as a solo practitioner with big dreams of creating an exceptional therapy clinic that not only provides excellent clinical services, but also provides therapists the opportunity to create their “dream practice” in a nurturing work environment that supports personal growth and strong family relationships.

As I take a step back and reflect on this ten year journey, many tender emotions surface. I am grateful for willing clients who have allowed me to walk with them during life crises and transitions. I am touched by the generosity of the professional relationships that I’ve cultivated during this period of time. I am amazed at the personal and professional growth that I’ve experienced. I’ve learned invaluable lessons about leadership, boundaries, and business. I’ve developed skills in marketing, supervising, web design, social media, mentoring, public relations, human resources, interior decorating, negotiating contracts, consulting…

Read more

9 Ways To Get Doctor Referrals

Want to build strong referral relationships with medical professionals? The key is offering them something of value.

A few therapists at my clinic have been focusing on networking with Doctor’s offices as potential referral sources. Through my 10 years in private practice, I’ve wasted a lot of time visiting medical practices with little result. However, during that time I found a few doctors or health practitioners who have consistently referred to me so I put together an training and presented it at our staff meeting yesterday. I thought that some of you might appreciate some tips on how I’ve built relationships of trust with medical practices who have referred patients for mental health or relationship therapy.

Read more

5 Steps To Resigning From Insurance Panels

One of the most common questions that private practice therapists ask me is “How do I get off of insurance panels?” This question just came up today in my Private Practice Toolbox Facebook Group so I thought it would be a great topic for a blog post.

In previous posts I’ve written about why I broke up with managed care (part 1) & (part 2), but this post will focus on how to do it.

The thought of letting go of the comfort of being on insurance panels can create a lot of anxiety for private practice therapists. After all, if we don’t have clients, we don’t get paid. Find comfort in knowing this equation. You only need about half the number of clients in a self-pay practice to make the same income (or more) than you made in an insurance based practice. Once I realized this fact, I felt a lot more comfortable resigning from insurance panels. Let’s do the math…

Read more

Why Some Shrinks Fly Solo

WHITE IBIS

In past posts I’ve explored the the positives and negatives of joining a group private practice. Now, it’s time to focus on the pros and cons of running a solo private mental health practice. When I opened Wasatch Family Therapy nearly 10 years ago, it started out as a solo practice that slowly built over time into a group practice. While I like being “in charge” and autonomous, I’m also an extravert and I highly value my connections with others.

I reached out to other private practice therapists who practice alone to see why they chose to “fly solo.”

Read more

Online Therapy…Naked? Heading To 2012 SXSW Fully Clothed

SXSW Interactive 2012

South By Southwest Festival is legendary in the music, film, and technology worlds. I’ve always wanted to go, but this year I’m actually going to make the trek to Austin, TX to present on an interactive health panel! PsychCentral’s CEO and founder Dr. John Grohol, a pioneer in online counseling, invited me to participate on a panel called “Online Therapy…Naked?”

Yes, you read that right…n a k e d. An unlicensed NY woman (with a BS in Psychology) and founder of “Naked Therapy” who claims to be providing “therapy” online to “patients” while getting naked (and aroused) will be on the panel. Also, weighing in on the discussion will be LICENSED professional counselor Audrey Jung, LPC who provides legitimate online counseling services.

Read more