Adventures In Private Practice: Child Therapist April Forella, LMHC

Tell me about your practice...

I am a solo practitioner with an office in beautiful Palm Beach Gardens, Florida. I opened my private practice a year ago. As an experienced child, adolescent and family therapist, I understand how difficult it can be to find resources and help for children and adolescents who are suffering from emotional and behavioral issues. In my private practice I specialize in working with children 6+ and adolescents who are experiencing difficulty in their functioning and ability to navigate life’s challenges and relationships. I enjoy seeing children and families learn how to respectfully express their emotions and improve communication. Children and adolescent’s unique situations are addressed with a deep understanding of today’s youth and their specific challenges.

I am an Accredited Standard Triple P Provider (Level 4 & 5).  Triple P is an evidence-based multi-level family intervention and parenting support strategy which is designed to reduce the prevalence of behavioral and emotional problems in children and adolescents.

Why did you decide to open a private practice?

I entered graduate school in mid-life with the goal of opening a private practice. My twenty years of experience working in business (advertising & marketing) prior to entering the field have assisted me in knowing how to reach my target audience. I also wanted the freedom to set my own hours and to foster hope and build relationships with my clients. I knew that having my own practice would allow me to achieve all of these goals.

Clients that therapists find to be the most “difficult” are sometimes the ones who can teach them the most. What have you learned from your toughest clients?

Young children and adolescents with challenging behavior problems try the patience of parents and caregivers and can be challenging for therapists. I have learned from the most “difficult” clients the importance of meeting them where they are, along with being patient and finding ways to connect and build rapport. By being with a child and engaging them in art, play or games I gain an understanding of what the child’s interests and needs are. Once a child is heard and understood we can begin implementing strategies to meet the child’s needs and overcome challenging behaviors. Understanding the child from the child’s perspective is the key to the process.

What’s your biggest pet peeve about private practice?

The fluctuating streams of income. There are cycles when I’m busy and when I’m not.  I continue to learn and expand my knowledge of marketing utilizing social media and networking to grow my practice. I supplement my income with offering trainings to schools, other professionals, and coaching.

How did you discover or develop your practice “niche”?

My passion in working with children and adolescents has been important to me before enrolling in graduate school. I took course work related to counseling children, completed an internship at an agency specializing in working with at-risk children. Once I was licensed and opened my practice I already had a solid skill base as a child, adolescent and family therapist. I also had the skills necessary to work collaboratively with parents. It was a natural fit.

What resource (book, website, person) helped you the most when setting up your private practice?

I attended a training by Lyn Kelley, Ph.D., LMFT, CPC “Promote Your Practice Exclusively to a Well-Pay, Fee-for-Service Clientele”, consulted with other professionals and utilize the internet to find other successful private practice clinicians, including Julie Hanks, LCSW's “Private Practice Toolbox”, Tamara G. Suttle, M.Ed., LPC “Private Practice from the Inside Out—All Things Private Practice”. The book The Paper Office by Edward L. Zuckerman, Ph.D has been helpful in getting organized and developing good professional habits. The book provides forms, guidelines, and resources to make your practice work ethically, legally and profitably.

What has surprised you most about being in private practice?

I have found my life’s purpose in helping others. I am truly passionate about coming along side my clients and find it rewarding in so many ways.  The hard work in building my practice is all worth it when I see clients grow.

Has your private practice helped you grow professionally?

I have gained self-confidence not only in my ability to provide quality therapeutic services but in my ability to manage the business side of my practice. I continue to set goals to challenge myself personally and professionally. I plan to present at conferences and seminars to develop public speaking skills, and begin blogging and continuing to utilize social media to develop my practice.

Has it helped you grow personally, too?

On a personal level it has made me aware of the importance of pursuing my passion and the fulfillment that it brings me.  It’s a privilege to come along side the amazing people that I work with and the things they teach me about life.

Being a therapist can be emotionally exhausting. What do you do to care for your own emotions and psychological health?

I make it a priority to have time alone to relax, pray, read the Bible and recharge myself. My support system is an amazing loving family and lots of great friends. I enjoy spending time at the beach, listening to music, regular massage to release stress and tension in the body, and going on walks.

How do you cope with the inevitable stressors involved with being your own boss?

I handle all of the day to day details of my practice myself. I am an organized person and rely on to-do lists. It can be overwhelming at times! However, the rewards of having flexibility and freedom to make my own schedule out way the stressors.

What personal strengths have helped you succeed in private practice?

My social skills are strong and connecting with people is natural for me. I like to network and build relationships. My business experience has helped me to understand marketing. I also understand that growing and maintaining a private practice is a process that takes a lot of work, perseverance and the need to reach out to my peers for support and encouragement.

To learn more about April Forella’s private practice visit www.aprilforella.com.

5 Free Ways to Market Your Therapy Practice

Thanks to technology, there are many free ways to effectively market your private therapy practice. Since these free strategies do take time to implement, I suggest focusing on the ones that sound interesting, fun, fulfilling, and a little challenging so you get something back personally from your time investment. It can take some time until you actually see the benefits of your marketing in terms of clients coming to your practice. Part of effective marketing is simply raising awareness of your practice and your specialties, which will bring in clients over time.

After nearly 10 years in private practice, I've found that the most effective strategies for building your practice use what we already know as therapists about building relationships: building rapport, using your authentic self, starting where the "client" is, to name a few, and translating those skills into a new formats that reaches larger audiences.

Here are 5 ways to draw clients to your therapy practice:

1) Speak to your ideal clients

Once you've identified who you'd like to see in your private practice, ask yourself, "Where are my ideal clients gathering?" or "Where are groups who work with my ideal clients already gathering?" If your ideal clients are families with a young children with behavior problems, then you may want to focus on speaking to groups of parents or teachers in the schools, for example.  Or if you're wanting to focus on working with couples in crisis, then speaking to clergy who regularly meet with distressed couples, or speaking to local religious groups on marriage issues might be something to consider.

2) Blog on your niche

If you have a blog on your website, write weekly articles that speak to your ideals clients. Blog posts are generally 300-500 words, so keep it simple. Blogging once a week is enough to keep it fresh. If you don't have a website, or don't have a blog on your website, I suggest that you look into it. Blogs allow tagging and categories which make it search engine friendly to people who are searching for the information you're offering. Here's an example of blog integrated into a therapist site from my own private practice.

3) Target local social media

Social media is global but your practice is local. Talk with other local businesses and therapists on Twitter and Facebook by using the search boxes to find other pages in your city. For example, if your specialty is working with adults living with chronic pain or illness you may want to follow on Twitter or "like" the Facebook pages of local hospitals, newspapers, rehabilitation centers, chiropractors, and other related businesses and services.  The goal of social media is to communicate and interact, not just to inform, so share other local resources on your social media pages. Tag them on Facebook posts or mention them on Twitter status updates. Reciprocity is the key to effectively using social media to build your therapy practice.

4) Interview on local radio

Did you know that radio stations provide a certain number of public service hours each week?  Producers are often looking for helpful topics and interesting people to interview that will benefit their listeners. Call or email the top local radio stations in your area, ask for the producer of their public service show, and offer a couple of topics that are related to your basic message.

5) Write for local newspaper or magazine articles

Which magazines or newspapers are your potential clients reading on a regular basis? Do some research on the demographic of the periodical and contact the editor to offer your writing services. Always lead with information on how your article/column/expertise will serve their readers, not how you hope to get hundreds of clients by writing for them.  Since most news outlets and local magazines have websites, offering to blog for their site is a great idea, too. Fresh content is a valuable asset to websites so pitch with passion your area of expertise as a blog.

I'd love to hear back from you on how you implement any of these free marketing ideas. Please comment below and feel free to post links of your blog, news interviews, articles, etc. that might spring from reading this post.

photo credit: orensbruli (Esteban Martinena)