Phd

Can I Feature Your Private Practice? Content Creation Opportunities on Toolbox

in Concert - blue

Talk to thousands about your practice by submitting content for Private Practice Toolbox.

I've written a lot about the importance of content creation in building a professional online presence, creating value for website visitors and social media followers, and establishing yourself as an expert in your specialty area.

Incoming links to your practice website boost SEO, boost traffic, and establish credibility. It's always better to create content for larger websites. Well, here's your chance to shine. I want to feature you on THIS blog in 2013! Here are 4 ways you can be featured:

1) Pitch a guest blog 

I'm always looking for guest posts from qualified individuals from a variety of fields who can share insights about how to run, manage, market, and thrive in private practice. I recently started working on my PhD and I'm not able to blog as often as I used to. I'm open to posts from professionals outside the mental health field as well. Attorneys, accountants, SEO experts, marketing, website design, interior design...If your expertise can help private mental health practitioners build successful businesses, pitch away!

2) Be featured in my"Adventures in Private Practice" series

Answer the following questions and submit them with a photo, a brief summary of your practice and a link to your website here.

  • Tell me a little about your practice…
  • Why did you decide to open a private practice?
  • 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?
  • What’s your biggest pet peeve about private practice?
  • How did you discover or develop your practice “niche”?
  • What resource (book, website, person) helped you the most when setting up your private practice?
  • What has surprised you most about being in private practice?
  • Has your private practice helped you grow professionally? How so…
  • Has it helped you grow personally, too? How so…
  • Being a therapist can be emotionally exhausting. What do you do to care for your own emotional and psychological health?
  • How do you cope with the inevitable stressors involved with being your own boss?
  • What personal strengths have helped you succeed in private practice?

3) Be Featured in a "A Day In The Life" Series 

How do private practitioners spend their time? What does it take to create a thriving practice? Track your private practice activities for one day. Submit a word doc, photo, practice summary, and link to your practice here.

4) Be feature in my "Virtual Office Tour" series

Submit a video tour of your office space and I'll feature it on this blog! Submit you information here. Peek inside other therapist's offices.

Other ways to connect with private practice resources:

Join the Private Practice Toolbox Facebook Group

Join the Twitter conversation using hashtag #practicetoolbox (I'm @julie_hanks)

Join the 2013 Therapist Blog Challenge for help creating regular content on your private practice website.

Creative Commons License Martin Fisch via Compfight

 

Why I 'Broke Up' With Managed Care (Part 2)

Several months ago I wrote a post titled, "Why I Broke Up With Managed Care" that stirred up some passionate discussion! While I understand that it's not the route for every private practitioner, I have continued to build a private practice free of managed care and recently hired my 12th therapist.

While we don't bill insurance directly, we do give a superbill to clients so they can seek reimbursement from their health insurance so they can still use their benefits. As I've continued to write this blog, I've come across several therapists who have also "broke up" with managed care and asked them why they decided to build a fee-for-service therapy practice. Here's what they had to say:

Increased Reimbursement Rate

I've been in private practice for over 15 years. So, I experienced the first major transition of health care to "managed" care. I had friends and colleagues who began working in the managed care industry, and it quickly became clear to me that despite all the rhetoric about the necessity for evidenced-based care (which can be a very useful model of care), managed mental health care was really about making corporate the work of individual psychotherapists.

I also did the math. The last time I checked, insurance reimbursement was the average rate charged by psychotherapists in the 1980s. Today, I can afford to have two additional office hours available for new clients, by taking just one fee-for-service patient. This also allows me more discretion in seeing clients who are needing a low fee. Will Courtenay, PhD, LCSW "The Men's Doc"

Control Over Therapeutic Work

I wanted the freedom to determine, along with parents, the course and length of treatment and felt managed care would impede on that. Pam Dyson, LPC, RPT

My training is in social work, which is the source of the old adage "start where the client is at." That's my barometer for treatment, not where an insurance company believes my client and I should start or end our work. Will Courtenay, PhD, LCSW "The Men's Doc"

Increased Client Commitment to Therapeutic Process

Being a Christian counselor, by law I cannot bill insurance, even if I could I think private pay gives each person responsibility in the therapeutic efforts. When people  have to pay it makes them take their  therapy more seriously. Natalie Davis

No Diagnosis Required

My services are specialized in that I will work with children as young as three, something many therapists in my area will not do. The problems child clients present with are often not clinical but rooted in the parent-child relationship. I feel strongly that young children do not need a diagnosis on their permanent health record. Pam Dyson, LPC, RPT

More Time With Clients (Less Time Doing Paperwork)

I had worked in a managed care setting in the past, and I decided that in my practice that I want to avoid the incredible amount of paperwork, defending sessions, and over-diagnosing.  I also think it provides clients with more privacy. Sara Levitsky, LMSW, Birmingham Counseling For Women

Paperwork was the other major decision (in building a fee-for-service practice). I put a great deal of time and energy into my work with clients outside of our scheduled hours, including receiving professional consultation on a consistent basis. I have no time or patience for administrative busywork. Will Courtenay, PhD, LCSW "The Men's Doc"

More Flexibility To Offer Reduced Fees

Like Dr. Courtenay mentioned earlier in this article, when his practice is doing well financially, he has more (not less) time to devote to seeing clients at a reduced fee. I have found the same to be true. As my practice grows I am able to offer more free community workshops and do more pro bono work.

Do you run a fee-for-service mental health therapy practice? What led to your decision?

Therapist Media Cheat Sheet: Look Good And Sound Smart On TV

TV interviews are a great way to educate about relationship and mental health topics and to raise visibility for your private practice. Over the past few years, I've actively sought out interview opportunities and have found that over time, they have bolstered my credibility, fostered trust in my knowledge and clinical skills, and raised visibility of my private practice. Thanks to social media, TV interviews can reach beyond the viewership of the live broadcast to a larger audience. One example is this short, live interview for a local Utah TV lifestyle program.  "How To Handle A Narcissistic Mother" has had over 9000 views on YouTube (and yes, I'm still working on not saying ,"um").

I reached out to other therapists to find out what they'd learned from their TV interview experience, what advice they'd give to therapists preparing for their first TV interview, and how these interviews have impacted their practice.

Here are 10 Tips to help you look and sound like an expert when TV interviews come your way.

1 - Do your homework

Find out who is interviewing you, how long the interview will be, and who watches the show so you can tailor your interview to fit the format and show yourself in your best light. Therapist Sharon Rivkin, MA, MFT and author of Breaking the Argument Cycle: How to Stop Fighting Without Therapy suggests researching the show's demographics, audience, and format so you can tailor the interview to the show's viewers. Before his local television news interview, Psychotherapist John Sovec, M.A., LMFT went online and found clips of the newscaster who'd be interviewing him to get familiar with his interview style.

2 - Develop talking points

From my own TV experience, mapping out 5-6 talking points is crucial to building my confidence, producers' confidence and interviewers appreciate the direction. Sovec adds, "The TV world moves fast and I always find that talking points help me to stay centered." Texas Psychologist Susan Fletcher, Ph.D., author of Working in the Smart Zone: Smart Strategies to be a Top Performer at Work and at Home found that "some TV anchors will stick to the talking points while others will veer off. Be prepared to go a little off topic and be flexible. You can always work your way back to the topic."

3 - Add visuals and examples

Fletcher suggests incorporating visual elements into your TV segments and shares this example: "One of the most visual segments I did was What to do on your Spring Break Staycation and I had visuals for everything you could do with your children. I've also used personal photos to show my points." According to Rivkin, giving specific examples to support your talking points makes interviews more compelling. She's learned through experience to "...be succinct, clear and direct. Give an example of a client you've worked with. Stories are more compelling and paint a clearer picture than descriptions."

4 - Prepare and practice

When preparing for a TV interview Terrence Alspaugh, LPCP, Psychotherapist of Family Solutions of Maryland wrote down and memorized talking points on index cards. "I practiced elaborating on each point with illustrations and examples. I wanted to be sure that I could say more about the points if time allowed." TV veteran Will Courtenay, PhD, LCSW, The Men's Doc always "over-prepares: for interviews and says he's always glad he did.

5 - Remember that you're the expert

If you're feeling a bit anxious about an upcoming TV interview David Simonsen M.S. LMFT of Creative Solutions Counseling suggests, "Remember that you are the expert and they are coming to you. Find comfort in the fact that you know your field and you have knowledge they don't."

6 - Speak in sound bites

A sound bite is a short phrase or a few phrases of information.  Speaking in sound bites requires therapists to use skills that aren't often practiced. Good therapists often speak slowly, reflect back, pause often, and go deeper. However, good TV interview skills require the opposite: speak quickly, don't reflect back, keep the interview moving, and stay on target. For taped TV interviews, remember to pause at the end of each thought or phrase to allow for clean editing.

7 - Wear comfortable and flattering clothing

From my own TV experience, I find it's important to wear something comfortable that reflects my professional personality and my practice. If something you're wearing feels awkward or out of place it will detract your focus from the interview. Here are a few "what to wear" tips:

  • Bright solid colors generally look better than prints or white.
  • Wear colors that have elicited the most compliments in the past.
  • Accessorize close to your face, drawing the eye upward.
  • Wear more makeup than usual, even for men. "Wearing some foundation is especially important for men, who often have oily skin -- which will look shiny on screen -- and are more likely to sweat," Courtenay suggests.

8 - Look at the interviewer

Unless instructed otherwise, look at the interviewer. If the show is filming with several cameras, it can be confusing to track which camera to look at. For the record, the camera with the red light is the one currently filming. On her first TV interview Fletcher wasn't sure if she should look at a camera or at the interviewer after the interview was over. She says, "I was advised to continue looking at the TV host."

9 - Be yourself

Rivkin suggests, "Don't be afraid to be yourself and let your personality show. If appropriate, use humor. It can make the interview more interesting." Courtenay gives the following advice for therapists preparing for TV interviews, "Think of your interviewers as friends and remember they really are interested in talking with you. Try to achieve some intimacy, as if you're talking one-on-one to a friend. Don't worry about making mistakes, everyone does; if you misstate something, just simply repeat it."

10 - Don't Expect Immediate Results

Media Psychiatrist Carole Lieberman M.D. and author of Bad Girls: Why Men Love Them & How Good Girls Can Learn Their Secrets says:

Therapists often think that this will grow their practice, but unless you offer some very specific niche therapy that the public may not be familiar with, and patients with this need happen to see your appearance, it is not the most efficient way to get patients. I do not do it to grow my practice. In fact, TV appearances interfere with practice because you often have to reschedule patients at the last minute to do a TV show.

Of her TV interview experience Melody Brooke, MA, LPC, LMFT, author of Oh Wow This Changes Everything says that they haven't made a difference in her practice. "Its given me a lot of street credibility, but other than that, my practice has not grown at all." Courtenay adds,  "Unfortunately, the impact of my TV appearances are hard to judge. However, many of my clients have told me that they've seen interviews with me before we met." Sovec says that he usually gets some calls after TV interviews but sees them as another step toward building public awareness about his work and to build his credibility as an expert.

In an upcoming post I'll share tips to maximize your TV exposure. Until then, watch and learn from these seasoned therapists' TV interviews.

Watch Dr. Will Courtenay

Watch Dr. Susan Fletcher

Dr. Carole Lieberman

Your Office Is Ugly! Get Creative

Many therapists have ugly offices. Does your therapy office reflect your personality, practice specialty, and appeal to your ideal client? Here's one creative solution. During a private practice consultation meeting a few weeks ago psychologist Kimberly Sieber, PhD expressed excitement about securing a large office space at an amazingly low rent for her private practice Good Medicine Healing Community. New to private practice she was concerned about the costs of furnishing such a big space. We estimated a budget and listed the basic furnishings she'd need to start seeing clients: a couch, chair and desk for one office, and a few chairs for the large waiting room.

She turned to me with a worried look and asked, "But what about the walls? They're blank and white and ugly!"

"Do you have any artist friends who are painters?" I asked. "Can you think of anyone whose art speaks to you and supports the holistic philosophy you have for your practice?"

Her eyes brightened and she could sense where I was going. "Yes, I can think of a few!"

She accepted my challenge to reach out and see if any friends would be willing to display their art in her practice with a small plaque with their name and contact information. She was thrilled with the idea and is meeting with a few artists this month. I anticipate that her office will look much warmer once it has some furnishings and lovely art on the walls.

I love brainstorming win-win situations in solution to obstacles. My client Kim gets cool, original, and moving art to transform her office space into a warm, inviting place, and the artist she collaborates with gets more exposure for her art (which makes artists very happy). I believe there is a solution to every obstacle in life, even when it comes to decorating your private practice, if we're willing to get creative.

The same week I consulted with Dr. Siebers I was in the process of hunting for decor for my second location of my practice Wasatch Family Therapy, spending hours at World Market, TJ Maxx, and discount office furniture stores. I was searching for art for the new office space when it dawned on me to take my own advice and I contacted one of my nieces Lisa Marie Crosby to asked if she would be willing to loan some of her amazing paintings to display in my new office. She agreed. My new office in Provo, Utah has the warmth and passion of Lisa's original art on its walls. I didn't have to spend a dime on pictures and wall art, and she gets more exposure for her work.

Is your office decor congruent with your practice mission? Does it appeal to your ideal client?

What problems or barriers are you struggling with in your practice? Can you get more creative with your solutions?

 

What Do You Love About Private Practice?

Ask me about my private practice and I light up. I love it. I just spent the last day and a half furnishing and decorating an additional office location in a neighboring city. I'm excited to be able to expand the reach of my practice and help clients in other geographic locations. There is such a satisfaction in feeling fully self-expressed professionally and to make a difference in the lives of my clients and my colleagues. My passion for building a private practice is why I asked Dr. John Grohol, CEO of PsychCentral.com if I could start this blog. I can't imagine being happier with a work situation and I want to help you develop the tools to feel the same way about your practice. I asked several successful private practice therapists the question, "What do you love about being in private practice?" I wanted to share their answers with you to inspire those of you who are considering going into private practice to do it! If you're unhappy with your practice, I hope you'll draw from these successful private practice experiences to create a practice that you love.

It's not "work"

Lynn Krown MA, MFT:

 

When you do something you are passionate about it's not work. I intend to work well into old age. The more life experience and mindfulness I have, the more wisdom I have to offer. I'm grateful to feel so fulfilled and alive as a psychotherapist age 70 this month.

Accurately represents who I am

Julie Jeske, M.S.:

I love it because it is mine. It is an accurate representation of who I am and the work I do. I truly love what I do and having a private practice gives me the freedom to really design and build my ideal practice. I can work when I want...in fact this summer I spent 5 weeks in Paris. I don't know if I could have done that if I didn't have my own practice.

I look forward to work

Gabby Acord, LCSW:

I look forward to my work and the days fly by. I don't get insurance benefits or paid time off, but I also earn 50% more than I would working full-time for the local University hospital and they pay very well. I feel good that my children know that my work is to help people and they don't resent the time away.

I'm my own boss

Amy Luster, M.A., LMFT:

I am passionate about maintaining a private practice as it grants me the ability to participate in the way that best suits me. I am an active parent to four elementary school aged children and I am able to schedule clients in a way that permits me to be present for my children. As they grow older and more independent, I am able to increase the amount of hours I can see clients in my private practice. I am not beholden to a specific way of working with each client, but rather, I'm able to respond to the needs of each individual, couple or family.

Allows me to refine my specialty

Geoff Steurer, MS, LMFT:

Private practice allows me to refine my specialty in working with marriages impacted by sexual betrayal. When I was working in an agency setting, I was required to see whatever cases walked through the door. So, in any given day I could end up working with children, teens, couples, elderly, and families. Even though I certainly enjoy the variety that comes from working in an agency setting, there is something deeply gratifying knowing that I'm developing a skill set that comes from working with the same types of cases day after day. I love knowing for certain that I can make a difference in the lives of the clients sitting across from me in my office.

I set the rules

Esther Kane, MSW:

I set the rules and love it! I’m independent and it suits my personality. I love the flexibility- going away whenever I choose and working hours I prefer. I get a highly-motivated client-base who are ready and willing to do the work. I own my own office overlooking the ocean and it’s like my second home.

It adapts to my changing lifestyle

Shannon Purtell MA, LPC:

In the last 3 years I have gotten married, and had 2 children. Private practice has allowed me to adapt to my changing lifestyle. It worked great when I was single and could work evenings/weekends, etc. and it works great now when I need to be home evenings and weekends to be with my family. Private practice affords me the opportunity to build a company that makes a difference in the lives of our clients, and provide a healthy work environment for my associates and interns.

It's a thrill to see people change

Eileen Kennedy-Moore, PhD:

There is no greater thrill than seeing people make real change for the better in their lives and being part of that change process. I'm grateful for the opportunity to do work I love, as my own boss, with hours that mesh with my family needs.

 

Meaningful connection with others

Loren A Olson MD, who is in the process of retiring from his psychiatry practice:

I have experienced the joy of connecting with people in the most emotionally intimate ways. I *know *them deeply and meaningfully. And although I've always maintained professional boundaries, I find that they know me, too. And so I grieve the loss of these relationships even while knowing that I am responsible for my own happiness. And as I retire I will find new ways to find pleasure in my life, but I also look back with a sense of satisfaction about having chosen such a meaningful profession.

Do you love being in private practice? Tell me about it! If you're not happy with your practice, what would you like to change?

If you have any topics you'd like me to write about, or specific questions for me comment below, ask me on Twitter @Julie_Hanks, or contact me directly here.