Principles driving the growth of my mental health practice
Many principles drove the growth of my mental health practice. At my retirement in 2019, the practice had over forty clinicians and ten support staff working in three locations, and […]
Private practice therapist salary: What can you reasonably expect?
There is lots of ink spilled on what to expect a private practice therapist’s salary to be. Frankly, some of the numbers are ridiculous. One post inaccurately reports, “The average salary for […]
With demand so high, why don’t clinicians see more money?
With demand as high as it is, why don’t clinicians see more money in their pockets? Isn’t high demand supposed to translate into higher prices and, ultimately, more take-home pay? […]
Survey results: Therapist wages and benefits from 40 practices
Here are the results of a Therapist Wage Survey with data from 40 different practices. I collected data through the e-newsletter list for this website and via LinkedIn. Data collection for this report […]
How to keep clinician waitlists fresh and alive
No practice owner is a fan of waitlists. Putting a client on a waitlist means that we are not immediately helping the client or referrer. Everyone prefers more responsive methods. […]
The ultimate guide to stimulate growth
This guide provides an outline for how to stimulate growth. If we are fortunate enough to experience growth, we face many new issues. We will discuss four major areas that […]
Considerations when rebuilding your infrastructure
As an organization grows, the infrastructure is often in need of rebuilding. The tools for getting business done are continually changing. We should always be investing in the rebuilding of […]
Most hazardous practice size? Ten people
From my observations, the most hazardous practice size has about ten people. Let’s examine why this is true and how to work through these perils. Characteristics of a ten-person practice […]
How increased size adds resiliency, stability, and makes you stronger
One often hears people say that increasing the size of one’s organization increases resiliency. But is this true? If so, why is this true? Exactly how does largeness add resiliency? […]
Overcoming bottlenecks in mental health practice
For a practice to operate efficiently, managers and owners must get good at overcoming bottlenecks. These bottlenecks can come from multiple sources. Let’s look at a few and see how […]
Make new plans guaranteed to overcome stalled marketing
If stalled marketing is holding back the growth of your practice, you have come to the right place. From 2004 through 2006, my organization had flattened out. We did not […]
How to use everything to reinforce your branding messages
There are aspects of your practice that offer prospective clients the branding message of your mental health practice. It may be a positive or a negative message, but it is there […]
How to calculate a psychotherapist’s private practice pay
Calculating psychotherapist pay means considering many factors. Unfortunately, the complexity leaves lots of room for some wild estimates regarding how much a therapist makes in private practice. But here I […]
Psychotherapy office space: Rent, lease, or purchase?
There are many factors to consider when looking at office space for psychotherapy practice. Is it best to think in terms of renting, leasing, or purchasing psychotherapy office space? The […]
Eight steps to adding the right office space
Adding office space may seem like a no brainer. It isn’t. There is much at stake and many factors to consider. In fact, I get more requests for consultation on […]
Grow, hire, run out of space, repeat…forever
If we do things right, we will run out of space. Why? Because growing requires hiring staff. And then when we add to our team, we eventually run out of […]
Financial rewards for owners of private practices
A practice owner I was consulting with said, “I am not tasting a lot of financial rewards as the owner of a practice.” His comment transported me back to the […]
How to increase therapist pay in private practice
Everyone who is in private practice wants to know how to increase therapist pay. Of course, our first goal is to fill our schedule with clients. But once that is […]
Growing pains: Outgrowing your brand and how to fix it
Over the years of growing our practice, we found ourselves outgrowing our brand. My practice started as a partnership–until my partner took a university job. Then it was just me–until […]
5 best marketing favorites in psychotherapy practice
I presented a workshop at a hospital on practice development. I had just gone over our marketing favorites when a participant raised her hand. She said, “Yes, I get that […]
Follow the money: Therapist pay in private practice
Private practice therapist pay is rarely based on a salary. Instead, there is a series of steps for determining psychotherapist pay. Firstly, every private practice sells a service, usually psychotherapy […]
Wealth in Mental Health – Where are the good paying jobs?
Mental health is a small margin business. But there are some jobs that pay better than others. Where are they and why do they pay better?
Wealth in mental health–Why isn’t there more?
Perhaps one of the more shocking secrets in our mental health field is how little profit is in the profession. There is not much wealth in mental health. The whole […]
Dilemmas of success: Do it myself or delegate
If you are fortunate enough to grow, you will soon discover an additional challenge–having too many referrals to manage. While this may be a welcome relief from earlier struggles, it […]
Rainmaker Lessons: Staying optimistic when marketing
In Ford Harding’s book about those who are super salespersons, he talks about “enthusiasm” as a key characteristic possessed by these rainmakers. (Ford Harding (2006), Creating rainmakers: The manager’s guide […]