What Advice Do You Have for Those Starting in Private Practice?
Entering the world of private practice can be both exhilarating and daunting for mental health professionals. In this article, insights from a Ph.D. Clinical Psychologist and a Licensed Professional Counselor provide invaluable guidance. Discover the importance of setting boundaries around availability and energy, as well as connecting with colleagues for professional growth. Read on for a total of eight insights that can help build a successful practice.
- Set Boundaries Around Availability and Energy
- Transition Gradually for Financial Stability
- Clarify Your Purpose and Administrative Groundwork
- Emphasize Authenticity and Results-Driven Approach
- Build a Sustainable Practice Over Time
- Create a Sustainable Structure from Outset
- Build Genuine Relationships and Manage Business
- Connect with Colleagues for Professional Growth
Set Boundaries Around Availability and Energy
Let me share some key advice from my clinical perspective that I wish I'd known when starting out in private practice. The most crucial insight I've gained is about setting boundaries around your availability and emotional energy—not just with clients, but with yourself.
Starting a private practice creates an internal pressure to be available at all times, to take every potential client, and to do administrative work at all hours. This comes from a very good place of wanting to help and build your practice, but it can quickly lead to burnout. I have seen many talented therapists struggle because they didn't create clear structures around their work hours, client load, and personal time from the beginning.
A sustainable practice requires what I call "professional selfishness" that is intentionally protective of one's time and energy, so that one can truly be present for clients. That means setting specific hours for consultation, having clearly stated policies about between-session contact, and maintaining firm boundaries about one's schedule. For example, one of the first therapists I supervised felt guilty for not responding to client emails on weekends, but found that implementing office-hours boundaries actually enhanced her therapeutic relationships and client outcomes.
Beyond scheduling, it's essential to develop a support network of other clinicians early on. Private practice can feel isolating, and having colleagues to consult with, share referrals, and process challenging cases is invaluable for both professional growth and emotional well-being. Regular peer supervision or consultation groups provide crucial perspectives and help maintain ethical practice standards while preventing professional isolation.
This means that success is not only about clinical expertise but creating sustainable systems that allow you to maintain your effectiveness over the long term. Start with fewer clients than you think you can handle, build in administrative time, and prioritize self-care not as an indulgence but as a professional responsibility. Remember that by taking care of yourself, you're ultimately providing better care for your clients.
Transition Gradually for Financial Stability
When I started my practice, I transitioned gradually. I kept my part-time school job and slowly built up my caseload until my private practice income matched my salary. This "slow and steady" approach gave me the financial stability and mental space to market my practice effectively without the stress of taking on a full roster of new clients all at once.
Building your caseload takes time, and starting small allows you to grow intentionally while avoiding overwhelm. My advice? Transition thoughtfully, and give yourself the time to create a sustainable foundation before making the leap. Your future self-and your clients-will thank you.
Clarify Your Purpose and Administrative Groundwork
When starting a private practice, one of the most important things to remember is that it's a marathon, not a sprint. You're not just creating a space to see clients; you're building a business that reflects your values and expertise. Start by clarifying your "why." Why do you want to be in private practice? Who do you want to serve, and how do you want them to feel when they walk through your doors or meet you virtually? These answers will guide your decisions on branding, services, and marketing strategies.
Don't skip the administrative groundwork. Setting up your business legally with a license, LLC, tax ID, and NPI might not be the most exciting part, but it's foundational. Choosing an EHR system early will save you countless hours in scheduling, documentation, and billing, allowing you to focus on what matters most—your clients. If you're planning to accept insurance, start the credentialing process as soon as possible because it can take time. Also, educate yourself on the intricacies of billing, claims, and handling denials to avoid cash flow disruptions.
Marketing can feel intimidating, especially if you're new to it, but think of it as an opportunity to connect with the clients you're meant to help. Create a simple website that highlights who you are, your specialties, and how clients can contact you. Engage in social media or local networking to build visibility. Don't forget the power of word-of-mouth; building strong relationships with other therapists and healthcare providers can lead to referrals.
Ethics and organization are your anchors. Having clear informed consent forms, HIPAA-compliant systems, and a structured approach to documentation ensures professionalism and legal protection. Ethical dilemmas may arise, but staying informed on the standards of your profession will help you navigate them with confidence and integrity.
Finally, give yourself grace. You'll make mistakes, face unexpected challenges, and possibly doubt your abilities at times—that's normal. Success in private practice doesn't happen overnight, but by taking consistent, intentional steps and remaining open to learning, you'll create a practice that's both fulfilling and sustainable.
Emphasize Authenticity and Results-Driven Approach
As someone who's transitioned from battling personal challenges to coaching, I'd emphasize the importance of authenticity in private practice. My change through overcoming alcoholism and finding purpose has been key in resonating with clients. Sharing your story can build trust and form connections that are vital for a thriving practice.
Adopt a results-driven approach. I implement methodologies like the S.T.E.A.R. Cycle to dismantle limiting beliefs. By focusing on tangible outcomes, my clients experience sustained changes, such as weight loss or improved relationships. This dedication to results can improve client satisfaction and retention in your practice.
Lastly, lean into the power of empathy and tough love. I've found that confronting uncomfortable truths with clients ultimately leads to profound growth. Offering both support and challenge can set you apart and foster deep, lasting client relationships.
Build a Sustainable Practice Over Time
One of the most important lessons I've learned in private practice is that success doesn't happen overnight—despite what social media might suggest. Building a sustainable practice takes time, consistency, and a clear sense of purpose. Start by reflecting on your values and identifying your specialties. Lean into the strengths and experiences you gained during your training, and trust those foundations as you begin.
It's also essential to stay true to what you do best. If you don't specialize in eating disorders, for example, don't feel pressured to take on an ED client just because you're starting out. Saying no to cases outside your expertise isn't a sign of weakness—it's a commitment to ethical care and to your own professional development. Focusing on your strengths will not only build your confidence but will also attract the type of clients you're truly equipped to help.
Starting a solo practice can feel isolating at times. It's important to find a support network—whether it's colleagues, mentors, or peers who've walked this path before. Just as we encourage our clients to seek support, we must do the same for ourselves. Collaboration isn't just beneficial—it's vital, both for personal growth and for providing the best care to our clients.
Remember: the process of building a private practice is a journey, not a sprint. Trust yourself, your training, and the connections you foster along the way.
Create a Sustainable Structure from Outset
If there's one piece of advice I would give a new private practice entrepreneur, it's to start with creating a sustainable structure for yourself from the outset. It means drawing the line on your time, developing policies to secure your well-being, and having a reasonable caseload. For instance, you might want to overburden your schedule to get things rolling, but be sure to also include admin work, professional development, and personal rest to prevent burnout. A practice that helps you as much as it helps your clients will sustain itself and allow you to provide your best care.
Build Genuine Relationships and Manage Business
One piece of advice I'd give to someone starting out in private practice is to focus on building genuine relationships with your patients and colleagues. Trust takes time, and being consistent, present, and empathetic goes a long way in creating that trust. Additionally, don't underestimate the importance of managing the business side of your practice effectively—things like billing, scheduling, and keeping up with paperwork can quickly become overwhelming if not well-organized. Surround yourself with a supportive network, whether it's peers in your field or administrative help, so you can dedicate your energy to providing quality care. Above all, remember why you started this journey and keep that purpose at the heart of what you do. It helps ground you during challenging days.
Connect with Colleagues for Professional Growth
I found that connecting with colleagues in the field helped me grow both professionally and personally. Whether it's discussing case management strategies, learning new techniques, or simply receiving encouragement, a strong support network will help you feel more grounded and confident as you build your practice.
