
My live Ask Allison recording sessions are a great way to get free, conversational support. Today’s podcast episode—sponsored by our friends at —features a clip from one of those sessions, recorded back in March. In it, we cover topics like...
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Allison
Foreign. Hey, our live Ask Allisons are an opportunity for you to get free live conversational support from me. You're hearing an excerpt from one we did recently. I'll give you details on how you can join our next live Ask Allison at the end of the episode. So, I've talked about therapynotes on here for years. I could talk about the features and the benefits in my sleep. But there are a couple things I want you to know about therapynotes that doesn't typically make it into an ad script. First is that they actually care if you like their platform. They don't only make themselves available on the phone to troubleshoot so you don't pull your hair out when you get stuck. They also take member suggestions and implement those that there's client demand for, like Therapy Search, an included listing service that helps clients find you. Internal and external secure messaging. Clinical outcome measures to keep an eye on how your clients are progressing. A super smooth, super bill process, real time eligibility to check on your client's insurance. In my conversations with the employees there at all levels, they all really believe in their product and they want you to love it, too. Second, they are proudly independently owned. Why should you care about that? Because as soon as venture capital becomes involved, the focus shifts from making customers happy to making investors happy. Prices go way up. Innovation plateaus. Making more money with as little output as possible becomes the number one focus. With over 100,000 therapists using their platform, they've been able to stay incredibly successful. And they don't have to sacrifice your experience to stay there. You can try two months free@therapynotes.com with the coupon code Abundant. Well, hi y'all. Today is just like full, open Q and A, whatever you need. Like, we can go all over the map, from mindset to scaling to how to get your first client to whatever. So who would like to start us off? I can. Okay, great. We'll go you and then we'll go Holly. Okay.
Holly
So I was just listening to the podcast you recently did about whether to take insurance or not or. Or keep taking insurance. But it felt a little motivational interviewing, like a little bit, you know what I mean?
Allison
Like, it's okay.
Holly
Keep taking insurance. And you had mentioned something about the confidence to market yourself and how it's important for therapists to be able to work through that if that's a little bit of a stumbling block or holding us back. And I was wondering some advice about that.
Allison
Yeah. So this fear of being seen is pretty. It's a pretty big deal. And when we're starting our practices, we often feel like the imposter syndrome is really strong. And so then it makes it really hard to feel like, great, let me put myself out there. When I've got both these things going on, I'm not sure I even know how to do therapy or have ever helped anybody. Anyway. We can get really insecure when we're starting our practice or when it's plateaued and we need to build. And so part of it is acknowledging the imposter syndrome for what it is, which in my mind is like, it's you doing something new, period. Like, every time I do something new, I get imposter syndrome every single time. At this point, because I like doing lots of new things. I'm like, oh, here it is. It's just because I'm doing something new instead of letting it take me down with it. The fear of being seen is sometimes rooted in that, and sometimes it's rooted in, like, what if what I say I think is right, but it's not right? And everybody tells me how wrong it is, and I am, and that's less imposter syndrome and more like, what if I'm actually wrong, which is scary and hard? And that could. That can be anything. That can be the way you do therapy, but it could also be like, the way you look. What if I do videos and everybody tells me you look stupid in some way? You know, and all of our insecurities are going to come up. They're just going to. When we're doing this hard thing. So part of the thing that makes putting ourselves out there feel worth it is when it works and we get clients. But if we keep holding ourselves back and we don't just do the damn thing, then we don't get the opportunity to have that positive reinforcement for it. Yeah. So, long story short, the advice is do the thing that feels least scary consistently. So, like, if that's networking, it's like, find the least scary people to network with. Like, old co workers that you got along with. You don't need to go to, like, the scary psychiatrist or the scary pcp. Go to the people that feel like, oh, I can have an easy conversation with these people. And that's most therapists, really. Not everybody's going to be a great fit. But I would say, too, there's clarity, gets in the way of marketing. So if you don't have an extremely clear niche, then it's really hard to create content. So of those things, like, which one are you struggling with the most or something else?
Holly
Yeah, I think, you know, the niche is one. And also, I know it sounds weird, but also, like, believing that it will work. You know, there's this sense of, like, what if I try all these things and I fail and I don't get any good results from doing all these scary things.
Allison
Yeah, that's fair. Here's the thing, though. People don't usually fail private practice if they keep trying. Right now, it's taking people a longer time to get full than it has in a really long time. Right now feels like I don't know if anybody was in practice. Adam, I think you might have been in practice in 2020, but right now, these last few months have felt like April and May of 2020, when there was this collective breath holding and clients weren't reaching out and therapists were freaking out. And then the dam broke. I don't know why everybody just broke at the same time. I think we all just need to exhale. It's not like anything really changed in June, but that was probably the busiest summer many people have had in private practice. And I think for a variety of reasons that I can speculate on, there are a lot of reasons people are holding their breath and not spending any money right now on therapy there. I think there are some people who are also just kind of afraid of being cracked open when they feel vulnerable and scared. And I think that there will be a similar exhale. It might not be quite the intense one that we had in 2020, but what I'm seeing is some people getting, like, they're working, they're doing. They're doing the right things. And because it's not happening as quickly as it has for their friends who started practices two years ago, they're like, maybe this isn't for me, and I should just stay in my job. And that's the last thing I would rather you work slow and steady. You don't have to go super hard, but, like, slow and steady to get where you want to go. Because if you keep doing, like, whatever marketing strategies you're doing and you're doing them the right ways, you will get full. It'll happen. Thank you so much. Yeah, absolutely. Thanks for starting us off. Let's see. Holly, you were next.
Evelyn
I'm realizing that my ideal client has shifted from when I first, like, developed my ideal client. So my niche is anxious, overwhelmed millennials who struggle with their self worth. I think even more niched down is that that comes from their religious upbringing, not necessarily trauma in, like, a big way from, you know, like a Cult or something, but just purity, culture and women's roles in society and things like that. So that one more layer of specificity. Um, and so I'm wondering how I should incorporate that into my marketing. I feel fair, like I don't want to redo my entire website because I just did my entire website. Well, I moved it from WIX to Squarespace and did some revamping of it, but I don't know, should I add it as an extra specialty? Like right now I have anxiety, self worth, and EMDR specialty pages. Like, should I add a religious or spiritual trauma? The problem with that is that my ideal client doesn't label it as trauma, so I don't want to use that word. Another thing I've been playing with is like religious or spiritual deconstruction possibly. Or since my ideal client does have this like religious upbringing component, should I redo how I present my marketing on my website and obviously other everywhere else too.
Allison
Well, everything else is the same about your niche. Right. This is just a layer underneath. So I think you can keep the vast majority of your website up because what they're looking for is the same, like it's the self worth stuff. They're not necessarily, if they're not identifying it as trauma, they're not yet making that connection. Probably of I need to divest from some things that I was taught in order to be able to feel like wholly human. And so I think in that case you could do a specialty page. And maybe it also depends on your ideal client. Are they still wanting to be of the faith they were raised in? Just like a different denomination or flavor or what have you? Or are they like, I want nothing to do with religion. I'm like, where are they with that?
Evelyn
They want to figure out how to like continue incorporating faith into their life, but, you know, figuring out what they want to bring forward and what they need to leave behind.
Allison
Got it. Okay. So then the deconstruction and the word divesting probably aren't the ones to use either.
Evelyn
Okay.
Allison
What you could do is on your homepage you could either do one paragraph or you could do like a couple sentences on a couple paragraphs that already exist on your website that say something like, many of my clients realize that some of the messages they were given in their religious upbringing no longer fit. They're still people of faith or they're exploring their faith, but they find that some of their self worth is rooted in this idea that they were supposed to play these specific roles which don't feel aligned for Them.
Evelyn
Okay. Yeah. So just adding that layer of specificity to I think probably my homepage, but as well as my anxiety and self worth pages. I. I'm just finishing up a blog about EMDR where I do weave in the religious upbringing stuff into how I'm explaining it. So probably adding that to my EMDR page as well. And then not necessarily. I guess maybe I need to decide for myself if I want to like separate it out as its own specialty or just keep it as part of the history and cultural context of my ideal client. Do you think it. Or how would, how would I decide if I want to have add another specialty?
Allison
I think it's like, is your ideal client looking for that?
Evelyn
Okay.
Allison
Is that what they would search up? Is that something they've already identified is causing some of their turmoil or is that something they come to in exploring things more deeply with you?
Evelyn
My ideal client already knows that that's part of the problem.
Allison
Then I would definitely have a specialty page about it. Okay. Yeah, yeah. And I think like that distinction. I like your confidence in saying like, you're really clear because what we often do is hedge and we're like, well, my ideal client knows, but there are all these people who don't know, so I'm not. I don't know if I should. Right. If your ideal client has a clear perspective, I want you to market to that clear perspective. So. Awesome. Yeah. So I would do a specialty page and I would link to it when you mention these folks in your homepage.
Evelyn
Okay.
Allison
So that you've got those links throughout your website that go from, go from page to page each other. You know, make it a little spider web makes Google happy.
Evelyn
Okay. I have not done that. So I, I will do that.
Allison
Yeah. So you can do that with your self worth pages too. And you can also do it between your specialty pages of like sometimes this impacts self worth on your religion page and vice versa. So.
Evelyn
Okay.
Allison
Yeah, that's helpful.
Evelyn
Thank you.
Allison
Absolutely. Good to see you. You too. All right, we'll go. Evelyn and then Sarah. Hi.
Sarah
Hi. So it's my first time here. I'm so excited. I've listened to so many, so many talks and like, like ep. But I don't know exactly what to ask. I guess because I'm stuck. So I just want to describe it really quickly. So I'm in group private practice right now. I'm contractor and I want to build my own thing private practice and I'm kind of like in the middle. I did a lot of research on like how to Start, like I've done it, created spreadsheets and everything. And I don't have any new clients coming in for a long time now. Group practice is like not doing anything at all. And I'm, I'm only teletherapy, so I don't even use their office. So I. And I don't have like that chunk of money that I calculated to start, you know, kind of just like, like take off. Right. So. And I have some clients who might transfer, but it's only like three, so I don't know, like, am I going to do. I just sit and try to save money, which is like minimally coming. It's coming like almost nothing because I only have like five clients, which is really good. Like, so I don't know. I don't know any ideas or how to just proceed or not proceed.
Allison
Are you, have you signed anything that says you won't start your own practice while you're working at the group practice?
Sarah
I don't think so. It's been so long. It's been like 2017.
Allison
Okay.
Sarah
She's fine. My boss is fine.
Allison
Okay, well. And you're a contractor, so legally you're supposed to be able to have another job. So they can't actually limit you from that, actually. So what I would do is start your own practice on the side while maintaining your group practice. If they're not feeding you clients into the group practice right now, you've got the time and energy hopefully to be able to start your own thing without significant investment. Oh, yeah.
Sarah
Isn't it going to be like a conflict of interest? Because I didn't tell her that I'm starting. I will obviously have that conversation one on one once I'm ready to launch, because that's the right thing to do, but not yet. So it's just like if she sees like all my new website, if I get the money to launch a website, but like, it's just, I don't know, it can get messy or I don't even know.
Allison
Well, I mean, as a contractor, and this is, this is a thing where so, so many group practice owners, they want employees, but they don't want to pay the taxes on employees, so they hire contractors instead. And then they get all up in arms. When a contractor behaves as a contractor does, which is to have multiple gigs. So I mean, you can have a really frank conversation with her and say, I'm not able to get enough clients through the group right now to sustain me. So I'm going to be starting my own practice. On the side. And you can just have a really open conversation about that, or you can just start, you don't owe her an explanation of what you're doing. That's not the nature of your legal relationship. It might feel better interpersonally to be talking about it, but you don't legally owe that to her. So, yeah, I would start your own thing on the side. I would really market. Well, you said if you could get enough money to get a website together, you can do it for $20 a month on Squarespace.
Sarah
Squarespace, Yeah, I heard that you recommended that, so I'm really looking into that. But I know I need to have, like, simple practice, then I need a physical address, then I need so many things that are mandatory, like liability insurance. And together it just turns out, I don't know, $700 at least, which, from the top, I, I don't have that.
Allison
Right, Right. So I did not grow up with a ton of money. So right now what I always do is I look at like, okay, well, what's my, my mind now goes to, okay, well, what's the optimized situation for say, having a landscaper come and fix the yard or something? But then I go to, what is the I'm broke version look like? So the I'm broke version, like, let's say you do have a virtual practice, so you don't need a physical address. You use one of the, you know, EHR systems that is not as expensive, or you do paper and pen. You don't have to use an ehr as long as it's behind two locks like a door and a filing cabinet that are both locked, you're good to go. So you can be old school from a, from a records perspective. I do strongly recommend a practice management system once you have a few clients, because things become chaos quickly. But you can start off and get to a point where you can afford to do that. Yeah, you need to pay liability insurance, but as a sole proprietor, that's going to be a lot less expensive than if you were an llc. You don't need to be an LLC right now. So there are all these, like, if you absolutely had to start now, how could you do it in the most bare bones way? And if you're keeping your group practice job, then you're able to continue to have at least the income you've got from them. And then every single dime that you make from your own practice, I want you to sock away. Like, don't spend it on anything except overhead and then saving so that you can eventually make that shift over.
Sarah
Okay, thank you so much.
Allison
Absolutely.
Sarah
Thank you so much for these ideas. Thank you.
Allison
Mm. All right. Sarah. Hey.
Adam
Hi. Thanks. So I am new to private practice. I launched my practice about three months ago after 15 plus years running treatment centers and so needed to make a change. And I'm loving it. And it's all the. The things of starting now.
Allison
Yeah.
Adam
And so my. I have kind of a two part question. So I am private pay, fully virtual in North Carolina. Eating disorders therapist.
Allison
Love it. Hello, it's my tw. Hi.
Adam
Within that, the population I love most are the clients who have gone to treatment, done the things they could teach you. Dbt. They know all the skills they need more they would be in that bucket that many folks might call chronic or severe and enduring. That is who I love to work with. And so I know the eating disorders therapist. I know people. I am struggling to figure out how best to kind of market that specific niche or get in front of those particular clients. And then I think in parallel to that, many of those clients have sunk a lot of financial resources into treatment. And so as a cash pay therapist, I'm trying to figure out how to either think about what some sort of reduced rate model looks like or if that's not really the way to best reach those people and serve them. And so I think I'm trying to figure out how to best reach that particular niche in my niche and, you know, be financially successful myself as well as financially achievable for clients. Which feels like a big question, but I'm curious for your thoughts.
Allison
Yeah. Yeah. So the fact that you work with the more chronic, the harder clients. We'll just call them the harder clients because they are. Most of us in the eating disorder world, we would like to stay more in the disordered eating and mildly. But I don't need to go to treatment population. You are who we all want to know. Okay, so I want to be really clear that you're not stepping on any toes, networking with other eating disorder therapists and saying, I love the ones nobody else likes to work with. Like, I want the folks who've been to treatment four times. I want the ones who can tell you about Marsha Linehan's entire life story and how to do DBT backwards and forwards, but can't seem to make it happen in their lives. Like, those are my people talk to all the treatment centers because they have their frequent flyers. They have the ones that maybe they've only been here once, but they've been everywhere else twice. And they really want them to land with somebody who isn't intimidated by their struggle.
Adam
Okay?
Allison
So so much of what's gonna bring people into you is gonna be networking. Okay? And you gotta be super explicit about loving the hard ones.
Adam
Okay?
Allison
In your website copy, I want you to be so like, you've been to therapy, you've been to treatment, you could teach me how to do therapy. I have no doubt. And your life still sucks and it's, this is still driving you, but lucky for you, I know how to help you get where you want to go. And so it's instilling confidence instead of them seeing like yet another therapist. It's helping them trust you before they even take the step. Okay, you're going to get so full, Sarah. You're going to get so full. And for the financial piece, let's talk about that because that's very real. And if they can continue to pay these treatment centers, they can pay you.
Adam
Okay?
Allison
And so it's not sacrificing your financial well being for people who would find some way to make it work if they had to go back into residential.
Adam
Okay.
Allison
Because you're going to keep them having to go back into residential, ideally, like, that's the goal. So keeping your private pay model. I will say if, for those of you who are interested in like sliding scale, a model that is new to me, that I've learned through some of my students is the green bottle model. And it's interesting. It's basically like if you offer sliding scale, it has three different, I don't know why it's called the rain bottle model, but three different green bottles. And it's basically like, you know, if you can go on vacation once a year, if you can do X, Y and Z, like you're in this bottle over here. On the other side is like, there's no way you could grab a coffee from Starbucks on your way to somewhere. Like, that's just not able to happen. You're often worried about making your rent or your mortgage. You don't have a car. Or if you do, it's breaking down a lot. Like, it's the people who actually, really, really need sliding scale. And I think the beauty of that model is that when you show that to a client, they realize, well, yeah, I do get a Starbucks every morning. You know, I do X, Y and Z. I do have hobbies that I can afford to pay for that. If this is my priority for a time, I can pay for therapy out of pocket. So it kind of helps them. I like that see that while it might not be comfortable and there will be sacrifices, they can pay your fee. That is one way to make it work. But this is, you know, this is a population who's likely relying heavily on parents, on partners, on other people in their lives who are helping support them. And so everybody in the whole situation wants this as resolved as it can be. And if you can show them through your confidence and through your competence that you can make that happen, then they're happy to pay you. Residential is way more expensive than you are.
Adam
Okay, that's helpful. Thank you.
Allison
Absolutely. Yeah. Yeah. All right, who's next?
Unknown
I do have one quick question, Allison, if.
Allison
Yeah, of course.
Unknown
So I have considered going up on my rates a little bit. I'm currently at 160 across the board for all of our therapists, and my therapists don't mind me setting the rate. I've thought about going up to 175. I wish I had done that when I. When I increased last time, but I didn't. So I've wanted to honor that. The problem that I'm running into is this kind of. It's not my scarcity mindset as much as the scarcity mindset of potential clients because of the climate that we're in politically and all of that, where everything's more expensive. And I don't know. I don't know if this is the right time, because I'm not personally scared to go up on rates as much as I want to make sure that it makes sense for the environment that we're in. You know what I mean?
Allison
Yeah. And so to me, my thought is like, I appreciate you wanting to be very accommodating of clients, but everything is more expensive for all of your therapists and for you, too. So if y'all can make a little bit more, because typically the people who can afford 160 out of pocket can afford 175. And if therapy is a priority, which often if you're paying 160, it's a priority, then that extra $15 is doable. But I don't want you to sacrifice your therapist's financial well being and your financial well being because things are crazy economically.
Unknown
So, yeah, that's where I'm not sure how to even figure that out. Because if people are really are kind of struggling to even get the 160 and then we bump it to 175, I'm afraid of potentially losing a few, which I. I wouldn't mind if it was just me, but.
Allison
Right.
Unknown
I'm also considering the other people involved in this.
Allison
Yeah. Well, you could do something, like, because since it's private pay like these folks are, you can do what you want. It's your practice. Right. So you can say, you know, we're raising our rates to 175. If this creates significant financial hardship for you, let's set up a time to talk. And then if they're like, I'm barely making 160 work, you can be like, no problem. We'll keep you at 160.
Unknown
Yeah, that's cool.
Allison
You don't have to unilaterally raise everyone. It's your practice. You can do what you want. But there are people who are like, I mean, it's fine. Yeah, 175. I can do that. And so we don't want to make assumptions about them that are going to make it harder for your.
Unknown
We've literally had some clients that have said, I don't know why you don't charge more.
Allison
Right. Yeah. So I think it's safe. I think it's safe to go up. And then if really it will cause hardship, do have them have a conversation with you about it. Don't just be like, email me and let me know. But say, like, let's schedule a time to talk on the phone, because the people who were like, well, it'd be nice to not have my rate changed, aren't going to hop on the phone with you. They'll just pay the 175. Right. But the people who are like, oh, God, I don't want to lose my therapy. They'll hop on the phone with you. So.
Unknown
All right, I appreciate that.
Allison
Yeah, absolutely. We'll wrap it up then. Thanks for being here. I hope that you got some good value, and I will talk with y'all later. Bye. Thanks for listening in on a live Ask Allison sponsored by our friends at Therapy Notes. If you'd like to join us for the next one, send an email to helpbundancepracticebuilding.com and we'll send you the link. If you're listening, you probably need some support building your practice. If you're a super newbie, grab our free checklist using the link in the Show Notes. I'd love for you to follow rate and review, but I really want you to share this episode with a therapist friend. Let's help all our colleagues build what they want.
Abundant Practice Podcast: Episode #641 – Ask Allison Live
Release Date: April 21, 2025
In Episode #641 of the Abundant Practice Podcast, host Allison Puryear engages with listeners in a dynamic live Q&A session, addressing pressing questions and providing actionable insights for therapists navigating the challenges of building and sustaining a successful private practice. The episode delves into topics ranging from overcoming imposter syndrome to strategic marketing and financial considerations, offering a wealth of knowledge for both new and seasoned practitioners.
Listener: Holly
Holly initiates the discussion by referencing a previous podcast episode about the dilemma of accepting insurance versus maintaining a private pay model. She highlights the struggle with confidence in self-marketing as a barrier to practice growth.
Allison emphasizes the universality of imposter syndrome, especially when venturing into new aspects of practice-building. At [02:42], she states:
“It's the imposter syndrome for what it is, which in my mind is like, it's you doing something new, period.”
Strategies to Mitigate Fear of Being Seen: Allison advises therapists to consistently engage in activities that feel least intimidating, such as networking with familiar and supportive individuals. She underscores the importance of clarity in defining one’s niche to streamline marketing efforts.
“Do the thing that feels least scary consistently... find the least scary people to network with.” ([04:10])
Building Positive Reinforcement: By taking actionable steps despite fears, therapists open themselves to positive client interactions that reinforce their confidence.
“If we keep holding ourselves back and we don't just do the damn thing, then we don't get the opportunity to have that positive reinforcement for it.” ([05:00])
Listener: Evelyn
Evelyn discusses the evolution of her ideal client profile, noting a shift towards clients grappling with self-worth issues rooted in religious upbringing. She seeks guidance on integrating this nuanced layer into her existing marketing strategy without overhauling her website.
Integrating Sub-Niches: Allison advises maintaining the core focus while subtly incorporating the new layer of specificity. She suggests adding descriptive paragraphs that address the unique challenges of clients with religious backgrounds affecting their self-worth.
“You could either do one paragraph or you could do like a couple sentences... that some of their self worth is rooted in this idea that they were supposed to play these specific roles which don't feel aligned for them.” ([10:16])
Creating Specialty Pages: If the ideal clients are already aware of their specific issues, Allison recommends establishing dedicated specialty pages to enhance searchability and provide targeted support.
“If your ideal client has a clear perspective, I want you to market to that clear perspective.” ([11:42])
SEO and Interlinking: She emphasizes the importance of linking related specialty pages within the website to improve SEO and create a comprehensive resource network for visitors.
“Make it a little spider web makes Google happy.” ([12:32])
Listener: Sarah
Sarah expresses her dilemma about leaving a group private practice where she’s currently a contractor to start her own independent practice. She’s concerned about financial constraints and potential conflicts of interest.
Legal Considerations: Allison reassures Sarah that as a contractor, she generally has the freedom to start another practice without legal repercussions, especially if she hasn’t signed any restrictive agreements.
“As a contractor, you're supposed to be able to have another job... you don't legally owe that to her.” ([14:22])
Starting on a Budget: Allison provides practical advice on launching a practice with minimal investment by prioritizing essential expenses and utilizing cost-effective tools like Squarespace for website creation.
“You can start off and get to a point where you can afford to do that... being a sole proprietor, that's going to be a lot less expensive than if you were an LLC.” ([16:48])
Maintaining Dual Roles: She suggests maintaining the group practice role while gradually building the independent practice, ensuring financial stability during the transition.
“Start your own practice on the side while maintaining your group practice.” ([14:36])
Financial Strategy: Allison recommends that any revenue generated from the new practice be strictly allocated towards overhead and savings to facilitate a smooth transition.
“All I want you to sock away. Like, don't spend it on anything except overhead and then saving so that you can eventually make that shift over.” ([17:00])
Listener: Adam
Adam, a relatively new private practitioner specializing in eating disorders, seeks advice on marketing to clients who have extensively engaged in treatment but still struggle, alongside managing a sustainable financial model.
Targeted Networking: Allison advises Adam to network with treatment centers to connect with clients who are frequent visitors and may need ongoing support, positioning himself as the therapist who understands their persistent challenges.
“Talk to all the treatment centers because they have their frequent flyers.” ([20:56])
Website Messaging: She recommends that Adam’s website copy should confidently communicate his expertise and commitment to helping clients who have not found success through previous treatments.
“You've been to therapy, you've been to treatment, you could teach me how to do therapy... I know how to help you get where you want to go.” ([21:06])
Financial Models: Addressing the financial aspect, Allison introduces the “Green Bottle Model” for sliding scale payments, helping clients assess their ability to afford therapy without compromising their financial stability.
“The green bottle model... helps them realize they can pay your fee by making sacrifices.” ([22:00])
Balancing Affordability and Sustainability: She emphasizes maintaining a private pay model to ensure financial viability while accommodating clients who are invested in continuing their therapy journey.
“Residential is way more expensive than you are.” ([22:30])
Listener: Unknown
A listener contemplates raising therapy rates from $160 to $175 amidst a challenging economic climate, apprehensive about potential client pushback.
Justifying Rate Increases: Allison supports the decision to raise rates, highlighting that clients who prioritize therapy are likely capable of accommodating a modest increase.
“People who can afford 160 out of pocket can afford 175.” ([24:55])
Flexible Adjustments: She suggests offering a conversation-based approach for clients who may experience financial hardship due to the rate increase, ensuring transparency and maintaining client relationships.
“We're raising our rates to 175. If this creates significant financial hardship for you, let's set up a time to talk.” ([25:34])
Client Communication: Allison recommends proactive communication, where clients can discuss their ability to continue therapy, reducing assumptions and fostering trust.
“The people who were like, well, it'd be nice to not have my rate changed, aren't going to hop on the phone with you. They'll just pay the 175.” ([26:00])
Protecting Financial Well-being: She underscores the importance of not sacrificing the financial health of both the therapist and the practice, especially during economically volatile times.
“Don't sacrifice your therapist's financial well being and your financial well being because things are crazy economically.” ([25:00])
Embrace Vulnerability: Acknowledge and address imposter syndrome to build confidence in self-promotion and networking.
Niche Refinement: Continuously evaluate and refine your niche to ensure your marketing strategies resonate with your ideal clients.
Strategic Transitioning: When moving from group to independent practice, leverage existing roles to maintain financial stability while gradually establishing your own client base.
Targeted Marketing: Focus on specialized populations by networking with relevant institutions and clearly communicating your unique value proposition.
Financial Adaptability: Implement thoughtful rate adjustments and flexible payment models to balance client affordability with practice sustainability.
Notable Quotes:
"It's you doing something new, period." – Allison ([02:42])
"Do the thing that feels least scary consistently." – Allison ([04:10])
"If you keep holding ourselves back and we don't just do the damn thing, then we don't get the opportunity to have that positive reinforcement for it." – Allison ([05:00])
"You're going to keep them from having to go back into residential, ideally, like, that's the goal." – Allison ([21:58])
"Don't sacrifice your therapist's financial well being and your financial well being because things are crazy economically." – Allison ([25:00])
For therapists seeking further support in building their private practice, Allison invites listeners to join the Abundance Party, her comprehensive membership program offering step-by-step guidance. Additional resources, including free checklists and worksheets, are available at www.abundancepracticebuilding.com. To participate in future live Ask Allison sessions, contact the team at help@abundancepracticebuilding.com.
Remember to share this episode with fellow therapists to empower your community in building the practices they envision.