Build The Psychotherapy Business You Want, Not The One You Are “Supposed” To Have

Oct
21
2014

Over the last year, I’ve had more than one conversation with art therapist Amy Maricle about the business of private practice.  And, every conversation has had the same thread running through it – personal integrity. 

When she offered to write this guest post on building the business you want, I knew that was just her language for personal integrity. 

Actually, I don’t think she even thinks about it in terms of “integrity,” but I do. 

And, I think, what Amy and I both know is that in the ways your values  line up with your actual practice . . . .

That alignment is both what sets your practice apart from your colleagues and also what allows you to practice and grow your business effortlessly. 

  (If you are interested in writing a guest post, check out the guidelines here.)

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A Guest Post by Amy Maricle

Redefining the Business of a Therapist

Image of Building the Psychotherapy Business You WantAfter my son was born, returning to an assistant clinical director position that demanded 45+ hours a week, a 45-minute commute, and on-call duties seemed unrealistic.

I wanted to do something that was equally challenging, stimulating, and dynamic, but without the commute, and with a more flexible schedule.

I had vaguely considered private practice in the past, but had somewhat dismissed it because I couldn’t see myself sitting in my office all day with a stream of clients rotating on and off my couch.

Still, returning to my old job was not an option, so I got to wondering if there was a way to structure a private practice that would allow me to do the kind of varied, multifaceted work I love.

Luckily for me, I came upon some great resources, including Tamara’s blog, and began to envision how I might create my own brand of private practice.

Business Is Not a Dirty Word

It turned out I had a lot of misconceptions about private practice.

One of the most basic ones was that private practice should not be run like a “business.”

Isn’t the purpose of a business to make the maximum profit for the minimum cost, as often as possible?

That seems at odds with what a therapist should be doing, doesn’t it?

Most likely, you and I chose this field for the same reason – because we believe in people’s ability to change and grow and we love being a part of that.

You could have studied any number of subjects to earn triple your salary.

But you didn’t.

Being a therapist pays you back in ways that few other professions would.

Because therapists want to help people, and not gouge them for their money, that means that they can’t be running a business, right?

But I am here to argue that there is more than one way to run a business.

Business is not a dirty word. Nor is money or payment,or bill.

Did you cringe when I said any of that?

I still do a bit.

Somehow we were taught, whether in grad school, by our parents, or our culture at large, that therapists are altruistic and therefore should care about the clients, not the money.

Why can’t we think of ourselves of being in the business of caring?

We deserve to get paid fairly for the very heart-centered, caring, and important work that we do with people every day.

We don’t seem to have these hangups about massage therapists, nutritionists, acupuncturists, or other helping professionals so why do we think about ourselves this way?

Let’s Be Honest: Like it Or Not, You’re in Business

People like Tamara have proven by example that you can care tremendously about your clients while also caring for yourself, your work life, and your financial stability.

Pretending to yourself or your clients that it’s not a business is not a sound way to take care of yourself, your clients, or your financial life.

Getting honest with myself about the fact that I am running a business has helped me deal more effectively with finances with clients.

I used to ask for payment very awkwardly at the end of session, which often led to running over, missing my bathroom and note breaks, or forgetting to ask for payment all together!

Were you as awkward with payments as I was?

Create Your Kind of Private Practice

The more I learn about private practice, the more I realize that getting down to the business of my business is a great form a self-care.

Admitting that I am running a business and feeling comfortable with that has freed me to imagine and create MY kind of private practice.

We all know that great self-care is one of the elements that makes for an effective, ethical therapist who avoids burnout and gives her best to her clients.

What else would you add to your private practice if you had no fear?

In the Business of Helping People

I have always been a therapist who partners with people to seek wellness in a creative, body-oriented, and strengths-based approach.

But now, I am also incorporating my other passions into my business through an art therapy consultation group and art workshops.

These endeavors provide me with multiple income streams, a wider array of services to offer folks in my community, and a way to stay invigorated and interested in my work.

I have no idea what other endeavors I may undertake, what parts will succeed, and which will fall away, but I know that I am in the business of helping people one way or another.

What about You?

What has helped you create the vision for your private practice?

Do you offer any kinds of services besides therapy?

Be brave.

Share an idea you have had for another service you might provide.

Is it a group or an educational class to supplement your therapy services?

A consulting role you might play?

Private Practice from the Inside Out is an amazing, positive, and energetic group. 

Why not take advantage of it’s power and bat some ideas around with others right here?

__________________

Image of Amy MaricleAbout the Author:  Amy Johnson Maricle, LMHC, ATR-BC is an art therapist and blogger in Foxboro, MA. She has a private practice focusing empowering girls and women to put themselves first, overcome anxiety and depression, set good boundaries in relationships, and find creative self-care outlets.
 

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Repetition To Build The Know – Like – Trust Cycle

Oct
14
2014

Earlier this year I was hanging out Image of Repetition to Build the Know-Like-Trust Cyclewith Laura Roeder in Creating Fame when she started talking about the comfort that comes with repetition in our marketing.

I thought about that and realized she’s right!

That’s why children love to have their favorite stories told to them and then re-told again!

There is a sense of safety that comes with familiarity.

As psychotherapists, it’s critical that our potential clients and referral sources get to know us and get comfortable with us before they are willing to book appointments with us or send clients to us.

It’s repetition . . . of who we are, what we’re about . . . repetition of our same old stories that can be an easy way for them to start to know, like, and then trust us.

(And, I’m skipping my spiel on nicheing today except to say that here is yet another reason you should be nicheing your practice:))

So, I’m wondering . . . is there an introduction of who you are that you need to repeat more often??

(Hint, hint – this is a good opportunity to introduce / reintroduce yourself below!)

Is there a story that you can repeat that shows exactly what you are about?

(Feel free to tell us below!)

Is there a core value that you hold dear in your work? 

And, if so, are you telling your referral sources and clients why it’s important?

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Multiple Streams of Income For The Busy Mental Health Professional

Oct
7
2014

Most of the therapists that I work with initially bemoan the  evils of social media.  However it doesn’t take long for them to see the benefits of blogging, tweeting, and sharing their best ideas with other therapists and clients.  That’s exactly how I met Mari A. Lee, LMFT, CSAT-S.  She reached out through another blogger offering to share her own experience of introducing multiple and passive streams of income into her private practice. 

What I know now that I didn’t know in graduate school is that by creating and sustaining multiple and passive streams of income, I am creating more income for me and, equally important, more time and space in my schedule to work with my ideal clients. That’s why I am happy to introduce you to Mari and the concepts of multiple and passive streams of income!

_______________

 

A Guest Post by Mari A. Lee, LMFT, CSAT-S

 

If you are a therapist, consultant, coach or other professional in the helping industry, you have likely heard about the concept of “multiple income streams.” This blog post discusses how to work smarter not harder by leveraging your knowledge, experience, and expertise into creating your own exciting and profitable income streams. Therapists who have multiple income streams not only increase their earnings, but also decrease burnout and compassion fatigue as they no longer rely solely on their therapy hour for financial security.

Here is great news for those who Image of Multiple Streams of Incomeare new to this concept. Creating multiple income streams is not just for the fearless or tearless, the super therapist, the extroverted, or the wonder woman or superman therapist. It is not reserved for the financial guru, creative genius, or for the marketing or tech wizard. Any therapist can develop an additional income stream with the right support, information, and some good old-fashioned elbow grease.

Let’s get this party started by defining a few important terms and putting some basic math behind each one. This simple information will help make the formerly mysterious world of multiple income streams clear and accessible to you, so let’s dive right in!

Active Income

Active income is your one-on-one delivery of services that you are actively involved in. For therapists and coaches, this is anytime when we are required to be physically present (e.g. tele-therapy or therapy in your office) with clients. It also means anytime you are actively working on a project or book.

While active income earning is how most of us were trained to earn a living by our parents, teachers, and society, it is important to remember that at the end of the day there is only one you. This means that there are only so many days and hours of the week that you are able to work face-to-face or by phone with one-on-one clients or devote to a project. Creating a practice that is only supported by an active income stream greatly increases the potential for burnout over time.

Here’s the Numbers

Let’s break this down into dollars and cents.  For example, if you see 20 fee-for-service clients at $125 per session (Note of Transparency: I charge $185 / session, have always been private pay, do not work with insurance, and work with fewer clients by choice, but that is another blog post for another time!), it will look this way: $125 x 20 = $2,500 gross income for that week (Remember gross is before Uncle Sam gets his cut.)  x 4 weeks is $10,000/gross income for that month.

Sounds great right? However, remember that you must take out taxes, office expenses, supplies, support, and rent minimally. That said, my hope and encouragement is that you are also setting aside money each pay period for sick leave and vacation time and paying into a retirement account, too.

And, while we are on the topic of tax deductions, don’t forget about factoring in the annual expenses of liability insurance, membership fees, renewing licenses, CEUs, and attending conferences. So $10,000 gross active income can quickly end up after all of the above deductions and taxes looking closer to $4,500 net active income per month.

Even if this is enough income for you without adding another income stream . . . what happens if you become ill? How will you support yourself if you are not able to provide in person services for active income? If that is a concern to you or if you would like to reduce hours and continue bringing in the same income or better yet, if you would like to increase your income, the following information will support this.

Leveraging Your Income

If you are a therapist who runs a group, an intensive outpatient program (IOP), a paid group training, or if you are receiving compensation for group seminars, public speaking, teaching groups, coaching groups, or are facilitating paid training programs such as remote webinars, leading retreats / virtual events – congratulations! You have created a leveraged income stream for your business. Though you are required to be physically present for the groups, workshops and speaking gigs, you enjoy a much larger profit return for your time invested.

Dollars and Cents

Let’s break this down into dollars and cents using group therapy as a leveraged income stream as an example.  If you facilitate one 90 minute therapy group for 7 clients at $65 per client, that is $455 for your 90 minutes of time vs. two 45 minute active income sessions at $125 each for your 90 minutes of time at a total of $250. That’s the same amount of time for nearly double the gross income.

For therapists who are charging less than $125/session the profit for leveraging income for group therapy is even greater. For therapists who charge more for individual sessions, good for you for valuing your expertise and time! I will not get on my soapbox about fee setting and valuing yourself and our profession in this blog article. However, even if you are kicking butt, valuing your worth as a therapist, and charging $200 per 45-minute session, you will still make more money in less time by leveraging.

Think of it this way, if you facilitate three 90-minute groups a week, at 6 clients per group, using the formula above, that is an additional $1,365/week or $5,460 net leveraged income (net [corrected 10-07-14] gross = before taxes are withdrawn) per month. You can reduce your individual hours and see fewer clients just by leveraging your income this way. And that is just using group therapy as an example of leveraging your income. Not too shabby!

Passive Streams of Income

A passive stream of income is any person, place or thing that brings money into your business without you being present. Examples of a passive income stream include book royalties, website product sales, employees, pre-recorded webinars, commissions, and so forth. The great thing about a passive income stream is that you can make money while you sleep, when you are in session, walking your dog, taking a yoga class, or when you are on vacation. This can be done by packaging your expertise through CDs, DVDs, e-books, e-courses and other such products. With a passive income stream your income is not dependent upon you being actively present. What’s not to love?

My Initial Investment

For the sake of transparency and to encourage each of you from my own experience, let’s use my e-book, “The Creative Clinician: Exercises and Activities for Clients and Group Therapy” as an example.

My initial start up investment into this product was as follows:

  1. Copy Editor – To ensure book was clean and tight = $500
  2. Graphic Artist – To create beautiful art for exercises/cover = $200
  3. Virtual Assistant – To set up my website store = $100
  4. Shopping cart annual fee to link with PayPal = $150
  5. Taking the above folks out to dinner to celebrate and thank= $200

As you can see my dollar start up investment was just under $1,200. My time involved was approximately 1 year, at about 3-6 hours of my active time on the project per week, about 2-3 weeks of the month.

If you are tech savvy, a graphic artist, or a cook, you can save some of the above costs. Because of my busy practice and speaking schedule, and because I am not an artist, can’t cook a decent egg, and am not all that tech savvy beyond the basics, I preferred to outsource for time management, as well as to ensure that my project was supported by awesome professionals. This helped create an e-book I am deeply proud of.

Was It Worth It?

I priced “The Creative Clinician: Exercises and Activities for Clients and Group Therapy” at $39.95 per book and decided I would sell it directly through my website. I collect all gross passive income minus the nominal PayPal fee and taxes.

The e-book includes 31 exercises to support therapists and their work with clients and groups – everything from anger, communication, family of origin, guided imagery, boundaries, inner child and you name it! This breaks down to about $1.25 per exercise, and as a bonus I give full copyright permission to every single therapist who purchases. This means that they can use the exercises with as many clients, couples and groups as they wish for as many years as they wish. Pretty good deal for a $1.25 per exercise! It is nice to wake up in the morning and have passive income waiting in my PayPal account for me.

So, I can hear your wheels turning. How did this passive income investment pay off for Miss Mari, or what was my ROI i.e. Return on Investmen? After triple checking everything for the 100th time (well, more like the 20th time), I took a deep breath, sent out my e-book announcement, and I launched “The Creative Clinician” in February of this year (2014).

Like many folks, I had my own fears and vulnerabilities in putting my finished project out into the world. “Will my colleagues like this and find it to be of support?” I fretted to myself. They sure did! In my first week I sold 100 copies – more than tripling my initial financial investment. And, I am pleased and humbled to share that as word got out, and after great reviews, as of September 2014 I have sold 300 copies of The Creative Clinician –whoo hoo for passive income! As you can see my investment has re-paid itself 10 fold. The other gift has been honoring a project that was near and dear to my heart in creating an e-book to support colleagues and the good work they are doing with their clients.

 In Support of Your Dream

To re-cap, think multiple income streams as many little streams of dollars flowing into your “body of water” i.e. your practice/bank account with the biggest streams coming in from leveraged and passive income.

Some advantages of creating multiple or passive income streams are:

  • Get paid even when you’re not working with therapy clients
  • Moving past the standard 45- 50 minute therapy session
  • See less clients and maximize your time with leveraging [more money less face-to-face time]
  • Less burnout, more “you time”
  • Honoring your creative spirit
  • Make money if you are sick and cannot work, or when on vacation
  • Create financial security
  • Brand yourself

As we wrap up our conversation on multiple streams of income, I want to encourage each one of you to honor that little idea that has been fluttering around your heart and soul for a while.

Write down a plan, trust yourself, and then do one small step each day to support that dream. If I can do it, then so can you!

 

About the Author:  Mari A. Lee, LMFT, CSAT-S is a Licensed Marriage andImage of Mari A. Lee, LMFT, CSAT-S Family Therapist, a Certified Sex Addiction Therapist and Supervisor, and the founder of Growth Counseling Services, a private practice recovery center located in Glendora, California. Mari is recognized for her ground breaking clinical work with spouses and partners of sex addicts, as well as her work with male and female sex, love and pornography addicts.

 

 

 

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