I have made the choice not to contract
with managed care companies
for my professional services.
Here’s the  8 reasons why . . . .

Conflicts of Interest

As a Licensed Professional Counselor, I am required to avoid potential conflicts of interest.  My primary concern is for my client’s well-being.  Therapists working under the constraints of managed care companies are sometimes put in the position of having to choose between what is in their own best interest and what is in their client’s best interest.  I do not want to be put in that position.

Managed care companies were created to “manage” and contain escalating health care costs.  Their bottom line is to reduce costs and raise profits; it is not to increase the quality of care or quality of life for my client.  In many cases, therapists who contract with MCC are actually paid to NOT see clients.

Restricted Choice

Often managed care companies restrict the client’s choice of therapist by offering only short term / brief therapy that I refer to as “drive-by” therapy.  Such therapy meets the financial criteria of managed care companies but may fail to afford my client the opportunity to get the information / therapy that s/he wants / needs.  It is my belief that this often results in my client’s quality of care being compromised. And, this, of course, can result in the possibility of my client’s needs going unmet.

Managed care companies often choose to limit what  therapies are offered, can restrict what is discussed in therapy, and decide which clients can be seen and for how long. Some managed care companies have even included “gag clauses” in their contracts to prevent therapists from suggesting more effective treatments.

Professional Expertise

I believe that my client should be able to access the full range of mental health professionals according to client needs.  Often managed care companies restrict the professionals that clients are allowed to work with – preferring to refer clients to therapists who have a record of providing short term therapy rather than to other therapists who may provide better results or offer a different packaging of services.

Contractual Limitations

I believe that a client has the right to full disclosure of any arrangements, agreements, contracts, or restrictions between any third party and me that could interfere with or impact your treatment.  Managed care companies may label counselors’ choices to advocate for clients in this manner as “Managed Care Unfriendly Behaviors” and take such actions as they deem fit.  Typically “violations” such as these result in therapists being removed from provider panels or censured in other ways.

Privacy / Confidentiality

By contracting with managed care companies, it is likely that I would be required to share my client’s deeply personal information with gatekeepers and utilization review professionals; it would mean potentially allowing literally hundreds of other to have access to my client’s personal information.

Medication

Research has consistently shown that medication for problems with mood is most effective when combined with psychotherapy.  Nevertheless, managed care companies frequently approve medication only for their members rather than permitting them to also work with a mental health counselor.  Again, the appearance is that of being more concerned about money rather than my client’s needs.

Time

Managed care companies usually require therapists to justify and convince Utilization Review professionals before treatment is approved / continued.  This is time consuming for the therapist and for the client who is required to continue his / her therapy in “fits and starts.”

Diagnosis and Stigma

Managed care companies typically cover only those services deemed medically necessary which is defined as being literally about life and death and the treatment of illness. This means that they require a diagnosis of mental illness for my clients.

My practice is solution- focused on quality of life and personal goals. My work with clients focuses on prevention, exploration, and personal growth rather than simply survival. We typically talk in terms of possibility and resourcefulness, gratitude and integrity, commitment and personal responsibility.  Working with managed care companies is not a choice that I can ethically make.

I Know Better

I have mental health professionals declare on a regular basis that you “can’t survive in private practice without participating in managed care.”  But, I know better. What I know is that you can’t thrive – both personally and professionally – while participating in managed care.

Once I realized the ethical implications of working with managed care companies, I terminated all of my contracts with managed care.  It’s not a decision that is right or necessary for all therapists but it was the best decision that I’ve made to date.

I am now celebrating 10 years of being an insurance-and- managed-care-free  private practice. I’m thriving and you can, too!  All it requires is courage.

If you, too, run a practice without managed-care, I hope you’ll drop in here to chat about your experiences.  And, if you have yet to make the choice to opt out of managed care, I would be happy to help you find your courage and to help you create a path to a fee-for-service only practice.

Tags: Choice, Contract, Courage, Ethics, Managed Care, Packaging

Early in my career,I naively believed that  the way to build a strong and independent practice was to contract with both insurance and managed care companies.  I spent hours filling out the lengthy applications for each company.  I followed up with phone calls and sent in supportive documentation just trying to get on the companies’ panels as a provider.

"Paperwork" by Luxomedia

Once I was approved to get referrals from the managed care companies, I had more paperwork to do and more phone calls to make. And, did I mention that the fee that I contracted for was significantly reduced from my usual and customary fee?

When counseling was not deemed medically necessary by the Utilization Review professionals, my reimbursement was abruptly cut off.  My clients were unprepared to suddenly be financially responsible for my full fee.  And, neither were they prepared to discontinue treatment with me.

As a therapist in private practice, you have many potentially practice-altering choices to make.  Deciding whether or not to contract with managed care companies is one of them.

Make sure you take the time to consider the implications of working with managed care before you ever contract to do so.

Tags: Choice, Managed Care

If you market your services via the internet, television, radio, in print or face to face . . . even if you volunteer to man a booth for your community expo . . . you are engaging in direct marketing.  Ken McArthur has just posted new guidelines for direct marketing in the United States.  Tempted to put your head in the sand and ignore the guidelines?  Really??

"Apple Planet" by Jorge Elias

Here are some snippets from Ken’s post:

• Terms like “Free,” “Free Trial,” and “Risk Free” are to be avoided.
• So are potentially misleading offers.
• Don’t offer ‘false sense of urgency’ i.e. “Last Week to Purchase at This Price!” if the offer will continue.
• Endorsements must be honest and accurate depictions of likely use of your services / products.
• Affiliate marketing programs must make concerted effort to track participating marketers and minimize fraud.
• Opt-out procedures need to be written in 12 point font or larger.
• Pre-checked boxes are no longer allowed.
• Billing cycles are regulated.

Other issues addressed include Refund Policies, Up-Selling, Actual Descriptor of Merchants, Fulfillment of Transactions, and Requirements for Customer Service. Check out Ken’s full article, New Credit Card Merchant Account Guidelines for Direct Marketing.

With so much sleaze involved in marketing and online sales, I see this as a giant step in the right direction. What’s you opinion?

Tags: Best Practices, Direct Marketing

A reader,  Kristene Elmore, in Brighton, Colorado wrote in asking,

Can anyone suggest a great billing software to manage a solo private practice?

. . . Does anyone use TheraQuick?

. . . Has anyone customized a general billing software like QuickBooks?”

[Update 01-28-09]    Another reader, Sandy Jardine, in Phoenix, Arizona also wrote in asking for help.

I am a long-time user of Therapist Helper software.  I have just been informed that when I switch to Windows 7 my ancient version of Therapy Helper will be useless.  I need to get new software. I am looking for something SIMPLE.  I have a completely self  pay practice, do no direct billing to insurance, submit no electronic claims and need no scheduler. I provide my clients statements they can submit directly to their insurance for reimbursement.  I also use it for keeping track of my income receivables, client lists, etc.

Can you please recommend what you have found helpful, affordable, simple and windows 7 compatible.”

If you have experience and opinions about billing software, please introduce yourself, tell us what you’ve used (and for how long) and let us benefit from what you know!

Tags: Billing, Software

I’ve mentioned in the past that one of the ways that I keep my marketing  fresh is that I borrow ideas from other professions.

This morning I was reading Erika Trimble’s blog, Physical Therapy Biz Success, when I ran across a great little post on setting priorities. She recommends the A-B-C-D-E Method for setting better priorities.

A = Critical and Urgent

These are the things that if you put off, will cost you your practice.

• Professional licenses and certifications
• The rent for your office
• Your mental – physical – emotional – spiritual health
• Transportation to and from work
• A way for your clients to contact you
• Securing your client records (to protect confidentiality)

B = Important

These are the things that really need to be done but they are not critical.  If you don’t do them in the short term, there are only minor consequences.  However, if you put them off indefinitely, the cumulative effect can bump these into the A = Critical and Urgent category.

• Vacuuming the office
• Networking
• Emptying the trash can
• Cleaning the windows
• Upgrading your computer to the most current Windows settings

C = Nice to do

These include all the niceties and, often, fun-to-do’s that can so easily distract you from your business-building tasks.  They may be of added benefit to you or your clients but if they don’t get done, you don’t incur negative consequences.

• Sending birthday / holiday greetings to your clients
• Heating up the coffee / tea pot for your clients
• Lighting the candle in your office
• Writing a new blog post
• Facebook chats
• Returning friends phone calls

D = Delegate

If you don’t do it easily and well, you need to give serious thought to delegating or contracting to get the task accomplished.

• Designing artwork for your new project’s marketing campaign (unless you are artistically inclined)
• Writing the copy for your website
• Billing clients / insurance companies
• Janitorial / building maintenance services

E = Eliminate when possible

These are often acts of repetition or 100% time wasters.

• Surfing the Internet
• Creating handouts for your clients over and over again
• Explaining your policies for payment, no shows, and late arrivals
• Some correspondence including letters of introduction, marketing letters, and reminder letters

As you are gearing up for 2010, make sure you take some time to re-think your priorities.  Assign each of your to-do’s an A, B, C, D, or E using Erika’s method of prioritizing and then let me know what changes for you.

What is it that  you think is important . . . to attend to, to delegate, and to eliminate as you build your private practice?

Tags: Critical & Urgent, Delegate, Priorities

I just discovered a free source for professional development (no CEU’s) at

"Podcast Subscribe" by Derrickkwa

CounselorAudioSource.net .  This website offers free weekly podcasts on topics primarily of clinical interest to counselors.

Additionally, if you would like to expand your resume to include your own podcasts on topics relevant to counselors, you can check out their guidelines and suggestions for contributing here.

Do you know of other free resources for the professional development of counselors and allied health professionals?  If so, please let us know!

Tags: Free, Podcast, Resume

The purpose of a professional disclosure statement is to inform clients about your professional background and the limitations of your professional relationship.  It is sometimes referred to as a document of informed consent.

It is important to note that the state you practice in may dictate what must be included in your statement of disclosure.

The following items are often included:

• Contact info
• Your qualifications including training, experience, licensure, and certifications
• Professional associations that you belong to
• Services offered
• Your theoretical foundation and counseling approach
• Fee structure including broken appointments and cancellation policy
• Whether or not you will file insurance / provide documentation for your client to file insurance
• How you handle emergencies and client needs after business hours
• Confidentiality and exceptions to confidentiality
• Client rights and responsibilities
• The professional code(s) of ethics that you adhere to
• How to file a complaint against you

Your professional disclosure statement is a living document.  By that I mean that it will grow and change as your experience, training, and practice changes.  It’s a good idea to review (and amend as needed) your disclosure statement at least annually.

When writing your disclosure statement, you may find it helpful to gather samples of other professionals statements.  You will find a copy of my disclosure statement here at my counseling website.

Tags: Disclosure Statement, Ethics, Informed Consent, Professional Association, Rights & Responsibilities

Are you still marketing yourself as a generalist?

"Donald Roller Wilson" by Wonderlane

Do you pride yourself as a Jack or Jane of all trades i.e. “I work with everyone!” ?

If so, you are confusing what you do with how you market.  What you do and who you work with may very well include a large variety of issues and clients.  However, if you have too many empty time slots on your calendar, your generalist marketing may be your problem.

There was a time when marketing yourself as a generalist was the hallmark of a go-to therapist.  It was thought that she could do it all.  But things have changed and so should you.

• Today, clients want an “expert” and nicheing lends itself to the perception of expertise.
• Marketing yourself as a generalist makes you forgettable.  And, marketing yourself as someone who has a special interest in X, makes you memorable.
• Nicheing allows you to market your services in a more focused way.  That translates to less money, less wasted time, and more strategic contacts.

So the real question is . . . What’s keeping you from nicheing your practice TODAY?

Tags: Expertise, Generalist, Niche

Casey Truffo has extended a generous offer to you on her website . . . . Until  9 pm Eastern / 6 pm Pacific on Sunday December 13th , Casey is inviting you to download her entire 300+ page book, Be a Wealthy Therapist, Make a Living While Making a Difference.  You can take advantage of her offer right here.

Tags: Free

Everything you do for your client matters.  If and how you choose to diagnose your client matters a lot.  Amanda B. wrote in asking if it is OK to routinely give a diagnosis of Adjustment Disorder to her clients if they do not exhibit symptoms warranting a more serious diagnosis.  (She was trying to help them get reimbursed by their health insurance companies.)

The short answer is “No it’s not.” As tempting as it may be to slap an Adjustment Disorder diagnosis on to every client who is dealing with normal life transitions, it’s not wise and it’s not OK — clinically, ethically, or legally.

"Worried Woman" by HikingArtist.com / Frits Ahlefeldt-Laurvig

The clinical implication is this . . . by intentionally giving your client the wrong diagnosis, in this case a more serious diagnosis than is truly warranted, you pathologize your client.  This is like going to your primary care doctor for a mosquito bite and him diagnosing you with an infection.  Mosquito bites happen just like life happens.  Misdiagnosing does nothing to empower your client.  Nor does it inform her about the real nature of what’s going on or lead her toward useful strategies for managing the transition at hand.

Ethically you’ve failed . . . to provide honest, accurate and useful information to your client if you’ve told her she has something different than what is true.  You’ve also set yourself up to provide inaccurate information to others i.e. physicians, lawyers, etch.  that may gain access to your records later on.

And, legally, you’re setting yourself up for big trouble. When you choose to list an inaccurate diagnosis on health insurance claims forms and submit them, you have just committed insurance fraud.  Should you choose to put the inaccurate diagnosis into your clinical record, you have falsified documents and failed to meet the professional standard of care.

If knowing all of this you are still tempted (perhaps you believe with good intentions) to misdiagnose a client, seek clinical, ethical, and legal consultation.

[Update 10 Dec. 2009 5:54 pm - Of course, mental health professionals are not the only one fudging on diagnoses.  Check out The Last Psychiatrist blog post, "How Am I Going To Get Paid If It Isn't Autism?"]

Related Posts

A Speedy Little Tool for DSM-IV and ICD-9-CM Coding

Tags: Diagnosis, Documentation, Ethics, Fraud, Standard of Care

I’ve been reading Louis Baraja’s book, Small Business, Big Life: 5 Steps to Creating a  Great Life with Your Own Small Business.  In it he lists the  22 Temptations of a Small Business Owner that entrepreneurs often fail to notice and then stumble over while building their businesses.

That list got me to thinking about the many ways that psychotherapists and allied health professionals get tripped up on the way to building their businesses so I decided to share my list of 22 things you say (with a nod t o Louis Baraja) before you even know your private practice is in trouble .

You Know Your Private
Practice is in Trouble When You Say . . . .

1. “I’ve always been ‘Dear Abbey’ with my friends so I might as well hang my shingle out and charge for it!” Just because you are good at something doesn’t mean that you should do it professionally.  And, even if you decide that you want to work in health care, you need to take time to consider the huge differences between working for yourself and working for someone else.  Those differences matter.
   
2. “I’m not really sure what I’m doing business-wise . . . but I have a client!” The vast majority of businesses that succeed start with a plan . . . not necessarily a Business Plan but they all have a plan.  By that I mean you need to have an understanding of how the business fits into the larger plan for your whole life . . . and how it contributes to that bigger life plan.
   
3. “I haven’t thought about how many hours I want to work or how much money I want to make this year . . . but I know I want to help people. When you enter into private practice especially in health care, you need to begin with the end in mind.  The end matters and will actually dictate the choices that you make along the way.  By keeping your values and your priorities at the forefront  (including how many hours you want to work and how much money you want to make), you will be better able to stay focused on the tasks necessary to achieve your ideal business.
   
4. “I don’t have regular business hours.  I work late into the night on my business” and eventually “I’ve burned out.” It’s easy when you’re getting started to over-commit and over-invest in your business.  What I know is that you cannot give what you do not have . . . good boundaries, balanced life, energy and focus, etc.  Self-care is critical especially at the start of a new practice or a new project.  Reinforce those habits now . . . at the beginning.  And, if you don’t have them, find a therapist or coach to help you put them in place.  Otherwise, you will not survive the demands of private practice.
   
5. “My preference is to hire and network with people just like me.” I know that you’re more comfortable with people just like you (Me, too!) but they won’t help you long term take your business to the next level.  Differences in skills, experiences, and even politics will be assets to you in many ways.  As long as the people you hire and network with can share your vision for your practice, their differences can serve you well.
   
6. “My business partner and I constantly struggle with the direction of the business.” If that’s true, then you’ve got too many leaders in the room.  In your practice, your vision is the one that needs to be the guiding force.  Be cautious and be clear about why you want to partner with someone.  Often it is a better choice to hire or consult with individuals (assuming they buy in to your vision) rather than bringing in an actual partner (who has a different / competing vision on his own).
   
7. “I am constantly reinventing the wheel.” Take the time to create systems and templates to streamline your work so that as your appointment book begins to fill in, you are able to efficiently delegate or complete your repetitive tasks.    
   
8. “I work with everything and everybody.” Don’t say it!  Stay focused on your ideal client and market to him or her.  Of course, you’ll work with others but target your message and your efforts to working only with your ideal client and withing your niche.
   
9. “I need to work harder at ___________.” [fill in your weakness] Successful entrepreneurs delegate or manage their weaknesses; they focus on their strengths.  In fact, Marlane Miller in her book, BrainStyles, says that by focusing on our weaknesses, we just build stronger weaknesses.
   
10. “I can’t spend money until I start making money.” Wrong!  Have faith in your calling and invest in your practice.  If you aren’t willing to invest in you, don’t expect anyone else to invest in your either!
    
11. “My friend needs a little extra income so I’m going to hire her to do my accounting.” Hire people because they are exquisitely qualified and not because they are your friend and you want to help someone out.  You are running a business, not a social service organization.
    
12. “I’m really good at flying by the seat of my pants so I’ll just deal with it when it comes up.” Not a good idea.  Take the time to create a plan . . . a blueprint for your practice and for your life.  Then, stick to it.
    
13. “I don’t need to hire anyone to do anything.  I can do it all myself!  (And, besides, I’ll save money doing it this way!) If this is what you’re thinking, then you have some control issues to deal with.  You cannot do everything well and if you cannot do it well, you need to find someone i.e hire someone else who will do it well. 
    
14. “I’ll hang my shingle out and the masses will come!” No.  They won’t.  What will get clients is a strategic plan and follow through.  Who are you going to talk to about your practice? Where are you going to publicize your practice?
    
15. “In order to open my private practice, I need all the bells and whistles . . . a white noise machine, new office furniture, a posh location, special software to keep my progress notes in, etc.” Not really.  What’s going to prepare you to open your private practice is you laying the foundation for name recognition, building trust in the community, and following through on your commitments.
    
16. “I will work with anyone who will pay me.” Another bad idea.  Work with your ideal clients.  It’s your calling.  Refer the others out.
    
17. “This is too hard so I quit.” Many therapists throw in the towel and quit too soon because they didn’t go get the info that they really needed – the business and marketing info that you didn’t get in graduate school.  Take the time to learn the info . . . take classes, read articles, interview other more seasoned therapists, hire a business coach.  Learn what you need to know in order to jump start your practice. 
    
18. “I’m doing great so I’m not going to ask for feedback.” When you’re doing great, is the perfect time to ask for feedback!  Learn what you are doing well so that you keep getting that feedback.
    
19. “I know everything there is to know about being in private practice” or “There are things I need to know but I’m not going to pay another professional to get that information because  I’m not worth it or I’ll figure it out.” Again, quit fooling yourself and go get the help / info that you need.  Hire a counselor or an attorney or a coach or whomever.  Don’t just delude yourself into failing.  It’s not necessary!
    
20. “I don’t know how to explain to clients why they should work with me.” That’s a really big problem.  Then you need help learning to articulate what gifts you bring to your practice.  Sign up for a class, hire a coach, work with a copywriter or wordsmith.  It’s one of the single most important things you can do to build your reputation in the community.
    
21. “What’s wrong with my clients?  They aren’t getting better.” Well, that’s definitely a problem . . .  and it’s a bigger problem for you than it is for your clients!  If your clients aren’t getting better, you need to change . . . start or stop doing something, learn something new, talk with a consultant, etc.  Whatever you do, don’t blame it on “resistent clients.” 
    
22. “I don’t need an exit strategy because I’m going to be in this business forever.” Even if you do plan to be in private practice forever, you still need make an exit plan.  It will help you focus on building your practice up . . . to promote, to sell, or to expand.

Have you tripped up on these already?  Or, do you have other red-flag statements to share?

Tags: Priorities, Strategic Plan, Strength, Systems, Vision

When I left employment to begin my own private practice in 1991,

"Question Marks on the Wall" by Lone Black Rider / Filip Bunkens

I started by identifying therapists that I believed to be highly successful.   Then, I picked up the phone, introduced myself, and asked if I could take them to lunch or coffee to pick their brains about being in private practice. Whether you are just starting out in private practice or are wanting to revitalize your practice, that’s a good place for you to start, too.

Most mental health professionals will be flattered if you call.  Let’s face it, it’s an ego boost when someone else thinks that you are successful.  And, many mental health professionals really enjoy mentoring others in the field.

Once you’ve made your phone calls and scheduled your lunches, here are 20 questions for you to ask:

1. How long have you been in private practice? This is really important.  you want to identify therapists who have longevity in the field.  They are who you can really learn from.
2. How did you learn what to do when you were ready to go into private practice? If it worked for him, there’s a good chance that at least part of his learning can work for you, too.
3. What do you know now that you didn’t know when you got started about being in private practice? You might as well learn it now rather than wait.
4. How did your clients initially learn about your services and how do your clients learn about your services now? You want to know about how it was in the beginning for them.  Back then, they were probably on a shoestring budget at best (perhaps like you are now) and still they survived.  In the process of learning what they did back then and what they do now to get clients, you’ll most likely hear how their income and their efforts have changed and refocused.  
5. What mistakes did you make in your early years of private practice? Find out now so that you don’t have to reinvent the wheel.
6. What critical decisions did you need to make about your private practice and why? You may choose to make different decisions but it is often helpful to understand why someone in private practice makes the decisions that they make . . . about policies, workload, billing and fees, etc.
7. Did you ever have a mentor?  Do you now? And, how did you find one? One of the fastest ways for you to jump start your practice is to have a personal mentor to shepherd you on your journey.  Hiring a business coach is one way to find a mentor but it is certainly not the only way.
8. How much time do you set aside to work on the business (not the clinical) of private practice? Successful therapists in private practice spend time visioning, developing, and implementing new ways to grow their businesses.
9. What is your biggest challenge now? Challenges continue throughout the life cycle of a private practice.  Challenges happen; they do not disappear.
10. How long did it take you to turn a profit? The Small Business Administration says that most small businesses fail within the first 5 years and that most successful small businesses take 3-5 years to turn a profit.  I’ve certainly taken it take less time to break even or fail.  However, be wary of those who promise that you’ll be earning big money fast.  Research clearly shows to slow and steady is the way to build a strong foundation for a long-term practice.
11. What do you believe causes a practice to succeed?
12. What do you believe causes a practice to fail?
13. What type of clients do you see? Remember this when you need to refer a client of your own to another therapist.
14. What type of clients do you refer out? If this is a population / issue that interests you, make sure this therapist knows that.  If it is not, then keep an ear open so that you can refer another professional to this therapist.  This is how you network.
15. What resources can you recommend to me as a new therapist that can help me get started on the right track? He may have a favorite website on developing a private practice or an online diagnostic code finder. He may know another therapist looking to share an office or a CPA who can help you set up your quarterly tax payment.  Or, he may have a favorite book or magazine or office supply store to send you to.
16. What do you do to take care of you? Balancing work and home (much less children and additional schooling) is one of those topics that is hardly addressed while you are in school.  Take time to identify now how you will put systems of self care in place.
17. How has your practice changed over the last X (number) of years? It’s important to understand about the life cycle of a practice.  Once it’s up and running, it doesn’t necessarily stay up and running at that level.  Change happens . . . a group practice moves in next door, the local school system has an unexpected need for counselors, an army base closes, you get new clinical training, etc.  Your practice’ life cycle will be different than the therapists’ that you are interview but it is helpful to be reminded that change happens and what you need to do to recognize it as another opportunity for growth.
18. What is the hardest thing about being in private practice? Again, what is hard for him may not be hard for you but knowing about the challenges helps you prepare for them from the beginning.
19. How is your personal life affected by being in private practice? Your professional life and your family’s lives will be impacted by your decision to practice mental health.  When you are in private practice, that impact is even greater.
20. What precautions do you take to keep you and your clients safe in your office? This is another area that is not adequately addressed in graduate school.  There are many things you can do to increase your safety.  Learn about them now.

Remember to take pen and paper with you so that you can take notes.  I’m sure you’ll think of more questions along the way!

If you use this list, I hope you’ll drop back in and let me know how the questions worked for you.  Are there other questions that would be helpful to ask other therapists?

And, if you are a therapist who has been in private practice for a while, why don’t you drop in here  and answer all 20 of these for us.  It’s a good way to introduce yourself and your practice to our community!

Tags: Mentor, Network, Opportunity, Self Care, Vision

If you think that where you locate your office doesn’t matter, you are wrong.  Research has

"Beyond the Wall" by Giuseppe Bognanni

shown that the location of your office can make or break your private practice.

The reason location matters is that clients are put off by the perception of geographic barriers.  Common geographic barriers include:

• Major highways and thoroughfares;
• Major landmarks such as a mall, airport, park, or university;
• County and state lines;
• Significant bodies or streams of water;
• Different neighborhood or different town;
• Socio-economic differences;
• Lack of visibility;
• Difficult parking – this includes the need to pay for parking;
• General difficulty in getting to your office – this could be heavy traffic, road construction, or just a complicated route.

Before you accept the really “great” rental fee for your potential office, don’t forget to take these geographical barriers into the savings.  If you are losing too many clients, you may want to reconsider!

What other geographic barriers can you think of that might cause a potential client to see a different therapist?

Tags: Geographic Barrier, Location, Office, Visibility

On Friday, Private Practice from the Inside Out

"Well Dressed Caterpillar" by HikingArtist.com / Frits Ahlefeldt-Laurvig

kicked off its fifth Annual Series!  This year, we have participants representing body workers, attorneys, coaches, psychotherapists, and even professional nannies joining us!

Over the next nine months, participants will cover a wide range of topics  on marketing and practice development . . . all geared to help them get and keep high quality clients.

If you were unable to join us this year, but would like to stay informed about opportunities for 2010, drop me a line to let me know that you are interested and I’ll put you on my tickler list!

Tags: Private Practice from the Inside Out Annual Series

Back in June, I posted

"Old Fashioned Pharmacy . . ." by Curious Expeditions

Resources for Affordable Medications and Health Insurance.

Here are even more resources for affordable and even free medications for your client.

Access 2 Wellness – Invega, Risperdal

AstraPagesZeneca – Seroquel

GSK for You – Lamictal, Wellbutrin XL

Bristol-Meyers Squibb LifeLines of Care – Abilify

Forest Pharmaceuticals Patient Assistance – Lexapro

Lilly Cares - Cymbalta, Strattera, Zyprexa

Pfizer – Geodon and Zoloft

Wyeth – Effexor XR, Pristiq

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Tags: Medication