What The New York Times And Pinterest Say About Your Psychotherapy Office

Feb
8
2012

The first time I ventured into private practice (back in 1991), no one talked to me about what a counselor’s office should look like – not a peer, not a professor, and not a supervisor.  Over the last 30 years in mental health, I’ve worked in a dingy old office in a building that also housed a variety of rodents, a beautifully appointed office in an upscale building that overlooked a manicured pond, an short-on-space office that required sharing a desk with a colleague, an office that consisted of just my own lap, and a home office.  I suspect that many of you more seasoned therapists have had your professional lives housed in a variety of spaces, too.

The warm and inviting office of Claire Von Karls, LCSW in Franconia, New Hampshire, USA

The warm and inviting office of Claire Von Karls, LCSW in Franconia, New Hampshire, USA

It occurs to me that psychotherapists still in training and those who have only recently ventured outside of academia may not be familiar with the locations, furnishings and decor of “real” therapists.  With that in mind, I thought you might find it interesting to read this article from The New York Times (back in 2008) called “What’s in a Chair” by Penelope Green.  It’s a fun and interesting glimpse into the ideas, assumptions, and possible blind spots of psyhotherapists and the possible implications of choices we make related to the spaces we choose to work in.

And, in a more visual format, I’ve started a Pinterest board specifically related to Private Practice from the Inside Out.  It’s still in the beta phase of experimentation but the idea is to provide visual representations of information and inspiration for you as you build your private practice.  With that in mind, I’ve posted images of different therapists’ offices.  If you are curious about my experiment with Pinterest or want to peek in on your colleagues’ worksites, . . . you can take a moment to check out my Pinterest board here.

If you find Penelope’s article and / or my Pinterest board for Private Practice from the Inside Out to be useful, I hope you will drop back in here to share your thoughts about  (and photos, too) of your own work settings.

And, for those of you who have been around for a while, how about sharing some of those lessons learned along the way about how your work spaces affect both you and your client . . . .

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Can You Really Trust Good Therapy?

Jan
25
2012

Many of you have contacted me to inquire about the usefulness of online directory listings.  After hearing Kat Mindenhall’s experience with Good Therapy, I decided to invite her to write a guest post to share with you today.

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A Guest Post by Kat Mindenhall, LCSW

(If you want to guest post on this blog, check out the guidelines here.)

After signing up for four online directories six weeks ago, I began comparing how my profile shows up on each of them. I began by searching in a zip code that borders my own, and what I found on Good Therapy really surprised me.

The Issues

Zip code searches by Good Therapy take the very middle of your zip code area and use that to calculate how far you are from the very middle of another zip code. I searched in a zip code area that was 7 miles away according to Google Maps. However, my profile did not show up on Good Therapy until the seventh page. There were listings ahead of mine that were 16.83, 14.79, and 9.75 miles away.  Good No More Good Therapy For MeTherapy says that listings appear in order of proximity to the center of the chosen zip code, but this didn’t seem to really be the case.

If you search for a therapist by “browse location,” Good Therapy will only show profiles within that exact town, despite the fact that it says it’s looking within a radius of 25 miles. A search of a town that borders mine returned only 4 profiles followed by a statement that said, “There are a limited number of therapists in your area, but other distance therapy professionals are available to help.” Included within this list of “distance” therapists was a profile from someone in London! Instead of showing nearby towns, Good Therapy apparently thought that I paid them $269 per year to show my potential clients the profiles of therapists from other countries. I find this unacceptable.

I also found that they show all instances of a certain zip code at once. What this means is that if you are 7 miles away, and another highly populated area is also 7 miles away, they may show every one of the other zip’s profiles before yours (instead of mixing them up). This is why I was on the seventh page for a zip code that borders mine.

How I Addressed These Issues

I wrote to Good Therapy about these issues and received a form letter that did not address my specific concerns. They didn’t explain why their website doesn’t quite work the way they claim. I responded and restated my concerns. They simply replied with another form letter on why I would miss Good Therapy if I left.

Mental health professionals have a reputation of being technophobes that don’t understand how simple it actually is to create an intelligent search algorithm. We certainly don’t have a reputation as a community that looks out for each other and uses technology to our advantage to spread the word about an expensive and inferior product. Is Good Therapy capitalizing on this? They don’t seem to care that they are going to lose me as a customer, and Good Therapy’s impersonal response made me feel talked down to.

Good Therapy costs $269 per year, or $24.95 per month, second only to Psychology Today in price ($360/year).  On Psychology Today, Network Therapy ($149/year), and Theravive ($197/year) I had no trouble seeing my profile within the first 1-3 pages for the same nearby cities and zip codes. Part of the premium you pay for an online directory is for their “high ranking.” I’m not convinced that Good Therapy’s ranking really makes such a difference when other directories are also on Google’s first page of search results right alongside Good Therapy.

What Does this Mean for You?

So, the question is: Is it better to take your $269 and use it to get on two other “less popular listings,” or stay on a “mega directory” even if it isn’t showing your profile?

You have to research how your profile shows up in searches to make that decision. Search for yourself in many different ways. See if your listing comes up when . . .

  • you search a nearby city by name,
  • you search that same city by zip, and
  • how your profile is displayed for all nearby zip codes.

Compare how many locations or zip codes you can list with each directory. Track your referrals so that you can know what your return on investment is for each directory.

If you live in a suburb next to a heavily populated area, it may be difficult to show up in Good Therapy’s listing because of their search algorithm. If there is a chance that potential clients will search the city next to you for a therapist and not search for your specific town, beware.  You probably won’t come up in the search. I know I didn’t.

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Kat Mindenhall, LCSW, is a therapist in private practice with Image of Kat Mindenhall, LCSWA Peaceful Life Counseling Services LLC in Lakewood, CO. She specializes in helping parents enjoy their relationships with each other and their children by overcoming depression, anxiety, and relational issues.


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How To Get On Insurance Panels As A Preferred Provider – Part 2

Oct
6
2011

This is the second of a 3-part series to help ease your way to getting approved as a preferred provider with insurance companies. The series began here.How to Get on Insurance Panels - Part 2

Managed care companies receive hundreds of applications from licensed mental health professionals every year who are wanting to become preferred providers.  That’s why it’s important to make your application stand out in a positive way to the professionals in Provider Relations that will be evaluating your credentials and experience.  Here’s a few tips that I’ve learned over the years that may help you rise to the top of the pile.

Tip #1 – Focus on your own efficiency and your ability to save on costs. Managed care came into existence as a reaction to offset the rampant financial abuses in health care.  As such, the primary goal of these companies is to reduce costs of health care.  The care of clients comes second. Make sure that your application speaks to managed care’s concerns and not just your own.

Tip #2 – Location makes a difference. (And, not just for the reasons I stated here.) If you can provide services in an under-served area, you are more likely to be admitted to a preferred provider list.  If you currently provide services in a therapist-saturated market, you may want to consider adding a second site to your practice.  By indicating that you are available to provide services in an under-served area for just a few hours each week, you make yourself much more desirable to managed care companies.  (And, the good news is that once your are “in” on the panel, you can typically relocate your services without losing your place on the provider lists – even across state lines!)

Tip #3 – Highlight second languages that you are fluent in. Your unique expertise is what will get you on the list so don’t forget to highlight an ability to speak a foreign language every chance you get.

Tip #4 – Special hours can set your practice apart. Most therapists work 8 a.m. – 5 p.m.  If you can offer late or early hours or are willing to work on weekends, mention them on your application. Those “special” hours can be a way to expedite your entrance into the world of preferred providers.

Tip #5 – Special populations require special knowledge. Don’t indicate that you “work with everybody.”  That’s not what managed care is looking for.  Instead, if you have advanced training and experience working with a specific population or two, emphasize this. Populations such as geriatrics, children, GLBT, deaf clients, etc. can open doors for you with managed care.

Tip #6 – Advanced training and credentials count. Although experience definitely counts, proof of skills via advanced training and credentialing make you much less of a risk to insurance companies and much more desirable to them, too.  Track your professional development and flaunt it in your application.

Do you have other tips that can help other licensed mental health professionals get on insurance panels?  If so, I hope you will leave them below.

And, on Monday, I’ll wrap up this series by sharing a couple of thoughts for those who have had their applications denied


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A Facelift For Your Private Practice

Aug
9
2010

Are you looking back to the “good ole days” when your practice was shiny and new . . . ? Remembering when your appointment book was full and you had a two week waiting list and wondering where all the clients have gone?

Well, I’m here to tell you that they are all still right here . . . right around the corner from you and they are wondering whatImage of Hmmm happened to their bright and enthusiastic therapist that you used to be!  That’s right!  You heard me!  Any client will tell you that s/he would rather return to the same therapist s/he’s seen before rather than change to a new one.  They only change when they have no choice but to go elsewhere to get the help they are seeking.

If your old clients are going elsewhere for their counseling services, then it might be time for you to give your practice a facelift and that means taking a fresh look at your office, your office practices, and yourself.

Outside the Office

  • Take a look at the appearance of your building.  Has it fallen into disrepair?  Does it need trim work or to be repainted?
  • Is the landscaping well-tended?
  • Is the parking for your clients easily accessible and is the lot well-lit?  Does it feel safe?
  • Are the windows clean?

Inside the Office

  • Inside the office, take a look at the paint on the walls.  Is it dingy?
  • Is the carpet dirty or stained?
  • How does your office smell?
  • Is the lighting warm and welcoming?
  • Is your office well-insulated for privacy?
  • Is the temperature in your office comfortable?

Office Practices

  • Does your office staff greet your returning clients as warmly as they greet your new clients?
  • Is your staff well-trained on respecting clients’ privacy?
  • Are you records safely locked away out of sight so that clients do not see information about other clients?

Self Check

  • Are you taking care of yourself outside of the office?  Eating and exercising?  Getting enough rest?  Attending to your personal relationships?
  • Are you arriving at the office in time to get settled in and appear calm and focused when your clients arrive? Or are you rushing in harried at the last minute?
  • Are you scheduling your clients far enough apart that you have time to attend to phone calls, go to the bathroom, and complete your notes in between appointments?
  • Do you have a plan for continuing your professional competency and are you following it? Are you continuing to learn new and interesting things to help you in your clinical work?

These are useful things to discuss with your peer consultation group.  A fresh pair of eyes can help you identify areas that need a bit of a facelift.  And, that, in turn, may help you re-engage some of those wayward clients.

Can you think of other areas in your practice that may need a facelift?  If so, I hope you will let me know!


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7 More Considerations For Working Out Of Your Home

Jun
24
2010

Back in April, I wrote about things to consider when working from home.  Sharon Lauby at Work Shifting wrote a post identifying other areas Image of House & Questionyou need to consider entitled 7 Considerations for Setting Up a Home Office.

If you area health care professional already working from home, I hope you’ll add your thoughts about what’s working for you and what’s challenging for you right now.  Drop in, introduce yourself, and join our conversation!





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