• 157 From Overwhelmed to Organized: Building a Smart VA System with SOPs, Trust, and Tools
    2025/10/24

    What if the fastest way to grow isn’t doing more, but letting go—carefully? We pull back the curtain on how we hired and trained two very different assistants, one in Texas and one in the Philippines, and the systems that make those partnerships smooth, secure, and genuinely business-changing. From the first grading task to a multi-role teammate, and from a five-hour bookkeeping trial to dashboards, course ops, and content workflows, this is a real-world blueprint for delegating without losing your mind.

    We walk through the decisions that matter: how to choose between 1099 and W‑2, where to source talent (and what marketplace reviews actually tell you), and how to set pay based on skill, scope, and outcomes. Security and ethics are baked in—NDAs, HIPAA training when needed, and password managers like LastPass so you can grant access without giving away the keys. You’ll hear how simple, living SOPs turn chaos into consistency: short Loom or Camtasia videos, Trello checklists, and clear definitions of “done” that make handoffs clean and quality predictable.

    Communication is the backbone. We explain why one primary channel and a weekly check-in beat scattered pings and why screenshots with specific notes eliminate rework. We also share candid red flags—vanishing act replies, task-dumping without initiative, and hidden subcontracting—and the green flags that signal a pro: proactive problem-solving, honest updates, and resilience when life or weather hits across time zones. Most of all, we make the case that delegation is an investment, not a cost. Start with five to ten hours, document one process, ship it, and use the time you get back for higher-leverage work—or real rest.

    Ready to turn overwhelm into a system that scales? Listen now, subscribe for more practical playbooks, and leave a review with the first task you plan to delegate.

    Get your step by step guide to private practice. Because you are too important to lose to not knowing the rules, going broke, burning out, and giving up. #counselorsdontquit.

    続きを読む 一部表示
    1 時間 2 分
  • 156 The Exodus: Why Therapists Are Leaving Group Practices
    2025/10/17

    What happens when therapists abandon group practices en masse? This phenomenon is sweeping across the mental health field, leaving practice owners scrambling to understand why their associates are heading for the exits. At the heart of this exodus lie several critical issues that, once recognized, can be addressed to create thriving, ethical practices where clinicians want to stay.

    The financial relationship between practices and clinicians represents the most significant source of dissatisfaction. Fee splits of 50/50 or 60/40 aren't inherently problematic, but the lack of transparency about where that money goes creates resentment. When clinicians generate thousands in revenue but don't understand how their contribution supports the business infrastructure, they question the value of remaining with the practice. Similarly, practices that pass insurance clawbacks to clinicians or make them wait for payment until insurance reimburses claims create financial instability that drives talented therapists away.

    Beyond compensation issues, many practices make promises they can't keep. The most damaging is guaranteeing full caseloads to new hires without having the marketing infrastructure or client base to deliver. Therapists who join a practice expecting consistent work find themselves with empty schedules and insufficient income, forcing them to seek opportunities elsewhere. Successful practice owners understand that growth should be organic—adding clinicians only when current therapists are at capacity and there's genuine client demand.

    The power dynamics become even more complex when practice owners also serve as clinical supervisors. This dual role requires careful navigation to maintain boundaries and ensure associates feel supported in both their professional development and financial wellbeing. Practice owners must recognize this inherent power imbalance and take extra steps to create safe spaces where supervisees can voice concerns without fear of retaliation.

    Building an ethical group practice isn't mysterious—it requires patience, strategic planning, and a commitment to fair treatment of clinicians. Seek guidance from business resources, learn from adjacent industries, and prioritize creating a workplace where therapists feel valued and fairly compensated. The return on this investment will be staff retention, positive word-of-mouth, and ultimately, a thriving practice that makes a meaningful difference in your community.

    Ready to transform your group practice? Subscribe for more insights on building an ethical, sustainable therapy business that benefits both clients and clinicians alike.

    Get your step by step guide to private practice. Because you are too important to lose to not knowing the rules, going broke, burning out, and giving up. #counselorsdontquit.

    続きを読む 一部表示
    23 分
  • 155 Preventing a Toxic Climate With Supervisees: Why Every Supervisor Needs a Contract
    2025/10/10

    Toxic supervision relationships damage our profession, but preventing them requires simpler solutions than many realize. Drawing from recent surveys and proposed rule changes, this episode dives deep into what makes supervision relationships thrive or fail.

    At the heart of preventing problematic supervision sits the humble supervision contract - a document not currently required by licensing boards but essential to establishing clear expectations. When supervisors charge fees that exceed what supervisees earn hourly without providing commensurate value through amenities like office space, administrative support, or specialized expertise, resentment inevitably follows. Transparency about financial arrangements, scheduling expectations, and evaluation procedures creates the foundation for healthy supervision.

    The most troubling revelation comes when examining supervisor termination protocols - or lack thereof. Currently, supervisors have no formal mechanism to end relationships with problematic supervisees, remaining responsible until the supervisee secures another supervisor or upgrades their license. This regulatory gap creates professional vulnerability that puts supervisors in precarious positions when ethical concerns arise. While proposed rule changes aim to address these issues, the path forward requires both regulatory updates and individual commitment to professional best practices.

    Whether you supervise clinicians or are under supervision yourself, understanding these dynamics transforms how you approach these crucial relationships. Join the conversation about creating supervision environments that foster growth rather than toxicity, and help shape the future of our profession by advocating for clearer guidelines around contracts, fees, and termination protocols.

    Get your step by step guide to private practice. Because you are too important to lose to not knowing the rules, going broke, burning out, and giving up. #counselorsdontquit.

    続きを読む 一部表示
    21 分
  • 154 Navigating Difficult Conversations with Clinical Supervisors: A Guide for Pre-Licensed Therapists
    2025/10/03

    When supervision goes sideways, what's a pre-licensed therapist to do? In this candid conversation, Dr. Kate Walker and Jennifer Marie Fairchild pull back the curtain on one of the most anxiety-producing challenges facing associates and interns—addressing problematic supervision.

    Many therapists-in-training find themselves frozen when faced with supervision red flags, trapped between speaking up and risking their relationship with someone who holds power over their career. This episode offers practical, actionable strategies for having these difficult conversations with confidence and professionalism.

    We tackle the supervision power dynamic head-on, reminding associates that while these strategies empower you to advocate for yourself, the ultimate responsibility for a healthy supervision relationship lies with the supervisor. Learn how to document concerns, use "I" statements effectively, leverage your knowledge of state regulations, and bring solutions rather than just problems to the table.

    Perhaps most importantly, we address the boundary-setting that sometimes becomes necessary in problematic supervision relationships. From networking resources to supervision directories, we outline concrete options for associates who may need to transition to new supervision. The mental health field desperately needs dedicated new professionals—you're too important to lose because of discouraging supervision experiences.

    Whether you're currently experiencing supervision challenges or simply preparing yourself for potential future difficulties, this episode provides the roadmap and reassurance needed to navigate these waters with professionalism and self-advocacy. Remember that pushing back and developing your professional identity is a normal part of clinical development, not insubordination—and most supervisors genuinely want to support your growth when approached thoughtfully.

    Ready to transform your supervision experience? Listen now to gain the confidence to address concerns, set healthy boundaries, and continue your journey toward full licensure with renewed clarity and purpose.

    Get your step by step guide to private practice. Because you are too important to lose to not knowing the rules, going broke, burning out, and giving up. #counselorsdontquit.

    続きを読む 一部表示
    25 分
  • 153 Toxic Supervision: Red Flags and Remedies
    2025/09/26

    Ever felt trapped in a supervisory relationship that's stunting your growth rather than fostering it? You're not alone. In this candid conversation, we pull back the curtain on toxic supervision practices that plague the mental health profession.

    Clinical supervision should be a developmental journey where new clinicians discover their unique therapeutic voice. Instead, too many face micromanagement disguised as "support" that creates clones rather than competent, independent practitioners. We explore how supervisors who constantly shift expectations create anxiety-producing environments where supervisees chase approval rather than focusing on clinical growth. When your supervisor doubles as your employer, those dual roles can create a perfect storm of boundary violations and conflicting priorities.

    The power imbalance in supervision is real and undeniable. Many associates and provisionally licensed professionals fear speaking up about inadequate supervision or inappropriate behavior, worried about retaliation that could delay their licensure journey. Particularly troubling is the practice of threatening to withhold verification of supervision hours – an abuse of authority that creates fear instead of fostering development.

    For supervisors recognizing these patterns in themselves, we offer solutions rather than shame. Connect with communities like our Texas Supervisor Coalition, utilize resources like the Clinical Supervision Survival Guide, or join our monthly consultation groups. Developing as a supervisor is a process, but that growth shouldn't come at your supervisee's expense.

    Stay tuned for our follow-up episode where we'll provide concrete strategies for supervisees to advocate for themselves in challenging supervision situations. Whether you're providing supervision or receiving it, remember that the relationship should fundamentally serve the growth of the clinician and the wellbeing of their clients.

    Get your step by step guide to private practice. Because you are too important to lose to not knowing the rules, going broke, burning out, and giving up. #counselorsdontquit.

    続きを読む 一部表示
    23 分
  • 152 Navigating NBCC CE Provider Approval
    2025/09/19

    Get your step by step guide to private practice. Because you are too important to lose to not knowing the rules, going broke, burning out, and giving up. #counselorsdontquit.

    続きを読む 一部表示
    1 時間
  • 151 Marketing for Therapists: Beyond the Couch
    2025/09/12

    Get your step by step guide to private practice. Because you are too important to lose to not knowing the rules, going broke, burning out, and giving up. #counselorsdontquit.

    続きを読む 一部表示
    53 分
  • 150 Website Fixes Today
    2025/09/05

    The digital landscape for therapists has fundamentally changed. Gone are the days when optimizing for search engines could guarantee visibility. Now, AI dominates search results, pushing even the most qualified professionals to page two or beyond.

    This shift demands a return to relationship-based marketing – what I call moving from "shiny" to "sticky." Rather than competing for fleeting attention with expensive ads or algorithmic tricks, successful therapists are transforming their websites into valuable community resources that foster genuine connections with potential clients.

    Your website should do more than showcase your credentials and beautiful headshot. It should position you as an expert while making the visitor the hero of the story. This means crafting copy that speaks directly to their challenges and offering valuable resources before asking for anything in return. Whether it's a downloadable guide for helping kindergartners transition after summer or resources for college students navigating accommodations, these lead magnets create meaningful exchanges that build trust.

    The most powerful change you can make today is revising your website's language. Use ChatGPT to help craft client-centered copy that addresses specific pain points. Then create compelling calls to action that offer genuine value – never simply ask visitors to "join your email list" without providing something worthwhile in exchange. Remember, when someone clicks on your resource, they've transformed from a cold lead to a warm one who has actively engaged with your content.

    Ready to make your website work harder for your practice? Start by identifying your ideal client's specific challenges, create resources that address those needs, and make sure every element of your site speaks directly to the person on the other side of the keyboard. The days of being the shiniest option may be over, but the opportunity to build meaningful connections has never been greater.

    Get your step by step guide to private practice. Because you are too important to lose to not knowing the rules, going broke, burning out, and giving up. #counselorsdontquit.

    続きを読む 一部表示
    17 分