(c) Can Stock Photo

An interesting theme emerged in my private practice consultation group last week. It may seem like an odd theme for a business group -  resentment. As I shared a few of my own experiences in private practice it became very clear that I had used my feelings of resentment as a guide to lead me to my ideal private practice.

(cc) photo by khawkins04

Last week’s post How To Get Paid For No Shows prompted some excellent discussions and follow up questions about how to enforce cancellation and payment policies. One comment in particular, posted by “Paul” brought up a valid concern.

Do your policies go both ways? How do you handle the situation when you, the therapist, no show for a session due to a scheduling error, inadvertently double book a session, or cancel a session at the last minute due to illness? Here’s what he wrote:

photo credit: Marcin Wichary

Are you going to work and not getting paid?

Therapists in my consulting practice frequently complain of a high no-show rate, especially with new clients. They often feel powerless to enforce their policies fearing if they’re too strict, clients will drop out of treatment.

I used to have this problem, too, and ended up feeling resentful when I had rushed to get to my scheduled session only to have a client no-show. There were also those days when a handful of clients who didn’t show up or cancelled at the last minute. Since I was paying for child care there were times when I actually lost money by going to work. I knew something had to change.

(c) Can Stock Photo

A simple practice-building skill that many private practice therapists overlook is to ASK directly for new clients referrals. Some shrinks assume that if they’re skilled clinically colleagues, clients, and acquaintances will automatically refer clients to them. While that may be true for some therapists, in my consulting experience, building a thriving private practice takes conscious effort and deliberate action.

Asking for referrals is important so you are on the “top of mind” for your referrals sources. Potential referral sources may assume that you’re too busy, that you’re not taking new clients, they don’t remember your name or contact information, or it just didn’t occur to them to refer a client to you.

(c) Can Stock Photo

Several months ago I wrote a post titled, “Why I Broke Up With Managed Care” that stirred up some passionate discussion! While I understand that it’s not the route for every private practitioner, I have continued to build a private practice free of managed care and recently hired my 12th therapist.

While we don’t bill insurance directly, we do give a superbill to clients so they can seek reimbursement from their health insurance so they can still use their benefits. As I’ve continued to write this blog, I’ve come across several therapists who have also “broke up” with managed care and asked them why they decided to build a fee-for-service therapy practice. Here’s what they had to say:

Do therapists really need to care about search engine optimization (SEO)? If you’re in private practice the answer is YES!

So, what is SEO? SEO is the process of improving your website’s visibility in search engines like Google, Bing, Yahoo, etc.

Before you starting thinking about SEO, you first need a practice website. Even a single page site with your photo, practice description and contact information is better than nothing! I predict that in the near future it will be nearly impossible to build a successful private practice with clients who pay your full fee unless you have a website and strong professional online presence. If you don’t have a website, stop reading here, and get busy creating a site. If you already have a site and you want to make it easier for potential clients to find your practice on the web, read on!

I’m thrilled to introduce to you Stephanie Adams, LPC – my very first guest blogger on Private Practice Toolbox. Stephanie’s passion for counseling and develop multiple streams of income, like offering online counseling and webinars, and self-publishing her first book are impressive. For all of you shrinks who’ve been thinking about writing a book, I hope Stephanie’s guest posts will encourage you to take action!

photo credit: Mark J P

Among therapists, “multiple streams of income” is a phrase with buzz. For good reason: though we all love our one-on-one work with clients, it gets nerve-wracking to rely solely on “dollars for hours” income. Those times when a client gets sick – or we do – can mean a major hit to our paycheck.

That’s why more and more, smart therapists are looking to diversify their methods of earning income. Self-publishing a book for your main client group is one excellent means of doing just that.

The physical “space” you work  in says a lot about you. Does your office space appeal to your ideal client? Does it speak about your tastes and preferences? Would you be willing to give other shrinks a tour of your office? Why or why not?

Every time a new client comes into my office they comment on my denim couch. It feels cozy and casual, which is how I want my clients to feel when they’re in my office. The color scheme of the office decor coincides with our logo and website colors…and that’s no accident.

I thought it would be fun to peek into the offices of private practitioners to share ideas and get inspiration. So, if you’re willing to let the world (or the readers of this blog) see YOUR office space follow these simple steps by Feb. 29th, 2012.

1) If you build it they will come

One of the most difficult challenges of private practice is finding consistent referral sources. Come up with a marketing plan and secure a few referral sources before you hang up your “shingle.” (Read Private Practice Marketing Made Easy)

2) My only overhead expense will be leasing office space

Not so. Plan on buying software for billing and record keeping, malpractice insurance, business license, incorporation fees, professional consultation, website costs, paper goods, furnishings, marketing materials…

Last week I spoke to group of local therapists on “Marketing Your Private Practice” and a record number of people attended the presentation. Why? Because therapists in private practice feel ill-equipped and uncomfortable with the business aspects of private practice.

It’s rare that a marketing course is included in a mental health graduate school curriculum, and few internships and practicums offer marketing mentorship. In my graduate program in social work, just the words “private practice” were treated as “bad words,” as if making money while helping people was somehow morally wrong.

For some therapists  the word marketing brings up feelings of anxiety, even dread. “I am not comfortable with self-promoting,” I’ve heard many therapists say.  “I’m not in this for the money so I hate to think that I have to market my services.”

Over nearly 10 years in private practice I’ve learned that marketing isn’t as difficult or scary as it sounds. Most therapists already have the relationship skills that make marketing effective. You’re already good at building relationships and communicating. You just need to apply your skills differently.