Why Some Shrinks Fly Solo

In past posts I've explored the the positives and negatives of joining a group private practice. Now, it's time to focus on the pros and cons of running a solo private mental health practice. When I opened Wasatch Family Therapy nearly 10 years ago, it started out as a solo practice that slowly built over time into a group practice. While I like being "in charge" and autonomous, I'm also an extravert and I highly value my connections with others.

I reached out to other private practice therapists who practice alone to see why they chose to "fly solo."

Autonomy

Florida social worker and healthy eating expert Therapist Karen R. Koenig, LCSW, M.Ed. grew up as an only child, so she's used to being independent and working alone. That autonomy and comfort level has helped her to succeed. “I love being in private practice. I make my own schedule, decide whom I want to see and whom I don’t, set the fee schedule and slide if I want, and get to have an office in my home which makes both life and work easy,” Koenig shares.

Self-expression

Creating an environment that accurately reflects who you are is important to North Carolina therapist Erika Myers, LPC. "Having your own space in which to practice in a way that feels authentic to you, building an individual reputation rather than relying on a group name for recognition,” are reasons why Myers chooses to practice in a solo setting.

Flexibility

Illinois counselor Melanie Dillon, LCPC of Center For Wellness, Inc. practiced independently for 17 years. Of her experience she says, "Private practice gave me a very flexible schedule and autonomy. It also helped me grow to learn all aspects of being a small business owner. It was ideal for parenting and having a second income.” Eventually Dillon developed a mind/body group practice with two chiropractors when she found herself as a single mom and needed to provide a stable income.

As the second oldest of nine children in my family of origin I am used to being "in charge" and in having close connections with others. So, it makes sense that eventually, I grew my own solo practice into a group practice where I am still the sole owner and decision maker. Guess I just can't get away from being the "bossy" older sister.

photo credit: cuatrok77

Pros And Cons Of Group Practice (part 1)

A common private practice question is whether a therapist should join a group practice or venture out on their own as a solo practitioner. The answer is different for everyone depending on your strengths, goals, personality, financial needs, and many other factors.

There are also other options in between solo and group practice, like sharing an office space with other practitioners while maintaining your own practice. "There are numerous ways of forming a group practice including cost/office sharing, partnership, and employment as associates under a licensed provider," according to Kansas Psychologist Wes Crenshaw PhD, ABPP of Family Psychological Services, LLC.

To help make your decision easier, here are some of the benefits and drawbacks of joining a private practice group.

Benefits Of Joining A Group Practice

1) Established business systems

If you're considering joining an established practice, a huge benefit is that they already have office systems in place to support the practice. Michigan therapist Jacquelyn J. Tobey, MA, LLP of  Sollars and Associates says, “I have benefited from joining a group because many of the business practices such as marketing and billing are already established.”

2) Shared expenses and responsibilities

Sharing the costs of operating a business can be appealing. Therapists often underestimate the financial requirements when starting a private practice. Sharing operating costs, office space, equipment, marketing, and administrative expenses are just some of the benefits that North Carolina counselor Erika Myers, LPC enjoys about group practice.

Tobey has learned what it takes to run a business by first joining a group practice. She likens a group practice to renting a furnished room in a house that is already built, whereas private solo practice is more like  designing and building the house on your own. I think that is an excellent analogy.

3) Consultation and camaraderie

Meyers enjoys having colleagues to consult with on difficult cases as well as the camaraderie inherent in interacting regularly with colleagues. "The work we do can be isolating, so having fellow professionals around can help you have more social contacts beyond the professional consultation," Meyers says.

Melissa J Templeton, MA, LPC, LMFT compares working in a group setting to a good relationship. “Like a good marriage, it is the ‘fit’ of the various personalities that determines whether the cohabitation is going to work and work well,” shares Templeton.

4) Referral sources

Illinois counselor Melanie Dillon, LCPC, at Center For Wellness, Inc values the internal referrals generated within her multidisciplinary practice.

My business partners are both chiropractors. One provides acupuncture/Chinese medicine and the other chiropractic care/sports medicine. We have also employed a massage therapist. This way we have created a system that supports internal referrals. The other benefit is that all expenses are now shared, and that my income is no longer dependent on how many clients I see, but on the group as a whole.

Now that you have a feel for the benefits of joining a private practice group, check back later this week for part 2 - the drawbacks of group practice.

(c) Can Stock Photo From your experience, what are the benefits of joining a private practice group?

Adventures In Private Practice: Parenting Expert Dr. John Duffy

When it comes to parenting and family relationships, particularly during the tween and teen years, Clinical Psychologist Dr. John Duffy has become the go-to expert. Not only does he have a thriving private practice in the Chicago area, he also published a book last year called The Available Parent: Radical Optimism for Raising Teens and Tweens (2011), and blogs regularly for The Huffington Post on relationship topics.

Learn more about how Dr. Duffy parenting niche found him, how he manages the stress of being "the boss" and how he's built a thriving private practice.

Why did you decide to open a private practice?

From the day I began grad school, I knew I wanted a private practice. To be honest, it started much earlier as I idealized characters played by Bob Newhart and Judd Nelson. Later, I realized it was the model I could thrive in. I had spent many years in a VERY corporate environment working for other people, and I knew I wanted to work for myself.

Clients that therapists find to be the most "difficult" are sometimes the ones who can teach them the most. What have you learned from your toughest clients?

I’ve learned patience, empathy, and compassion form my toughest clients. I’ve also learned that, once you familiarize yourself with another person’s back-story, it becomes very difficult to demonize them, and much easier to relate to them. I frequently tap this skill in my private life as well.

What's your biggest pet peeve about private practice?

I miss the camaraderie and dynamics of a group. I have a number of friends in group practice, and I find the idea of a staff meeting to hold some appeal on occasion.

How did you discover or develop your practice "niche"?

My niche actually discovered me. As I began my practice, I became friendly with a number of social workers at area high schools. Teens, tweens and parents became my demographic, and I’m so grateful to discover that I have a great deal of passion for working with families. I’ve been lucky enough to have a waiting list for the past several years.

What resource (book, website, person) helped you the most when setting up your private private?

I learned most from colleagues already in practice, willing to share their stories and struggles. I’m very lucky to have had their help early on.

What has surprised you most about being in private practice?

I’m most surprised by the opportunity that private practice presents. Not only do I see about 40 clinical clients a week, but I do a great deal of public speaking, mostly to parents, I published my first book this year, I’ve done TV, radio, print and other media, and blog on the Huffington Post. None of this would have been possible is I did not have the experience of my practice to rely on.

Has your private practice helped you grow professionally? How so?

Along with the above, I’ve learned more about how to live life from my clients than almost anyone else in my life. I’ll never forget the young man who decided to write the “better story” every day of his life. I think about that mantra most every day.

Has it helped you grow personally, too? How so?

I live that advice, and being in practice also keeps me far more aware of the ways in which I choose to live my life, and when my choices are maladaptive. Hopefully, I have pretty good advice for myself on how to implement change!

Being a therapist can be emotionally exhausting. What do you do to care for your own emotional and psychological health?

I work out regularly. I consult with a few close colleagues. I stop for a while to strum my guitar. And I laugh with my family, every day.

How do you cope with the inevitable stressors involved with being your own boss?

I remind myself of the freedom my practice affords me. I make my own schedule. I work hard Monday through Thursday, protecting Fridays for writing and other activities. I limit the amount of paperwork I do, as best I can. I stay organized as well. My iPhone is my virtual office.

What personal strengths have helped you succeed in private practice?

I’m an empathic, patient guy. I’m a pretty good listener, and my attitude is typically quite positive. I also feel that I have the patience to draw answers from my clients, instead of throwing out my solutions to their problems which, in the end, may not be useful at all. I truly do find that the less I think I know for sure, the more effective a therapist I am.

It's great to connect with and to be inspired by other therapists in private practice!

To find out more about Dr. John Duffy's clinical practice and book visit DrJohnDuffy.com.