A Day In The Life Of A Private Practice Therapist

After reading my recent posts on multiple income streams for therapists, Psych Central Associate Editor and blogger, Margarita Tartakovsky asked me how I, and other therapists, juggle so many different aspects of private practice. I've been thinking about her question and thought it might be fun to start a series that peeks into "a day in the life" of therapists in private practice. I thought I'd start with me, and start with--today. Just to give you a little background...I'm a wife and a mother of 4 children ages 5 to 21. I've been in clinical practice for 16 years and I serve as director of  Wasatch Family Therapy, a private outpatient clinic that I founded in 2002. Recently, because my clinic has grown significantly, I've stopped taking new clients in order to spend more time leading, training, and pursuing other passions, like writing, media contributing, etc.

You'll notice that my "day in the life" doesn't include seeing any clients. I am currently on a month-long sabbatical from clinical work, and from as much administrative work as possible, during the month of November to dedicate time and energy to finishing up my first book. After being approached by a publisher a few months ago I decided that it was an opportunity I didn't want to pass up, but it would require cutting back on a lot of other responsibilities in order to make the deadline. I will resume seeing clients, running staff meetings, and training therapists the first week in December.

A Day In The Life

November 15, 2011

7:30--9:00AM

Woke up and get kiddos off to school, morning routine...

9:00-9:30AM

Worked on some rough song lyrics and musical ideas at the piano.

Ate breakfast. Contemplated exercise but decided to dig into book writing.

9:30AM-12:30PM

Worked from home on writing my first book on women's emotional self-care due to publisher by end of the month. Yikes. Totally overwhelmed by the thought. Reviewed my survey data to integrate into book.

Reviewed bank accounts, bills, etc. online.

Consulted for a few minutes with an old friend via Facebook who is in a family crisis.

Talked with my clinic office manager regarding tomorrow's staff meeting agenda items and other miscellaneous office stuff.

12:30-1:00PM

Talked with my TV producer and brainstormed about next week's segment "Should you keep your kids believing in Santa?" Read over blog responses to a recent parenting question about how moms handle the question, "Is Santa real?". Researched the topic online and sent in rough outline for tomorrow's production meeting.

1:00-2:00PM

Picked up daughter from preschool and got a birthday treat on the way home.

Responded to a reported request for interview.

Ate lunch.

2PM-3:30PM

Worked from home answered 30 business emails.

Phone consult with my Dir. of Child & Adolescent Services to discuss some difficult cases and recent referrals. She gave me updates on the status of our new Provo, UT location that opened last month.

Scheduled videographer to come to tomorrow's staff meeting to shoot footage of new therapists for our practice website.

Scheduled and posted social media updates on Twitter and Facebook(s).

Updated websites JulieHanks.com, WasatchFamilyTherapy.com, and added a few elements to a new site for emotionally focused couples therapists in the greater SLC area that I'm working on while my daughter colored and did art projects at the table.

3:30-4:00PM

Home assistant arrived and I give her the day's assignments - laundry, dishes, organized pantry. (I have a high school girl come 2-3 afternoons a week as a "home assistant" to run errands, fold laundry, organize, etc. Best thing I've ever done for my own self-care.)

More research and book writing.

Added more 2012 calendar items - trips, book tour, holidays.

Researched Christmas gifts for my staff online.

Downloaded a new Christmas CD Mindy Gledhill Winter Moon.

4:00-5:00PM

Napped. YES!

5:00-5:30PM

Helped 9 year old with spelling and vocabulary homework.

6:00-7:00PM

Pick up teenage daughter and went out to dinner as a family for 5 year old's birthday.

7:00-8:00PM

Son went to scouts, husband went to church meeting and I helped daughter open and put on ballerina costume from grandma and dance around the family room.

Social media updates.

Uploaded photos from birthday party.

8:00-9:00PM

Help get kids ready for bed, read, snuggle.

9:00-11:00PM

Wrote this Psych Central blog post.

Installed Photoshop updates to crop logos of recent media quotes for websites.

Did website and social media updates.

11:00-12:00PM

Check in with hubby, talk, watch TV, bed.

OK, it's your turn! I'd love to hear from other private practitioners, or students planning on going into private practice. Track your activities for a day and Email me your "day in the life of private practice" here. I just might feature you and your practice in his blog series!

Therapist Media Cheat Sheet: Look Good And Sound Smart On TV

TV interviews are a great way to educate about relationship and mental health topics and to raise visibility for your private practice. Over the past few years, I've actively sought out interview opportunities and have found that over time, they have bolstered my credibility, fostered trust in my knowledge and clinical skills, and raised visibility of my private practice. Thanks to social media, TV interviews can reach beyond the viewership of the live broadcast to a larger audience. One example is this short, live interview for a local Utah TV lifestyle program.  "How To Handle A Narcissistic Mother" has had over 9000 views on YouTube (and yes, I'm still working on not saying ,"um").

I reached out to other therapists to find out what they'd learned from their TV interview experience, what advice they'd give to therapists preparing for their first TV interview, and how these interviews have impacted their practice.

Here are 10 Tips to help you look and sound like an expert when TV interviews come your way.

1 - Do your homework

Find out who is interviewing you, how long the interview will be, and who watches the show so you can tailor your interview to fit the format and show yourself in your best light. Therapist Sharon Rivkin, MA, MFT and author of Breaking the Argument Cycle: How to Stop Fighting Without Therapy suggests researching the show's demographics, audience, and format so you can tailor the interview to the show's viewers. Before his local television news interview, Psychotherapist John Sovec, M.A., LMFT went online and found clips of the newscaster who'd be interviewing him to get familiar with his interview style.

2 - Develop talking points

From my own TV experience, mapping out 5-6 talking points is crucial to building my confidence, producers' confidence and interviewers appreciate the direction. Sovec adds, "The TV world moves fast and I always find that talking points help me to stay centered." Texas Psychologist Susan Fletcher, Ph.D., author of Working in the Smart Zone: Smart Strategies to be a Top Performer at Work and at Home found that "some TV anchors will stick to the talking points while others will veer off. Be prepared to go a little off topic and be flexible. You can always work your way back to the topic."

3 - Add visuals and examples

Fletcher suggests incorporating visual elements into your TV segments and shares this example: "One of the most visual segments I did was What to do on your Spring Break Staycation and I had visuals for everything you could do with your children. I've also used personal photos to show my points." According to Rivkin, giving specific examples to support your talking points makes interviews more compelling. She's learned through experience to "...be succinct, clear and direct. Give an example of a client you've worked with. Stories are more compelling and paint a clearer picture than descriptions."

4 - Prepare and practice

When preparing for a TV interview Terrence Alspaugh, LPCP, Psychotherapist of Family Solutions of Maryland wrote down and memorized talking points on index cards. "I practiced elaborating on each point with illustrations and examples. I wanted to be sure that I could say more about the points if time allowed." TV veteran Will Courtenay, PhD, LCSW, The Men's Doc always "over-prepares: for interviews and says he's always glad he did.

5 - Remember that you're the expert

If you're feeling a bit anxious about an upcoming TV interview David Simonsen M.S. LMFT of Creative Solutions Counseling suggests, "Remember that you are the expert and they are coming to you. Find comfort in the fact that you know your field and you have knowledge they don't."

6 - Speak in sound bites

A sound bite is a short phrase or a few phrases of information.  Speaking in sound bites requires therapists to use skills that aren't often practiced. Good therapists often speak slowly, reflect back, pause often, and go deeper. However, good TV interview skills require the opposite: speak quickly, don't reflect back, keep the interview moving, and stay on target. For taped TV interviews, remember to pause at the end of each thought or phrase to allow for clean editing.

7 - Wear comfortable and flattering clothing

From my own TV experience, I find it's important to wear something comfortable that reflects my professional personality and my practice. If something you're wearing feels awkward or out of place it will detract your focus from the interview. Here are a few "what to wear" tips:

• Bright solid colors generally look better than prints or white.
• Wear colors that have elicited the most compliments in the past.
• Accessorize close to your face, drawing the eye upward.
• Wear more makeup than usual, even for men. "Wearing some foundation is especially important for men, who often have oily skin -- which will look shiny on screen -- and are more likely to sweat," Courtenay suggests.

8 - Look at the interviewer

Unless instructed otherwise, look at the interviewer. If the show is filming with several cameras, it can be confusing to track which camera to look at. For the record, the camera with the red light is the one currently filming. On her first TV interview Fletcher wasn't sure if she should look at a camera or at the interviewer after the interview was over. She says, "I was advised to continue looking at the TV host."

9 - Be yourself

Rivkin suggests, "Don't be afraid to be yourself and let your personality show. If appropriate, use humor. It can make the interview more interesting." Courtenay gives the following advice for therapists preparing for TV interviews, "Think of your interviewers as friends and remember they really are interested in talking with you. Try to achieve some intimacy, as if you're talking one-on-one to a friend. Don't worry about making mistakes, everyone does; if you misstate something, just simply repeat it."

10 - Don't Expect Immediate Results

Media Psychiatrist Carole Lieberman M.D. and author of Bad Girls: Why Men Love Them & How Good Girls Can Learn Their Secrets says:

Therapists often think that this will grow their practice, but unless you offer some very specific niche therapy that the public may not be familiar with, and patients with this need happen to see your appearance, it is not the most efficient way to get patients. I do not do it to grow my practice. In fact, TV appearances interfere with practice because you often have to reschedule patients at the last minute to do a TV show.

Of her TV interview experience Melody Brooke, MA, LPC, LMFT, author of Oh Wow This Changes Everything says that they haven't made a difference in her practice. "Its given me a lot of street credibility, but other than that, my practice has not grown at all." Courtenay adds,  "Unfortunately, the impact of my TV appearances are hard to judge. However, many of my clients have told me that they've seen interviews with me before we met." Sovec says that he usually gets some calls after TV interviews but sees them as another step toward building public awareness about his work and to build his credibility as an expert.

In an upcoming post I'll share tips to maximize your TV exposure. Until then, watch and learn from these seasoned therapists' TV interviews.

Watch Dr. Will Courtenay

Watch Dr. Susan Fletcher

Dr. Carole Lieberman