Episodi

  • Did you know S corporations (S corps) can provide significant financial benefits for therapists and their private practices?

    Andrew Riesen, Co-founder and CEO of Heard, joins our host Michael Fulwiler to break down the process of electing S Corp status and using it to your advantage. He explains how it can help private practice owners save on taxes while also outlining the additional administrative responsibilities it entails.

    Tune in to learn when it makes sense to elect S corp status, the financial thresholds to keep in mind, and the common misconceptions surrounding this tax designation.

    In the conversation, they discuss:

    The tax savings therapists can achieve by electing S corp status and the associated costsThe importance of setting a reasonable salary as an S corp owner and the risks of not following best practicesThe misconceptions about quarterly taxes and other key financial details related to S corps

    Resources:

    The Complete Guide to S Corporations for Therapists - https://www.joinheard.com/articles/the-complete-guide-to-s-corporations-for-therapists Tax Optimization Strategies for S Corporation Therapy Practices - https://www.joinheard.com/articles/tax-optimization-strategies-for-s-corporation-therapy-practices S Corp Tax Savings Calculator for Therapists - https://www.joinheard.com/tools/s-corp-calculator

    Connect with the guest:

    Andrew on X: https://x.com/andrewjriesenAndrew on LinkedIn: https://www.linkedin.com/in/andrewriesen/Visit the Heard website: https://www.joinheard.com/

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    (00:00) Welcome to Heard Business School

    (00:56) Meet Andrew Riesen

    (01:16) Understanding S Corporations

    (02:12) Electing S Corp Status

    (03:47) Benefits and Burdens of S Corporations

    (07:25) Financial Implications and Examples

    (10:28) Administrative Costs and Considerations

    (15:15) State-Specific Considerations

    (18:59) How to Elect S Corp Status

    (23:49) Filing Deadlines and Late Election Relief

    (30:19) Maintaining Compliance as an S Corporation

    (35:44) Common Misconceptions and Myths

    (43:07) Closing Thoughts and Resources

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • How do you go from nonprofit work to a private practice making 6-figures?

    Kelly McKenna, a licensed clinical social worker and business coach, joins host Michael Fulwiler to share how she leveraged Instagram, raised her rates, and generated $250,000 in her first full year as a private practice therapist.


    Kelly shares her marketing expertise, how she found her niche, and how to navigate billing and administrative hurdles while running her own practice. So tune in and learn Kelly’s strategies for building a sustainable, client-focused practice while balancing personal and professional growth.

    In the conversation, they discuss:

    Kelly’s best practices for using Instagram to grow your private practice.The importance of niching down and aligning your business to your values.How to keep your practice client-first while avoiding burnout and pursuing high growth goals.

    Connect with the guest:

    Visit her website: www.businessoftherapy.comKelly on X: https://x.com/sitwithkellyKelly on Instagram: https://www.instagram.com/sitwithkellyGet a month free of her Reels Membership with code HEARD: https://businessoftherapy.com/reels-membership

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    (00:00) Introduction to Heard Business School

    (00:28) Meet Kelly McKenna

    (05:33) Transitioning to Private Practice During COVID

    (09:22) Building a Thriving Practice on Instagram

    (15:14) Navigating Financials and Accessibility in Therapy

    (17:57) Leveraging Insurance and Out-of-Network Benefits

    (21:31) Finding and Evolving Your Niche

    (25:03) Common Instagram Mistakes Therapists Make

    (28:44) Finding Your Content Niche

    (29:13) Evaluating Content Performance

    (30:52) Reels Membership Examples

    (33:32) Promoting the Reels Membership

    (34:47) Sharing Income Transparently

    (43:12) Business Coaching and Courses

    (49:39) Building a Support Team

    (53:52) Final Thoughts and Takeaways


    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

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  • Fostering a successful private practice while navigating academia, sports psychology, and representation in the therapy field can be daunting—but Dr. Lawrence Jackson has done just that.

    As a licensed therapist and mental performance coach, Dr. Jackson has worked with athletes transitioning out of professional sports while also focusing on elevating diverse voices in therapy.


    In this episode, Dr. Jackson joins host Michael Fulwiler to share his unique journey from aspiring medical professional to becoming "The Black Male Therapist."

    He discusses his perspective on the challenges of finding representation in the mental health field and how he used social media, particularly Black Therapy Fridays, to build authentic connections and attract clients.


    In the conversation, they discuss:

    Dr. Jackson’s journey in developing a multifaceted career that spans private practice, sports psychology, and academic roles, all while maintaining his focus on representation and inclusivity in the mental health space.The unique challenges athletes face when transitioning out of professional sports and how mental performance coaching can guide them through identity shifts and career changes.The importance of increasing diversity within the therapy profession, along with Dr. Jackson's efforts to support and mentor clinicians of color.

    Connect with the guest:

    Visit his website: https://theblackmaletherapist.com/Dr. Lawrence on X: https://x.com/blacktherapyfriDr. Lawrence on Instagram: https://www.instagram.com/theblackmaletherapist/ Check out his YouTube channel: https://www.youtube.com/channel/UCoItb2LIXFLlshaDH4FZ8Cw/featured?view_as=subscriber

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    (00:00) Introduction to Heard Business School with guest Dr. Lawrence Jackson

    (02:15) The scarcity of Black representation in the therapy field

    (05:44) From medical aspirations to psychology

    (08:17) Pivoting from sex therapy to marriage and family therapy

    (09:55) Launching "The Black Male Therapist" brand and Black Therapy Fridays

    (11:02) Sports analogies and systemic thinking to therapeutic practice

    (14:10) Private practice during doctoral studies and learning key marketing strategies

    (18:55) Transitioning from academia to private practice in the middle of the pandemic

    (23:15) Overcoming self-doubt and finding confidence in pricing therapeutic services

    (29:00) Evolution of Dr. Jackson’s work with athletes transitioning out of professional sports

    (35:42) The intersection of therapy and performance coaching in sports

    (40:16) How virtual therapy and supervision transformed Dr. Jackson’s practice

    (44:00) Balancing multiple roles in therapy, sports, and education

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • To truly connect with clients, therapists must embrace authenticity, cultural awareness, and personal identity. On top of that, there needs to be a deeper understanding of how our backgrounds and identities shape our practice. Michelle Vo, a Licensed Clinical Social Worker and advocate for mental health, emphasizes the importance of sharing personal narratives in fostering genuine connections.

    In this episode, Michelle and host Michael Fulwiler explore why therapy isn’t one-size-fits-all. Michelle shares her journey as a first-generation Vietnamese American, the significance of acknowledging cultural backgrounds, and the power of being relatable in a therapeutic relationship. This conversation goes beyond therapy; it’s about breaking barriers, addressing stigmas, and finding ways to make mental health accessible and relatable for all. Listen to discover how embracing authenticity can transform your practice and build trust with clients.

    In the conversation, they discuss: Michelle’s experience as a first-generation Vietnamese American deeply influences how she approaches therapy, helping her advocate for both herself and her community while navigating cultural nuances in mental health care. The financial and logistical hurdles of moving from hospital work to private practice, including the choice to become an S corporation and how she manages client loads while making sure to plan for time off. Her approach to being authentic in therapy, highlighting how bringing her full self into sessions — and practicing self-care — helps her connect more deeply with clients, especially those from diverse backgrounds.

    Connect with the guest:
    Visit her website: https://www.michellevolcsw.com/
    Find Michelle on Instagram: https://www.instagram.com/modelmindfulness/

    Connect with Michael and Heard:
    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/
    Newsletter: https://www.joinheard.com/newsletter
    Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:
    (00:00) Introduction to Heard Business School with guest Michelle Vo
    (02:47) Michelle’s journey from a hospital setting to private practice
    (09:31) Developing a niche and balancing self-care
    (12:50) Combating self-doubt
    (23:55) Advocating for thoughtful tech integration into therapy
    (29:12) Authenticity in therapy and building strong client connections
    (32:36) How therapists can navigate consultations without the pressure of sales
    (35:34) The model minority myth and its impact on Asian-American mental health
    (41:05) The importance of providing appropriate resources for clients
    (44:34) Encouraging autonomy in private practice
    (45:19) Closing remarks from Michael and Michelle

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • Creating an excellent therapist profile is more than just credentials.

    It’s about fostering one that truly resonates with clients in the hopes of building trust and meaningful connections.

    In this episode, CEO of Mental Health Match, Ryan Schwartz joins host Michael Fulwiler to share his insights on crafting therapist profiles that instill hope and foster genuine client relationships.


    Ryan discusses the importance of using warm, relatable language, avoiding clinical jargon, and the role of an inviting headshot.

    He also touches on seasonal trends in client needs and the value of regularly updating profiles. Learn how to build trust and attract the right clients with a well-crafted profile.

    In the conversation, they discuss:

    The importance of a collaborative tone in developing a therapist profile that invites clients into a partnership rather than focusing solely on the therapist's qualifications.Defining a clear niche in your profile helps attract the right clients while also reflecting the populations you work with best, improving overall client satisfaction.How profiles that focus on hope and positive outcomes are more effective in drawing in clients who seek change rather than emphasizing struggles and problems alone.

    Resources:

    Your guide for a great headshot: https://mentalhealthmatch.com/articles/for-therapists/the-mhm-guide-to-a-great-photo Use promo code heard30 for 30% off three months of Mental Health Match: https://mentalhealthmatch.com/therapist/register/heard30

    Connect with the guest:

    Ryan Schwartz on LinkedIn: https://www.linkedin.com/in/mentalhealthmatch/Check out Mental Health Match: https://mentalhealthmatch.com/Follow Mental Health Match on Instagram: https://www.instagram.com/mentalhealthmatch/

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    (00:00) Introduction to Heard Business School with guest Ryan Schwartz

    (01:34) What clients are truly seeking when searching for a therapist

    (03:24) Trends in client needs, including trauma and seasonal variations

    (05:49) Why summer can impact therapy demand and what to expect

    (07:16) The essentials of an effective therapist profile

    (08:38) Crafting language of connection using "we" and "together"

    (09:49) The importance of eye contact and warmth in headshots

    (13:59) The impact of using "you" language to foster hope

    (15:45) How emotions drive the decision to choose a therapist

    (16:43) Why therapists often feel hesitant about marketing themselves

    (19:24) Using words of hope and possibility in therapist profiles

    (21:23) Avoiding clinical jargon by using everyday, relatable language

    (23:36) The value of defining a niche to attract the right clients

    (26:25) Tips for updating profiles regularly to reflect seasonal trends

    (29:01) Managing full practices and waitlists effectively

    (32:32) Personalized responses to client inquiries that build trust

    (34:01) Updates at Mental Health Match to enhance the client experience

    (39:46) The ongoing mission of Mental Health Match to connect clients and therapists

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • Starting a private therapy practice in New York City is no small feat.

    Growing it into a thriving business? That’s a whole different challenge.In this episode, therapist and content creator Lauren Larkin sits down with host Michael Fulwiler to share her journey of building a successful practice in one of the most competitive cities in the world. From navigating a saturated market to going viral on platforms like TikTok and Instagram, Lauren offers an inside look at what it takes to stand out and scale. She also dives into setting boundaries to prevent burnout, finding the right mentors, and financial strategies for long-term success.

    In the conversation, they discuss:

    How sharing relatable and educational content has helped Lauren build trust with potential clients and clinicians and drive business growth in a competitive market like New York CityThe importance of setting clear boundaries and managing workload to avoid burnout in private practiceStrategies for building a waitlist before expanding, allowing for a smoother transition when bringing on new therapists


    Connect with the guest:
    Visit her website: https://leltherapy.com/
    Lauren on TikTok: https://www.tiktok.com/@leltherapy
    Lauren on Instagram: https://www.instagram.com/leltherapy/
    Lauren on LinkedIn:https://www.linkedin.com/in/lauren-larkin1/

    Connect with Michael and Heard:
    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/
    Newsletter: https://www.joinheard.com/newsletter
    Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:
    (00:00) Introduction to Heard Business School with guest Lauren Larkin
    (02:30) Creating viral content on social media
    (03:14) How Lauren’s marketing background shaped her private practice
    (07:51) Transitioning from a group practice to starting her own practice
    (08:42) How Lauren navigated the financial aspects of starting a private practice
    (12:13) Advice on handling the logistics and legalities of forming a private practice
    (15:23) How to navigate leaving a group practice and transitioning clients
    (17:41) The ethical complexities of raising therapy fees
    (20:25) Building a waitlist before expanding a practice
    (24:52) The challenges of growing a practice in a competitive city like New York
    (27:26) Managing client demand and hiring her first clinicians
    (32:01) The balance between content creation and clinical work
    (36:24) Lauren’s personal experience with an eating disorder and how it shapes her practice
    (40:01) Ethical self-disclosure and its impact on the therapeutic relationship
    (45:57) How Lauren handles self-disclosure on social media while maintaining client confidentiality
    (50:00) Mentoring and consulting for early-career therapists
    (50:07) Five tips for private practice success
    (56:38) The importance of outsourcing taxes and financial management
    (01:00:23) Protecting your schedule and setting boundaries to avoid burnout
    (01:03:10) Creating networking and social events for therapists

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • Building a successful and inclusive therapy practice comes with its own set of challenges.

    Therapist and consultant Kenya Crawford, LMHC has created a model for doing just that.

    By centering the needs of Black queer individuals and developing an anti-oppressive pricing structure, Kenya has built a practice that prioritizes accessibility and authentic healing.

    In this episode, Kenya joins host Michael Fulwiler to share how she crafted a space that supports marginalized communities while maintaining a sustainable business model. She also discusses her work with Cultivating Healers, a community space for clinicians of color to grow anti-racist and sustainable practices. Kenya offers her perspective on the complexities of racial equity consulting and shares how organizations can address racial trauma early, before it reaches the therapy room.

    Listen in as Kenya breaks down her approach to balancing her roles as a therapist, consultant, and community builder, all while staying true to her mission of fostering equitable, inclusive care.


    In the conversation, they discuss:

    Kenya’s approach to building a practice centered on the needs of Black queer individuals and how aligning her values with the communities she serves has been essential to her successThe development of a tiered pricing model that allows clients to pay based on financial needs, providing accessible care without compromising sustainabilitySkills to navigate the challenges of racial equity consulting, identifying performative activism, and addressing racial trauma in workplace settings

    Connect with the guest:

    Visit her website: https://www.kenyacrawford.com/Kenya on X: https://x.com/KenyaCrawford_Kenya on Instagram: https://www.instagram.com/kenyacrawford_/Learn more about Cultivating Healers: https://www.kenyacrawford.com/cultivatinghealers

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    (00:00) Introduction to Heard Business School with guest Kenya Crawford

    (02:19) Kenya's personal mission of fostering radical and authentic healing

    (03:53) The influence of traditional therapy training on Kenya's practice

    (06:00) Transitioning from group practices to private practice

    (10:33) Challenges faced when starting her business

    (12:06) Kenya’s experience with virtual practice before the pandemic

    (13:35) Niche specialization and its impact on client engagement

    (15:02) The unexpected journey into consulting

    (20:43) Pricing consulting based on expertise and impact

    (24:27) Shifts in demand for anti-racist consulting post-2020

    (30:48) Differentiating between therapy, consulting, and coaching

    (34:50) Kenya’s anti-oppressive rate structure explained

    (43:07) Introduction to Cultivating Healers initiative

    (48:16) Pursuing dreams without waiting for permission

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • Building a therapy business isn’t an easy task. But creating one as a neurodivergent therapist? Even harder.

    Dr. Amy Marschall, a licensed psychologist and private practice owner of RMH-Therapy, shares her experience with host Michael Fulwiler, on how she found her own personal secret sauce to building additional income streams, including providing assessments and evaluations.

    In detailing her journey of navigating her ADHD and autism to starting a private practice, Dr. Amy shares how she has built these other streams of income, as well as the intricacies of diagnostic processes, the hurdles of acquiring accurate diagnoses, and the consequences these have on patients seeking support.

    Learn how Dr. Amy maintains professional boundaries, her tips on billing practices, the value of administrative support, and the nuances of having a practice in a rural area.

    In the conversation, they discuss:

    Dr. Amy’s personal experience with misdiagnosis, noting the complexities and consequences tied to acquiring an official autism diagnosis, such as being placed on government lists and facing immigration challenges.The financial and administrative hurdles of psychological testing, highlight the high costs, and the complexities introduced by insurance companies.She shared the importance of maintaining firm professional boundaries and avoiding unpaid labor to prevent burnout, as well as her strategies for balancing higher-paying tech consultations with low-cost services for clients in need.


    Connect with the guest:

    Visit her website: resiliencymentalhealth.comDr. Amy on X: https://x.com/DrAmyPsyDDr. Amy on Facebook: https://www.facebook.com/DrAmyMarschall/

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    (00:00) Introduction to Heard Business School with guest Dr. Amy Marschall

    (02:55) Dr. Amy’s experience in the group practice field

    (04:54) Her experience and transition from a group practice to a private practice

    (07:11) How she thought about the financial side of her practice

    (12:29) Her process from getting clients rurally to clients in different states

    (14:00) Dr. Amy’s niche and the type of clients she works with

    (17:22) The mistakes Dr. Amy made when she first started her private practice

    (20:28) How she started offering assessments and evaluations

    (26:42) What Dr. Amy charges for assessments versus therapy sessions

    (30:42) How Dr. Amy thinks about the balance between testing and therapy in her practice

    (31:43) The process of training through Pessi

    (36:59) How Dr. Amy’s ADHD and autism affect her work

    (45:20) Current challenges Dr. Amy is experiencing today in her work and how she is dealing with them

    (48:21) One thing Dr. Amy wants therapists to take from this conversation

    (50:00) Closing

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • As therapists, understanding and managing the financial side of your practice is crucial.


    But that doesn't mean it has to be complicated.


    Andrea Rotondo, a bookkeeping expert for therapy practice owners at Liquid Cents Bookkeeping, recognized the need for clear and accessible financial guidance in the mental health field.


    Andrea shares her insights with host Michael Fulwiler, discussing the importance of setting up financial systems from the start and the common pitfalls therapists face when managing their practice’s finances.


    She discusses the challenges therapists encounter when transitioning from clinical work to business management, the significance of keeping personal and business finances separate, and the essential steps to maintaining compliance while growing your practice.

    Listen to learn how building a solid financial foundation can empower you to make informed decisions, reduce stress, and ultimately support the growth of your therapy practice.

    In the conversation, they discuss:

    The importance of setting up financial systems early on and how doing so can save you time and stress as your practice grows.Why separating personal and business finances is crucial for clarity and peace of mind, especially when tax season rolls around.How adopting a CEO mindset, even if you’re just starting, can empower you to make informed decisions and confidently steer your practice toward growth.

    Connect with the guest:

    Visit her website: https://www.liquidcentsbookkeeping.com/Andrea on Instagram: https://www.instagram.com/andrea.rotondo/Andrea on LinkedIn: https://www.linkedin.com/in/andrearotondo1/

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    [00:00] Introduction to Heard Business School with guest Andrea Rotondo

    [02:37] Why Setting Up Financial Systems Early Is Crucial

    [06:39] When and How to Start a Financial System as a New Practice Owner

    [11:12] Choosing the Right Tools to Grow Your Practice

    [18:05] Understanding the Role of Bookkeeping in Private Practice

    [23:01] Costs and Benefits of Hiring a Professional Bookkeeper

    [30:26] What to Do If You’re Behind on Your Financial Systems

    [37:36] Regularly Assessing and Planning for Future Financial Needs

    [42:29] Closing

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • Referrals are the lifeblood of any successful therapy practice.

    Yet many therapists struggle to build a consistent and sustainable referral network.

    Dr. Brian Dixon is a triple board-certified psychiatrist, therapist, and entrepreneur passionate about patient care and systemic change.

    In this episode, Dr. Dixon joins host Michael Fulwiler to discuss the structural issues of the healthcare system, the pragmatic shifts he’s made in his practice, and valuable business strategies for therapists, emphasizing focusing on one's strengths and effectively outsourcing tasks that lie outside their "zone of genius."

    Learn about his challenges as a Black entrepreneur in a predominantly white industry (2% of psychiatrists are Black), his innovative approach to streamlining operations through his practice management company, and the importance of peer referrals.

    In the conversation, they discuss:

    The underrepresentation of Black psychiatrists and the need for diversity in the mental health industry, with Dr. Brian Dixon actively involved in mentorship and recruitment efforts.It is important to recognize one’s shortcomings, to outsource tasks that aren't in one's "zone of genius," and to focus on personal strengths for business efficiency.Why Dr. Brian Dixon criticizes insurance companies for prioritizing profit over patient care and creating restrictive rules that hinder treatment.

    Connect with the guest:

    Dr. Brian Dixon on LinkedIn: https://www.linkedin.com/in/brianjdixonmd/Learn more about Dr. Brian: www.drbriandixon.com/Check out Mindful: https://findmindful.com/ Check out Simply Psych: https://simplypsych.com/Follow Simply Psych on Instagram: https://www.instagram.com/simplypsychtx/

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    (00:00) Introduction to Heard Business School with guest Dr. Brian Dixon

    (02:54) What it looks like for Dr. Brian Dixon to practice as a psychiatrist between behavioral health therapy and medication management

    (05:18) How the medical school clinical rotation process works

    (10:37) What made Dr. Dixon pivot into private practice

    (11:53) The steps Dr. Dixon took to start his business

    (12:57) How to acquire patients and clients

    (14:53) The benefits of EOS in owning a private practice

    (18:42) The types of services Simply Psych provides

    (21:36) Dr. Brian talks about the challenges he faced starting his business

    (23:40) How therapists can effectively network with doctors and physicians to get referrals

    (28:23) Why Dr. Brian Dixon thinks insurance is a scam

    (34:04) Representation of Black individuals in psychiatry

    (38:23) Lessons Dr. Brian Dixon has learned from starting his business

    (42:49) Challenges Dr. Brian Dixon is facing today with his practice

    (46:01) Managing burnout

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • There needs to be accountability for low pay, burnout, and blaming of therapists.

    And for long-term sustainability in the field, we need to set boundaries and realistic expectations.

    Tracy Vadakumchery, LMHC, also known as “The Bad Indian Therapist,” is known for her bold approach to therapy and systemic change.

    In this episode, host Michael Fulwiler and Tracy unpack why therapy is political. She also shares the importance of self-disclosure in therapy, tackling healthcare inequities, and sustainable business practices.

    Plus, her story is not just about therapy but about pushing boundaries, setting realistic goals, and finding innovative ways to make a meaningful impact.

    Listen to learn how to overcome systemic challenges with resilience and innovation.

    In the conversation, they discuss:

    The limitations of being a "blank slate" therapist and the importance of sharing personality, beliefs, and attitudes with clients. The specific challenges and strategies for therapists in private practice.The systemic issues affecting therapists, such as low pay, burnout, and performative activism.

    Connect with the guest:

    Connect with Tracy on LinkedIn: https://www.linkedin.com/in/tracy-vadakumchery-lmhc-lpcc-550327101/Check out Tracy’s website: https://thebadindiantherapist.com/Follow Tracy on Instagram: https://www.instagram.com/thebadindiantherapist/Watch Tracy on TikTok: https://www.tiktok.com/@thebadindiantherapist?lang=en

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    (00:00) Introduction to Heard Business School with guest Tracy Vadakumchery

    (02:04) Tracy shares her journey of getting her Masters at Columbia

    (04:36) How Tracy got on the path to creating her private practice

    (09:58) Tracy talks about why therapists are underpaid and why it’s easy for them to get burnt out

    (15:33) The importance of setting boundaries as a therapist

    (21:29) Tracy shares why group practices put a bad taste in her mouth about private practices

    (27:50) Identifying your worth as a therapist and knowing how much to charge

    (33:29) How to find your niche

    (37:13) What being a “bad Indian” means

    (40:36) Tracy’s experience as a younger therapist in the field

    (44:07) The mental health industrial complex and therapy

    (46:34) Challenges Tracy is facing today in her business

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • Starting a therapy practice comes with its own set of challenges. Expanding from a solo to a group practice adds a whole new layer of complexity.

    Dr. Jennifer Contarino Panning, founder of Mindful Psychology Associates, shares her experience with host Michael Fulwiler, detailing her journey from a newly licensed clinical psychologist to the owner of a thriving group practice in Evanston, Illinois.

    Dr. Panning discusses the hurdles she encountered, from navigating the financial aspects of running a business to the challenges of expanding her practice during the COVID-19 pandemic.

    She also reflects on the importance of building a strong referral network and the unexpected lessons learned along the way.

    Discover how Dr. Panning balanced her role as a therapist with the demands of managing a growing business, and learn valuable insights for anyone looking to expand their own practice or explore new avenues within the mental health field.

    In the conversation, they discuss:

    The unexpected challenges Dr. Panning encountered while transitioning from a solo therapist to a group practice owner, including the steep learning curve and balancing the demands of managing both a business and a clinical caseloadThe strategies Dr. Panning used to build her practice and grow her caseload, focusing on the importance of genuine connections and maintaining strong referral relationships with local universities and fellow professionalsHow Dr. Panning navigated the financial aspects of her practice, from setting her initial fees to overcoming financial hurdles, and eventually hiring an accountant to take charge of the business side so she could focus on her passion for therapy

    Connect with the guest:

    Visit her website: https://www.evanstonpsychologists.com/Dr. Panning on X: https://x.com/jenniferpanningDr. Panning on LinkedIn: https://www.linkedin.com/in/jennifer-contarino-panning-psyd-7655172/

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    [00:00] Introduction to Heard Business School with guest, Dr. Jennifer Contarino Panning

    [02:37] How Dr. Panning started her private practice in Evanston

    [04:19] Building a client base through university referrals

    [12:06] The challenges of expanding from solo to group practice

    [22:31] Managing finances and working with insurance

    [23:59] Dealing with seasonal fluctuations in client demand

    [27:06] The importance of marketing and networking post-COVID

    [48:27] Dr. Panning’s experience with the Goldman Sachs 10,000 Small Businesses program

    [52:18] Exploring additional income streams in private practice

    [55:20] Closing

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • A lot of therapists are told to “niche down” but aren’t told exactly what that means or how to do it.

    And without a well-defined niche, your practice will struggle, if not sink.

    Allison Puryear is a licensed clinical social worker based in North Carolina and an inspiring mentor to therapists through her transformative program, Abundance Practice Building.

    In this Office Hours episode with host Michael Fulwiler, Allison unpacks the significance of defining a niche in therapy, how to navigate multiple niches, and why specificity matters.

    Plus, she debunks common myths like the idea that broadening a niche attracts more clients and explains why a well-defined niche can help build trust and connection more effectively than a broad approach.

    Listen to learn strategies that can help you refine your practice to attract clients who resonate with your expertise.

    In the conversation, they discuss:

    How identifying and focusing on a specific niche in a therapy practice can enhance marketing efforts and client trust.The framework for defining a niche based on therapist-client effectiveness and the specific problems faced by clients.The benefits and challenges of having more than one niche and transitioning between niches over time.

    Connect with the guest:

    Abundance Practice Building: https://www.abundancepracticebuilding.com/Abundance Practice Podcast: https://podcasts.apple.com/us/podcast/abundant-practice-podcast/id1207650846 Sign up for Allison’s “Know Your Niche” course: https://www.abundancepracticebuilding.com/nicheAllison on LinkedIn: https://www.linkedin.com/in/allisonpuryear/

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    [00:00] Introduction to Heard Business School with guest, Allison Puryear

    [01:44] Allison describes what “niche” means to her

    [02:58] The importance of population for finding a niche

    [05:48] Allison debunks the myth that having a broader niche is better

    [08:48] Is it a niche or not segment

    [12:12] Do therapists need a niche or not?

    [16:46] What having a niche enables a therapist to do

    [19:52] Allison shares if a niche can be too narrow or not

    [22:27] She explains if you can have more than one niche or if you can change it

    [24:52] Allison describes the framework to finding your niche

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode

  • Therapy hasn’t historically been accessible to everyone.

    And by “everyone,” we mean those from different backgrounds, communities, and cultures.

    Dr. Ayanna Abrams, licensed clinical psychologist and founder and executive director of Ascension Behavioral Health, identified a need in her community and took action.

    In her conversation with host Michael Fulwiler, Dr. Abrams shares her journey starting a private practice as a Black woman and the challenges she encountered along the way.

    She covers the unexpected difficulties she faced becoming a business owner, her journey with personal accounting and challenges with financial literacy, and the value of building genuine connections and relationships within the mental health field to grow a clinical practice.

    Hear how personal relationships and genuine networking can fuel your referral network, and be ready to explore new consulting opportunities outside the traditional therapy space.

    In the conversation, they discuss:

    The challenges and surprises Dr. Abrams faced while transitioning from being a therapist to a business owner, including the exhaustion and lack of social life that comes with entrepreneurshipThe steps Dr. Abrams took to build her clinical practice and referral network through personal connections and relationships with colleagues and peersHow Dr. Abrams navigated financial management in her private practice, from setting flexible fees to eventually hiring an accountant to manage her business finances

    Connect with the guest:

    Visit her website: https://www.ascensionbehavioralhealth.com/Dr. Abrams on Instagram: https://www.instagram.com/dr_ayanna_a/Dr. Abrams on LinkedIn: https://www.linkedin.com/in/ayanna-abrams-psy-d-08826556/

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    [00:00] Introduction to Heard Business School with guest, Dr. Ayanna Abrams

    [02:59] How Dr. Abrams's background has impacted her career

    [08:16] Dr. Abrams's goal with a private practice in grad school

    [12:28] How she navigated how much to charge her clients

    [18:23] How Dr. Abrams fulfilled a need in the community

    [21:35] What Dr. Abrams would’ve done differently if she could go back in time

    [25:24] What Dr. Abrams did well when she first started her private practice

    [29:31] The shortage of Black therapists

    [31:44] What surprised Dr. Abrams when starting her practice

    [38:08] The power of finding and forming a community

    [44:11] Building a referral network and developing strong relationships

    [45:16] How Dr. Abrams balances her business and clinical work lives

    [53:30] Dr. Abrams’s biggest takeaway from the conversation

    [55:17] Closing

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • Representation matters, especially in men’s mental health.


    Dr. Justin K. Dodson, a licensed professional counselor based in Memphis who specializes in adult men’s mental health, knows this as well as anyone.


    As the first Black male to obtain a PhD in Counselor Education and Supervision from the University of Memphis, he’s paving his own path as an entrepreneur.

    In this conversation with host Michael Fulwiler, Dr. Dodson shares the essential steps for therapists transitioning into private practice, expanding their client base, and gearing up to grow their business.

    You'll learn the challenges and rewards of starting a private practice, tracking key performance indicators (KPIs), and how to navigate the emotional landscape of setting fees and enforcing a cancellation policy.

    Tune in to hear practical tips on creating a business strategy, understanding the client acquisition process, and maintaining quality over quantity.

    In the conversation, they discuss:

    The significance of representation in the field of therapy, particularly for Black men, and the courage required to forge a path in an underrepresented areaThe vital role of understanding the business aspects and tracking key performance indicators (KPIs) in starting and running a successful private therapy practiceThe importance of self-belief, setting clear boundaries, and focusing on quality client relationships to overcome challenges like self-doubt and setting fees

    Connect with the guest:

    Visit his website: https://www.navigatingcouragecac.com/Dr. Dodson on Instagram: https://www.instagram.com/itsdrjkeith/?hl=enDr. Dodson on LinkedIn: https://www.linkedin.com/in/justin-keith-dodson-ph-d-lpc-74747063/Dr. Dodson on X: https://twitter.com/itsdrjkeithRead more about Dr. Dodson’s story: https://www.joinheard.com/articles/how-dr-justin-dodson-started-a-private-practice-on-his-friends-couch

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    [00:00] Introduction to Heard Business School with guest, Dr. Justin K. Dodson

    [02:07] Switching from wanting to be a lawyer to a therapist

    [04:21] Dr. Dodson’s experience being the first Black male to get his specific degree

    [08:02] Why there isn’t a big presence of Black men in therapy

    [09:39] Why Dr. Dodson switched from non-profit work to private practice

    [16:11] How Dr. Dodson got his initial clients

    [19:48] Moving away from the guilt mindset of setting fees

    [24:56] KPIs and other things Dr. Dodson is tracking in his business

    [32:19] Dealing with pressure around performance and showing up for clients

    [38:01] Building a therapy practice and bringing on more therapists

    [40:34] How Dr. Dodson thinks of his role now ad a therapist and entrepreneur

    [43:28] Building a personal brand and utilizing social media

    [49:14] Men going to therapy

    [51:58] Dr. Dodson’s top takeaway from the conversation

    [54:20] Closing

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • Starting a private practice can be tough, both emotionally and financially.

    Dr. Marie Fang is a private practice owner and host of the popular YouTube channel, Private Practice Skills. She has lived the entrepreneurial journey from struggling to get clients to building a successful practice while also being a content creator.

    In this conversation with host Michael Fulwiler, Dr. Fang shares her experiences and practical strategies for managing the financial and emotional challenges of private practice.

    You'll learn how to set sustainable rates, attract clients without a huge marketing budget, and diversify your income streams. Plus, get an insider's look at using SEO and YouTube to grow your online presence.

    In the conversation, they discuss:

    The financial challenges and considerations involved in setting therapy rates for a private practice, including taxes, expenses, and business reinvestmentThe importance of authenticity and leading with personal values in the therapy profession, especially in online content creationDr. Marie Fang's experience and strategies for building a sustainable income stream through diversified revenue sources and transitioning to an owned audience

    Resources:

    Subscribe to Private Practice Skills on YouTube: https://www.youtube.com/c/PrivatePracticeSkillsWatch Michael’s episode on Private Practice Skills: https://youtube/mvVlpsT-zPk?feature=shared Download Dr. Marie Fang’s free private practice checklist: https://mailchi.mp/1f706ad367a3/start-a-private-practice-in-counseling

    Connect with the guest:

    Dr. Marie Fang on Instagram: https://www.instagram.com/privatepracticeskills/Visit the Private Practice Skills website: https://privatepracticeskills.com/Dr. Marie Fang’s therapy website: https://affirmingchristiancounseling.com/

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    [00:00] Introduction to Heard Business School with guest, Dr. Marie Fang

    [02:34] How Dr. Marie’s upbringing has impacted where she is now

    [05:00] The steps Dr. Marie Fang took to start her private practice

    [06:19] The challenges she faced when starting a practice and the tactics that worked for her

    [14:03] The financial side of a private practice

    [16:02] Figuring out how much to charge clients

    [20:20] What surprised Dr. Marie about starting a private practice

    [21:34] When the Private Practice Skills YouTube channel started

    [27:03] How Dr. Marie creates authentic content

    [31:05] Brainstorming therapy topics for content creation

    [34:16] How Dr. Marie grew her following on YouTube

    [40:15] How income generation on YouTube works

    [44:04] Building an email list and its impact

    [47:23] Common misconceptions therapists have about private practices

    [50:23] Challenges Dr. Marie Fang is facing currently with her practice and media

    [53:49] One thing therapists should take away from this conversation with Dr. Marie Fang

    [55:27] Closing

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • Many therapists struggle with the complexities of managing their private practice, especially when it comes to financial planning, but understanding these elements is essential.

    Enter Ryan DeRousseau, a CERTIFIED FINANCIAL PLANNER™ specializing in the unique needs of therapists and small business owners.

    In this Office Hours episode, host Michael Fulwiler jumps into key topics with Ryan, from the benefits of solo 401(k)s and SEP IRAs to the importance of building a support team of professionals.

    They also discuss common financial pitfalls therapists face and practical strategies for mitigating them. Plus, Ryan covers investment frameworks, types of retirement accounts, and how to incorporate retirement savings as a fixed expense within your budget.

    In the conversation, they discuss:

    The benefits and differences between various retirement accounts such as solo 401(k)s, SEP IRAs, and Roth IRAs, and how they can reduce your overall tax billThe importance of having a professional team, including accountants and certified financial planners, to support the financial health of therapists and small business ownersThe significance of starting retirement savings early to avoid common pitfalls such as unpredictable income and the risk of working in retirement due to lack of funds


    Resources:

    The Everything Guide to Investing in Crypto Currency: https://www.amazon.com/Everything-Guide-Investing-Cryptocurrency-Everything%C2%AE-ebook/dp/B07GNTLHZN/Learn how to turn income into wealth: https://thinkingcapfinancial.com/selfemploymentincometowealth/How to save for retirement as a therapist: https://www.joinheard.com/articles/how-to-save-for-retirement-as-a-therapistThe complete guide to financial planning for therapists: https://www.joinheard.com/articles/the-complete-guide-to-financial-planning-for-therapistsWebinar: Financial planning for therapists: https://www.joinheard.com/events/financial-planning-for-therapists-with-ryan-derousseau

    Connect with the guest:

    Ryan on Linkedin: https://www.linkedin.com/in/ryanderousseau/Ryan’s website: https://www.ryanderousseau.com/Thinking Cap Financial: https://thinkingcapfinancial.com/ryan-derousseau/

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    [00:00] Introduction to Heard Business School with guest, Ryan Derousseau

    [01:54] What a CFP is and their role

    [03:50] The importance of a CPA or CFP when it comes to owning a business

    [05:19] Ryan’s business model and how he works with clients

    [06:57] Common financial challenges Ryan see’s when working with therapists

    [09:09] Why therapists need to save for retirement

    [13:37] The skull, the brain, and the neurons when it comes to investing

    [15:54] How a 401K works

    [20:03] What a Roth 401K is and how the Roth is different

    [22:38] What the SEP IRA is

    [26:29] The range of risk when it comes to investing in retirement

    [30:30] The issue of taking money out of retirement early

    [34:01] The difference between a Simple IRA and Traditional IRA

    [37:15] All about Capital Gains

    [37:52] The most powerful tool in retirement tax savings

    [40:52] Common mistakes Ryan see’s therapists make

    [42:48] The impact of compound interest

    [44:26] Other common forms of investing Ryan teaches therapists

    [46:06] How Ryan how helps clients navigate this process of investing into their business

    [48:23] The difference between income and wealth

    [51:27] Ryan’s free ebook about turning income into wealth

    [52:26] Closing

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.


  • Sometimes, taking the next step is all you need to expand your therapy practice in ways you never imagined.

    Dr. Racine Henry, a marriage and family therapist, has not only built a thriving private practice but also developed innovative approaches to her work with couples, such as her Integrative Culinary Therapy, or ICT.


    She shares her rich experience from starting Sankofa Marriage Family Therapy to overcoming the challenges of setting up a business in New York.

    In this episode, Dr. Henry discusses everything from setting private pay rates—without guilt—to effective marketing strategies that truly resonate.

    She touches on the importance of cultural competence, the transition to virtual therapy, and the power of staying true to your identity as a clinician.

    In the conversation, they discuss:

    Dr. Henry’s advice on why clinicians should identify and stay true to their own identity, integrating it into their therapeutic approach and business model.How to market and gain clients through word of mouth, online directories, media appearances, and networking.The impetus and execution of Integrative Culinary Therapy to address the unique therapeutic needs of black couples, merging cooking and group therapy to foster relational healing.

    Connect with the guest:

    On Instagram: https://www.instagram.com/sankofatherapynyc/On LinkedIn: https://www.linkedin.com/in/rhenrylmft/Book an online appointment with Racine here: https://www.sankofatherapynyc.com/contactSign the petition to declare August as National Marriage and Family Therapy Month: https://www.change.org/p/declare-august-as-national-marriage-and-family-therapy-month

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    00:00 Introduction to Heard Business School with host Michael Fulwiler and special guest Dr. Racine Henry

    03:04 How Dr. Racine got involved in marriage and family therapy

    04:54 Dr. Racine’s experience getting her PhD

    08:58 The magic of relationships

    13:13 More people are joining therapy

    16:30 Steps taken to start Dr. Racine’s business

    21:50 Income streams in private practices and getting clients

    25:21 How Dr. Racine’s business has changed her

    28:50 Integrative culinary therapy

    40:45 How Dr. Racine got into teaching

    45:21 The future of therapists and predictions

    49:05 Working with new therapists and including that into an income stream

    51:51 Building a practice that’s unique to you

    55:07 Dr. Racine’s top takeaway from the conversation

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • Having a bad experience with an employer may feel terrible at the time, but it can fuel a fire to create something amazing.


    Elizabeth Earnshaw, a Licensed Marriage and Family Therapist and Certified Gottman Therapist, did just that by launching and expanding her group practice, A Better Life Therapy, to six locations across Pennsylvania and New Jersey.


    Elizabeth speaks with host Michael Fulwiler as she shares her personal experiences and practical tips on expanding from a solo therapy practice to managing a group practice, highlighting the challenges and rewards along the way.


    She also discusses the importance of niching down, explaining how focusing on a specific area not only enhances your expertise, but also attracts a dedicated client base.


    She underscores the value of networking with lawyers, accountants, and other professionals and how these connections have been pivotal in her business's growth and success.


    She also emphasizes a care-focused approach with her employees, maintaining an environment of integrity and trust, ensuring that paying employees, even during tough times, can reap long-term benefits.

    In the conversation, they discuss:

    Networking as your secret sauce in intentionally connecting with the right people where you can make all the difference for them.Invest smartly in your practice and strategically focus on what matters most to prioritize essentials and provide quality care for patients.Attracting and retaining top talent is crucial for a thriving practice. Fostering a supportive and collaborative environment while offering growth opportunities within the organization is key to building loyalty and satisfaction among her team members.

    Connect with the guest:

    On Instagram: https://www.instagram.com/lizlistens/ On Facebook: https://www.facebook.com/lizlistens/ Elizabeth’s website: https://elizabethearnshaw.com/ Preorder her book: ‘Til Stress Do Us Part: How to Heal the #1 Issue in Our Relationships

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    00:00 Introduction to Heard Business School with host Michael Fulwiler and special guest Elizabeth Earnshaw

    03:12 Working in community mental health

    05:47 On starting a private practice

    10:42 On accepting all types of clientele and not niching down

    15:59 Challenges during the first year of practice

    20:56 Managing the financials

    24:50 Unexpected surprises during practice

    26:42 Building a network of professionals

    28:03 Keys to successfully opening your own practice

    32:15 Business growth objectives

    34:06 On finding the right therapists to hire

    39:56 On building the brand and its presence on Instagram

    43:04 Challenges in maintaining social media

    46:00 On Elizabeth’s overall role in the practice

    48:23 Conquering current challenges

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

  • With the rise of social media, many therapists are elevating their online presence.

    This is undoubtedly true for Jeff Guenther, better known as @TherapyJeff on TikTok and Instagram where he’s built an audience of more than 4 million followers.

    Jeff, a licensed therapist, author, podcast host, and private practice owner based in Portland, OR, has founded multiple companies, including TherapyDen, a popular therapist directory.


    In his conversation with host Michael Fulwiler, Jeff explores the complexities of balancing an online persona with maintaining a private practice.


    He discusses how this dual role can blur professional boundaries and lead to unexpected client interactions. Jeff advises new therapists to be mindful of the emotional impact of their online influence and to respect boundaries with their clients.

    The discussion also delves into Jeff’s journey to becoming a therapist, highlighting his relationship with his mother and his struggles with anxiety as a new therapist. He shares how he overcame feelings of worthlessness, built his client base from scratch, and balanced his professional and personal life.


    Jeff also touches on the often unspoken truth about therapists working through their own issues and what it means for their professional journey.


    As a heads-up, this episode contains some strong language.

    In the conversation, they discuss:

    Personal struggles and the quest for understanding often lead us to the most fulfilling careers. By recognizing your worth and gradually adjusting your rates, you will find a balance between financial stability and authentic practice. While social media has advantages, it can blur professional boundaries and lead to unexpected client interactions. Stay grounded and true to your therapeutic roots while exploring new avenues for growth.

    Connect with the guest:

    On Instagram: https://www.instagram.com/therapyjeff/ On TikTok: https://www.tiktok.com/@therapyjeff Jeff’s website - https://www.therapyjeff.com/aboutBuy Jeff’s book - https://www.therapyjeff.com/big-dating-energy-book

    Connect with Michael and Heard:

    Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form

    Jump into the conversation:

    00:00 Introduction to Heard Business School with host Michael Fulwiler and special guest Jeff Guenther

    03:16 Decision to enter therapy as influenced by his mother

    07:51 On true therapist cliches

    10:12 Anxieties in starting a private practice at 24 years old

    24:16 Misconceptions on private practice

    27:34 Reflecting on the importance of variety in work

    31:52 On building a social media persona and creating content

    37:55 Decision not to accept new clients due to social media influence

    40:56 Insight into Jeff’s book, Big Dating Energy

    47:09 Reflecting on the challenges experienced during practice

    51:49 Advice on becoming an online therapist/content creator

    This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.