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The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy
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The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy

Author: Curt Widhalm, LMFT and Katie Vernoy, LMFT

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The Modern Therapist’s Survival Guide: Where Therapists Live, Breathe, and Practice as Human Beings It’s time to reimagine therapy and what it means to be a therapist. We are human beings who can now present ourselves as whole people, with authenticity, purpose, and connection. Especially now, when clinicians must develop a personal brand to market their private practices, and are connecting over social media, engaging in social activism, pushing back against mental health stigma, and facing a whole new style of entrepreneurship. To support you as a whole person, a business owner, and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age.

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Medical Necessity or Personal Growth? Why Documentation Matters in Therapy Curt and Katie talk about medical necessity in therapy documentation – what it is, why it matters, and how therapists can navigate the tension between clinical care, insurance requirements, and personal growth. We explore how documentation protects therapists in utilization reviews and disciplinary processes, and how to ethically distinguish therapy from coaching or self-improvement. Key Takeaways for Therapists Why documenting medical necessity matters for insurance, ethics, and liability Risks of over-diagnosing or misrepresenting symptoms The role of treatment plans and progress notes in demonstrating medical necessity Navigating personal growth requests vs. clinical therapy Protecting yourself with clear, consistent documentation About Our Hosts Curt Widhalm, LMFT – www.curtwidhalm.com Katie Vernoy, LMFT – www.katievernoy.com Find the transcript and additional resources at mtsgpodcast.com. Join the Modern Therapist Community Linktree Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano
Beyond Coping: Radical Healing in a World Not Built for Us – An Interview with José Rosario Curt and Katie chat with José Rosario about radical healing, disability, cultural trauma, and intersectionality. José shares his story as a scholar, practitioner, and activist, and how his lived experience as a disabled person of color who is also queer informs both his clinical work and research. He discusses how healing must move beyond coping, the importance of community engagement, and how therapists can better support clients with marginalized identities. About Our Guest: José Rosario Born to young Puerto Rican parents, José Rosario developed Cerebral Palsy as a premature baby. His family's journey towards equity deeply impacted his mental health. Currently nearing his PhD in Clinical Psychology, his research focuses on cultural trauma in intersectional communities. He is an Interdisciplinary Minority Fellow for the American Psychological Association, member of the Congressional Diversity and Equality Advisory Board for Congressman James Langevin, and member of the Rhode Island Attorney General Community Advisory Board. He has been honored with the Chris Martin Humanitarian Award and the Victoria Lederberg Award for Excellence in Psychology. Key Takeaways for Therapists Radical healing means moving beyond coping to systemic change and community-based healing. Disability, race, and queerness intersect in ways that compound stigma and systemic barriers. Community is both a source of hope and a vital element of healing. Therapists must step outside the therapy room and engage genuinely with the communities they serve. For full show notes and transcripts, visit: mtsgpodcast.com Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano
Navigating Food, Body Image, and GLP-1 Medications: An Interview with Robyn L. Goldberg, RDN, CEDS-C Therapists are seeing more clients struggling with confusing medical advice, new medications, and diet culture messages that impact their relationship with food and body. In this conversation, Curt and Katie talk with Robyn L. Goldberg, RDN, CEDS-C about how therapists can examine their own biases, support clients navigating restrictive medical guidance, and encourage healthier, more intuitive approaches to eating. About Our Guest: Robyn L. Goldberg, RDN, CEDS-C Robyn began her career at Cedars-Sinai Medical Center in Los Angeles as the in-patient dietitian in the Department of Cardiology. Over the last twenty-eight years she has developed her own private practice in Los Angeles, CA. She is a contributing author and is a nationally and internationally known registered dietitian nutritionist. She has been quoted in The New York Times, The Huffington Post, and Vogue. She has been on national television as the eating disorder expert on The Insider. Robyn is the author of The Eating Disorder Trap: A Guide for Clinicians and Loved Ones, Co-author of the online course Your Recovery Resource, and the host of The Eating Disorder Trap Podcast. Key Takeaways for Therapists Therapists must examine their own food and body biases to avoid unintentional harm to clients. Many physicians have minimal training in dietetics and may give inadequate advice. Clients can advocate for themselves in medical settings, including refusing to be weighed. GLP-1 medications may reduce appetite but can cause malnutrition, fatigue, and bone/muscle loss. Intuitive eating offers a path back to a healthier, more trusting relationship with food. For full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano
Somatic Therapy, Nervous System Regulation, and Expanding Capacity for Rest: An Interview with Linda Thai Curt and Katie chat with Linda Thai, LMSW, ERYT-200 about practical, culturally aware somatic tools therapists can use, helping clients (and themselves) expand capacity for rest, and integrating bottom-up work ethically when working with trauma survivors and adult children of refugees and immigrants. Full show notes and transcripts available at mtsgpodcast.com. About Our Guest: Linda Thai, LMSW, ERYT-200 Linda Thai is a trauma therapist and educator specializing in brain- and body-based modalities for addressing complex developmental trauma. She teaches mindfulness, grief tending, and somatic practices with a special focus on adult children of refugees and immigrants. Linda has assisted Dr. Bessel van der Kolk in psychotherapy workshops on attachment trauma and offers trainings and courses worldwide. Key Takeaways for Therapists Gentle rocking and orienting to distance are accessible entry points for regulation. Track SUNs (Subjective Units of Nourishment) as well as distress in sessions. Somatic work expands capacity for rest, not just activation. Therapists must contextualize disembodiment within colonization, hustle culture, and systemic exploitation. Choose teachers and communities that match your style before committing to long trainings. Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann: DW McCann FacebookMusic by Crystal Grooms Mangano: groomsymusic.com
The Initial Consultation Call: Setting the Foundation for Therapy Curt and Katie chat about consultation and intake phone calls — the crucial first step in the client–therapist relationship. They explore how to balance logistics with empathy, set realistic expectations, and create safety and rapport from the very beginning. About our Hosts:Curt Widhalm, LMFT – www.curtwidhalm.comKatie Vernoy, LMFT – www.katievernoy.com Key Takeaways for Therapists: How consultation calls set the tone for therapy Balancing logistics (fees, scheduling, insurance) with rapport-building Exploring referral sources, past therapy experiences, and client expectations Avoiding underselling yourself when discussing fees For more information and full show notes, visit: mtsgpodcast.com Join the Modern Therapist Community: Linktree Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano
Unmasking Shame, Myths, and Healing for Male Survivors of Sexual Abuse: An Interview with Jeremy Sachs Curt and Katie chat with Jeremy Sachs, integrated therapist and Narrative Exposure Therapist, about supporting male survivors of sexual abuse. We explore harmful myths and stereotypes, the developmental impacts of sexual trauma, and the systemic and cultural barriers that make healing harder. Jeremy shares therapeutic approaches for early disclosure, building safety, and integrating trauma-specific interventions like Narrative Exposure Therapy, as well as the role of transformative justice in recovery. About Our Guest:Jeremy Sachs is an integrated therapist and Narrative Exposure Therapist from London, UK, now based in Glasgow, Scotland. Since the 2010s, he has run services that support individuals living with trauma or marginalisation, helping them to connect and find community. In 2016, he focused on developing therapy services for men, boys, and trans people who have survived sexual abuse and rape. He runs recovery groups and a private practice both online and in-person. Key Takeaways for Therapists: Myths like “men always want sex” or “they must have enjoyed it” are harmful and based on misunderstandings. Sexual abuse rarely occurs in isolation—context and systemic oppression matter. Containment and safety should precede trauma-specific work. Narrative Exposure Therapy can help integrate fragmented memories. Transformative justice offers community-based alternatives to the criminal justice system. Get the full show notes and transcript at: mtsgpodcast.com Join the Modern Therapist Community Linktree Patreon Podcast Homepage YouTube Facebook Group Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano
Relational Healing, Neuroplasticity, and the Power of Psychedelic-Assisted Therapy: An Interview with Dr. Alexa Altman, Ph.D. and Shira Myrow, LMFT In this episode, Curt and Katie chat with Dr. Alexa Altman and Shira Myrow, LMFT, about psychedelic-assisted therapy and how it supports trauma healing, neuroplasticity, and relational transformation. They explore how these treatments work, what integration really means, and how therapists can ethically and safely engage with this emerging field. About our guests:Dr. Alexa Altman and Shira Myrow, MFT, are co-founders of iPsychedelic Therapy. With backgrounds in trauma-informed psychology, spiritual counseling, and relational healing, they offer a holistic approach to psychedelic-assisted therapy that centers ethical care, integration, and transformational growth. Key takeaways: Psychedelics are not shortcuts—they act as amplifiers and accelerants in trauma work. Integration is a crucial part of psychedelic-assisted therapy and often overlooked. Clinicians must examine their own biases and seek robust training. Some clients are not appropriate for these treatments due to fragility or lack of therapeutic background. A safe therapeutic container, rigorous consent, and preparation are essential. Regulatory frameworks are still emerging and need clinician involvement. More info, transcripts, and full show notes: mtsgpodcast.com Join the Modern Therapist Community: Linktree Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano
Advanced Minds, Unique Challenges: Therapeutic Approaches for Gifted Children Gifted children often present with complex needs that are misunderstood or misdiagnosed. In this continuing education episode, Curt and Katie explore how asynchronous development, emotional intensity, and cognitive complexity show up in the therapy room—and what therapists need to build effective therapeutic alliances. They highlight key research, therapist characteristics that support clinical success, and how to work with masking, perfectionism, and challenging behaviors without pathologizing giftedness. Key Takeaways: Giftedness includes uneven cognitive, emotional, and social development Misdiagnosis and masking are common Therapist flexibility, intensity, and curiosity matter more than techniques Gifted children often resist therapy when they feel misunderstood Parents may need education and validation around giftedness About Our Hosts: Curt Widhalm, LMFT – www.curtwidhalm.com Katie Vernoy, LMFT – www.katievernoy.com CE Available for this Episode To earn 1 CE unit, visit moderntherapistcommunity.com More info and full show notes at mtsgpodcast.com Join the community: linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann – facebook.com/McCannDW Music by Crystal Grooms Mangano – groomsymusic.com
Relational Self-Awareness and the Hard Truths of Couples Therapy: An Interview with Dr. Alexandra Solomon Dr. Alexandra H. Solomon joins Curt and Katie to discuss what therapists get wrong in couples therapy, how to work with high-conflict dynamics, and the power of relational self-awareness. We explore how therapists can show up better prepared for the real work of helping relationships grow—or gracefully end. About Our Guest:Dr. Alexandra H. Solomon, PhD, is a licensed clinical psychologist, professor, author, and host of the Reimagining Love podcast. Known globally for her relational self-awareness framework, Dr. Solomon bridges clinical wisdom, research, and pop culture in her work with couples. She is the author of Loving Bravely, Taking Sexy Back, and Love Every Day. Key Takeaways: The relationship—not the individuals—is the client in couples therapy Why individual therapist skills don’t always translate to couples work How regulation and self-awareness reduce conflict and promote connection What therapists should know about the "change partner vs. acceptance partner" dynamic Why therapist bias and romantic myths can derail the work More info, transcripts, and full show notes at mtsgpodcast.com Join the Modern Therapist Community:https://linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann: facebook.com/McCannDW Music by Crystal Grooms Mangano: groomsymusic.com
What Do You Have to Offer? How Describing Your Ideal Client Might Be Repelling Good Enough Clients Curt and Katie chat about common mistakes therapists make when writing their websites and directories — especially using “ideal client” language that may turn away the very clients they want to help. They explore how to write therapist website copy that’s client-centered, inclusive, and more effective for attracting referrals. Key Takeaways: Describing ideal clients too rigidly can unintentionally alienate potential referrals Language should reflect client experiences and therapy process — not just therapist preferences Blog posts are a flexible, strategic way to expand on specialty areas without over-niching Websites should be regularly updated to reflect current practice and make contact easy Listen to the full episode and access resources:https://therapyreimagined.com/podcast Join the Modern Therapist Community:https://linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann Music by Crystal Grooms Mangano
Mindfulness, EMDR, and Wearable Tech: An Interview with Dr. Steve Dansiger Curt and Katie chat with Dr. Steve Dansiger about integrating mindfulness into EMDR, what therapists often get wrong about mindfulness, and how wearable technology might enhance trauma healing. Steve shares his journey from punk rock drummer to EMDR trainer to tech innovator—and how sound and vibration may support grounding, resourcing, and trauma reprocessing. About Our Guest: Dr. Steve Dansiger Dr. Steve Dansiger is a clinical psychologist, EMDRIA-approved EMDR consultant, longtime mindfulness practitioner, and co-founder of HapTech Holdings. He is the creator of the MET(T)A Protocol and co-author of multiple books on EMDR, trauma, addiction, and mindfulness. Steve’s work spans clinical practice, innovation, and international teaching, bringing together ancient wisdom and cutting-edge tech. Key Takeaways: Therapists and clients often misunderstand mindfulness as “clearing the mind.” Mindfulness is already embedded in EMDR and helps stabilize and prepare for trauma work. Starting with just 1–2 minutes a day can be effective, especially with neurodivergent clients. Wearable tech using sound and vibration may help ground and resource clients in session and beyond. Therapists need to maintain their own mindfulness practice to model and teach it effectively. For full show notes, transcripts, and more episodes: 🔗 www.mtsgpodcast.com Join the Modern Therapist Community: 🌐 Linktree Creative Credits: 🎙 Voice Over by DW McCann 🎵 Music by Crystal Grooms Mangano
Rethinking Oppositional Defiant Disorder—Children Reacting to the System Around Them Curt and Katie chat about Oppositional Defiant Disorder (ODD), reframing it as a response to systemic and environmental stressors rather than a characterological flaw in children. They explore diagnostic challenges, systemic bias, and treatment considerations that support children and families more holistically. This episode is designed to help therapists critically assess and intervene when working with oppositional or defiant behaviors. Course Available for CE Credit:One unit of continuing education is available for this episode at moderntherapistcommunity.com. Listen, purchase the course, pass the post-test, and earn your certificate! Key Takeaways: Understand how ODD criteria can be misapplied without systemic context Identify the impact of trauma, neurodivergence, and racism on misdiagnosis Apply a functional, family systems-based approach to treating oppositional behaviors Learn which interventions are evidence-based—and which to avoid Recognize the importance of treating ODD like an adjustment to environment, not a lifelong label Link to Full Show Notes:Full references, transcript, and resource list at mtsgpodcast.com Join the Modern Therapist Community:Linktree: https://linktr.ee/therapyreimagined Creative Credits: Music by Crystal Grooms Mangano – groomsymusic.com Voice Over by DW McCann – facebook.com/McCannDW
How Virtual Clinical Supervision is Changing the Field: An Interview with Rachel Ledbetter, LMFT Curt and Katie chat with Rachel Ledbetter, LMFT, CEO and Co-Founder of Motivo, about how virtual supervision is transforming therapist training and professional development. We explore how technology can remove barriers for prelicensed clinicians, improve the supervision experience, and create space for mentorship beyond administrative oversight. Rachel also shares insights on the future of AI in mental health and what supervisors can do to better support early career therapists. Guest Bio:Rachel Ledbetter is the CEO and Co-Founder of Motivo Health, a pioneering platform dedicated to transforming the landscape of mental health care by facilitating virtual clinical supervision for behavioral health professionals. As a Licensed Marriage and Family Therapist (LMFT), Rachel's personal experiences navigating the licensure process have profoundly influenced her mission to remove barriers for aspiring therapists. Through Motivo, she continues to make a lasting impact by supporting the next generation of therapists and ensuring that quality mental health services are accessible to all. Key Takeaways: Supervision should focus on developing a clinician’s unique identity—not just administrative tasks. Virtual supervision increases access and continuity, especially for rural and underserved areas. Motivo actively tracks licensure requirements and verifies supervisor qualifications. AI can ease therapist burdens (e.g., documentation) but shouldn’t be used to raise productivity quotas. Supervisors are more effective when they support both professional development and self-of-the-therapist work. More info and full show notes at mtsgpodcast.com Join the Modern Therapist Community:https://linktr.ee/therapyreimagined Creative Credits: Music by Crystal Grooms Mangano – groomsymusic.com Voiceover by DW McCann – facebook.com/McCannDW
Why It’s Hard for Therapists to Be Friends Curt and Katie chat about why therapists often struggle with friendships—especially with non-therapists. They explore the impact of emotional labor, overidentifying as caretakers, and the challenges of setting boundaries and expressing needs in personal relationships. Key Takeaways: Therapists often default to caretaking in friendships, especially if they have a history of being “the helper.” Emotional exhaustion from client work can make socializing difficult. Confidentiality and identity boundaries limit what therapists can share about their day. Friendships become healthier when therapists drop the therapist role and prioritize reciprocity. Intentional communication and boundary-setting help create sustainable relationships. More information and transcripts available at:https://mtsgpodcast.com Join the Modern Therapist Community:Linktree Creative Credits: Music by Crystal Grooms Mangano Voiceover by DW McCann
Special Episode: Modern Therapist's Consumer Guide on Relias Curt and Katie talk with Candace Wallace, Chief Customer Officer at Relias, about how this tech-enabled platform supports therapist training, infrastructure, and regulatory compliance. Candace explains how Relias helps practices of all sizes reduce admin burdens, improve staff retention, and compete in a changing behavioral health landscape. This episode is part of our Modern Therapist Consumer Guide, where we explore tools and services designed for therapists and their clients. About Our Guest:Candace Wallace is the Chief Customer Officer at Relias, overseeing Customer Success, Renewals, Support, and Professional Services. Since joining in 2013, she’s led several key teams and now focuses on delivering customer value at scale. With degrees in Archaeology and Religion from Baylor University, Candace’s career path includes both compliance consulting and a deep commitment to healthcare systems transformation. Key Takeaways: Relias reduces administrative burdens to improve patient care Solutions are tailored to solo, small, and large practices alike Training, leadership development, and compliance tracking in one platform Helps therapist-led organizations stay competitive and grow sustainably Started with small providers—continues to focus on accessible, effective tools For full show notes and transcripts, visit:https://www.mtsgpodcast.com Join the Modern Therapist Community:Linktree Creative Credits:Voice Over by DW McCannMusic by Crystal Grooms Mangano
Title: How to Launch Therapy Intensives in Private Practice: An Interview with Steffeny Feld, LCSW Description:Curt and Katie chat with Steffeny Feld, LCSW, Therapist and Creator of the Intensive Design Lab, about how therapists can bring therapy intensives into private practice. We explore how therapy intensives differ from traditional therapy, how to structure and prepare for intensives, clinical considerations for both clients and clinicians, and why this model can be particularly supportive for highly sensitive or neurodivergent therapists. About Our Guest:Steffeny Feld is a Therapist, Copywriter, and the Creator of the Intensive Design Lab where she supports therapists of all backgrounds and modalities to launch therapy intensives in private practice. Steffeny believes that therapy intensives are powerful and transformative for clients and the clinicians who offer them. She supports therapists to bring intensives into their practice so that they can work less and earn more while helping clients heal. Steffeny lives in St Louis, Missouri with her partner and 4-year-old son, Felix. Key Takeaways: Therapy intensives offer a distinct therapy format, not just longer sessions. Therapists must assess client readiness and window of tolerance carefully. Intensives can support therapist sustainability, especially for highly sensitive and neurodivergent clinicians. Practical considerations include session structure, pacing, and client comfort. Therapy intensives provide an opportunity for deep clinical work and income diversification. Link to Transcripts and Full Show Notes: https://mtsgpodcast.com Join the Modern Therapist Community:Linktree: https://linktr.ee/therapyreimagined Creative Credits:Voice Over by DW McCann - https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano - https://groomsymusic.com/
Curt’s Guide to Life: Real-World Advice for Therapists Navigating Their Careers Curt Widhalm and Katie Vernoy chat about the practical and meaningful life lessons Curt has gathered throughout his career as a therapist, supervisor, and leader. From networking and curiosity to flexibility and reputation, this episode offers real-world advice for therapists trying to build sustainable careers. Key Takeaways: Network laterally with peers at similar stages Stay curious—your clinical focus may evolve Learn by doing, not just studying Be kind and human in all professional interactions Protect your reputation—it’s everything Full show notes and transcript available at mtsgpodcast.com Join the Modern Therapist Community: Linktree: https://linktr.ee/therapyreimagined Patreon: https://www.patreon.com/mtsgpodcast Podcast Homepage: https://therapyreimagined.com/modern-therapists-survival-guide-podcast-episodes/ YouTube: https://www.youtube.com/@TherapyReimagined Facebook Group: https://www.facebook.com/groups/therapyreimagined/ Creative Credits: Voice Over by DW McCann – https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano – https://groomsymusic.com
How Therapists Can Responsibly Support Disaster Mental Health: An Interview with Dr. Shannon Goodhue, LCSW, PhD Curt and Katie chat with Dr. Shannon Goodhue about how therapists can ethically support disaster-impacted communities. We explore how disaster mental health differs from traditional therapy, why most people don’t need long-term services, and how trained professionals can provide stabilization and support in both local and national crises. Shannon outlines the American Red Cross training process, the structure of deployments, and the importance of understanding when to step in—and when not to. About Our Guest:Shannon Goodhue is the Senior Program Manager, Disaster Mental Health at the American Red Cross, overseeing the nationwide DMH team. With a PhD in International Psychology, a background in trauma and grief therapy, and past roles in D.C. disaster planning, Shannon brings deep experience in crisis response and ethical care. She’s also a former volunteer firefighter/EMT and currently lives in Virginia with her family. Key Takeaways: Disaster mental health is not the same as therapy Most survivors recover without mental health services Therapists must be trained and vetted before entering shelters Prevention and resilience-building are critical parts of crisis care Red Cross deployments can be virtual, local, or national More information and transcripts: mtsgpodcast.com Join the Modern Therapist Community:https://linktr.ee/therapyreimagined Creative Credits:Hosted by Curt Widhalm and Katie VernoyMusic by Crystal Grooms Mangano – https://groomsymusic.comVoice Over by DW McCann – https://www.facebook.com/McCannDW
How Therapists Can Support Community-Building in Immigrant and Marginalized Populations: An Interview with Adriana Rodriguez, LMFT Curt and Katie chat with Adriana Rodriguez, LMFT, about how therapists can support clients from immigrant and marginalized communities in building and maintaining safe, affirming relationships. They explore cultural responsiveness, identity, risk appetite, and how therapists can expand their awareness and approach beyond individualistic norms. Guest Bio:Adri Rodriguez, LMFT is a therapist, educator, and host of Entre Tías y Amiguis Podcast. Their work focuses on generational healing, identity, and resilience through culturally grounded and justice-oriented approaches. Key Takeaways: Community is built on safety, belonging, and mutual understanding. Risk appetite and intersectionality must shape how clients engage with community. Therapists can use their online presence as a safety signal. Staying informed without burnout is a clinical responsibility. More Info:Full show notes and transcript available at mtsgpodcast.com Join the Modern Therapist Community • Linktree: https://linktr.ee/therapyreimagined Creative Credits: Voice Over by DW McCann: facebook.com/McCannDW Music by Crystal Grooms Mangano: groomsymusic.com
The Business of Therapy: Surviving Economic and Industry Disruptions Curt and Katie chat about how therapists can adapt to the changing business landscape of private practice, including fewer client inquiries, economic challenges, and increased competition. We share practical strategies for maintaining a sustainable therapy practice, improving marketing efforts, and building strong referral networks. Transcripts and additional information for this episode will be available at mtsgpodcast.com! In this podcast episode we discuss running a private practice during times of economic uncertainty We’ve heard a lot about the real-time challenges that therapists are facing in a changing business landscape. With a drop in inquiries, increased financial pressures on clients, and greater competition from virtual and AI-based services, private practice clinicians are feeling the pinch. We explore how to adapt your business model, rethink marketing strategies, and prioritize networking and flexibility to weather the storm and build a more resilient practice. What is the current state of private practice therapy businesses? • A drop in referrals and inquiries: Therapists are seeing fewer new client inquiries, especially compared to the pandemic boom. • Economic pressures on clients: Some are requesting fee reductions or shifting to less frequent sessions, even when practices are technically full. • Rising competition: Therapists are competing not just with other clinicians, but also with VC-backed platforms and AI services. What can private practice therapists do to navigate the current business climate? • The need for adaptability: Offering in-person and virtual options, adjusting your fee structure, and being flexible can help retain clients. • Business evolution: It’s more important than ever to regularly assess your practice’s expenses, operations, and marketing strategy. • Standing out in a crowded market: Specializing in specific modalities (like DBT or EMDR) and diversifying your service offerings (e.g., walk-and-talk therapy) can help. • Networking and community support: Building strong referral networks and staying connected with colleagues is essential in today’s climate. • Sustainability for therapists with additional needs: Flexibility can also support therapists who are neurodivergent or living with chronic illness. Key Takeaways from this podcast episode for therapists • Monitor your referral trends and be proactive about filling client gaps—even if your caseload seems full. • Adjust your practice model as needed—offering hybrid sessions or reduced fees may help sustain your income. • Reevaluate your expenses and time investments (marketing, admin, documentation) for a more efficient practice. • Stay current and visible by evaluating SEO, trying Google Ads, and maintaining a strong online presence. • Network consistently—both online and in-person—to build a robust referral stream. • Don’t be afraid to evolve. Practices that are nimble and responsive to change are more likely to succeed long-term. Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement: Our Linktree: https://linktr.ee/therapyreimagined Modern Therapist’s Survival Guide Creative Credits: Voice Over by DW McCann https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano https://groomsymusic.com/
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