Beyond the Couch: The Unspoken Truths of Starting a Private Pay Practice in Denver

The siren song of independence beckons many therapists, especially ones who have successfully filled their own caseload. The freedom to choose clients, set your own schedule, and create a personalized practice space can feel like a dream come true.

But before you trade in your W-2 for a 1099, remember that the private practice path, while rewarding, is far from a smooth, straight path to success.

At My Denver Therapy, now one of the largest private practice in the heart of the city, we’ve witnessed countless aspiring therapists embark on this journey. We’ve seen the excitement, the trepidation, and the inevitable bumps in the road at all different stages. So, before you dive headfirst into the world of private practice, let’s pull back the curtain and unveil the realities that lie beyond the therapist’s couch:

1. Business Acumen, Not Just Clinical Skills:

Therapy isn’t just about talk therapy; it’s also about running a business. Marketing, billing, insurance navigation, and legal compliance suddenly become your domain, and you need to get really good at it, fast. You’ll need to understand taxes, contracts, and website development – skills that may not have graced your graduate school curriculum. Our website is our second of many jobs, and there’s never a day that we’re not working on it.

2. Building Your Client Base: Brick by Brick, Not Boulder by Boulder:

Don’t expect clients to magically appear on your doorstep just because you hung up a shingle or made a website. Building a thriving practice takes time, effort, and a strategic marketing plan. Networking, online presence, and effective referral strategies are your new allies in the battle for client acquisition.

Some therapy private practices spend thousands in advertising for a handful of clients per month, and you’ll quickly realize that while that might work for you alone, it isn’t sustainable for a therapy business in Denver.

3. Financial Fluctuations: A Rollercoaster, Not a Rocky Mountain High:

Private practice isn’t a steady paycheck. Income can be unpredictable, with busy periods followed by slower months, especially around holidays. You’ll need to budget carefully, manage cash flow, and have a financial cushion to weather the inevitable dips.

At My Denver Therapy, we built our business slowly without ever taking on debt or external financing. If you take outside investment, the pressures of those slow months can be more than you’d expect.

4. The Isolation of Solopreneurship:

While independence has its perks, it can also be lonely. Until you have a larger team, which could take years, you’ll miss the camaraderie and collaboration of a larger clinical team.

Building a support network of fellow therapists or joining professional organizations can help combat the isolation and provide invaluable guidance.

5. The Ever-Evolving Landscape:

The mental health field is constantly changing, with new regulations, technologies, and treatment approaches emerging. Staying updated and adapting your practice accordingly is crucial for long-term success. As a private practice, we make multiple pivots every year, hiring specific kinds of therapists and expanding our team’s expertise, to meet demand the right way.

But hold on, aspiring therapists! This isn’t a discouragement, it’s a reality check. Knowing the challenges upfront allows you to prepare, strategize, and approach your private practice journey with open eyes and informed determination.

Here at My Denver Therapy, we’re passionate about supporting therapists on their independent paths. We offer resources, workshops, and mentorship opportunities to help you navigate the business aspects, build your network, and thrive in the Denver market.

Remember, starting a private practice is a marathon, not a sprint. With dedication, resourcefulness, and a dash of Denver grit, you can turn your dream into a thriving reality.

Ready to embark on your private practice journey? Contact My Denver Therapy today. We’ll be your guide on this exciting, albeit bumpy, road to professional independence.

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Picture of Author: My Denver Therapy

Author: My Denver Therapy

One of the largest therapy practices in Colorado with licensed therapists in Denver, Lone Tree, and Greenwood Village.

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