Session 228: Building a Successful Private Pay Group Practice In An Area Where Other Clinicians Take Insurance


Today’s conversation focuses on an interesting topic. We’ve often discussed the nuances of a private pay practice, but today we are going deeper. Is it possible to build a successful private pay group practice in an area where most other clinicians take insurance? Join us as we explore this question together.

Deborah Duley has a practice in Maryland, which she manages remotely from her new home in Atlanta. Deborah has learned a lot along the journey in which she began as a solo practitioner in a private pay practice in 2013. She then went to a group practice where she niched down to work with women and girls. Deborah shares some of the mistakes made and lessons learned, her biggest fear in the transition from solo to group practice, and whether certain niches are better suited for private pay. She tells us how she focuses on self-care to combat the unique stressors of being a group practice owner.

What We’ll Learn

  • Deborah’s biggest fear when transitioning from solo practice to group practice
  • Becoming a private pay practice when the area is saturated with therapists who take insurance
  • Deborah’s abundance mindset in staying positive, intentional, and practical
  • How Deborah secured clients and settled on her niche with women and girls
  • How Deborah hires therapists who stay true to her niche
  • How marketing changed for Deborah from solo to group practice
  • Are certain niches easier than others?
  • How Deborah’s group practice focuses on connection and support
  • Deborah’s intentional focus on mentoring practitioners to figure out their personal and professional goals
  • How Deborah tries to eradicate burnout in her therapists
  • Deborah’s top three mistakes and lessons learned:
    • By hiring wrong, she’s learned who she needs to hire
    • By having no systems in place, she’s learned how to implement manuals, templates, and scripts
    • By assuming that new hires are just like her, she’s learned to do assessments to best utilize their skillsets
  • How Deborah maintains her emotional health by participating in coaching programs and finding other entrepreneurs who are facing the same challenges

Resources Mentioned

Find Deborah:  Empowered Connections

Check out our show sponsor:  Therapy Notes

Thank You for Listening

I know that our lives are busy, and I’m grateful that you took the time to listen to this week’s podcast. If you enjoyed today’s episode, please share it with our colleagues and friends using the social media buttons on this page. Please consider leaving an honest rating and review for the podcast on iTunes as this helps the podcast reach more of our colleagues who want to build successful practices. Finally, feel free to join over 4,000 of our colleagues who are signed up for the Selling the Couch newsletter. You’ll learn valuable tips to build and grow your practice and get the podcast episodes delivered right to your inbox. You’ll also get FREE access to The Tax Write-Off Check List for Mental Health Private Practitioners.


Today’s Awesome SponsorTherapy Notes

TherapyNotes clearinghouse is seamlessly integrated in our application making insurance billing a breeze! When it comes to keeping your practice organized, you want software that’s not only simple but the best. I recommend TherapyNotes. Their platform lets you manage notes, claims, scheduling, and more. Plus, they offer amazing, unlimited phone and email support, so when you have a question, they are there to help. To get two free months of TherapyNOtes today, just use the promo code “Melvin” when you sign up for a free trial at Therapy Notes

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