08/26/2026
Starting a private practice sounds simple… until you realize how much there is to figure out beyond the therapy itself.
Here are a few things I’d want you to think through:
1. “Where are my clients coming from?”
Start thinking about referrals, your professional network, your website, Psychology Today, and how people will actually find you before you open your doors.
2. “Am I charging enough?”
Look at your expenses, the income you need, your expected client load, and whether you’re taking insurance, private pay, or both. Your session rate needs to make sense for the business you’re trying to build.
3. “Do I take insurance?”
There isn’t one answer for everyone. Think about your ideal clients, reimbursement, administrative work, and the kind of practice you want to run.
4. “How do I get referrals?”
Start building relationships before you need a full caseload. Think about other therapists, physicians, community organizations, schools, and other professionals who already work with the people you want to serve.
5. “Wait… I have to run the business too?”
Yep. There’s the clinical side, and then there’s everything behind it: business setup, finances, credentialing, billing, systems, marketing, client communication, and more.
You don’t need to become a business expert overnight.
But you do need to understand what you’re getting into and have a plan for the pieces that will actually keep your practice running.
Save this if private practice is on your mind and send it to the therapist who’s been saying, “I really want to do this, but I don’t know where to start.”
What are you trying to figure out right now: clients, money, insurance, or getting the practice set up?
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