Starting a Private Practice in Mental Health
In the early 2000s, I opened my private practice and felt honored to sit with people in meaningful, helpful ways. There was such pride in welcoming clients into a bright, freshly set-up office.
I chose a loveseat from American Home Furniture—and quickly learned the warranty doesn’t cover business use. I placed a few small tchotchkes around the room, including my grandma’s mug that read, “Love what you do, do what you love.” My favorite books lined the bookshelf, ready to grab at a moment’s notice.
More than 2 decades later, I am still running a private practice (though it’s now a group practice). There are some things I learned over time that have helped the practice run well. I have also read lots of great books on the topic. I’ll share three things I believe are essential for a successful private practice.
Keep your friends as friends.
As a caregiver, it’s easy to ask too many questions—and just as easy for them to seek your advice. It doesn’t take long for your friends (and family) to become like clients. Before long, all of your relational time and energy end up with you giving out and not receiving in. Relationships involve give and take, but if you always feel drained after spending time with friends, you might have fallen into a therapist-client dynamic. Make sure your friendship time is mutual and restoring, and not just an extension of your private practice.
Retain a lawyer, follow their advice.
Lawyers tend to be risk-averse – this means the advice they give you will keep you from getting into trouble. Most people setting up a private practice have an independent spirit. It can chafe when someone tells you “that’s not a good idea,” but it is wise to pay attention. We want what we want, and will naturally justify anything in order to get what we want in a particular situation. Your lawyer will help you stay ethical, even when it feels uncomfortable.
Secure a supervisor you respect and trust. In the first 15 years of my career, I had 13 years of supervision. Yes, 13. While my checkbook (yes, we paid with checks at one time) was not thrilled with this practice, I’m so very grateful for the input my supervisors offered. They challenged me, encouraged me, and increased my understanding in ways school and books cannot. Just yesterday, I quoted a former supervisor to one of my supervisees. When starting a private practice, it’s crucial to choose a supervisor who can shape your growth—someone you admire and whose values align with your own.
I have loved running a mental health private practice. It is my calling and my career. A way I serve others and a way I put food on my family’s table. I hope the same is true for you as well. Be wise as you take this next step in your life and career. Surround yourself with friends and wise advisors. Your private practice can only be as healthy as you are.
Written By: Veronica Johnson, Licensed Psychologist
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