In Consultation

In Consultation

The Challenge of Becoming the Boss: How to Make a Group Practice Work

By Casey Truffo, Joe Bavonese

July/August 2014

Q: My full schedule won’t allow me to take on more clients, but I still want to grow my practice and finances. Would starting a group practice be a smart career move?

A: Congratulations on your full calendar of clients! If you’re like most successful therapists in the field, it’s taken years of hard work to build up your practice to this point. But what now? There’s only one of you and only so many hours in a day to see clients. Sure, maybe it seems you’ve reached the promised land of private practices, but—unless you continually raise your fees on your client base—you’ve also hit a glass-income ceiling. The bottom line is this: if you’re a therapist with the enviable problem of having too many clients, adopting a group-practice model could certainly be a good career move, especially if you don’t feel like other ways of padding your wallet, such as writing a bestselling psychology book, are in the cards for you right now.

As it seems you already suspect, a group-practice model is a great way to create a relatively passive income stream. Another benefit of hiring other therapists to work in your practice is having extra associates to help you with marketing and outreach tasks. After all, today’s business of therapy is faster paced and more competitive than ever before, meaning clinicians must approach their work as equal parts therapist, salesperson, and manager. Creating a group practice might seem a far cry from the less versatile “one…

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