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The Money Part of Private Practice (Heard Business School)

Advertise on podcast: The Money Part of Private Practice (Heard Business School)

Rating
★★★★★
5
from
39 reviews
This podcast has
52 episodes
Language
English
Publisher
Heard
Explicit
No
Date created
2024/05/31
Latest episode
2026/10/13
Average duration
53 min.
Release period
29 days

Description

Most therapists don't take a business class in graduate school, let alone go on to get their business degree. Without any formal education on how to run a business (because that's what starting a private practice is), they're left to figure it out on their own. Until now. This is the Money Part of Private Practice. Hosted by Andrew Riesen, we sit down with private practice owners and industry experts to learn about the business of therapy, together. We'll see you in class.

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Check latest episodes from The Money Part of Private Practice (Heard Business School) podcast


How Do Therapists Get Into Consulting? Anim Aweh, LCSW Shares Exactly How She Did It
2026/10/13
Most therapists in private practice run a business with one revenue line, the client hour. Anim Aweh decided that wouldn't be her whole story. Over 16 years she has built a private practice, a corporate wellness consulting firm, a movement called Therapy Over Silence, a children's book, a YouTube channel, and a speaking career. She recently accepted a director of marketing role at a tech company. In this episode, Andrew asks Anim how she got from "I'm just a social worker" to all of that. Her answer is that therapists already have the skills. The intake is a needs assessment. The treatment plan is a proposal. Collecting outcome data is how you get invited back. What has to change is the belief that the one-hour session is the only thing you're allowed to do. Anim walks through her first corporate engagement with an engineering firm, how she finds the right contact inside a company on LinkedIn, the budgets companies already have for this kind of work, and what to say when someone tells you they already have an EAP nobody uses. She also talks about a relationship that turned into paid work three years after an awkward introduction at a party. The conversation closes on money. Anim shares how she handles bookkeeping across several income streams, why she moved from an LLC to an S corp on her accountant's advice, and what changed the first time she filed afterward. What you'll learn: How to translate clinical skills into consulting: intake, treatment plan, outcomesWho to contact inside a company (HR, ERG leads, head of people) and how to find themWhere corporate budgets for wellness programs come fromHow to respond when a company says it already has a program nobody usesWhy pre and post surveys matter more than anything else for repeat workHow Anim uses AI in her day to day and where she draws the line clinicallyWhy an S corp changed her tax pictureTimestamps: 02:15 From "just a social worker" to director of marketing 03:44 The mindset shift 06:30 Imposter syndrome 08:55 Talking the talk in business settings 12:27 What corporate clients want and landing the first engagement 15:51 Who to reach out to inside a company 17:50 The budgets that already exist 18:13 "We already have an EAP nobody uses" 19:25 The relationship that paid off years later 21:01 Measuring results with pre and post surveys 24:40 What a week looks like now 26:31 Prioritization and staying grounded 29:19 How Anim uses AI 31:17 AI in clinical work and licensing boards 33:52 Her tool stack 36:31 Bookkeeping across multiple income streams 38:33 Switching from an LLC to an S corp 39:55 Energy over a number 41:59 Where to find Anim About Anim Aweh: Anim Aweh is a licensed clinical social worker with a public health background. She is the founder of Aweh Supports, a consulting practice that helps companies build employee wellness programs, and the force behind Therapy Over Silence, a movement to close the mental health gap in Black and brown communities. Her work has been featured in The New York Times and Yahoo News. She co-hosts the Founders Table, a cohort program for clinicians ready to move into consulting and other ventures. Links: Anim on social: @animawerFounders Table: https://the-founders-table.com/braveweekend-pageHeard: https://www.joinheard.comAbout Heard: Heard is financial management software built for therapists. Bookkeeping, quarterly and annual taxes, payroll, and banking in one place, so you can focus on your clients. Learn more at joinheard.com.
Going Independent: How Nia Henderson, LMFT Left Group Practice and Built Her Own
2026/10/06
How do you know when you're ready to leave group practice and start your own? In this episode of The Money Part, Heard co-founder Andrew Riesen talks with Nia Henderson, LMFT, founder of Soft Spot Therapy Collective in Illinois, about the real timeline, pay math, and fear involved in going independent. She also shares how she told her group practice owner she was leaving, how she's moving clients over in batches, and the advice she'd give any therapist in the messy middle: take your time and find your footing. You do not need to be a perfect business owner on day one. Nia is a Black queer therapist serving BIPOC and LGBTQ+ individuals and couples navigating relational trauma and sociocultural stress, using narrative therapy, somatic work, and Internal Family Systems. Her long-term vision is a community healing center with integrated care. Questions this episode answers What is a typical group practice pay split for a pre-licensed therapist? How much do therapists make per session at a 50/50 split? How do you negotiate a higher split in group practice? How long does it take to plan a private practice? How do you tell your group practice owner you're leaving? How do you transition clients from group practice to private practice? How do you prepare financially before going independent? Chapters 00:00 Cold open: "It was a grueling experience" 00:23 Welcome to The Money Part 01:13 Meet Nia Henderson, LMFT, founder of Soft Spot Therapy Collective 02:57 Why Nia became a therapist: from neuroscience research to clinical work 11:40 Bringing your full identity into private practice 16:01 The grueling road to licensure in group practice 19:39 Group practice pay splits: 50/50, 52%, and negotiating for 60% 24:18 The messy middle: building a practice while still employed 29:06 How to tell your group practice owner you're leaving 32:36 The biggest fear about going independent: the money 35:19 How Nia prepared financially for the transition 38:11 Advice for therapists becoming accidental entrepreneurs 41:16 Closing Links Soft Spot Therapy Collective: https://softspottc.com/ Heard: https://www.joinheard.com
Why Therapists Undercharge: Laura Reagan on Money, Shame, and Self-Worth
2026/09/21
In this conversation, Laura Reagan, an integrative trauma therapist, shares her journey from a clinician to a podcast host and entrepreneur. She discusses her experiences with trauma, the evolution of her podcast 'Therapy Chat', and the creation of the Trauma Therapist Network. Laura emphasizes the importance of understanding trauma, the need for bottom-up therapies, and the challenges therapists face in valuing their work. The conversation highlights the impact of therapy and the visibility of therapists in a world where mental health is increasingly discussed. In this conversation, Laura Reagan, LCSW-C, discusses the complexities of access to therapy, the sustainability of therapy practices, and the systemic challenges faced by social workers. She emphasizes the importance of financial stability for therapists and advocates for a more supportive environment within the field. Laura shares her journey in building a successful group practice and offers advice for new therapists on self-belief and advocacy. Find Laura here:https://traumatherapistnetwork.com/https://traumatherapistnetwork.com/podcast-category/therapy-chat-podcast/ Learn more about Heard:www.joinheard.com  Book a free consult:www.joinheard.com/welcome-form
How Therapists Get Found Online with Dr. Marie Fang
2026/09/14
Summary In this episode, Dr. Marie Fang shares her journey from starting her private practice in 2012 to becoming a leading expert in marketing and niching for therapists. She discusses practical strategies for building a full caseload, the importance of authentic marketing, and how to adapt to the changing digital landscape, including SEO and AI. Key Topics The early challenges of starting a private practiceThe importance of niching and specializationPractical SEO strategies for therapistsThe role of community and referral networksReframing marketing as helping others find youThe impact of AI on search and marketingBuilding authentic online presenceBalancing personal values with business growth Chapters 00:00 Introduction and Dr. Fang's background03:23 Starting her practice in 2012 and initial challenges07:31 Early marketing efforts and lessons learned12:20 The importance of embracing the slow build16:58 Building a niche and its impact on practice growth24:44 Handling challenges and staying energized30:37 Coming out as an affirming Christian therapist41:13 Adapting marketing strategies in the AI era52:21 Practical tips for online presence and SEO56:36 The role of social media and authenticity01:00:18 Final advice for therapists starting or growing their practice01:01:21 Closing and where to find Dr. Fang Where to find Dr. Marie Fang:https://privatepracticeskills.com/ Interested in Heard? Book a free consult any time:www.joinheard.com/welcome-form
Raising Your Fees Without Losing Clients with Tiffany McLain
2025/12/01
Talking about money makes most therapists uncomfortable, especially when it comes to raising fees. Tiffany McLain, Founder and CEO of Lean In. MAKE BANK., joins Michael Fulwiler to explore how therapists can build financially sustainable practices without sacrificing their values or clinical integrity. Tiffany shares how her personal upbringing shaped her views on money, why sliding scales aren’t always ethical, and how therapists can rethink their business model to better support themselves and their clients. She also breaks down the unconscious patterns that often hold therapists back from charging what they need and how confronting those patterns can deepen the clinical work. Listen to this conversation to help you think differently about what it means to be a successful therapist in private practice. In the conversation, they discuss: The internalized beliefs that hold therapists back from raising fees, and how these often stem from family dynamicsWhat therapists get wrong about sliding scale models and why setting fees based on assumptions about a client’s income can damage the therapeutic relationshipThe strategy Tiffany teaches to help therapists leave insurance panels and build premium-fee caseloads Connect with the guest: Tiffany on Instagram: https://www.instagram.com/leaninmakebank/ Tiffany on LinkedIn: https://www.linkedin.com/in/tiffanymclain/Visit the Lean In. MAKE BANK. website: https://leaninmakebank.com/  Connect with Heard: Andrew Riesen's LinkedIn: https://www.linkedin.com/in/andrewriesen/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form  Jump into the conversation: (00:00) Welcome to Heard Business School (01:05) Meet Tiffany McLain (02:21) Childhood Lessons that Shaped Tiffany’s Money Beliefs (04:34) Hiding Financial Goals During Therapy School Interviews (06:20) The Mindset Most Therapists Bring to Private Practice (08:03) How Tiffany Challenged the Fee Status Quo (10:12) Early Lessons on Raising Fees at Access (12:24) Common Myths Therapists Believe about Setting Fees (14:54) Why Therapists Assume Clients Can’t Afford Therapy (16:32) Private Practice Isn’t Built to Serve Everyone (19:40) Sliding Scale Often Masks Money Avoidance (23:02) A Practical Method for Calculating Your Fee (25:30) What to Say When Raising Your Rate (30:18) Low Fees Can Harm the Therapeutic Relationship (33:59) Can You Build a Practice on Insurance? (40:31) Tiffany’s Four-Step Framework for Premium Practices (46:39) Hiring Challenges and Growing a Values-Led Business This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.
Behind the Gottman Method with Dr. Julie Schwartz Gottman
2025/11/24
What does it take to turn decades of clinical experience into a movement that reshapes therapy around the world?  Dr. Julie Schwartz Gottman joins Michael Fulwiler to share her personal and professional journey behind co-founding The Gottman Institute and co-developing the Gottman Method. Julie recounts the pivotal decisions that led her from private practice to co-creating a global clinical training business with her husband, Dr. John Gottman. She also opens up about growing up in a family shaped by generational trauma, navigating early challenges in the mental health field, and why she’s always gravitated toward serving clients in deep pain. Tune in to learn how Julie balanced a mission-driven mindset with the realities of running a business, and why therapists should protect their values even as their practices grow. In the conversation, they discuss: Building a sustainable private practice rooted in serviceHow the Gottman Method evolved from research to widely taught clinical frameworkWhat every therapist needs to remember when navigating visibility and legacy Connect with the guest: The Gottman Institute on Instagram: https://www.instagram.com/gottmaninstitute/ The Gottman Institute on LinkedIn: https://www.linkedin.com/company/the-gottman-institute/ Visit The Gottman Institute website: https://www.gottman.com/  Connect with Heard: Andrew Riesen's LinkedIn: https://www.linkedin.com/in/andrewriesen/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form  Jump into the conversation: (00:00) Welcome to Heard Business School (00:25) Meet Dr. Julie Schwartz Gottman (01:26) How generational trauma shaped Julie’s early life (03:51) Childhood suicide attempt that changed her path (05:05) Visiting concentration camps and reclaiming Jewish identity (06:52) Creating a crisis hotline during the Vietnam War (13:09) Polio, pain, and finding empathy through suffering (15:21) Living in India and feeding street children (17:21) Journey from Kathmandu to grad school in 36 hours (22:15) Meeting John Gottman and instant recognition (28:41) Launching the Gottman Institute from a dining table (31:09) Developing the Gottman Method (35:53) Working 40 clinical hours while building a business (42:51) Upholding standards for the Gottman Referral Network (47:16) Facing constant sexism while building a global brand (52:39) Rapid-fire questions on legacy, joy, and hope This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.
Solving the Supervision Crisis in Mental Health with Rachel Ledbetter
2025/11/17
Therapists entering the field face a hidden obstacle that can derail their entire career: finding affordable, accessible clinical supervision. Rachel Ledbetter, licensed marriage and family therapist and CEO of Motivo, joins Michael Fulwiler to share how her own struggle to get licensed in rural Georgia led her to build a company that’s now helping thousands of therapists cross the finish line to licensure. In this candid conversation, Rachel talks about her early startup mistakes, the values that guide Motivo’s pricing model, and what it’s like to raise venture capital as a therapist in tech. She also reflects on the identity shifts that came with divorce and growing a mission-driven company. Listen to this episode to hear how Rachel turned one of the biggest barriers to becoming a therapist into a business that’s helping others get licensed. In the conversation, they discuss: The supervision bottleneck and why so many therapists never get licensedHow Rachel bootstrapped Motivo without a technical backgroundWhat therapists get wrong about venture capital and tech startups Connect with the guest: Rachel on LinkedIn: https://www.linkedin.com/in/rachelmccrickard/ Visit the Motivo website: https://motivohealth.com/  Connect with Heard: Andrew Riesen's LinkedIn: https://www.linkedin.com/in/andrewriesen/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form  Jump into the conversation: (00:00) Welcome to Heard Business School (00:51) Meet Rachel Ledbetter (03:00) From Bible Ministry Degree to Therapy Career (05:00) Shifting Away from Faith-Based Counseling (07:00) Working Skid Row and Post-Grad Supervision Struggles (09:00) Driving Four Hours Weekly for Supervision (11:00) Launching Motivo on Shopify with No Tech Team (13:00) Growing Fast Through Professional Association Partnerships (15:00) Why Motivo Switched to B2B Model (17:00) The Supervision Crisis Blocking Licensure for Therapists (21:00) What Most Therapists Misunderstand about Venture Capital (24:00) Why Motivo Doesn’t Let Supervisors Set Rates (27:00) Learning to Give Hard Feedback as a Leader (34:00) Separating Your Identity from Your Business (42:00) Advice for Therapists Who Want to Build Tech (49:00) Rachel’s Favorite Founders and Lessons from Luck This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.
Owning Your Therapist Identity Online and Offline with Liz Beecroft-Ridgway
2025/11/10
What if your love for sneakers, storytelling, and sports could help shape a thriving private practice? Liz Beecroft-Ridgway, licensed clinical social worker and founder of MENTL.SESH, joins Michael Fulwiler to share how she built a brand that bridges therapy, creative partnerships, and athlete mental health. From designing a sneaker with Nike to leading workshops with Saucony and speaking at Phillies games, Liz reveals how she’s turned her unique passions into professional impact. She opens up about leaving the foster care system, launching her own practice, and learning how to price, pitch, and partner with major brands, all while staying true to her mission. In the conversation, they discuss: How to position your practice to attract aligned partnershipsWhy therapists should embrace their full identity onlineWhat to consider when creating custom vs. standardized offerings Connect with the guest: Liz on Instagram: https://www.instagram.com/lizbcroft/ Liz on LinkedIn: https://www.linkedin.com/in/lizbcroftlcsw/ Visit the MENTL.SESH website: https://www.mentlsesh.com/  Connect with Michael and Heard: Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/ Newsletter: https://www.joinheard.com/newsletter Book a free consult: joinheard.com/consult  Jump into the conversation: (00:00) Welcome to Heard Business School (00:18) Meet Liz Beecroft-Ridgway  (01:31) How Philly Sports Culture Shaped Liz (03:09) Anxiety and Pressure in Competitive Youth Sports (05:38) How Female Athletes Process Mental Health Differently (07:06) From Bio Major to Psych Major at NYU (09:50) Posting Sneakers Online Led to Burnout Relief (11:06) Designing a Nike Sneaker About Mental Health (14:24) Working in Foster Care and the Burnout Cycle (18:14) First Steps into Building a Private Practice (20:21) Shifting Niche to Athletes and High Performers (23:28) Therapists vs. Sports Psychologists (25:26) Launching a Brand That’s Bigger Than Therapy (28:43) Creating Mental Health Tools Through Brand Partnerships (38:33) Pricing Custom Workshops Without Underselling Yourself (43:27) What Therapists Should Know About Sponsored Content This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.
How to Get More Private Pay Clients with Danielle Swimm
2025/10/27
Leaving community mental health to build a thriving private practice isn’t easy, especially as a young therapist navigating burnout, financial stress, and single motherhood. Danielle Swimm, licensed clinical social worker and founder of The Entrepreneurial Therapist, joins Michael Fulwiler to share her path from driving Uber and making home visits to coaching other therapists on how to market themselves, go off insurance panels, and build sustainable businesses. Danielle opens up about the mindset shifts that helped her stop “manic marketing,” redefine entrepreneurship on her own terms, and create time freedom while staying clinically excellent. Listen in to learn how she went from feeling overwhelmed and underpaid to becoming a confident therapist entrepreneur with multiple income streams, and how you can, too. In the conversation, they discuss: How to leave insurance panels and still fill your caseloadDanielle’s favorite strategies for getting private pay clientsWhy doing less but better is her business mantra Connect with the guest: Danielle on Instagram: https://www.instagram.com/entrepreneurialtherapist/ Danielle on LinkedIn: https://www.linkedin.com/in/danielle-swimm-283160234/ Visit The Entrepreneurial Therapist website: https://www.theentrepreneurialtherapist.com/  Connect with Michael and Heard: Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/ Newsletter: https://www.joinheard.com/newsletter Book a free consult: joinheard.com/consult  Jump into the conversation: (00:00) Welcome to Heard Business School (00:25) Meet Danielle Swimm (03:19) Discovering therapy at 16 and struggling through high school (04:21) Learning leadership and business from a clinical director (07:25) Driving for Uber and doing crisis work to make ends meet (10:39) The realities and risks of doing unmonitored home visits (13:04) Learning marketing through trial and error without business mentors (18:00) Redefining what it means to be an entrepreneur as a therapist (22:32) The long, messy road to starting a private practice (25:05) How Danielle transitioned off insurance panels (27:14) Manic marketing vs. focused marketing (30:46) Embracing the mindset of a full caseload before it happens (36:08) Behind the scenes of Danielle’s course, Mastermind, and income streams (45:17) The best ways to get private pay clients today (48:11) Navigating tech, AI, and therapy’s uncertain future (53:33) Rapid-fire questions on motherhood, burnout, bad advice, and being seen This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.
What Therapists Need to Know About AI and Privacy with Candice Thompson
2025/10/13
Many therapists are feeling pressured to adopt the latest tech tools, but what if embracing every new innovation isn’t always in the best interest of your practice? Candice Thompson, a licensed marriage and family therapist based in Silicon Valley, joins host Michael Fulwiler to share why she calls herself “tech cautious” and how that stance has helped her build a thoughtful, sustainable private practice.  With 20 years of experience and a growing voice on LinkedIn, Candice offers a grounded perspective on privacy, ethics, and the dangers of moving too fast in a tech-driven therapy world. In the conversation, they discuss: The real risks of AI, coaching overreach, and client data breachesHow to choose tech that serves your practice, not the other way aroundWhy licensed therapists must be the gatekeepers in today’s mental health landscape Connect with the guest: Candice on LinkedIn: https://www.linkedin.com/in/candice-thompson-lmft/Visit her website: https://candicecandelaria.com/  Connect with Heard: Andrew Riesen's LinkedIn: https://www.linkedin.com/in/andrewriesen/Newsletter: https://www.joinheard.com/newsletter Book a free consult: https://www.joinheard.com/welcome-form  Jump into the conversation: (00:00) Welcome to Heard Business School (00:29) Meet Candice Thompson (01:49) How Therapy Inspired Candice to Change Careers (03:33) What USC Taught Her About Ethics and Business (04:26) Starting Out with No Financial Safety Net (08:40) How Candice Launched Her Private Practice (09:59) Using LinkedIn to Think Like an Entrepreneur (11:44) When Coaching Becomes Illegal Therapy Without a License (15:19) Why Licensing Exists and Protects Clients From Harm (18:57) The Dangers of Data Breaches in Therapy Tech (28:05) What Tech Founders Know About Screen Time (31:21) Why Candice Chose Spring Health Over Others (33:03) How Candice Went Viral on LinkedIn (42:47) A Therapist’s Unfiltered Take on AI in Therapy (46:41) The Eating Disorder Chatbot That Got Pulled (50:28) Therapists Have the Power to Shape This Industry This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.
Turning Personal Trauma into a Career in Private Practice with Dr. Bryan Harnesberger
2025/10/06
Starting a private practice is hard enough. Doing it while honoring your values, managing student debt, and keeping therapy human? That’s something else. Dr. Bryan Harnsberger, a clinical psychologist and co-founder of Wellesley Counseling & Wellness, joins Michael Fulwiler to share how he’s built a thriving practice rooted in authenticity, attunement, and play. From a life-changing car accident at 16 to earning his doctorate and growing a team of 30, Bryan opens up about the messy, real side of business ownership. You’ll hear how he balances his irreverent personality with the seriousness of clinical work, what it takes to create a workplace that people love, and why taking risks even before you're ready is the only way forward. In the conversation, they discuss: Building a people-first practice without burning outNavigating student debt while starting your own businessThe value of bringing fun and humanity back into therapy work Connect with the guest: Bryan on LinkedIn: https://www.linkedin.com/in/bryanharnsberger/ Visit the Wellesley Counseling & Wellness website: https://www.wellesleycw.com/   Connect with Michael and Heard: Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/ Newsletter: https://www.joinheard.com/newsletter Book a free consult: joinheard.com/consult  Jump into the conversation: (00:00) Welcome to Heard Business School (00:14) Meet Dr. Bryan Harnsberger (03:32) Surviving a car crash (05:10) Losing a friend inspired his therapy career (07:14) Why he chose a PsyD over PhD (08:56) Getting diagnosed with ADHD after brain injury (13:06) How Trump’s block sparked unexpected online influence (15:17) Humor as a serious tool in therapy (16:04) Lessons from a toxic group practice experience (19:59) Cold email to NBA led to big break (21:45) Building a business with his wife, Emily (26:07) Starting a practice right before COVID hit (27:14) Understanding finances changed how he took risks (32:10) What it took to launch med management (35:01) Ethical testing vs. insurance reimbursement challenges (38:05) Leading with compassion, not just policy or process This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.
From Social Worker to Practice Owner with Brent Metcalf
2025/09/29
Starting and scaling a private practice can feel overwhelming, especially in a rural region with limited resources. Brent Metcalf, a trauma therapist and group practice owner at Tri-Star Counseling, joins Michael Fulwiler to share how he built a thriving therapy business in Appalachia while staying true to his mission of expanding access to care. Brent opens up about transitioning from social work to private practice, navigating financial uncertainty, and building a practice that reflects his values. He shares the strategies that helped him grow, from offering pro bono sessions during a natural disaster to hiring provisionally licensed therapists and negotiating with insurance companies. Listen to hear how Brent balances business growth with community care, and why leading with heart can be a powerful strategy for therapists building something of their own. In the conversation, they discuss: What it takes to launch a successful practice in a rural areaHow to grow from solo to group practice without burning outWays to stay connected to your mission while running a business Connect with the guest: Brent on LinkedIn: https://www.linkedin.com/in/brent-metcalf-028870272/ Visit the Tri-Star Counseling website: https://tri-starcounseling.com/  Connect with Michael and Heard: Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/ Newsletter: https://www.joinheard.com/newsletter Book a free consult: joinheard.com/consult  Jump into the conversation: (00:00) Welcome to Heard Business School (01:36) Introducing Brent Metcalf (03:01) Growing Up in Rural East Tennessee (04:31) Small-Town Roots and Musket Bowl Tradition in High School (05:06) From Ministry to Social Work (06:11) Joining CPS and Getting Hooked on Fieldwork (08:10) Choosing to Go Back to Graduate School (08:52) Transitioning to Vanderbilt and Mental Health Consulting (10:18) Starting a Therapy Practice Without Business Experience (14:18) How a Financial Advisor Pushed Him to Go Full-Time (17:33) Expanding from Part-Time Practice to Full-Time Mission (18:52) The Importance of Therapy Access in Appalachia (24:18) Building Trust in Resistant Communities (30:35) Offering Free Therapy After a Natural Disaster (34:02) Overcoming Fear of Hiring Employees (37:17) Navigating Healthcare Crisis Without a Biller (39:48) The Stress Group Owners Face Daily (43:27) Negotiating Higher Insurance Reimbursement Rates (48:15) Staying Connected to Your Why to Prevent Burnout This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.
How to Charge Premium Rates Without Guilt with Amanda Buduris
2025/09/22
Leaving a traditional therapy model can feel risky, but for Dr. Amanda Buduris, it was the shift that transformed her business.  Amanda, a licensed psychologist and Brainspotting & EMDR therapist, joins host Michael Fulwiler to share how she went from a burned-out college counseling center employee to a thriving private practice owner charging $350 to $500 per hour. Amanda walks through her journey into private practice, her decision to stop offering standard 50-minute sessions, and how introducing therapy intensives helped her regain control over her time and energy. She also shares how therapists can navigate the discomfort of premium pricing and shift their mindset around what their work is worth. Whether you're early in your private practice journey or rethinking your business model, Amanda’s story offers a fresh and practical perspective on what’s possible when therapists put sustainability first. In the conversation, they discuss: Why therapy intensives can be more effective for clientsHow to set rates that reflect your valueMoving past guilt around charging premium fees Connect with the guest: Amanda on Instagram: https://www.instagram.com/amandakbcoaching/ Amanda on LinkedIn: https://www.linkedin.com/in/amandabuduris/ Visit Amanda's website: https://amandakbcoaching.com/  Connect with Michael and Heard: Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/ Newsletter: https://www.joinheard.com/newsletter Book a free consult: joinheard.com/consult  Jump into the conversation: (00:00) Welcome to Heard Business School (00:25) Meet Dr. Amanda Buduris (01:45) How Safe and Sound Protocol supports healing (02:42) Amanda’s first-gen experience in grad school (05:21) First therapy sessions with college students (08:14) Burnout pushed her toward private practice (10:50) Challenges during the pandemic (12:12) Resources that helped her launch her practice (14:20) Getting her first client through Reddit (15:10) Choosing trauma and couples as her niche (18:32) Raising rates and letting go of fear (21:22) Why she stopped accepting insurance and EAPs (23:30) Outsourcing bookkeeping before seeing her first client (28:32) Coaching therapists on business and mindset (34:34) Is charging premium therapy rates ethical? (41:57) What intensives are and why they work This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.
Turning Email Subscribers into Clients with Avivit Fisher
2025/09/15
Email marketing might not be the first thing therapists think of when growing a private practice, but it’s a powerful way to build trust and drive referrals. Avivit Fisher, founder of REdD Strategy, joins Michael Fulwiler to discuss how therapists can utilize email to attract and retain clients, establish authority, and future-proof their practices against shifting algorithms and social media burnout. Avivit breaks down what makes a good lead magnet, why you need a welcome sequence, and how to build a list that actually delivers value. Whether you’re just getting started or want to improve your current email strategy, this episode offers simple, actionable advice. In the conversation, they discuss: Why email marketing is still underused in mental healthHow to get your first 100 subscribers without paid adsMistakes to avoid when writing newsletters and welcome emails Connect with the guest: Avivit on LinkedIn: https://www.linkedin.com/in/reddstrategy/Visit the REdD Strategy website: https://www.reddstrategy.com/Visit the REdD Academy Network: https://www.reddacademy.com/   Connect with Michael and Heard: Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/ Newsletter: https://www.joinheard.com/newsletter Book a free consult: joinheard.com/consult  Jump into the conversation: (00:00) Welcome to Heard Business School (00:22) Meet Avivit Fisher (01:45) How Avivit Discovered the Need for Therapist-Focused Marketing (04:27) The Right Way to Start Building Your Email List (06:28) Choosing the Best Email Platform for Your Goals (10:20) What Makes an Irresistible Lead Magnet in 2025 (13:30) Building a Simple Marketing Funnel That Converts (15:28) Turning Social Media Followers into Loyal Subscribers (18:58) How Webinars and Newsletters Can Drive Real Growth (24:15) What Most Therapists Miss in Their Welcome Email (29:06) How Often Should You Email Your List (33:19) What Bad Email Marketing Looks Like (and How to Avoid It) This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.
How to Pivot Your Therapy Business When Life Changes with Whitney Goodman
2025/09/08
Building a therapy business takes persistence, creativity, and a willingness to pivot when needed.  Whitney Goodman, licensed psychotherapist and founder of Calling Home, joins Michael Fulwiler to share her journey from starting private practice while working full-time to becoming a successful content creator and membership community leader. Whitney opens up about growing her client base through Instagram, navigating the challenges of launching a coworking space before the pandemic, and how she shifted to creating online courses and paid memberships focused on adult family relationships. Listen to learn how Whitney balanced entrepreneurship with therapy work, embraced experimentation, and validated her ideas before investing deeply. In the conversation, they discuss: Pivoting your business in response to unexpected challengesCreating online courses and membership models that truly connectMarketing your therapy business without feeling salesy or pushy Connect with the guest: Whitney on Instagram: https://www.instagram.com/sitwithwhit/  Whitney on LinkedIn: https://www.linkedin.com/in/whitneylhawkins/Visit the Calling Home website: https://callinghome.co/  Connect with Michael and Heard: Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/ Newsletter: https://www.joinheard.com/newsletter Book a free consult: joinheard.com/consult  Jump into the conversation: (00:00) Welcome to Heard Business School (00:25) Meet Whitney Goodman (03:06) Whitney’s path to becoming a therapist (05:17) Starting private practice while working full-time (06:29) How Whitney got her first clients (07:33) Growing Instagram and handling early challenges (09:09) Whitney’s niche in family relationships (11:07) Marketing efforts after going full-time (15:41) Launching online courses during Covid (17:31) The viral post that changed Whitney’s career (19:32) Handling negative comments on social media (22:38) Creating and selling Whitney’s first course (27:26) Reflecting on mistakes and lessons learned (28:24) Why hired marketers often failed Whitney (31:06) Forming calling home membership community (34:12) Moving from toxic positivity to family relationships (36:24) Therapists can also be your clients (38:35) Membership pricing and commitment choices (41:53) Challenges in social media to paid client conversion (44:16) The worst things Whitney’s heard online, advice for listeners, and more This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.

Podcast reviews

Read The Money Part of Private Practice (Heard Business School) podcast reviews


5 out of 5
39 reviews
★★★★★
Avivit Fisher REdD Strategy 2025/04/25
What you don’t learn in Grad School
Most therapists don’t learn about the business of private practice in schools. This podcast is the business course you needed and more. Highly recomme...
★★★★★
lel374 2024/12/19
Wonderful Podcast!
This podcast is so great for any therapy entrepreneur looking to build their practice, expand their income, and run a better business! I was a guest o...
★★★★★
Tracy Vadakumchery, LMHC, LPCC 2024/12/03
Useful for every therapist thinking about Private Practice
Heard Business School really challenges this idea that therapists shouldn’t have a money mindset. Yes, you didn’t do this for the money. But so long a...
★★★★★
Lisalcsw 2024/11/22
So much to learn!
Though I am a seasoned therapist, I often learn more about being in practice from this podcast. I also appreciate how they give a voice to diverse lis...
★★★★★
TheBlackMaleTherapist 2024/11/22
So much knowledge!
This podcast is super informative for therapist at any level. I was just as excited to be a guest as I am a listener. There is always something new to...
★★★★★
lizsink 2024/08/15
Amazing podcast if you’re starting a practice
This podcast helps therapists understand they aren’t alone in the challenges they face and gives great ideas for launching or growing a practice
★★★★★
Justin Dodson 2024/08/02
We love it
Heard Business School gifts fellow mental health entrepreneurs quality insight from other like minded professionals within mental health. Every interv...
★★★★★
AAuerbachPhD 2024/08/01
Great resource for therapists
This show is packed with info to help you grow and run a practice. Highly recommend!
★★★★★
Uriah Guilford 2024/07/31
Loving Heard Business School!
This podcast is an amazing resource for therapists. The guests, topics and interviews have been fantastically helpful and also entertaining. Very well...
★★★★★
FinancialTherapistJillian 2024/07/31
The Money & Business Class We Didn’t Get In Grad School
I’ve recommended this podcast to so many colleagues already! Michael is an excellent host and clearly an advocate for therapists! Every episode is f...
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