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July 14, 2025 34 mins

My live Ask Allison recording sessions are a great way to get free, conversational support. Today’s podcast episode—sponsored by our friends at TherapyNotes®—features a clip from one of those sessions, recorded back in June. In it, we cover topics like launching a bare-bones private practice with limited financial resources, starting a group practice, marketing a nearly full practice, and dealing with writer's block. 

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:09):
(Transcribed by TurboScribe.ai. Go Unlimited to remove this message.) Hey, our Live Ask Allison's are an opportunity
for you to get free, live, conversational support
from me.
You're hearing an excerpt from one we did
recently.
I'll give you details on how you can
join our next Live Ask Allison at the
end of the episode.
So I've talked about therapy notes on here
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I could talk about the features and the
benefits in my sleep, but there are a

(00:34):
make it into an ad script.
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helps clients find you, internal and external secure

(00:54):
messaging, clinical outcome measures to keep an eye
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In my conversations with the employees there at
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Second, they are proudly independently owned.
Why should you care about that?

(01:15):
Because as soon as venture capital becomes involved,
the focus shifts from making customers happy to
making investors happy.
Prices go way up, innovation plateaus, making more
money with as little output as possible becomes
the number one focus.
With over a hundred thousand therapists using their
platform, they've been able to stay incredibly successful
and they don't have to sacrifice your experience

(01:37):
to stay there.
You can try two months free at therapynotes
.com with the coupon code ABUNDANT.
Okay, I'll keep the eye on the other
folks who will come in later.
Welcome, hi.
Yeah, Elliot.
Hello, it's my first time here.
Can you hear me okay?

(01:57):
I can hear you great, yeah.
Oh perfect, awesome.
Yeah, first time here.
I have been probably trying to launch a
practice for about four years now, but you
know, I'm two kids in, so some stuff
has happened.
Third stop.
Yes, yeah, and you know, money is also

(02:18):
super tight, so I'm really looking at how
can I just like bare bones get this
going.
I've had interest and so I feel like
now I just got to do it.
There's no more messing around.
So really looking at how can I launch
a bare bones practice with, you know, minimal
financial resources.

(02:39):
Yeah, yeah.
So I would say first, the most obvious
is be virtual, right?
That's going to be a lot less rent
somewhere.
Yes.
Do you have a niche yet?
I do.
So yeah, my niche is serving transracial adult
adoptees who are dealing with identity challenges, their

(03:02):
adoption experience, as well as like trauma from
adoption.
And then I also do lifebook work, which
is related but somewhat separate, but all related
to adoption and identity and adoption experiences.
Got it.
Yeah.
So I would say being virtual, Zoom networking
with people saves you the five bucks on

(03:24):
the coffee.
You've got your whole state, maybe more states
if you're licensed elsewhere, but you've got an
entire state.
And I think tapping into like where does
your ideal client go when they're looking for
help?
How do they know they need help?
What's going on for them that they're coming
into therapy right now?
That's a question I have for you.

(03:46):
Because we've got the demographic of who they
are, but what's the problem they're wanting to
work through?
Yeah.
And I'd say a lot of it falls
on not feeling like they fit.
I don't fit either in my family.
I don't fit with, you know, my race
or cultural background, but I also don't fit
in dominant culture race, but like where do

(04:07):
I and those kinds of challenges?
Yeah.
So where do they go or where are
they showing up?
Yeah.
Are they showing up to their PCP for
some antidepressants because of the way it's showing
up?
Are they like tapping into any sort of
like cultural activities from one, you know, like

(04:28):
something that matters to them or they're exploring
their cultural identity?
Are they getting into advocacy in some way
that's related to what they're going through?
I think a lot of it's going to
be probably family saying you got to do
something.
This is a lot and it's showing up
in other ways, you know, behaviorally sometimes, or

(04:51):
it looks like depression.
So yeah, I think the PCP is a
good place to tap into.
I think there's a lot of, I don't
think they're quite at the tapping into cultural
stuff because it feels so foreign and uncomfortable.
So I don't think they're quite there yet.
Yeah.
But yeah, PCP.

(05:12):
So as far as like, and I guess
we were kind of just talking about this,
but as far as like tapping into primary
care places, yeah.
Is that reaching out to the referral coordinator?
It can be.
And I'll say like the most referrals I've
gotten from any like medical providers have been
my own medical providers.

(05:33):
So it's also like while you're at the
doctor and they're like, well, how are things
going?
You can work in your practice there.
You can be like, yeah, things are going
really well.
I've been working on my private practice where
I work with this population.
Here's the way it often shows up.
They often will come to doctors first for
antidepressants.
I think the hard part there is that
PCPs may not know they're transracially adopted, right?

(05:56):
Right.
Unless their pediatrician parents are bringing them.
Right.
Right.
Yeah.
And I'm really trying to move more towards
adults because I see that as being a
group who's just totally forgotten about, honestly.
Yeah.
I think the other piece that's kind of
going for me is connection to local adoption

(06:17):
agency, as well as a education, like a
training education program that I do some facilitation
and also case consult on.
So I'm like, can I, is there any
way sounds maybe not the best choice of
words, but to exploit that, right.
To tap into that a little bit more

(06:39):
in addition to medical providers, which I can
totally do.
Yeah.
A good question came up in the chat.
Where are you?
Where do you live?
I'm in Minnesota and we are a state
that is hugely involved with adoption.
So that's going for me.
I'm in Minnesota.
So I wonder too, I don't know how

(06:59):
you feel about public speaking, but I'm sure
that there are conferences for adoption professionals.
I wonder about speaking at those.
Yeah.
I don't know the data or anything about
like if someone was adopted, are they more
likely to adopt?
In which case, there might be something there

(07:21):
in the adopting community.
Yeah.
Yeah.
Yeah.
And I'm fine with pub.
Well, I don't like it, but I will
do it for this population because I feel
so passionate about it.
I'm also an adoptee, a transracially adopted person.
So yeah, I can do more of that.

(07:41):
I have done kind of like webinars here
and there for like the adoption groups and
things like that.
So, okay.
Yeah.
And I actually, I don't know the research
on that either.
So that would be interesting to find out.
One thing for public speaking for anybody considering
it, it's great to go up and speak

(08:01):
and give a really great talk that people
can take things home and learn from.
What I would love for you to also
make sure you do at the end is
to pitch your practice in a really smooth,
easy way, because there are going to be
people in that audience who really want more.
And if you don't tell them how to
get it, they're not going to know.
So the thing I usually like to say

(08:22):
is like, for some of you, this is
exactly what you needed.
And I love that you can take some
things home and start applying them.
Others of you may want to go deeper.
You may need some support in going deeper
and integrating this into your life.
For those of you who are in that
position, you have my information on this slide,
or you have my information in the email
or whatever, please reach out.

(08:44):
And I would really love to support you.
Yeah.
Yep.
Awesome.
It's not salesy.
It's not cheesy.
It's just like an opportunity for the people
for whom it fits.
Absolutely.
Thank you.
Yeah.
Yeah.
And it looks like you've gotten some good
feedback in the chat too, of different places
to look.
Yeah.
Some good stuff.
Yes.
Awesome.
Thank you.
Yeah.
I do work with PAC, Eileen, if you're

(09:07):
familiar with that.
So yeah, totally familiar with CASE.
Thank you.
Thank you very much.
Yeah, absolutely.
Who else?
Let's see.
Carmen, do you want to unmute yourself, Carmen,
and we can, and ask your question and
we can start there?
Sure.
We're thinking about expanding our practice and just

(09:28):
trying to consider how do we advertise?
Well, I guess the things you really need
to know when you're getting ready to expand
your practice and setting that up since it's
just been the two of us so far.
So I love this question.

(09:48):
And if you've heard me talk about group
practice before, you've probably heard me say this,
that if you're going to start a group
practice, I want you to really love managing
people because that's where you're going to end
up spending most of your time is in
managing colleagues.
So a lot of people end up going
into group practice.
And I don't know if this is you
or not, Carmen, but a lot of people

(10:09):
end up going to group practice because they
continue to get referrals and it just feels
like the next logical step.
And who doesn't want to make more money?
I assume most of us wouldn't turn that
down if it felt ethical and good.
So in order for it to be ethical
and good and to prevent your folks that
you hire from ending up in my programs
to get out of a toxic agency, you

(10:32):
have to be really good at leadership.
And you have to, like the good at
leadership part where we tend to fail as
therapists is we're too accommodating and too nice
and too lax.
This is definitely where I have messed up
as a leader in the past.
So like if you don't set really clear
expectations and have clear accountability and follow-up,

(10:55):
if those expectations aren't met, then everybody's going
to hate it.
People are going to be crying in each
other's offices.
It's going to be like any agency job
you ever worked at.
So I would say before you start a
practice, a group practice, I would encourage you
to get leadership training.
I don't know of any courses or anything
like that.
I feel like leadership training, the way I

(11:18):
feel about supervision, like we can read about
how to be a therapist, but that's really
different from being a therapist and having stuff
come up and needing somebody to talk to
about that.
So having like a one-on-one leadership
coach is what I would recommend.
So I'll say that.
I'll say leadership is the most important piece

(11:39):
of group practice.
You also have to be really willing to
look at numbers constantly.
You got to have a certain number of
clients that your therapists need to see per
week to even just break even because how
much profit you actually make as a group
practice owner is actually pretty slim.
The profit margins, that's the word or the

(12:00):
phrase.
The profit margins are a lot slimmer than
most of us who have been employed by
group practices assume.
By the time they're paying taxes, if you're
a W-2 or you're hiring W-2s,
which I strongly recommend over a 1099, by
the time you're paying taxes, if they're in
person, you're paying offices, you're paying for so

(12:21):
many different things.
Hopefully you have some continuing ed credit in
there for them.
If you're being the kind of boss you
want to be, the profit margins are slim.
Even if you're being a shitty boss, honestly,
the profit margins are slim.
So making sure that you know the numbers
that each person needs to hit and that
you can provide those referrals.
I'm a strong advocate for if you're a

(12:42):
group practice owner, it's your job to get
clients in for them.
It is not your therapist's job to market.
Why wouldn't they just be in their own
practice?
Then there's just all the legal stuff, depending
on what state you're in.
If somebody works a certain number of hours,
then you have to give them benefits.
It's really hard with your slim margins to
provide health insurance.

(13:03):
So knowing exactly what that looks like for
your state, what the laws are.
I love the group practice exchange.
They have a membership site similar to the
abundance party, but all about group practice and
they have the contracts that you can use.
They have leadership guidance.
They have a lot of really good support

(13:25):
for group practice owners at all levels.
So I would recommend looking at the group
practice exchange so that you can be a
great leader and have a really great group
practice that people are glad they work at.
Who else?
Yeah, Kimberly.
Kimberly, then Brand.
Hi, everybody.
Hi, Allison.

(13:46):
It's so good to see you and be
with you.
Well, okay.
I'm trying to synthesize my questions.
I have so many, but I'll just start
with, I'm a somatic therapist, a licensed clinical
social worker.
I do somatic experiencing and IFS.
I'm in Maryland.
I have a virtual practice.
I'm out of network.

(14:06):
I specialize in burnout prevention and recovery.
My niche is like busy women professionals who
present with anxiety and struggle with perfectionism.
They all have childhood trauma or came from
very dysfunctional family of origin dynamics.

(14:27):
I am going through a transition where I'm
really feeling called to do group work.
I've been playing with like low cost offerings
or even free offerings, somatic self-care.
And I think I might be, I'm in
a tweak phase and I'm, yeah, and I'm,
I think I may be kind of really
interested in working with healers and therapists.

(14:51):
And I'm transitioning not only to wanting to
do group work, but sort of somatic coaching,
or I'm calling it somatic self-care because
I don't know what else to call it.
But I'm actually going like a sequence through
like embodiment into dancing and like creativity.
So yeah, and I just trained training in

(15:12):
sound healing and like vibrational, just using like
even Reiki, so energy work.
And I'm gearing up to launch a safe
and sound protocol.
I'm thinking to combine SE, IFS, safe and
sound protocol.
And I don't know what to do about
like visibility.
And I have noticed that referrals have dried

(15:34):
up and it does like, sort of like
go through like that panic phase.
And then I'm like, wait a minute, but
I'm actually not like my current marketing is
occasional coffee chats with people I actually really
like.
It's like easy.
It's like, Oh, I haven't talked to her
in a while.
And I have a therapy den directory.
That's it.
And also trauma therapist network.

(15:56):
I used to get a lot more referrals
from therapy den, but I don't know if
it changed since Jeff sold the directory.
I still get some, but like all my
ideal clients come from that like copy that
I wrote.
But yeah, I guess my question is like,
I don't know, burnout recovery and self care
just feels so individualistic.

(16:16):
And I'm really feeling called to like meeting
the needs of the collective, like in service
of collective liberation.
But I'm not like a, I don't have
like a liberatory focused practice, although in a
way that's what I feel the individual work
is leading to like capacity for collective healing,
but I don't know.
So my question is like, I'm worried about

(16:38):
visibility.
Like how am I going to fill these
somatic SSP?
I mean, to go from, how do I
get someone to sign up for like, it's
like going to be like 12 weeks, you
know?
So I'm trying to give these like low
cost offerings so people can get a sense
of my style before signing up for like,
we're going to go on a journey with
SSP.
It's definitely a journey.

(17:00):
Any thoughts in terms of like visibility, tweaking,
marketing strategy?
And I'm so sorry if that was like
very rambly.
I need like five hours with you.
I need your program.
I need a lot out.
But yeah, I've got it synthesized, I think.

(17:20):
It all comes down to your niche, right?
Because I think we've got burned out women.
We also have maybe healers, therapists, et cetera,
who are also burned out.
Like there are some people looking for safe
and sound, but that's not the majority of
people.
Most people don't care how the sausage gets
made.
They just want to feel better, right?
So thinking about like, if your ideal client

(17:40):
is a burned out therapist, how do you
market to that burned out therapist about their
burnout?
And therapists are going to know about safe
and sound, or not everybody's going to know,
but like they're more likely to know than
a lay person.
So it's thinking through, what is it that
your ideal clients want?
What are they currently struggling with that is
making life significantly harder for them?

(18:03):
And speaking to that.
And so we got to start there with
the visibility conversation, because otherwise we can get
really caught up in how do we explain
safe and sound?
Or how do we convince somebody that 12
weeks is worth it?
Because probably most of us have clients who
stay with us for longer than 12 weeks.
No problem.
That's probably not been an issue you've ever

(18:23):
been like, man, nobody, everybody drops off at
week nine.
I have clients that I've been working with
for a year, like six years.
Yeah.
But that's also like anxiety provoking because they're
getting, you know, they're at a place where
they're ready to probably, you know, people aren't
going to stay.
The model isn't let's get people to stay.
We want people to get better and move
on.
And with the way that the referral system

(18:46):
is working, it's just not the same as
it was.
Right.
It's definitely not the same as it was.
And we have to do more to be
found than we used to, which is not
what anybody wants to hear.
Like, I don't know.
I don't know many therapists who were like,
sign me up for more marketing.
Sounds great.
But here we are.
And it's not necessarily more work.

(19:08):
It's just more thoughtful marketing.
Like it's not more hours marketing.
It's just more thoughtful.
So you're getting really clear on like which
niche you want.
Is it more generalized to women?
Is it more specific to therapists or healers?
How do you speak about that burnout in
a way that's not like everybody else is
talking about burnout?

(19:29):
An interesting thing I've been recognizing is that
burned out women is like every woman.
It's like literally every woman I know.
But it sounds like a really specific niche,
right?
Like if one of us burned out women
see somebody talking about the daily lived experience
of a burned out woman, we're like, oh,

(19:50):
you totally know me.
So it's one of those niches that feels
really narrow, but it's actually quite broad in
a good way in terms of how many
people fit into it.
So burned out therapist has a specificity that
narrows it further in a great way, if
that's who you want to work with.
But when we're talking about working with therapists,

(20:11):
we have to be...
Therapists are more selective, more picky.
We really need to feel like you're the
one for us and you know some things
that I am not implementing or don't know
in order for you to help me heal
or move through what I'm moving through.
So typically, just like everybody else, that means

(20:32):
explaining that daily lived experience better.
And with therapists, you will talk more about
how you work than you would a layperson
niche.
So I would think about most of us
probably use word of mouth when we're looking
for our own therapists or our own care.
You could also network with therapists who work

(20:55):
with therapists.
Say like here's a group that could be
going on in the background of your work.
Like I'm not wanting individual clients right now.
I'm wanting this group work.
And so I'm not trying to steal your
clients, but I can help support them in
this way.
And there are thankfully a number of therapists,
therapists out there who can help.

(21:16):
Okay.
Thank you.
Did that get you what you needed?
Yeah.
Yeah, it did.
I think it's like with anything, it's going
back to the basics, like getting clear on
the niches, what I feel like I need
to like get really clear on that pain
point.
And this is what I'm walking away from.
It's like, how do I describe what, what
there's the relief that they're seeking the under

(21:38):
pain?
Yeah.
Yeah.
Yeah.
I have a lot to chew on.
Thank you so much.
Absolutely.
Yeah.
Brandy, you were next.
Hi.
Can I follow up on a previous one
first and then ask my question?
I put it in the chat, but could
you define what a warm letter is?
Yeah.
So this is something in the abundance party.

(21:58):
We have a whole training on how to
do warm letters, but they're essentially something that
you send to people, you know, like that's
the warm part about what's going on in
your practice, but not in a way that's
salesy and cheesy.
Okay.
So it's like a way of updating people
and essentially like asking for business without it
feeling gross.
Okay.

(22:19):
That's helpful to get a definition.
Thank you.
So my question is, I did the abundance
party, let's see, spring of 2024.
So I'm about a year and a half
into private practice and I'm close to like
the numbers that I want to be doing
weekly.
So I have a goal to do about

(22:39):
22 a week and I'm around like 18
or so, which is great.
Right.
And you know, because the whole time that
I was following your plan and doing all
the marketing, I was thinking to myself, I
just want to do therapy.
I just want to be meeting with clients.
I just like, I don't like doing this
constantly.
And so now that I'm, you know, I
feel like I'm close to a number that

(22:59):
I want to be at, I'm finding less
time to do marketing and more time to
do therapy.
And I'm finding myself even less wanting to
do any marketing because I'm like, I'm okay.
You know, I've got a good amount, but
then you go a couple of weeks without
any referrals and you get that sort of
nervous feeling.

(23:19):
So I guess what I'm, what I'm asking
in a way is, is how do you
balance that once, you know, you're pretty close
to full and then still finding time to
continue marketing.
And do I need to as much?
I mean, I think as long as you're
okay, where you're at, like, it sounds like
you're not at your ideal number, but you're
at paying your bills, fine number.

(23:41):
It depends on what you want.
Maybe 18 is your number.
Maybe it's not 22.
Maybe 22 would suck.
You'd have more money, but less time.
And if 22 is your number, if you
like really look at is 22 my actual
number, is that what I want?
Then it's looking at what's the lowest hanging
fruit in terms of your marketing, what has

(24:04):
brought in most people for the least amount
of time and energy.
And then you just pull that one lever
and you just do that.
Picking from some of the ways that I've
been marketing and finding the ones that have
worked the best and focusing more on that.
Yeah.
Yeah.
I think it's also a little bit of
like fear of like, yeah, I'm at 18

(24:24):
now, but you know, one or two weeks
in a row with a couple of cancels
or, you know, not any referrals and all
of a sudden it's 16.
And then can it just start backsliding?
Right.
There's a little bit of that as well.
And so that desire and just sort of
the knowledge that I probably need to keep
marketing.
It's just not my favorite thing to do.
Yeah.

(24:44):
And if it's, if you can get that
clarity that it's just this one type of
marketing you have to do, cause you've got
your website already.
If you have an online listing, you've got
that already.
You don't have to like keep messing with
that.
It's finding like what one recurring thing can
you do that has worked best in the
past that you don't have to do it
every single, you know, you don't have to
do it twice a week, maybe once a

(25:05):
week and see how that works.
And it sometimes it's really just tapping into
one referral source you've had in the past.
Like if there was a doctor's office that
sent you a lot of people and you
haven't gotten anything from them, just be like,
Hey, just checking in.
How are things going?
And that referral coordinator is like, Oh yeah,
brand is top of mind again.
Let me get you to that 22.
So yeah.
Yeah.
That's helpful to, to not feel like I

(25:26):
have to do everything that I was doing
every week.
Like I was at the beginning.
It's helpful to think about what are one
or two things that I can really lean
into.
Maybe I'm a little scattered of thinking I
need to still do all the things and
I'm doing all of them.
Not very well versus.
Yeah.
Cause you're busy now.
Yeah.
Yeah.
Yeah.
So let it be easy.

(25:46):
You're at the stage where you can let
the marketing be easy by just focusing on
Okay.
That's really helpful.
Thank you.
Let's see, Rachel.
Hi.
Hi.
So I, this is my first ask Alison.
I'm still relatively new, maybe about two months

(26:07):
into the abundance party.
And I am stuck in marketing fundamentals one.
Okay.
And feeling like I I've, I've reviewed the
like OMG, I have writer's block and I
still have writer's block.

(26:28):
Okay.
And I think you know, part of it
is probably my own perfectionism driving it and
stopping me before I really get started and
looking at the little bit I've written and
being like, that's crap.
Got it.
And, and I still feel this like block
the stuckness, this frozenness around it.

(26:51):
Was just curious if you have tips, maybe
even, I know, you know, your, your stuff
is not specialized to neurodivergent folks, but I'm
also ADHD.
That's part of the picture here too.
Yeah.
So I think like when there are executive
functioning issues in general, we need to find
like the clearest, easiest path.

(27:13):
The first I want to kind of like
filter out, do you feel great about your
niche?
Cause sometimes that'll slow us up.
If we're not excited about our niche, we
don't really want to write about it.
Yeah.
Yeah.
I do feel excited about my niche.
I think like a lot of my writing,
um, I worry that it's not cohesive coherent

(27:35):
enough because I think wonderfully associative bottom up
processing brain.
So, um, you know, I, what I have
is I work with neurodivergent and LGBTQIA plus
individuals, couples, and polycules to heal from trauma,
accommodate and accept themselves and create accessible, pleasurable,

(27:57):
and joy filled relationships.
Yeah.
That sounds great.
As long as it excites you, it sounds,
sounds great to me.
And he used to sound great to you
that that's who you want to spend, you
know, day in and day out working with
and amazing.
Okay.
So we've got that filter handled.
The perfectionism thing.
I would love to be able to just
wipe off the face of the earth, but

(28:17):
I am, I'm there with you sometimes.
Like I'll get caught up in it with
the way that your brain works.
If it's like more bottom up, then I
would love you just to brain dump.
Like, don't try to make it cohesive, just
brain dump.
And that could be audio too.
If it's easier for you just to talk
and depending on how you feel about AI,

(28:39):
it is something you could put into chat
GPT and say, can you make this flow
better?
If you're not into AI, then it might
be asking a friend who's really great at
editing to help you kind of put it
into a better way of saying it.
I feel like they were like, I think
it's a basically like use tools, use whatever
help feels right for you, whether it's a

(29:00):
friend or whether it's online somehow, because I
don't want you kind of circling the same
drain because you're being asked to do a
thing that your brain is having a really
hard time doing.
So if you're brain dumping, it doesn't have
to be perfect.
It doesn't have to be clean.
You could also just like hire somebody from
Fiverr or, you know, like a copywriter and

(29:21):
be like, Hey, can you magic this?
So I think there, there are different ways
that we can use the brilliant way that
your brain does work to get things across
because you're going to be able to describe
their daily lived experience, their hopes and dreams,
their struggles better than some copywriter off Fiverr,
but the copywriter on Fiverr might be able

(29:42):
to like organize your thoughts in a way
that feels more cohesive and alluring for somebody
landing on site.
Thank you.
That's all really helpful.
I think, you know, I really relate to
the like bootstrapping, you know,
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