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July 28, 2025 52 mins

Starting a private practice sounds exciting…until the clients don’t show up.

In this episode, Gerald Joseph, licensed clinical social worker and founder of The Capital Therapist, joins Michael Fulwiler to share what it’s like to build a therapy business from the ground up. 

Gerald opens up about their journey from fashion merchandising to mental health care, the roadblocks he hit while getting licensed, and how he’s carved out a practice that centers authenticity and community care.

He also explains how he integrated psychedelic-assisted therapy into his offerings, why it’s not a magic solution, and the importance of safe, informed use.

Listen in to hear Gerald’s candid perspective on navigating a career in therapy while staying true to who you are.

In the conversation, they discuss:

  • The reality of launching a private practice without a built-in client base
  • How Gerald uses authenticity to build trust and connection with a client
  • The evolving role of psychedelic therapy in mental health treatment today

Connect with the guest:

Connect with Michael and Heard:

Jump into the conversation:

(00:00) Welcome To Heard Business School

(00:47) Meet Gerald Joseph And The Capital Therapist

(02:11) Embracing Authenticity

(04:04) From Fashion To Mental Health

(07:03) Why Social Work Was The Right Fit

(09:23) Failing The Licensing Exam Multiple Times

(12:41) Should We Rethink Licensure Requirements?

(15:49) Being Gender Nonconforming In Professional Spaces

(19:12) Centering Marginalized Clients In Private Practice

(25:01) What No One Tells You About Private Practice

(33:02) How Gerald Got Into Psychedelic Therapy

(43:16) What Psychedelics Can Treat And How To Stay Safe


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.

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