Welcome to this episode of the Scaling Therapy Practice, where we delve into the fascinating world of scaling as a solo practitioner. In today's discussion, James Marland and David Hall explore the journey of starting out as a solo therapist and the reasons why many therapists choose this path. We'll uncover the benefits and challenges of running a solo practice and provide valuable insights on how to make the most of this exciting phase. So sit back, relax, and join us on this enlightening exploration of growth as a solo practitioner.

Why Start as a Solo Practitioner?

Autonomy and Decision-Making for the Solo Practice

One of the main reasons therapists choose to start a solo practice is the sense of autonomy it offers. Being your own boss means you have the freedom to make decisions about how you want to run your practice. David shares his experience of wanting to wear jeans to work and realizing that as his own boss, he gets to set the dress code. Similarly, a friend of his enjoyed having the freedom to decide on the decor of her office space. Being in a solo practice allows therapists to align their work environment and style with their own preferences, providing a greater sense of control and satisfaction.

Potential for Increased Income for the Solo Practice

Another appealing aspect of solo practice is the potential for increased income. Compared to working for a group practice or agency, therapists can keep a higher proportion of their client fees in a solo practice. However, it's important to be aware that the income numbers can sometimes be misleading. Running a practice also comes with its own costs, such as overhead expenses, marketing, and maintaining a steady flow of clients. David emphasizes the importance of considering these factors and managing the financial aspects of a solo practice effectively.

Simplicity and Greater Solitude for the Solo Practice

For some therapists, the simplicity and solitude of a solo practice are appealing. James mentions how therapists in agencies often feel overwhelmed with mandated paperwork, strict schedules, and bonus structures. In a solo practice, therapists have the freedom to choose how many clients they see and can focus more on the therapeutic work rather than bureaucratic requirements. Some individuals prefer the peace and quiet of working alone and enjoy the absence of team-building events or company parties that are common in larger organizations.

Challenges of Solo Practice

Financial Responsibilities and Costs

While the potential for increased income exists in a solo practice, therapists also bear the responsibility of covering all the costs. These costs can include office space rent, utilities, insurance, marketing expenses, and electronic health record systems. David shares his early experience of using his cell phone as the office phone, doing notes by hand, and managing physical files. However, modern solo practices can utilize electronic health record systems, which streamline billing and documentation processes. It's important for therapists to carefully consider and plan for the financial responsibilities associated with running a solo practice.

Marketing and Generating Referrals

One of the challenges of a solo practice is generating a steady stream of clients. Unlike working in a group practice or agency where referrals may be provided, solo practitioners need to actively market themselves and build their referral networks. David highlights the importance of having a good referral network and establishing relationships with other professionals in the community. Building a strong online presence, creating a professional website, and engaging in community outreach can also contribute to attracting clients to a solo practice.

Managing Expenses and Administrative Tasks

Running a solo practice involves taking care of various administrative tasks, including billing, record-keeping, maintaining malpractice insurance, and managing advertising efforts. The transition from paper-based systems to electronic health record (EHR) systems has made certain aspects more streamlined, but it also represents additional expenses. As one therapist mentioned, "And now telehealth is something that's, and so there's, I bring that up because there's a lot more that makes it simpler now, right? But it also represents expenses."

To effectively manage these expenses, it is crucial for solo practitioners to have a clear understanding of their financial responsibilities. This includes maintaining a monthly budget for EHR systems, malpractice insurance, advertising, and other necessary expenses. Additionally, solo practitioners should consider quarterly estimated tax payments to avoid penalties and ensure they have set aside sufficient funds for taxes.

Isolation and Emotional Toll for the Solo Provider

Solo practice can sometimes be isolating and lonely, especially when faced with ethical or legal dilemmas. Having a supportive community or network can provide a sense of solidarity and emotional support. As one therapist noted, "I think my anxiety would've been quite a bit more heightened. If I was on my own in that and, you know, that's a pandemic. But there are other things too of just, you know, what happens when the unexpected happens."

To mitigate the emotional toll and avoid potential ethical or legal violations, it is essential for solo practitioners to find ways to connect with others in the field. This can be through attending professional meetings, seeking supervision or consultation, or participating in online forums or support groups. Building relationships and engaging with peers can offer opportunities for learning, collaboration, and support.

Making the Most of Solo Practice Therapy Office

Investing in Professional Development

The solo practice offers therapists the opportunity to invest in their professional development and expand their skill set. James and David encourage therapists to take advantage of the autonomy and flexibility of solo practice by pursuing additional training, attending workshops, or participating in online courses. By continuously improving their therapeutic abilities and exploring new modalities, therapists can enhance the quality of care they provide to their clients and stand out in the competitive mental health field.

Streamlining Time and Scaling Efforts

For solo practitioners who aim to grow and maximize their practice, it is crucial to find ways to streamline non-therapy-related tasks. By identifying areas where time is allocated to administrative work, therapists can brainstorm strategies to improve efficiency. As one therapist emphasized, "Thinking about how to streamline the process of everything else, how do you keep the therapist hat on the longest while streamlining the other systems and responsibilities that keep your business running."

A self-audit can help identify areas where time is being spent on non-therapy tasks. For instance, using technology solutions like online booking systems can reduce time spent on scheduling and client communication. Collaborating with other therapists or outsourcing certain administrative tasks, such as billing or insurance filing, can also free up time for therapists to focus on therapy-related activities.

Maximizing Efficiency through Delegation

Know where your time and energy are going by conducting a time audit. "One of the most useful things we did at the virtual assistant company was we did a time audit for where all our time was going and then we saw where the hotspots were and we could apply resources to it." Assess how much time you spend on non-essential tasks like insurance or scheduling and consider hiring a virtual assistant to free up your time for more client sessions.

Use your time audit to decide where you need help. Determine the tasks that you don't enjoy or that hinder your productivity. For example, if you dislike administrative work, hiring an assistant to handle phone calls or intake coordination can increase efficiency. "Decide what headache you want to deal with because solo practice doesn't have to be completely by yourself."

Consider the cost-benefit analysis of outsourcing tasks. Just as it is more efficient for someone to pay for lawn mowing services instead of doing it themselves, therapists should evaluate if it's worth investing in support services. Calculate the income potential from additional therapy sessions compared to the cost of hiring a virtual assistant or administrative staff. "What would a virtual assistant cost me to have them? How many hours a week would I need somebody? And what would that cost and what does that equate to my income-producing time?"

Play to your strengths. Focus on activities you enjoy and excel at to maximize both your joy and your income. By delegating tasks that you don't like or aren't good at, you can streamline your practice and concentrate on the aspects that bring you fulfillment. "Find the things you like and maximize that. That's where you make a lot of your money."

Building Collaborative Communities as a Solo Practitioner

Be on the lookout for shared expenses. Explore opportunities for collaboration and shared expenses with other practitioners. While running your own solo practice, you can still find ways to benefit from community and camaraderie. Consider forming an associate collaboration or a group practice where certain expenses, like a website or an intake coordinator, can be shared among members. "Solo practice doesn't have to be completely by yourself. There are practices in town... that are true associate practices... There could be ways to have certain group practice feels where you can have a sense of community." Another option is to go to a conference and make connections there. 

Flexibility and Evolution as a Solo Practice

Be open to change and adaptability in your practice. Your circumstances and preferences may shift over time, and it's essential to be willing to explore new possibilities. While you may currently enjoy solo practice, you might find value in joining an associate group in the future. "All I to say, I don't assume anything forever... Things are flexible... I could see myself one day not wanting to be the principal of a group practice... I don't assume anything forever."

Tips for Scaling a Solo Therapy Practice:

1. Know your numbers: Conduct a time audit and evaluate the financial aspects of your practice. Understand your expenses, income, and the return on investment for potential hires or outsourcing tasks.
2. Delegate tasks: Identify the tasks that you don't enjoy or that don't align with your strengths, and consider delegating them to virtual assistants or administrative staff.
3. Focus on efficiency: Streamline your practice by maximizing your time and resources. Concentrate on activities that bring you joy and generate the most income.
4. Explore collaborative opportunities: Join associate collaborations or group practices to have a sense of community and share certain expenses with like-minded practitioners.
5. Stay adaptable: Be open to change and evolution in your practice. Don't assume that your current situation will be the same in the future.

Grow Your Solo Practice

Scaling as a solo practitioner offers therapists a unique and fulfilling experience. Starting a solo practice allows therapists to embrace autonomy, make their own decisions, and create a work environment that aligns with their preferences. While there are challenges, such as managing financial responsibilities and marketing efforts, therapists can overcome them by careful planning and leveraging their strengths. By investing in professional development, streamlining tasks, and exploring collaborative opportunities, solo practitioners can maximize their efficiency, build a supportive community, and adapt to the changing landscape of their practice. So, whether you're embarking on your solo journey or considering joining a group practice in the future, remember that growth and evolution are essential elements of a successful therapy practice. Keep nurturing your practice, and let it flourish like a beautiful, thriving garden.

Links and Resources

• Webinar: Hidden Strategies to Smart-Work Scaling: 3 Insider Tips to Therapist Growth with Virtual Support
• The Online Course Show Episode 194: If I Were Starting an Online Course Business in 2023, Here's Exactly What I Would Do (& Join Me While I Actually Do It This Year)
• Trello Project Management Board
• ROI Calculator Tool from Therapy for Your Money Podcast
• Email James to talk about questions or problems about scaling: [email protected]
• PsychMaven - Find more resources here 
• Builder Type Assessment - grow without the grind