About Contact
Store Blog STP Podcast My Library
Course Creation Tools

STP 17 | How much is too much? The Problems of Scaling

In this episode of the Scaling Therapy Practice Podcast, the hosts James Marland and David Hall discuss the concept of scaling a therapy practice. The conversation centers around when to stop scaling and what limits to set for a practice. David shares his experience of having between 17-18 therapists in his practice and deciding not to expand to another location. He emphasizes the importance of setting boundaries and goals for scaling. 

Links and Resources

Setting Limits on Scaling

According to David, there is a limit to how much a practice can scale, and there is a stopping point. He suggests that it is essential to set goals and boundaries while scaling. He explains, “people don't have to become a group practice or a multi-site practice or all those things. There is a limit to where you want to scale, a stopping point.” The hosts talk about how some therapists believe they can grow their practice indefinitely. However, having a plan and setting limits can be crucial for sustainable growth.

The Three Problems in Running a Practice

James and David also discuss the three primary problems that therapists encounter while running a practice. David credits his friend and consultant, Jay Ostrowski, with the concept. Jay said, "When you're going to practice counseling, psychotherapy, you always have one of three problems, sometimes two problems, but you always have at least one of these problems because they're three; not enough therapists, not enough clients, not enough space." David explains that space becomes an issue when running a physical practice. On the other hand, virtual practices face different dynamics. 

Space and Building Limitations

The hosts also discuss the crucial decision of selecting a building for a practice. David shares his experience of starting a psychiatry practice before starting a counseling group. He credits Jay Ostrowski, a consultant and telehealth expert, with helping him think through the decision of selecting a building for his practice. Because of that advice, David chose the problem of “not enough space” as the issue he would choose to manage. Choosing the problem you can live with is crucial for deciding on the right building for a practice.

Culture in Virtual Workspaces

Lastly, the hosts discuss the importance of culture in virtual workspaces. They reference a recent episode with Daniel Fava, where he talks about the culture in virtual workspaces. David shares his experience of having one remote worker in his practice. While having remote workers can be helpful, maintaining the right culture can be challenging.

 In conclusion, this episode of the Scaling Therapy Practice Podcast offers valuable insights into scaling a therapy practice. David emphasizes the importance of setting boundaries and goals when scaling, and the hosts discuss the three primary problems that therapists face when running a practice. The discussion also covers the importance of selecting the right building and maintaining the right culture in virtual workspaces.

 Scale-Up Steps

  1. Set clear goals and boundaries when scaling your practice. It's essential to have a plan and know when to stop scaling. Determine the maximum capacity that you can handle and make sure to set limits.
  2. Consider the three primary problems that therapists face when running a practice: not enough therapists, not enough clients, and not enough space. Addressing these issues will help you manage your practice more effectively.
  3. When selecting a building for your practice, consider the problem that you can live with. For example, if space is an issue, choose a building that can accommodate your needs. Consulting with an expert can help you make the right decision.
  4. Culture is crucial in workspaces. Make sure to maintain the right culture, even when you have remote workers. Encourage open communication and collaboration, and foster a positive work environment.