『Ep 153: How to Leave Mental Health Agency Work and Start A Private Practice』のカバーアート

Ep 153: How to Leave Mental Health Agency Work and Start A Private Practice

Ep 153: How to Leave Mental Health Agency Work and Start A Private Practice

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From Agency to Private Practice: What Nobody Tells You About Making the LeapHow to Leave Agency Work and Build a Private Practice That Actually Fits Your LifeYou've been doing the math in your head between sessions for a while now. If you could just keep the clients you actually want to see, set your own hours, stop asking permission to leave at 3pm... And then you shut it down, because who are you to want something different?This episode is for you.If you're licensed and working in an agency, community mental health setting, group practice, or hospital system and you keep circling the idea of private practice but can't quite get yourself to move — today we are naming what's actually getting in the way. Not the logistics. The stuff underneath the logistics.I've worked with a lot of therapist moms through this transition, and the thing that surprises most of them is how much of what's holding them back isn't about information. They've done the research. They know private practice is possible. What's harder to name is the guilt, the identity shift, and the quiet fear that wanting more somehow makes them less committed to the work they love.We're talking about all of it today. The emotional reality of leaving, how to honestly assess whether you're ready, and then the five practical steps to take first — in order — so you're not trying to build everything at once.This is the episode I wish someone had given me before I made the leap.What You'll Learn in This EpisodeNaming—and Navigating—the Guilt and Loyalty When Leaving Agency Work: Understand why these feelings come up and why they don’t have to hold you back.The Real-World Steps to Start Your Private Practice: Simple, practical actions—from knowing your numbers to setting up essential systems—so you don’t get stuck in overwhelm.The Secret to Actually Feeling “Ready” (It’s Not What You Think): How to recognize that “I’m not ready yet” is often about confidence, not competence, and how to move forward anyway.Episode TimestampsEpisode Timestamps00:02: How motherhood, real life, and private practice collide—and why honest strategy matters more than hustle.00:49: The messy reality: recording from my car and why flexibility matters when juggling work and parenting.02:32: The emotional tug-of-war: loyalty, guilt, and the fears that hold us back from leaving agency or community mental health.07:00: Unpacking guilt: Are you really helping your clients or just serving a broken system?13:15: What “ready” really means for private practice (hint: it’s not about the perfect website).18:06: The actionable 5-step plan to start your private practice with clarity, confidence, and sustainability.25:08: Wrapping it all together: How to reframe your values, set realistic expectations, and take your next right step.Top Takeaways on Making the Leap from Agency to Private Practice1. Understanding and Honoring Your Guilt (Without Letting It Run the Show)Let’s break this down: Feeling guilty about leaving your agency, your clients, or your colleagues is not a flaw—it’s a sign that you care deeply. But the reality is, the system is designed to run on your overwork. Your agency will keep running and your clients will be reassigned if you leave. Staying out of guilt often only serves the institution, not your clients or your well-being. I’ve felt this firsthand, and it’s crucial to name and process these emotions so they don’t quietly sabotage your decision-making.2. Setting Up a Sustainable Transition—Not Just Another Source of BurnoutHere’s how you can start implementing this TODAY:Step 1: Get clear on your niche. Who do you truly love working with? What themes or challenges light you up? Start jotting these down—even while still in agency work.Step 2: Know your numbers. What do you need to earn to support your real life? Calculate your expenses and reverse-engineer how many clients at what pay you’ll need to make it work. Don’t let fear dictate these numbers.Step 3: Set up your foundational systems (like your EHR and payment setup) while you still have stable income. This makes the transition less stressful when you start getting your first private clients.Pro tip: Connect with your network early—colleagues, supervisors, or other professionals who already know your work can be powerful referral sources before you ever pay for a website or run ads.3. What Not To Do When Making This TransitionWe all make mistakes, but let’s save you the headache. Here’s what NOT to do:Mistake 1: Waiting for the “perfect time” or until you feel 100% confident. It rarely comes—all you need is to be ready enough to take the next step.Mistake 2: Overpreparing without action. Don’t spend years tweaking your website, taking every online course, or waiting for every family situation to resolve.Mistake 3: Repeating old patterns of burnout under a new roof. Private practice is not automatically sustainable—be intentional about your...
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