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When considering private practice, it’s essential to remember that it’s not for everyone. You may be an excellent clinician with strong credentials, yet private practice might not align with your strengths—and that’s okay. Just like some therapists thrive in other settings, private practice suits those who not only enjoy therapy but also the independence and business side of running a practice.
Here are some factors to consider before diving into private practice:
1. Training and Credentials: Is It Enough?
One common misconception is that acquiring enough certifications and credentials will automatically make you successful in private practice. While qualifications are important, they don’t guarantee that private practice will be the best fit for you. It requires more than just knowledge—it demands the ability to engage clients, market yourself, and run a business. Some therapists excel in structured environments, where they’re supported by teams, rather than the solo nature of private practice.
2. Client Engagement: Are You Ready for Long-Term Work?
In private practice, clients often seek deeper, long-term work rather than short-term crisis intervention or solution focused work. Many therapists who thrive in solution-focused or crisis-based settings may struggle with clients seeking ongoing, introspective work. In private practice, the goal is to walk alongside clients, helping them explore deeper issues over time. If this doesn’t appeal to you, private practice might not be the best fit.
3. Enjoying Therapy: Not Everyone Does
Let’s be real—not every therapist enjoys providing therapy. Some prefer the administrative or consultation side of things, or maybe they love crisis management but dislike the continuous outpatient therapy model. If you’re someone who prefers a more varied schedule with different roles, the repetitiveness of private practice therapy sessions might not be fulfilling.
4. Financial Stability: Can You Handle the Fluctuations?
Private practice can mean financial uncertainty. You’re often paid based on how soon insurance companies process claims, and this can vary. If having a standard set paycheck is important to you, private practice may not provide the financial stability you need. In the private practice arena you can make more money based on the services provided though, some individuals do not like the unpredictability of what their weekly paycheck may be. Many therapists find security in working for group practices or agencies that offer regular paychecks.
5. Taxes and Benefits: Are You Prepared?
One of the biggest hurdles in private practice is managing your taxes and benefits. Without an employer offering medical insurance or handling tax deductions, it’s up to you to navigate these aspects. While it’s possible to set up your own LLC and payroll, if this level of independence feels overwhelming, it might be a sign that private practice isn’t for you.
6. Independence: Do You Thrive Without Supervision?
Private practice offers incredible independence—you set your hours, choose your clients, and manage your workload. However, this also requires a high level of self-discipline. If you’re someone who needs structure and accountability, private practice could be challenging. You may find yourself struggling with time management or taking too much time off, which can negatively impact your income.
7. Client Engagement: Can You Build Strong Relationships?
One of the most important skills in private practice is the ability to engage clients. Success in private practice largely depends on your ability to connect with people. If you have difficulty bonding with clients or creating a therapeutic relationship, private practice may not be the best fit. Engaging clients is more than just treating symptoms—it’s about building trust and creating a space where clients feel safe to return for continued care.
Finding Your Space
At the end of the day, private practice is one path among many in the helping profession. If you find that private practice doesn’t suit your skills or personality, it doesn’t mean you’re not cut out for this field. There are countless other opportunities where you can make an impact. Whether it’s in a structured setting or even a community-based role, there’s a place for everyone—you just need to find yours.
If you’re considering private practice, take a moment to assess your strengths, your needs, and your goals. It’s important to be honest with yourself about whether this path aligns with who you are as a clinician. There’s space for all of us in the helping field—you just have to find where you fit best.