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Think you have to work harder or longer to make more money in private practice? Fortunately, that isn't the case. Your calendar does not need to become a hostage to your good intentions. Instead, it may be helpful to look at how your practice could be quietly...
You may feel confident that you've assessed – and documented – your client's risk of harm to themselves or others. But it is likely that your session notes fall short in one of three common (and potentially serious) ways: PROBLEM #1: You screened for risk...
Note: This article was originally posted on January 2, 2024; it was re-posted on December 12, 2025, with minor edits Maybe you aren’t one to make a list of New Year’s Resolutions. I'm with you. But this year, how about making one resolution you can keep: to start the...
Clients may end treatment for many reasons, including insurance changes, reaching treatment goals, dropping out, moving, or therapist retirement. Here’s some tips for these final sessions: If you are ending because you are not a provider for their new health plan,...
Many therapists who've contacted me for a consultation want to know the answer to this question. These are compassionate, terrific therapists. They want to make therapy more affordable for their clients, so want to continue accepting insurance. So, why refuse to take...
This week, I learned about the death of a colleague. We had worked in the same office suite for years. She rented an office from me. Yet in all that time, I only met her once in person. This led me to think about what an isolating profession this is. While we talk to...
Q: I just got a request from a health plan. It asked me to send in my progress notes from certain dates when I saw a client. However, then it then said that I shouldn’t send my psychotherapy notes. Huh? A: Many therapists use the terms progress notes and psychotherapy...
[First, can we drop the phrase "termination" when we talk about ending treatment with a client? It sounds like we are ordering a hit!] Ending treatment may cross your mind in many different situations. Maybe the client is just frustrating, annoying, or in some way,...
Have you thought about retiring? As some of you know, I stopped seeing clients several years ago, so many of you are asking questions about my experience and my thoughts about that process. If you missed my first article on this topic which focused on the practical...
I’ve been getting a lot of questions from therapists about an important topic that begs to be addressed: How does the recent political climate affect our documentation and our clients' privacy? President Trump and legislatures nationwide are passing laws that have a...