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Starting Your Own Therapy Practice: Navigating the Challenges and Finding Empowerment

Writer's picture: Deanna DohertyDeanna Doherty

For many therapists, the idea of opening a private practice feels both exciting and daunting. Taking the leap from working for an agency, hospital, or group practice to running your own business can bring up a lot of questions, fears, and challenges. I know firsthand how overwhelming this journey can feel—but I also know how rewarding it is when you build something that's truly your own.


Before starting my own practice, Shifting Tides Therapy, I worked in various settings that shaped my career and my confidence as a therapist. From providing grief and trauma therapy at organizations like Mosaic Clinical Services and Everybody Therapy, I gained the skills and perspective I needed to take the next step into private practice. Now, I’m passionate about helping other therapists who are considering making that leap themselves.


Finding Empowerment in Past Work Experience


My years working in both private practice and non profit settings were foundational in developing my skills as a trauma and grief therapist, but they also gave me insight into the kind of work environment I wanted to create for myself. I knew I wanted more autonomy over my schedule, the flexibility to see clients in a way that best supported them, and the opportunity to focus on specialized areas of treatment that I was most passionate about, like EMDR.


For many therapists, the experience you gain in various clinical settings is invaluable. Not only does it help you refine your therapeutic skills, but it also gives you clarity on the type of practice you want to build. Whether it’s working with specific populations, using particular modalities, or creating a safe space for marginalized communities, your unique background and interests can empower you to take ownership of your career in a way that aligns with your values.


The Dream is Possible: Start Your Own Therapy Practice


Starting your own private practice might feel intimidating, but I’m here to tell you that the dream is absolutely possible. Yes, there are logistical and emotional challenges to overcome, but the autonomy and fulfillment that come with running your own practice are worth the effort.


If you’re a therapist considering starting your own practice, I want you to know that you don’t have to do it alone. As someone who has been through this journey, I’m now taking on mentees to help guide other therapists through the process. From navigating insurance to deciding on the right business model and building your online presence, I’m here to help you make informed decisions that set you up for success.


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