Private Practice Consulting for Therapists
You became a therapist to do meaningful work — not to wrestle with spreadsheets, marketing, and hiring alone. Building a private practice that's both sustainable and true to your values is its own skill set, and you don't have to learn it by trial and error. At Shifting Tides, private practice consulting is practical and personal: we start where you are, focus on what'll actually move the needle, and help you build a practice that supports the life you want.
What Is Private Practice Consulting?
Private practice consulting is one-to-one guidance for therapists building or growing their own practice. Think of it as having an experienced colleague in your corner — someone who's navigated the move to private pay, hired a team, and filled a caseload, and who can help you skip the expensive mistakes. Part strategy, part accountability, part coaching, it's tailored entirely to your goals.
Who It's For
This is for you if…
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You're leaving agency or group work to start your own practice
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You want to move from insurance to private pay (or already have, and want to grow)
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You're ready to hire and build a small group practice
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You want marketing that feels authentic, not salesy
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You're successful but stretched thin and want your time back
Whether You're Starting or Scaling
Just getting started? We'll help you set the foundations — structure, fees, systems — without the overwhelm. Already established? We'll pinpoint the specific bottlenecks holding you back and build a plan to grow with intention.
What We Work On Together
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Starting strong: setting up a practice aligned with your values from day one
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Hiring well: finding the right people and building an employee handbook that holds your culture
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Private pay: transitioning off insurance, setting fees, and developing a fair sliding scale
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Marketing & visibility: positioning, social media growth, and getting found by the right clients
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Building groups: creating and developing therapy groups as a meaningful, sustainable offering
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Time & sustainability: managing your caseload and calendar so the practice serves your life
Marketing That Feels Like Your Practice's Own Voice
Marketing is where a lot of good therapists get stuck — not for lack of skill, but because "selling yourself" can feel at odds with the work itself. We'll help you reframe it as simply being findable by the people you're meant to help. Together we'll clarify your niche and positioning, sharpen the language on your website and profiles so it actually sounds like you, and build a steady, sustainable presence — including social media — that brings the right clients to you without the pressure to be everywhere at once. And when you're ready to go deeper, dedicated marketing support is on the way.
Moving to Private Pay
Going out-of-network can feel scary, but it's how many therapists build a practice that's both profitable and spacious. We'll help you plan the transition, set sustainable fees, attract private-pay clients, and develop a sliding scale that keeps care accessible without burning you out.
Hiring & Building Your Team of Therapists
Bringing on your first clinician — or your fifth — can feel like handing over something you built by hand. We'll help you hire with intention: clarifying the roles you actually need, finding people who share your values, and building the employee handbook and onboarding that protect your culture as you grow.
Frequently Asked Questions Private Practice Consulting
What is private practice consulting?
How is this different from clinical supervision?
One-to-one guidance for therapists building or growing a private practice — strategy, systems, marketing, hiring, and the move to private pay.
Supervision is about your clinical work and licensure; consulting is about the business of your practice.
Do you help therapists move from insurance to private pay?
Can you help me start a practice from scratch?
Yes — one of the most common reasons therapists reach out. We'll plan the transition and your fee structure together.
Definitely — we'll set up your foundations so you launch with confidence instead of guesswork. And we talk through all the details like hiring processes, marketing, online visibility, structure, etc.