Why A Lot of Therapists Struggle in Private Practice (It’s Not Your Skills)

Thinking about starting a private practice… but feeling unsure where to begin?

0:00 Meet Katie + Burnout in Agency Work
1:53 Discovering Private Practice
2:50 The #1 Mistake Therapists Make
4:09 The Mindset Shift That Changes Everything
6:41 Therapy vs Business (Big Reframe)
8:28 The Truth About Money in Private Practice
11:35 Burnout Isn’t What You Think
14:16 Why Therapists Struggle With Marketing
16:30 If Clients Don’t Know You, They Can’t Find You
18:19 Final Advice You Need to Hear

In this episode, Katie Piura shares the mindset shifts every therapist needs to make before launching (or growing) a successful practice.

From burnout in agency work to building something aligned and sustainable, Katie breaks down the real challenges therapists face and why being a great clinician isn’t always enough.

We also get into the business side of private practice that grad school never taught you, including money mindset, marketing, and why asking for help might be the most important step you take.

If you’ve been thinking about private practice but feel stuck, overwhelmed, or unsure... this conversation is for you.

Resources Mentioned In This Episode

Subscribe to YouTube https://www.youtube.com/@PsychCraftNetwork

Use the promo code “GORDON” to get 2 months of Therapy Notes free https://www.therapynotes.com/

Consulting with Gordon https://practiceoftherapy.com/private-practice-consulting-and-coaching-services/

The PsychCraft Network https://psychcraftnetwork.com/

Profit First for Therapists Workbook https://amzn.to/484ADXA

Follow us on Instagram https://www.instagram.com/practiceoftherapy/

Meet Katie Piura

She is a Licensed Clinical Social Worker with over 10 years of experience in behavioral health, specializing in culturally competent mental health care, trauma-informed care, emotional wellness, and child, adolescent, and young adult populations. As a bilingual clinician and trainer, she has led workshops, courses, and media education segments across a range of settings—from Latin media outlets to universities. Her work centers on serving diverse communities, with a focus on first- and second-generation immigrants, Latinx populations, and youth. She provides accessible, evidence-based education in both English and Spanish.

The Private Practice Start Program Registration: https://forms.gle/8GsD3Q1KR1XerpgDA
Instagram https://www.instagram.com/kpiuralcsw/
Website https://www.katiepiura.com

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