Therapists aren't trained for business. That must change.

Money and profit needn't be bad words.

Therapists aren't trained for business. That must change.
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Dear Friend of Sanity,

For some time now, I have been watching with fascination the rise of therapy as a 'business', and the struggles of privately practicing therapists who often have a thorny relationship with the idea of money and entrepreneurship. Suvrita, who educates colleagues from therapy in this area, has written a well-researched piece that is a must-read for everyone invested in this profession (which is basically everyone who reads Sanity). Thanks Suvrita. Y'all enjoy, and share far and wide.

- Tanmoy

The widespread uptake of teletherapy in the post-Covid era has transformed therapists’ careers by removing the high starting costs related to renting or buying a clinic space. The dream of having one’s own practice is now quickly attainable, causing a surge in the number of privately practicing therapists. The lack of job opportunities and dismal pay post a Master’s degree in Psychology has further fuelled this shift.  

The challenge? A therapist’s training does not equip them to handle the complexities of owning a practice. And while the hope for better incomes drives us on this path, our complicated relationship with money continues to be an impediment. 

Freedom, shopping, relief, value for money, luxury, important. stress, power, scarcity, conflicted, energy, ugh,fees, too much, secret, control
What comes up for therapists when they think about money? Participant responses from a support group session on ‘Relationship with money’. 

As an employee of an organisation, a therapist primarily does what they are trained to do — offering therapy — for a salary. In private practice, the therapist becomes the business owner, striving to build a sustainable business. 

‘Profit’ and ‘money’ can be uncomfortable topics for therapists. Lynn Grodzki in her book Building Your Ideal Private Practice talks about a ‘split in the psyche of the therapist resulting from the opposing feelings towards the identity of being a profit-minded business owner and a caring and compassionate therapist.

If unresolved, this split can have negative repercussions for the therapist’s financial wellbeing as well as therapeutic care for clients.