The Therapist Mom Podcast: Launch and Grow Your Private Practice

Ashley Comegys
  • 5.0 (21)
  • Entrepreneurship
  • Updated Weekly

Motherhood and private practice aren’t two separate worlds, they’re your whole world colliding every day. The Therapist Mom Podcast is your weekly reminder that you can build a practice that fits your life, not the other way around. Being a therapist and a mom isn’t about balance, it’s about building differently and refusing to play by rules that were never written for us. Hosted by Ashley Comegys, a therapist, coach, and mom of three. You’ll hear candid stories, rebellious truths, and practical strategies for designing a practice that gives you freedom, flexibility, and room to breathe. The Therapist Mom Podcast is your permission slip to build a private practice that works for your real life. Each week, you’ll get honest conversations and practical strategy around starting, growing, and running a private practice, without the hustle, guilt, or burnout. We’ll talk about boundaries, money, motherhood, and dismantling the systems that were never built for us in the first place. Because you’re not “just a mom” or “just a therapist.” You’re both, and deserve a business that recognizes and respects that. If you’re ready to build a flexible, values-aligned private practice that gives you time freedom and the autonomy you’ve been craving, you’re in the right place.

  1. 6d ago

    Ep 159: Should Therapists Use AI? A Nuanced Take for Private Practice

    AI, Big Tech, and the Therapist Mom: Navigating Ethics, Nuance, and Practical Strategies in Private PracticeThis episode of The Therapist Mom Podcast is packed with honest conversation and practical reflection to help you navigate one of the most pressing issues facing private practice owners today: AI and big tech. If you’ve found yourself unsure about using emerging technologies, felt the weight of ethical concerns, or worried about staying relevant in a rapidly evolving field, you’re in the right place. As someone who has seen the evolution of our field up close—embracing telehealth early on, questioning “standard” approaches, and always prioritizing my values as a clinician and a mom—I know firsthand how overwhelming these conversations can be. Sometimes, it’s the small shifts in how we think about tools like AI that lead to the biggest changes in our practice and peace of mind. In this episode, I open up about my own journey after attending the NASW conference, including what I learned from national leaders and the candid conversations happening behind the scenes. Consider this your permission slip to get curious, get informed, and make choices that put your well-being and values at the center of your practice. If you’re a therapist, social worker, or any mental health provider who wants to run a practice that works for your real life, and you’re ready for courageous, nuanced conversations—this episode is absolutely for you. What You’ll Learn in This EpisodeEthics vs. Values in Using AI: Distinguishing between professional ethics and personal values, and why that difference matters.Strategic Ways AI Can Support Your Practice: How AI can become a practical tool—for documentation, admin tasks, and self-care—without sacrificing ethics or connection.How to Stay Empowered (Not Overwhelmed) by Tech Changes: Why learning to thoughtfully use AI can protect your autonomy, expand your impact, and prevent burnout—especially as a mom and woman in private practice. Episode Timestamps00:00: Introducing the hard questions around AI, tech, and motherhood in private practice.00:35: Reflections from the NASW conference—what’s happening on the national stage.02:59: Breaking down the nuances of the AI debate in mental health fields—more than black-and-white thinking.06:18: What the experts are saying: why “augmented intelligence” matters more than “artificial intelligence.”10:08: The honest truth: therapists who learn to use AI will replace those who don’t.14:54: Environmental and social justice considerations when choosing tech tools as a values-driven clinician.19:15: Making informed, not fearful, decisions about AI for clinical documentation and the mental load of practice.23:39: Final reflections on shame, judgment, and what’s truly at stake in the AI conversation. Top Takeaways on AI, Ethics, and Private Practice1. Understanding the Real Ethical Questions Behind AI in TherapyLet’s break this down: So much of the fear and judgment I see around AI in our field actually boils down to values, not just hard ethics. It’s essential to recognize the difference—and allow ourselves to make decisions, set boundaries, and try new tools based on informed consent and our lived experiences. I’ve been there myself, questioning if adopting telehealth was “real therapy” back in 2015, and I see the same hesitation now with AI 11:15. Give yourself permission to get curious, not just reactive. 2. Practical, Values-Aligned Strategies for Using AI in Private PracticeHere’s how you can start implementing this TODAY: Step 1: Reflect on what aspects of your practice or life are most overwhelming (notes? admin? mental load at home?). Step 2: Research AI tools that are transparent about their data use and founded on principles you align with—like Barry’s or Jane, which aren’t VC-backed and respect provider autonomy 18:11. Step 3: Always review output, whether it’s a note draft or a task reminder. Your clinical wisdom and personal judgment are irreplaceable. A good tool should free up energy for you to focus where you add the most value: connection, empathy, and actual care. 3. Avoiding Common Pitfalls and Shaming in the AI ConversationWe all make mistakes, but let’s save you some headaches. Here’s what NOT to do: Mistake 1: Hiding behind the “ethics” label without digging into what you’re actually worried about.Mistake 2: Judging yourself—or others—for trying (or not trying) AI based on fear or peer pressure.Whether it’s arguing that all AI is bad or pushing everyone to embrace every new tool, black-and-white thinking doesn’t serve us. Lean into nuance, make decisions on your terms, and most importantly, let’s support each other as women, moms, and professionals doing our best in a fast-changing world 23:24. Resources Mentioned in This EpisodeBerries: The AI note-taking tool I use in my own practice (founder owned, not part of “big tech”). CLICK HERE to try it out for free and if use code RAISEDTOEMPOWER for $50 off a paid subscriptionJane: The EHR I use in my own practice (founder owned) Use code ASHLEY1MO for a free month If you have questions about how I use AI or want a safe space to talk about your own thoughts, send me an email at ashley@raisetoempower.com or connect on Instagram. Join us for Therapist Mom Networking Meetup — a casual space to connect with other therapist moms, share what’s working in your practice, talk through challenges, and build real community. No pressure, no pitching — just support and connection. Register at https://www.raisedtoempower.com/networking 💻 This episode is sponsored by Jane, the all-in-one practice management software I use and love. Book your FREE Live Demo HERE and when you're ready to sign up use code ASHLEY1MO for a 1 month grace period ⭐️ Follow on Instagram @Raisedtoempower ⭐️ Grab your FREE networking guide for therapists HERE ⭐️ Learn more about how I can help support you and your practice, and ways we can work together at www.raisedtoempower.com You don’t have to figure this out alone. Ashley Comegys specializes in helping therapist moms build private practices that allow them the time freedom, flexibility and autonomy they need in their careers. Looking for support in either starting your practice, or looking to revamp your marketing and systems? Let’s chat— book your consultation here! 🎧 If you find today's episode helpful or inspiring, be sure to share it with your therapist friends, subscribe to the show, and leave your five star rating and review. Disclaimer: This podcast is for educational purposes only and is not a substitute for therapy, supervision, or legal advice.

    27 min

  2. Jun 22

    Ep 158: Building a Group Therapy Practice While Raising Kids

    Building a Group Practice While Navigating Motherhood: Lessons for Therapist MomsThis episode of The Therapist Mom Podcast is packed with honest, actionable insights for any therapist mom navigating the messy intersection of private practice ownership and parenthood. If you’ve been wrestling with the idea of either starting your own practice or scaling to a group—while juggling a busy family life—this conversation is tailored just for you. As a therapist, coach, and a mom who’s navigated everything from unpredictable childcare to the frustrations of broken work systems, I completely understand the doubts and pressures that come with trying to do both well. Sometimes, it’s not a seismic shift that transforms your business or family life, but those intentional, strategic shifts you choose to make even in uncertainty. In this episode, I sit down with Dr. Anahita Lake-Khosravi, a psychologist and business coach who scaled her group practice from zero to $2 million in just three years—all while pregnant, breastfeeding, and raising three young kids. We unpack the real stories (the mess, the wins, and the honest math), and I share some personal reflections on why giving ourselves permission to start before we feel “ready” matters more than we think. If you’re a clinician who wants to build a practice on your terms—without guilt or people-pleasing—this episode will help you see what’s possible and show you practical ways to get out of your own way. Grab your coffee, take a deep breath, and let’s get real about building a business that actually fits your life, not the other way around. What You’ll Learn in This EpisodeSetting the Foundation for Group Practice: Why the “perfect” time to start doesn’t exist, and how Dr. Anahita Lake-Khosravi launched her practice with young children, ignoring outside pressure and following her own timeline.Navigating Money, Messaging, and Missteps: What to expect financially when transitioning to group practice, the reality behind salary splits, and how to create a space that values both owner and clinicians.Building for Sustainability, Not Just Growth: How to structure your practice so it can run (and even be sold) without you, and why treating your business as an asset serves both your family and your team. Episode Timestamps00:00: Explaining why this show is different—honest talk about motherhood and practice ownership.00:46: Dr. Anahita Lake-Khosravi’s journey from school psychology to group practice and her mission to build a supportive workplace for therapists.05:19: How her second pregnancy became the impetus to start her own practice and sparked quick, decisive action.12:03: The financial realities and learning curves when hiring your first employee, plus investing in coaching and setting up a sustainable business structure.14:09: Growing by celebrating small wins and why enjoying process matters at every stage.18:27: Delegation, taking real maternity leave, and realizing your business can thrive without your constant attention.23:29: Creating compensation and support structures that are both fair and realistic for owners and clinicians.27:28: How Dr. Anahita Lake-Khosravi decided to sell her group practice—and what aspiring owners can learn about viewing their work as an asset. Top Takeaways on Building a Group Practice as a Therapist MomYou’re Allowed to Start Before You Feel Ready The “right” time is rarely handed to us. Dr. Anahita Lake-Khosravi described how her impending maternity leave became her non-negotiable deadline, pushing her to take bold steps others might wait years to make. Waiting for perfect conditions often means never starting—sometimes, you have to create your own catalyst. Know Your Why and Build Your Systems Thoughtfully Scaling into group practice isn’t just about bottom lines. The real differentiator is building a culture where clinicians are cared for (and not just compensated), and where you as the owner can step away without everything collapsing. Start by clarifying your core reasons for growing and ensure your systems, contracts, and supports align with your values.Here’s how to start:Step 1: Get clear about why you want to step into group practice (not just the financials).Step 2: Invest in education, mentorship, or coaching—cutting corners early almost always ends up costing you more.Step 3: Build a structure (from contracts to admin workflows) that prioritizes sustainability—not just growth for growth’s sake. Prepare for Mindset Shifts and Let Go When It’s Time Whether you’re hiring your first clinician or considering selling your business, recognize that your needs—and your ambition—will shift over time. It’s okay to outgrow a previous vision. When you realize your heart isn’t in it anymore, give yourself permission to make a change—not just for yourself, but for your team’s continued growth.What NOT to do:Mistake 1: Jumping into group practice hoping it’ll magically free up your time or instantly double your income.Mistake 2: Ignoring the emotional weight—mental load can persist even when your hours drop. If your energy and focus are gone, it’s time to reevaluate your role. Resources Mentioned in This EpisodeConnect with Dr. Anahita Lake-Khosravi on Instagram: https://www.instagram.com/dranahitabanoo/Website: www.dranahitabanoo.com Join us for Therapist Mom Networking Meetup — a casual space to connect with other therapist moms, share what’s working in your practice, talk through challenges, and build real community. No pressure, no pitching — just support and connection. Register at https://www.raisedtoempower.com/networking 💻 This episode is sponsored by Jane, the all-in-one practice management software I use and love. Book your FREE Live Demo HERE and when you're ready to sign up use code ASHLEY1MO for a 1 month grace period ⭐️ Follow on Instagram @Raisedtoempower ⭐️ Grab your FREE networking guide for therapists HERE ⭐️ Learn more about how I can help support you and your practice, and ways we can work together at www.raisedtoempower.com You don’t have to figure this out alone. Ashley Comegys specializes in helping therapist moms build private practices that allow them the time freedom, flexibility and autonomy they need in their careers. Looking for support in either starting your practice, or looking to revamp your marketing and systems? Let’s chat— book your consultation here! 🎧 If you find today's episode helpful or inspiring, be sure to share it with your therapist friends, subscribe to the show, and leave your five star rating and review. Disclaimer: This podcast is for educational purposes only and is not a substitute for therapy, supervision, or legal advice.

    49 min

  3. Jun 15

    Ep 157: The 4 Private Practice Rules You're Allowed to Break

    Breaking the Unspoken Rules of Private Practice for MomsThis episode of The Therapist Mom Podcast is packed with honest insights and personal strategies for building a private therapy practice that truly fits your life as a mom. If you’ve been feeling boxed in by the “right way” to run a practice or you wonder how to create a sustainable business without sacrificing family time (or yourself), you’re in the right place. As a therapist, coach, and mom navigating both private practice and motherhood, I know how overwhelming and isolating it can feel to do things differently—but also how powerful it is to finally give yourself permission to break those rules that don’t serve you. Grab a cup of coffee (or cold tea, let’s be real!), and let’s talk through the unspoken norms keeping therapists stuck—and exactly how you can let them go. Whether you’re brand new to private practice or wrestling with burnout after years in the field, this episode is for you. You’ll walk away with practical tools and the encouragement you need to create more freedom and sustainability in your work and your life. I’ll also share a bit of my own story about shifting priorities after becoming a mom and what finally letting go of these rules made possible for me, my practice, and my family. What You’ll Learn in This Episode1. Reclaiming Your Schedule: Discover how to redesign your hours around your life instead of always bending to client needs. 2. Online Therapy Legitimacy: Learn why you don’t need a fancy office or in-person sessions to have a successful, thriving practice. 3. Setting Your Own Fees Without Guilt: Find out how to charge rates that support your family and future without feeling like you’re “bad” or unethical. Episode Timestamps00:00: Introduction & challenging hustle culture in private practice 02:30: The myth that “good therapists” must work evenings/weekends and why it leads to burnout 07:12: Dismantling the pressure to see clients in-person and embracing online/virtual practice 11:51: Confronting the belief that charging high fees is unethical for therapists/moms 15:59: The freedom to say “no” to referrals that aren’t a fit, and why it’s essential for your sustainability 18:15: Recap of the four unspoken rules and how breaking them creates a practice on your terms 20:07: How to get your Ideal Practice Blueprint and connect in the community Top Takeaways on Breaking the Unspoken Rules for Therapist Moms1. You Don’t Have to Center Your Practice Around Your Clients’ SchedulesLet’s break this down: For too long, therapists (especially moms) have shaped their lives around client demands—picking up extra evenings, weekends, and constantly flexing their personal needs. I used to do the same before my first child was born, but once I had a baby, I realized just how precious and limited my energy and time had become. Shifting to a schedule that fits school runs, family dinners, and downtime didn’t make my practice suffer; it made it sustainable. Most clients will find a way to make your boundaries work—or they aren’t your clients, and that’s okay. 2. You Can Have a Successful Fully Online PracticeHere’s how you can start implementing this TODAY: Step 1: Evaluate your true preference for in-person vs. online work. What’s actually best for you?Step 2: Communicate your availability and online format clearly to prospective clients—don’t apologize.Step 3: Use my free Comprehensive Connecting Scripts to network with virtual-friendly referral sources (grab it via the link below). Remember, online therapy is not only legitimate; it increases accessibility for your clients and opens up more time/flexibility for you as a mom and a business owner. 3. You Are Allowed to Charge Fees That Support YouWe all make mistakes, but let’s save you the headache. Here’s what NOT to do when setting your rates: Mistake 1: Letting shame or judgment from colleagues dictate your financial choices.Mistake 2: Believing you’re unethical for wanting income that supports your family, retirement, or time off.Mistake 3: Ignoring your personal/family needs when calculating your rates. Your fees reflect the sustainability of your work—not your worth or “goodness” as a therapist. Join us for Therapist Mom Networking Meetup — a casual space to connect with other therapist moms, share what’s working in your practice, talk through challenges, and build real community. No pressure, no pitching — just support and connection. Register at https://www.raisedtoempower.com/networking 💻 This episode is sponsored by Jane, the all-in-one practice management software I use and love. Book your FREE Live Demo HERE and when you're ready to sign up use code ASHLEY1MO for a 1 month grace period ⭐️ Follow on Instagram @Raisedtoempower ⭐️ Grab your FREE networking guide for therapists HERE ⭐️ Learn more about how I can help support you and your practice, and ways we can work together at www.raisedtoempower.com You don’t have to figure this out alone. Ashley Comegys specializes in helping therapist moms build private practices that allow them the time freedom, flexibility and autonomy they need in their careers. Looking for support in either starting your practice, or looking to revamp your marketing and systems? Let’s chat— book your consultation here! 🎧 If you find today's episode helpful or inspiring, be sure to share it with your therapist friends, subscribe to the show, and leave your five star rating and review. Disclaimer: This podcast is for educational purposes only and is not a substitute for therapy, supervision, or legal advice.

    22 min

  4. Jun 8

    Ep 156: Should I Take Insurance or Go Private Pay in Private Practice?

    Should I Take Insurance or Go Private Pay in Private Practice?This episode of The Therapist Mom Podcast is packed with practical wisdom for any therapist mom—especially those standing at the crossroads of private practice decisions. If you’ve been feeling overwhelmed by the classic debate of “should I take insurance or stick to private pay?” or worrying you’ll make the “wrong” call and blow up your whole practice, you are definitely in the right place. As someone who’s built my practice while raising kids with allergies, navigating military spouse life, and supporting families with ADHD and more, I know just how real and personal this decision can feel. What I’ve learned? There’s no one-size-fits-all answer—and you have permission to do what truly fits your life, your values, and your current season. Let’s dive deep, name the hard stuff, and set you up to build a practice on your terms. What You’ll Learn in This EpisodeThe Real Case for Taking Insurance: Understand legitimate benefits to insurance—even if you’ve heard otherwise—and why it’s not a “lesser” choice.Private Pay Realities: How choosing private pay can put you in the driver’s seat of your business, plus the trade-offs that aren’t always discussed.How to Decide the Right Fit for You (Not Just What “They” Say): Honest questions to help you create a practice that actually supports your life (and not one that burns you out). Episode Timestamps00:00: Setting the stage for the insurance vs private pay debate in private practice.00:45: Breaking down the stigma, strong opinions, and big decisions about payment models.03:44: The full reality—pros and struggles—of taking insurance as a therapist.12:25: The inside look at private pay, what it means for your income and control.17:10: The marketing and mindset work necessary to fill a private pay practice.20:03: Key questions to guide your decision, based on your values, needs, and season of life. Top Takeaways on Taking Insurance vs. Private Pay in Private Practice1. There’s No Single “Right Way”—Only the Right Fit for YouLet’s break this down: The pressure to “pick right” is strong, but you aren’t stuck with one decision forever. I’ve shifted my own model multiple times, mixing insurance and private pay as my family and business have changed. The fear that you’ll collapse your whole practice with one choice just isn’t true—you can pivot as you go and as your needs evolve. Relatable story: I remember feeling surrounded by strong voices (especially online) insisting there’s only one “smart” route. If you feel lost in the noise, know you aren’t alone—and you aren’t behind. 2. Make Your Decision Strategically, Not from Shame or FearHere’s how you can start implementing this today: Step 1: Get brutally honest about your needs—your income, your nervous system, and your support system all matter. Ask: What actually helps me feel safe and steady right now?Step 2: Run the actual math (not just wishful thinking)! What does each insurance panel really pay? What’s your private pay rate, and does it cover your true expenses—overhead, taxes, and your real life?Step 3: Connect with other local clinicians to get real numbers before signing any insurance contracts. Rely on firsthand info, not just hearsay. Pro tip: Sometimes you’ll need more steady income in a new practice season; other times, you’ll crave more autonomy. Either is valid—as long as you decide intentionally. 3. What NOT to Do When Choosing Your Payment ModelWe all make mistakes, but let’s save you heartache. Here’s what to avoid: Mistake 1: Taking every insurance panel offered without checking reimbursement rates—this can leave you fully booked, exhausted, and still financially stressed.Mistake 2: Setting your private pay rate based on fear or guilt, or simply matching what “everyone else” charges. Undercharging only leads to resentment and burnout.Mistake 3: Expecting instant (or automatic) referrals with private pay—be prepared to stay consistent and visible with your marketing. Resources Mentioned in This EpisodeAs always, if you need help sorting through these choices or just want a sounding board, reach out and let's chat! Schedule a free consult HERE. You do not have to do this alone—and you absolutely have permission to build a practice that works for your life.

    25 min

  5. Jun 1

    Ep 155: Before You Sign Up for Headway or Alma as a Provider, Listen to This

    Venture Capital Backed Therapy Platforms vs. Direct Credentialing: What Every Therapist Should KnowThis episode of [The Therapist Mom Podcast] is packed with clear, actionable insights to help you make informed decisions about building your private practice as a therapist mom—without burning out or giving up your autonomy. If you’re feeling overwhelmed by all the options out there (especially when it comes to taking insurance) or you’re wrestling with fear about whether you can really build something sustainable on your own, you’re in the right place. As someone who’s spent over a decade in private practice (while raising kids, navigating military moves, and managing the chaos of mom life), I know firsthand how tempting it is to opt for something that promises to make this all “easier.” Sometimes, though, it’s those small, strategic shifts in ownership and mindset that end up giving us the freedom and time we really crave. So, let’s get honest about the pros and cons—straight, no chaser. If you’ve ever wondered, “Should I use a platform like Alma or Headway to accept insurance instead of credentialing myself?” or you just want the real scoop before you leap, you belong here. This episode is for any therapist who craves clarity, confidence, and control of their practice. What You’ll Learn in This EpisodeThe Real Trade-Offs of Venture Capital Platforms: Get to the heart of how these platforms operate, what they promise, and what you may actually be giving up—including direct payer relationships and income stability.Hidden Risks No One Talks About: Understand the structural risks behind recent changes (like Aetna’s reimbursement rates at Alma) and what it means for your bottom line and negotiating power.How to Confidently Transition to Direct Credentialing: I’ll share honest encouragement, plus my own experiences and resources, so you can see that getting credentialed yourself is absolutely doable—and often, more sustainable. Episode Timestamps00:02: Kicking off with a no-fluff conversation about motherhood, private practice, and why you deserve a business built for real life. 00:46: Breaking down what venture capital backed platforms (like Alma, Headway, Grow) really offer—and what’s missing from those glossy promises. 07:38: Real-world consequences: The Alma/Aetna rate cut changes and what happens when you don’t own your insurance contracts. 14:23: Hidden (and not-so-hidden) costs of using therapy platforms, plus what you risk by handing over control. 20:08: Honest perspective: Direct credentialing isn’t just possible—it’s the key to genuine autonomy in your practice. Top Takeaways on Venture Capital Backed Therapy Platforms1. Understanding the Venture Platform ModelLet’s break this down: These platforms act as a “middleman” between you and insurance companies, promising to handle credentialing, billing, and a steady stream of client referrals. The catch? They hold the contract, set the terms, and can change your reimbursement rates—with little to no warning or recourse for you. Think about Alma and Aetna’s recent shift: overnight, therapists lost $30/session for their most common appointment length—without any negotiation or direct communication (09:06). When you don’t own the contract, you don’t own what happens next. 2. Prioritizing Ownership and ControlHere’s how you can start implementing this TODAY: Step 1: Start the direct credentialing process now—even if you’re still using a platform as a transitional step.Step 2: Seek out resources: look for billing support, ask colleagues for guidance, and tap into communities or courses dedicated to insurance credentialing for therapists (21:05).Step 3: Remember—once you are credentialed directly, that relationship is yours for as long as you choose. This is what real practice security looks like. 3. Pitfalls to Avoid When Choosing Therapy PlatformsWe all make mistakes, but here’s what I want you to avoid: Mistake 1: Believing the only way to accept insurance is through a third-party platform—your story matters, and you absolutely can do this yourself (18:44).Mistake 2: Delaying your credentialing process because it feels intimidating. The longer you wait, the longer you’re dependent—and platforms will not advocate solely for your financial well-being (15:47). Resources Mentioned in This EpisodeBuilt to Run Course — Step-by-step foundation for building a practice that fits your real life.One-on-One Strategy Sessions — Personalized coaching to map your route to practice independence. DM me on Instagram @raisedempower — Let’s connect and talk about where you are in your journey! Join us for Therapist Mom Networking Meetup — a casual space to connect with other therapist moms, share what’s working in your practice, talk through challenges, and build real community. No pressure, no pitching — just support and connection. Register at https://www.raisedtoempower.com/networking 💻 This episode is sponsored by Jane, the all-in-one practice management software I use and love. Book your FREE Live Demo HERE and when you're ready to sign up use code ASHLEY1MO for a 1 month grace period ⭐️ Follow on Instagram @Raisedtoempower ⭐️ Grab your FREE networking guide for therapists HERE ⭐️ Learn more about how I can help support you and your practice, and ways we can work together at www.raisedtoempower.com You don’t have to figure this out alone. Ashley Comegys specializes in helping therapist moms build private practices that allow them the time freedom, flexibility and autonomy they need in their careers. Looking for support in either starting your practice, or looking to revamp your marketing and systems? Let’s chat— book your consultation here! 🎧 If you find today's episode helpful or inspiring, be sure to share it with your therapist friends, subscribe to the show, and leave your five star rating and review. Disclaimer: This podcast is for educational purposes only and is not a substitute for therapy, supervision, or legal advice.

    30 min

  6. May 25

    Ep 154: What a Successful Private Practice Actually Looks Like

    Building a Sustainable (and Yes, “Boring”) Private Practice as a Therapist MomThis episode of The Therapist Mom Podcast is a candid, empowering invitation for every therapist mom who’s tired of chasing a wildly ambitious practice that doesn’t fit her life. If you’ve been worn down by comparison, overwhelmed by hustle-culture advice, or questioning whether your practice “should” look bigger, shinier, or more “successful,” you’ll feel seen here. As someone who’s navigated cross-country moves for my husband’s Coast Guard career, rebuilt my practice after maternity leaves, and supported hundreds of therapists in building careers that actually work for their real lives, I know firsthand how vital it is to honor your capacity and redefine what true success looks like. Let’s get honest about what you actually want from your practice, and why a sustainable, even “boring,” business might be your best bet for autonomy, well-being, and genuine satisfaction. What You’ll Learn in This EpisodeWhy Chasing the Instagram-Worthy Practice Isn’t Always Your Path to Joy: Validation for those feelings of comparison and overwhelm, and why pushing for a flashy practice isn’t always the answer. How to Design a Sustainable, Fulfilling “Boring” Practice: Strategies for caseload, scheduling, and boundaries that protect your real life—not just your ambitions. What True Sustainability Looks Like in Private Practice: Clear ways to identify if you’re building for someone else’s metrics, and how to come home to what you actually want. Episode Timestamps00:00: Naming the reality—juggling private practice and motherhood isn’t all flawless Instagram graphics and meteoric growth 02:09: The overlooked value (and beauty!) of a “boring” private practice tailored to your life 04:27: Why my own private practice journey was shaped by military moves, motherhood, and honoring capacity 06:33: Debunking the hustle: sustainable practice is not the same as “settling” 08:17: The hidden cost of chasing online “success”—and a reframe about what matters most 10:34: The real math of caseload, fees, and how to work within your actual bandwidth 12:43: How to stop defaulting to someone else’s calendar and design your own schedule 15:26: Two crucial reflection questions for aligning your practice with your own values—not the highlight reel Top Takeaways on Building a Boring (Sustainable!) Private Practice1. The Case for a “Boring” Practice: Why Slow and Sustainable WinsLet’s break this down: It’s so easy to be seduced by the online images of six-figure months, group practice launches, and endless growth. But for many therapist moms—including me—those models were built under very different circumstances, often with significant support systems or resources. What actually matters is building a practice that honors your energy, family obligations, and mental health—even if it isn’t flashy. “Boring” can mean a calendar that works for school pick-ups, a caseload that lets you show up fully and have gas left in the tank for your kids, and boundaries that shield you from burnout. I’ve rebuilt after baby, after moves, and after periods of upheaval—and guess what? A predictable, stable practice is freedom. 2. The Math Actually Matters: Caseloads, Fees, and CapacityHere’s how you can start implementing this TODAY: Step 1: Get radically honest about your weekly capacity for clients—most thriving practices for moms exist in the 10–18 clients per week range, not 40. Step 2: Calculate the fee you need to meet your financial goals while keeping your caseload sustainable. This isn’t greedy; it’s good math and healthy boundaries. Step 3 (Pro tip): Don’t be afraid to revisit or raise your fees thoughtfully as your circumstances change, and get honest about what financial stability means for YOUR family. 3. Boundaries and Scheduling: Make Your Calendar Work for YouWe all make mistakes, but let’s save you the headache. Here’s what NOT to do when designing your schedule: Mistake 1: Sliding into default evening or weekend appointments because “that’s just what clients want.”Mistake 2: Accepting every new client without regard for your own rhythms, energy, or commitments.Instead, design your calendar intentionally around your real-life obligations—even if it means saying no to some opportunities. Protecting your afternoons, having “light days,” and putting a hard stop on your workday isn’t just allowed—it’s crucial for your health and sustainability. Join us for Therapist Mom Networking Meetup — a casual space to connect with other therapist moms, share what’s working in your practice, talk through challenges, and build real community. No pressure, no pitching — just support and connection. Register at https://www.raisedtoempower.com/networking 💻 This episode is sponsored by Jane, the all-in-one practice management software I use and love. Book your FREE Live Demo HERE and when you're ready to sign up use code ASHLEY1MO for a 1 month grace period ⭐️ Follow on Instagram @Raisedtoempower ⭐️ Grab your FREE networking guide for therapists HERE ⭐️ Learn more about how I can help support you and your practice, and ways we can work together at www.raisedtoempower.com You don’t have to figure this out alone. Ashley Comegys specializes in helping therapist moms build private practices that allow them the time freedom, flexibility and autonomy they need in their careers. Looking for support in either starting your practice, or looking to revamp your marketing and systems? Let’s chat— book your consultation here! 🎧 If you find today's episode helpful or inspiring, be sure to share it with your therapist friends, subscribe to the show, and leave your five star rating and review. Disclaimer: This podcast is for educational purposes only and is not a substitute for therapy, supervision, or legal advice.

    20 min

  7. May 18

    Ep 153: How to Leave Mental Health Agency Work and Start A Private Practice

    From Agency to Private Practice: What Nobody Tells You About Making the LeapHow to Leave Agency Work and Build a Private Practice That Actually Fits Your LifeYou've been doing the math in your head between sessions for a while now. If you could just keep the clients you actually want to see, set your own hours, stop asking permission to leave at 3pm... And then you shut it down, because who are you to want something different? This episode is for you. If you're licensed and working in an agency, community mental health setting, group practice, or hospital system and you keep circling the idea of private practice but can't quite get yourself to move — today we are naming what's actually getting in the way. Not the logistics. The stuff underneath the logistics. I've worked with a lot of therapist moms through this transition, and the thing that surprises most of them is how much of what's holding them back isn't about information. They've done the research. They know private practice is possible. What's harder to name is the guilt, the identity shift, and the quiet fear that wanting more somehow makes them less committed to the work they love. We're talking about all of it today. The emotional reality of leaving, how to honestly assess whether you're ready, and then the five practical steps to take first — in order — so you're not trying to build everything at once. This is the episode I wish someone had given me before I made the leap. What You'll Learn in This Episode Naming—and Navigating—the Guilt and Loyalty When Leaving Agency Work: Understand why these feelings come up and why they don’t have to hold you back.The Real-World Steps to Start Your Private Practice: Simple, practical actions—from knowing your numbers to setting up essential systems—so you don’t get stuck in overwhelm.The Secret to Actually Feeling “Ready” (It’s Not What You Think): How to recognize that “I’m not ready yet” is often about confidence, not competence, and how to move forward anyway. Episode Timestamps Episode Timestamps00:02: How motherhood, real life, and private practice collide—and why honest strategy matters more than hustle.00:49: The messy reality: recording from my car and why flexibility matters when juggling work and parenting.02:32: The emotional tug-of-war: loyalty, guilt, and the fears that hold us back from leaving agency or community mental health.07:00: Unpacking guilt: Are you really helping your clients or just serving a broken system?13:15: What “ready” really means for private practice (hint: it’s not about the perfect website).18:06: The actionable 5-step plan to start your private practice with clarity, confidence, and sustainability.25:08: Wrapping it all together: How to reframe your values, set realistic expectations, and take your next right step. Top Takeaways on Making the Leap from Agency to Private Practice1. Understanding and Honoring Your Guilt (Without Letting It Run the Show)Let’s break this down: Feeling guilty about leaving your agency, your clients, or your colleagues is not a flaw—it’s a sign that you care deeply. But the reality is, the system is designed to run on your overwork. Your agency will keep running and your clients will be reassigned if you leave. Staying out of guilt often only serves the institution, not your clients or your well-being. I’ve felt this firsthand, and it’s crucial to name and process these emotions so they don’t quietly sabotage your decision-making. 2. Setting Up a Sustainable Transition—Not Just Another Source of BurnoutHere’s how you can start implementing this TODAY: Step 1: Get clear on your niche. Who do you truly love working with? What themes or challenges light you up? Start jotting these down—even while still in agency work. Step 2: Know your numbers. What do you need to earn to support your real life? Calculate your expenses and reverse-engineer how many clients at what pay you’ll need to make it work. Don’t let fear dictate these numbers. Step 3: Set up your foundational systems (like your EHR and payment setup) while you still have stable income. This makes the transition less stressful when you start getting your first private clients. Pro tip: Connect with your network early—colleagues, supervisors, or other professionals who already know your work can be powerful referral sources before you ever pay for a website or run ads. 3. What Not To Do When Making This TransitionWe all make mistakes, but let’s save you the headache. Here’s what NOT to do: Mistake 1: Waiting for the “perfect time” or until you feel 100% confident. It rarely comes—all you need is to be ready enough to take the next step.Mistake 2: Overpreparing without action. Don’t spend years tweaking your website, taking every online course, or waiting for every family situation to resolve.Mistake 3: Repeating old patterns of burnout under a new roof. Private practice is not automatically sustainable—be intentional about your boundaries, fees, and who you take on as clients. Join us for Therapist Mom Networking Meetup — a casual space to connect with other therapist moms, share what’s working in your practice, talk through challenges, and build real community. No pressure, no pitching — just support and connection. Register at https://www.raisedtoempower.com/networking 💻 This episode is sponsored by Jane, the all-in-one practice management software I use and love. Book your FREE Live Demo HERE and when you're ready to sign up use code ASHLEY1MO for a 1 month grace period ⭐️ Follow on Instagram @Raisedtoempower ⭐️ Grab your FREE networking guide for therapists HERE ⭐️ Learn more about how I can help support you and your practice, and ways we can work together at www.raisedtoempower.com You don’t have to figure this out alone. Ashley Comegys specializes in helping therapist moms build private practices that allow them the time freedom, flexibility and autonomy they need in their careers. Looking for support in either starting your practice, or looking to revamp your marketing and systems? Let’s chat— book your consultation here! 🎧 If you find today's episode helpful or inspiring, be sure to share it with your therapist friends, subscribe to the show, and leave your five star rating and review. Disclaimer: This podcast is for educational purposes only and is not a substitute for therapy, supervision, or legal advice.

    29 min

  8. May 11

    Ep 152: Start Your Therapy Private Practice For Under $160

    Starting a Private Practice on a Budget: Therapist Mom Podcast StrategiesThis episode of The Therapist Mom Podcast is packed with actionable insights to help you launch your private practice without breaking the bank. If you’ve been feeling overwhelmed by the cost of starting up, struggling to figure out what’s actually essential, or wondering how to build a solid, professional foundation for your private practice (even if you have limited funds and just a few hours a week), you’re in the right place. As someone who started my own practice with more bills than budget, a baby at home, and plenty of self-doubt, I know the pressure to “do it all” can make us freeze. But I also know this: starting small can be smart—and you can do this with less than $160. In this episode, I’ll guide you step-by-step through what to use, what to skip (for now), and how to avoid the most common mistakes that keep new therapist moms stuck. If you’re ready for practical, no-fluff advice, and some needed permission to begin imperfectly, this one’s for you. What You’ll Learn in This EpisodeLow-Cost Essentials for Launching: Discover what you truly need to get your practice up and running legally and professionally without overspending.Smart Systems for Ease and Growth: Explore strategies for EHR, email, and finance management so you can work efficiently (and look polished!) from day one.Avoiding Common Startup Pitfalls: Learn what to skip, how to avoid unnecessary expenses, and where to spend strategically for the biggest impact. Episode Timestamps00:02: Naming the realities of starting a private practice as a mom and how this show offers practical strategy over hustle culture.01:28: Addressing the financial fear: how to start a private practice on a limited budget—including when you haven’t made a dollar yet.02:34: Concrete example: You can launch your practice for under $160, and here’s the mindset (and real-life story) to support that.05:15: The must-haves: Legal and ethical essentials (EHR, workspace, domain, phone, accounting) and what each will cost.09:19: Why professionalism matters more than perfection—prioritizing credibility without unnecessary expenses.16:34: The truth about business cards and “what’s nice to have” versus what’s actually important.18:44: Optional upgrades (like a simple website) if your budget allows, and how to prep for future growth.20:38: The value of support and guidance—whether that’s a course, coaching, or simply letting yourself begin imperfectly. Top Takeaways on Starting a Private Practice on a BudgetLean, Legal, and Professional FoundationsLet’s break this down: You don’t need to spend thousands to start a credible private practice. Focus on what makes your practice legal (EHR, accounting), builds trust (a professional email/domain), and keeps your boundaries intact (business phone). When I started out, I had to be scrappy, but starting lean meant every dollar went further and my foundation was solid enough to grow with me.Step-By-Step Start-Up—What to Actually BuyHere’s how you can start implementing this TODAY: Step 1: Invest in an affordable EHR like Jane (as low as $54/month) to handle scheduling, documentation, payments, and look professional from the start.Step 2: Set up Google Workspace for a polished email address ($6/month) and snag your domain (around $12–$20/year), even if you aren’t ready for a full website yet.Step 3: Pro tip—Save on overhead by starting telehealth-only, and use a HIPAA-compliant phone (like iPlum, about $5/month) to separate work and home life. Avoid Perfection Paralysis and Costly MistakesWe all make mistakes, but let’s save you the headache. Here’s what NOT to do: Mistake 1: Waiting for the “perfect” website or all the bells and whistles before starting—start practical, not perfect.Mistake 2: Mixing personal and business finances or giving out your personal phone number—protect your boundaries and credibility from day one. If you’re a therapist mom who’s ready to get moving on your private practice (even amid the chaos), I hope this episode gives you the clarity—and courage—to start making it real, one smart step at a time. Join us for Therapist Mom Networking Meetup — a casual space to connect with other therapist moms, share what’s working in your practice, talk through challenges, and build real community. No pressure, no pitching — just support and connection. Register at https://www.raisedtoempower.com/networking 💻 This episode is sponsored by Jane, the all-in-one practice management software I use and love. Book your FREE Live Demo HERE and when you're ready to sign up use code ASHLEY1MO for a 1 month grace period ⭐️ Follow on Instagram @Raisedtoempower ⭐️ Grab your FREE networking guide for therapists HERE ⭐️ Learn more about how I can help support you and your practice, and ways we can work together at www.raisedtoempower.com You don’t have to figure this out alone. Ashley Comegys specializes in helping therapist moms build private practices that allow them the time freedom, flexibility and autonomy they need in their careers. Looking for support in either starting your practice, or looking to revamp your marketing and systems? Let’s chat— book your consultation here! 🎧 If you find today's episode helpful or inspiring, be sure to share it with your therapist friends, subscribe to the show, and leave your five star rating and review. Disclaimer: This podcast is for educational purposes only and is not a substitute for therapy, supervision, or legal advice.

    23 min
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About

Motherhood and private practice aren’t two separate worlds, they’re your whole world colliding every day. The Therapist Mom Podcast is your weekly reminder that you can build a practice that fits your life, not the other way around. Being a therapist and a mom isn’t about balance, it’s about building differently and refusing to play by rules that were never written for us. Hosted by Ashley Comegys, a therapist, coach, and mom of three. You’ll hear candid stories, rebellious truths, and practical strategies for designing a practice that gives you freedom, flexibility, and room to breathe. The Therapist Mom Podcast is your permission slip to build a private practice that works for your real life. Each week, you’ll get honest conversations and practical strategy around starting, growing, and running a private practice, without the hustle, guilt, or burnout. We’ll talk about boundaries, money, motherhood, and dismantling the systems that were never built for us in the first place. Because you’re not “just a mom” or “just a therapist.” You’re both, and deserve a business that recognizes and respects that. If you’re ready to build a flexible, values-aligned private practice that gives you time freedom and the autonomy you’ve been craving, you’re in the right place.

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