Private Pay Practitioners Premium Podcast

DJ Burr

Private pay isn't a dream. It's a decision. And this podcast is for the therapists who are making it. Each week I sit down with private pay practitioners and industry experts who are actually doing the work -- building sustainable practices, ditching insurance, and creating businesses that don't require their burnout to survive. Real conversations. Practical strategies. Let's get to work. New episodes biweekly. Join 17,000+ therapists at privatepaypractitioners.com

  1. Oct 21

    S2E46 | Ten Years in the Air Force, Then Private Pay From Day One | Deanna Barrett, MFT

    Deanna Barrett spent ten years in the US Air Force and three years in tech, ending at Meta. Then she got her master's in marriage and family therapy and opened a private pay practice in April 2026. She is three months in and she is telling the truth about what that looks like. She focuses on couples work, specifically blended families, communication breakdowns, and the emotional disconnect that happens when partners stop feeling like teammates. She is getting certified in Relational Life Therapy, which she describes with their saying: strong back, soft heart. Direct with clients, warm in delivery. We talked about why she chose private pay from day one (she watched her supervisor argue with insurance companies over clawbacks during her internship and saw associates pushed to 25 to 30 clients a week), what ten years of capped military pay taught her about autonomy, why she turned down a $60 EAP rate without apology, the slow reality of networking as a new practice owner (20 clinicians reached out to, 7 responded, 3 meetings), why she does not take couples who really need discernment counseling, and why having different entry points to your services matters when someone says you are too expensive. She also said something I want every new private pay therapist to hear. "I have found that if it's not a good fit and that's not within your scope, don't do it. You're doing yourself a disservice and you're really doing them a disservice as well." Deanna is in the Austin, Texas area and she is starting her PhD in family systems this August. She is doing all of it at once. If this episode has you thinking about what your first 90 days could look like, let's talk. Book a 90-minute strategy session at privatepaypractitioners.com. Deanna Barrett: healingwithDeanna.com Instagram: Healing with Deanna

  2. Oct 14

    S2E45 | You Don’t Know What’s Happening in Your Nervous System Until You Stop | Vickery Rendall, LICSW

    Vickery Rendall was going to die in the ER. That was the plan. Then she ran out of PTO. She spent over a decade in emergency rooms and medical units across four Washington hospitals. Code blues. Sexual assault exams. Mental health evaluations at the most acute moments of people’s lives. She did not know what it was doing to her nervous system until she stopped. Now she is building Coastal Trauma in Bellingham, Washington, a private pay practice for the people who have been living that world their whole careers and have never had a therapist who actually understood what they were walking into every day. We talked about what those years in the ER actually looked like and what the body was holding that the mind had learned to ignore. The 16-month Regents depaneling trap that a mental health lawyer could not find a way around. Why her clients worry their stories will be too much for the therapist. Why adding more trainings is sometimes about legitimizing the fee rather than trusting what she already knows. What her EMDR and IFS intensives are starting to make possible. And what it means to finally open a physical office after building entirely in telehealth. She also mentioned something about retreats on boats. I love that idea. If this episode got you thinking about what you are sitting on and whether you are trusting it, let’s talk. Book a 90-minute strategy session at privatepaypractitioners.com. Vickery Rendall: coastaltrauma.com

  3. Sep 30

    S2E43 | You Don't Have to Play by Other People's Rules | Private Pay, Neurodivergence & Building Your Way | Mattea LeWitt, LCSW

    (Mattea rhymes with great idea.) Mattea LeWitt just launched her practice this year, went private pay from day one, and came in already knowing what she refuses to do. She is a licensed clinical social worker based in Philadelphia and the founder of Philadelphia Social Work. She specializes in helping sensitive and neurodivergent adults set boundaries so they can stop dropping the ball in their personal lives and at work. She also has a background in theater, which comes through every time she opens her mouth. She skipped the insurance on-ramp entirely. Built her rate around the caseload she actually wants, not around fear. And she is already thinking about CE courses and public speaking even though she just started. We talked about why the conventional wisdom around starting with insurance actually costs you. The difference between marketing and helping the right people find you. Why therapists have been conditioned to believe they are personally responsible for fixing the healthcare system. And what it looks like to build something from scratch when you already know the rules you refuse to follow. She also networked live on air. Asked the audience to reach out. I told her that was smart. Because it was. If this episode lit something up for you, let's talk. Book a 90-minute strategy session at privatepaypractitioners.com. Mattea LeWitt: philadelphiasocialwork.com LinkedIn: linkedin.com/in/mattealewitt

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About

Private pay isn't a dream. It's a decision. And this podcast is for the therapists who are making it. Each week I sit down with private pay practitioners and industry experts who are actually doing the work -- building sustainable practices, ditching insurance, and creating businesses that don't require their burnout to survive. Real conversations. Practical strategies. Let's get to work. New episodes biweekly. Join 17,000+ therapists at privatepaypractitioners.com

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