All Things Private Practice Podcast

Patrick Casale
  • 4.9 (154)
  • MENTAL HEALTH
  • UPDATED WEEKLY

All Things Private Practice Podcast TM is where we dive deep into the gritty, unfiltered world of being a mental entrepreneur, mental health professional, and a private practice therapist. Join us as we explore the emotional roller coaster of small business ownership, tackling the raw and unapologetic aspects that often go unspoken. In each episode, we fearlessly dissect self-doubt, resilience, impostor syndrome, and paralyzing perfectionism. This podcast normalizes fear and failure and helps make the small business journey relatable. Patrick Casale is an Autistic ADHD licensed clinical mental health therapist, group practice owner, business coach, consultant, AuDHD TEDX speaker, retreat host, and serial entrepreneur. He interviews industry experts to share their stories of resilience, and to offer "how-tos" to help support your entrepreneurial journeys. This is the All Things Private Practice Podcast, where authenticity meets audacity, and the road to success is paved with resilience. Doubt Yourself Do It Anyway TM

  1. Be Annoying: Your Voice is Needed

    15H AGO

    Be Annoying: Your Voice is Needed

    In this episode, Patrick Casale talks with Caryn Zaner, PsyD, founder of Therapy for the Apocalypse and Felt Not Fixed, about what it means to run a business—and a life—rooted in values, authenticity, and a commitment to community, especially while navigating the challenges of a capitalist system that isn’t designed for equity or collective care. Here are 3 key takeaways: Embrace Value Alignment, Even When It’s Hard: If your business decisions don’t feel authentic or congruent with your values, it’s nearly impossible to stay motivated or feel good about your work. It’s okay to leave “money on the table” if it means staying true to yourself.Community and Accessible Care Matter: Healing happens in relationships, not isolation. The use of equitable sliding scales and group therapy can make care more accessible and build genuine community in and out of the therapy room.Rejection is Part of Advocacy: Practice advocating for yourself, even if it feels “annoying.” Not everyone will be your people—and that’s by design. Standing up for what truly matters means you’ll attract your “right fit” clients and repel those who aren’t aligned. That’s how you create real impact. Let’s dare to be a bit more “annoying”—and a lot more authentic—in our work and our lives. More about Caryn: Caryn Zaner, PsyD, is a psychologist who runs Therapy for the Apocalypse (a private therapy practice) and Felt Not Fixed (a coaching and consulting project still finding its shape). In their clinical work, they offer virtual services for Oregon-based clients, specializing in group therapy and therapeutic intensives for people navigating identity transitions, relational and attachment trauma, and existential distress. Their approach integrates Emotionally Focused Individual Therapy (EFiT), existential-humanistic principles, and relational process work, informed by liberational and feminist psychologies. Through Felt Not Fixed, Caryn offers coaching, consulting, and facilitation for people and teams who want to live and work in closer alignment with their values. This branch of their work centers on emotional authenticity, community connection, and creative experimentation. Across both spaces, Caryn helps people move from intellectual understanding to felt experience and from isolation to real contact. Offer: Check out Felt Not Fixed, a coaching and consulting space for values-driven humans, practitioners, and teams. It’s where Caryn (will) host evolving offerings like Values Clarity Sessions, Improv-based Perfectionism Recovery Workshops, and community-oriented groups on emotional processing and queer belonging. For Oregon residents seeking therapy, Caryn offers group therapy and therapeutic intensives rooted in relational and existential-humanistic work. Website: carynzanerpsyd.comFelt Not Fixed Coaching: feltnotfixed.podia.comInstagrams: @therapy.for.the.apocalypse and @felt.not.fixed ––––––––––––––––––––– 🎙️Listen to more episodes of the All Things Private Practice Podcast 🎙️Spotify 🎙️Apple 🎙️YouTube Music ▶️ YouTube ✈️ Learn about Retreats 🗨️ Join the free Empowered Escape FB Community 🗨️ Join the free All Things Private Practice FB Community ––––––––––––––––––––– Thanks to Our Sponsors: The Receptionist for iPad, Alma, & Portland, Maine, Summit 2026!✨ The Receptionist for iPad Thanks to The Receptionist for iPad for sponsoring this episode. The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option. ✨ Alma Thanks to Alma for sponsoring this episode.  Alma empowers you to confidently accept insurance backed by an all-in-one EHR that simplifies scheduling, documentation, and day-to-day practice operations. With a network of engaged providers and free CE courses, Alma makes it easy for you to build the practice of your dreams on your terms. Alma believes that when therapists get the support they need, mental healthcare gets better for everyone. Learn more at helloalma.com/ATPP. ✨ Portland, Maine, Summit 2026 The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. ––––––––––––––––––––– ✨ Free Podcasting Workbook Get a practical podcasting workbook for therapists considering starting a podcast, created by Patrick Casale, host of the podcasts All Things Private Practice and Divergent Conversations. You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain. Grab your free copy of the Podcasting Workbook: atppod.com/free-podcasting-workbook Mentioned in this episode: Alma Thanks to Alma for sponsoring this episode.  Alma empowers you to confidently accept insurance backed by an all-in-one EHR that simplifies scheduling, documentation, and day-to-day practice operations. With a network of engaged providers and free CE courses, Alma makes it easy for you to build the practice of your dreams on your terms. Alma believes that when therapists get the support they need, mental healthcare gets better for everyone. Learn more at https://helloalma.com/ATPP. Portland, Maine, Summit...

    32 min
  2. Speak Like a Badass: Confidence, Clarity, and Opportunities for Therapists

    MAR 14

    Speak Like a Badass: Confidence, Clarity, and Opportunities for Therapists

    In this episode, Patrick Casale talks with Azizi Marshall, an award-winning entrepreneur, psychotherapist, and media trainer who recently pivoted from running a group practice to founding a cutting-edge video and podcast recording studio, about empowering professionals to communicate with confidence and clarity, as well as what opportunities might open up as a result. Here are 3 key takeaways: Embracing Career Pivots: Sometimes your true calling means letting go of what no longer serves you—even if it’s been a big part of your identity. Azizi’s decision to close her group practice wasn’t easy, but it created space for new opportunities and greater impact.The Power of Rehearsal and Authenticity: Public speaking is vulnerable, even for seasoned professionals. Practicing, role-playing difficult scenarios, and accepting your nerves can make all the difference. Show up authentically—people relate to real over perfect.Your Skills Go Beyond the Therapy Room: As therapists and leaders, your expertise is invaluable outside of traditional settings. Bringing mental health knowledge to workplaces or creative projects can lead to broader impact—for individuals, organizations, and the community. More about Azizi: Azizi Marshall is a licensed psychotherapist, media trainer, and award-winning entrepreneur whose work has been featured in The New York Times, Forbes, NBC, ABC, FOX, and Success Magazine. She is the Founder of the Center for Creative Arts Therapy and Content Studio Lab, and she has been recognized as a 2x Titan 100 honoree for her leadership and innovation. With a unique background as a professional actor and director, Azizi blends psychology, creativity, and performance to help leaders, executives, and therapists alike build resilience, communicate with impact, and create safe, thriving workspaces. She is also an international keynote speaker and author, known for transforming how professionals show up in high-stakes moments with confidence and clarity. LinkedIn, Instagram, & YouTube: @azizimarshallIntensive Training: azizimarshall.com/executive-media-intensive ––––––––––––––––––––– 🎙️Listen to more episodes of the All Things Private Practice Podcast 🎙️Spotify 🎙️Apple 🎙️YouTube Music ▶️ YouTube ✈️ Learn about Retreats 🗨️ Join the free Empowered Escape FB Community 🗨️ Join the free All Things Private Practice FB Community ––––––––––––––––––––– Thanks to Our Sponsors: The Receptionist for iPad, Alma, & Portland, Maine, Summit 2026!✨ The Receptionist for iPad Thanks to The Receptionist for iPad for sponsoring this episode. The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option. ✨ Alma Thanks to Alma for sponsoring this episode.  Alma empowers you to confidently accept insurance backed by an all-in-one EHR that simplifies scheduling, documentation, and day-to-day practice operations. With a network of engaged providers and free CE courses, Alma makes it easy for you to build the practice of your dreams on your terms. Alma believes that when therapists get the support they need, mental healthcare gets better for everyone. Learn more at helloalma.com/ATPP. ✨ Portland, Maine, Summit 2026 The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. ––––––––––––––––––––– ✨ Free Podcasting Workbook Get a practical podcasting workbook for therapists considering starting a podcast, created by Patrick Casale, host of the podcasts All Things Private Practice and Divergent Conversations. You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain. Grab your free copy of the Podcasting Workbook: atppod.com/free-podcasting-workbook Mentioned in this episode: Portland, Maine, Summit 2026  The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: https://www.empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. Alma Thanks to Alma for sponsoring this episode.  Alma empowers you to confidently accept insurance backed by an all-in-one EHR that simplifies scheduling, documentation, and day-to-day practice operations. With a network of engaged providers and free CE courses, Alma makes it easy for you to build the practice of your dreams on your terms. Alma believes that when therapists get the support they need, mental healthcare gets better for everyone. Learn more at https://helloalma.com/ATPP. The Receptionist for iPad I want to thank The Receptionist for iPad...

    25 min
  3. Why Therapists Should Talk About Politics

    MAR 7

    Why Therapists Should Talk About Politics

    In this episode, Patrick Casale talks with Lauren Roberts, LPC, and ADHD-Certified Clinical Service Provider from South Louisiana, about the complexities and realities of therapists speaking (or not speaking) about politics in their practice. In today’s challenging climate—especially for marginalized and neurodivergent communities—this conversation feels more important than ever. Here are 3 key takeaways: Therapy is Political: Simply existing is political. For many clients, finding a therapist who affirms their values and needs isn’t a luxury—it’s a necessity. Silence or neutrality can inadvertently alienate those who need support most.Relatability Equals Accessibility: How you show up online—on your website, in your bios, on social media—helps clients decide if you’re a safe person to call. Transparency about your values fosters agency for clients and ensures you’re the right fit for those searching for genuine support.Boundaries and Self-Care Are Essential: Advocacy comes with risk, especially online. Protecting your energy by setting boundaries (limiting comments, stepping away when needed, and being intentional about what you share) is crucial, especially if you’re neurodivergent or chronically ill. Whether you’re a therapist, coach, or just someone considering how to show up more authentically in your work, remember: clarity is kindness. Your community is looking for you. More about Lauren: Lauren Roberts is a Licensed Professional Counselor and ADHD Certified Clinical Service Provider (ADHD-CCSP) born and raised in South Louisiana. She transitioned from agency work into a group practice in 2021. Later that year, she helped build and launch a nonprofit that focused on providing quality, accessible mental health programs and resources to lower-income folks in her community. Over the next two years, she served as a clinical director for both the nonprofit and the associated group practice, mentoring and supporting counseling students and pre-licensed counselors as they explored how to show up authentically and sustainably in their work with clients. Now, she primarily works as an individual therapist in her own private practice, helping fellow anxious, neurodivergent, and chronically ill misfits to empower themselves to set boundaries, develop radical self-compassion, and process pain to move toward a more authentic life that honors their needs and values. Additionally, she facilitates a free local support group for anxious, neurodivergent folks learning to set boundaries, which has been meeting for 4 years. You can find Lauren online sharing memes, being silly, and approaching difficult topics to advocate for a more inclusive, radically kind world. Website: copinginchaos.comInstagram: instagram.com/copinginchaos ––––––––––––––––––––– 🎙️Listen to more episodes of the All Things Private Practice Podcast 🎙️Spotify 🎙️Apple 🎙️YouTube Music ▶️ YouTube ✈️ Learn about Retreats 🗨️ Join the free Empowered Escape FB Community 🗨️ Join the free All Things Private Practice FB Community ––––––––––––––––––––– Thanks to Our Sponsors: The Receptionist for iPad, Alma, & Portland, Maine, Summit 2026!✨ The Receptionist for iPad Thanks to The Receptionist for iPad for sponsoring this episode. The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option. ✨ Alma Thanks to Alma for sponsoring this episode.  Alma empowers you to confidently accept insurance backed by an all-in-one EHR that simplifies scheduling, documentation, and day-to-day practice operations. With a network of engaged providers and free CE courses, Alma makes it easy for you to build the practice of your dreams on your terms. Alma believes that when therapists get the support they need, mental healthcare gets better for everyone. Learn more at helloalma.com/ATPP. ✨ Portland, Maine, Summit 2026 The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. ––––––––––––––––––––– ✨ Free Podcasting Workbook Get a practical podcasting workbook for therapists considering starting a podcast, created by Patrick Casale, host of the podcasts All Things Private Practice and Divergent Conversations. You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain. Grab your free copy of the Podcasting Workbook: atppod.com/free-podcasting-workbook Mentioned in this episode: The Receptionist for iPad I want to thank The Receptionist for iPad for sponsoring this episode. From new patients faced with an empty lobby and no idea where to find their therapist to clinicians with a session running over time and the doorbell ringing, some of the most anxiety-ridden moments of a therapy appointment happen before a session even starts. The Receptionist for iPad, helps you tackle some of that pre-appointment apprehension and anxiety. The Receptionist for iPad is an easy-to-use digital client check-in system that helps your visitors check in securely to their appointments and notify their practitioners of their arrival via SMS, email, or your preferred channel. No more confusion, and less lobby checking or having clients sign in on paper...

    32 min
  4. Navigating the Messy Middle: Liminal Spaces in Private Practice

    FEB 28

    Navigating the Messy Middle: Liminal Spaces in Private Practice

    Navigating the in-between phases of life isn’t easy—especially for private practice owners, leaders, and entrepreneurs pivoting in uncertain times. In this episode, Patrick Casale and Imani Harrison talk about liminal spaces—those in-between moments when something has ended but the next phase hasn’t yet begun—offering valuable insight for anyone building something new, feeling stuck, or doubting what comes next. 3 Key Takeaways: Growth Always Involves Endings: Every transition—whether chosen or forced—brings grief and discomfort. Each ending has valuable information, and sometimes things have to crumble for us to rebuild better.Get Comfortable with Discomfort (and Unlearning): Our capitalistic upbringings push constant productivity. Unlearning this—embracing stillness, floating in liminal spaces, and slowing down—is not easy, but often necessary for realignment.Zoom Out for Perspective: When you’re in a low or uncertain place, zoom out. Are you trending upward over time? Are you being intentional about your next steps? Sometimes you just need to trust the cycles, embrace the messy parts, and anchor into your resilience. If you’re in the “messy middle” right now—personally or professionally—know you’re not alone. There’s beauty (and opportunity!) in the uncertainty. More about Imani: Imani Harrison, LCPC, MA is a therapist, facilitator, entrepreneur, and emerging speaker based in Champaign, IL. She is known for warmth that steadies and wit that keeps things honest — especially when people are in the in-between and scared AF. Her work is clinically grounded, shaped by lived experience, and deeply human. As a neurodivergent entrepreneur, she brings both structure and creative disruption to the spaces she leads. Imani is the founder of Sankofa Healing & Wellness, where she provides therapy centered on reclamation, identity transformation, and the power of a healing relationship. She is also the co-founder of The Vitality Center, where she expands that support through teaching, facilitation, consultation, and coaching for clinicians, leaders, entrepreneurs, and organizations. Her work especially resonates with Black women leaders and neurodivergent creatives who are building lives and businesses that actually fit who they are becoming. She blends clinical wisdom with intuitive insight — where depth, symbolism, and embodied awareness meet — helping people take aligned steps without contorting themselves into Westernized molds of what healing or success “should” look like. An idea midwife by nature, she helps people generate bold, purpose-filled possibilities and shape them into next steps that will actually be exciting about pursuing. Instagram: instagram.com/thevitality.centerLinktree: linktr.ee/thevitalitycenter ––––––––––––––––––––– 🎙️Listen to more episodes of the All Things Private Practice Podcast 🎙️Spotify 🎙️Apple 🎙️YouTube Music ▶️ YouTube ✈️ Learn about Retreats 🗨️ Join the free Empowered Escape FB Community 🗨️ Join the free All Things Private Practice FB Community ––––––––––––––––––––– Thanks to Our Sponsors: The Receptionist for iPad, Alma, & Portland, Maine, Summit 2026!✨ The Receptionist for iPad Thanks to The Receptionist for iPad for sponsoring this episode. The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option. ✨ Alma Thanks to Alma for sponsoring this episode.  Alma empowers you to confidently accept insurance backed by an all-in-one EHR that simplifies scheduling, documentation, and day-to-day practice operations. With a network of engaged providers and free CE courses, Alma makes it easy for you to build the practice of your dreams on your terms. Alma believes that when therapists get the support they need, mental healthcare gets better for everyone. Learn more at helloalma.com/ATPP. ✨ Portland, Maine, Summit 2026 The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. ––––––––––––––––––––– ✨ Free Podcasting Workbook Get a practical podcasting workbook for therapists considering starting a podcast, created by Patrick Casale, host of the podcasts All Things Private Practice and Divergent Conversations. You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain. Grab your free copy of the Podcasting Workbook: atppod.com/free-podcasting-workbook Mentioned in this episode: Alma Thanks to Alma for sponsoring this episode.  Alma empowers you to confidently accept insurance backed by an all-in-one EHR that simplifies scheduling, documentation, and day-to-day practice operations. With a network of engaged providers and free CE courses, Alma makes it easy for you to build the practice of your dreams on your terms. Alma believes that when therapists get the support they need, mental healthcare gets better for everyone. Learn more at https://helloalma.com/ATPP. Portland, Maine, Summit 2026  The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean....

    36 min
  5. Why Talk Therapy Alone Falls Short for Healing

    FEB 21

    Why Talk Therapy Alone Falls Short for Healing

    As mental health professionals, we are overdue for a change in how we approach healing and support. In this episode, Patrick Casale talks with Dr. Colleen Cira—a nationally recognized trauma expert, group practice owner, and more—about the limitations of traditional one-on-one talk therapy and the urgent need for more community-focused solutions. Here are 3 key takeaways: The Traditional Model Leaves People Out: One-on-one talk therapy is valuable, but it’s rooted in a medical model that assumes a “sick person/expert fixer” dynamic. This leaves many clients—and even therapists—feeling disconnected and unsupported.Community is Essential for Healing: Dr. Colleen Cira emphasized that lasting change and resilience come when people find belonging and connection, not just intellectual insight. Group work, community events, and workshops can be more accessible and impactful for many clients.Vulnerability and Relatability Matter: Both Patrick and Dr. Cira touched on the power of therapists showing up as real, imperfect humans. Modeling authenticity helps clients feel seen and safe—and avoids burnout for clinicians. More about Dr. Colleen Cira: Dr. Colleen Cira is a Licensed Clinical Psychologist, Nationally Recognized Trauma Expert, and the Founder and Executive Director of both Cira Center for Behavioral Health, PC (CCBH) and Cira Center Consulting, LLC (CCC). Dr. Cira received both her Masters and Doctorate from the Illinois School of Professional Psychology and has been practicing in the field since 2001. She is a highly sought-after national neurodivergent and trauma expert who has appeared in dozens of publications, podcasts, live news, and radio, including NBC, ABC, US News and World Report, The Chicago Tribune, The Chicago Suntimes, Fast Company, Real Simple, Reader’s Digest, Yahoo! Lifestyle, Slate, and Bustle, among others. Dr. Cira was also named one of the “Top 100 Women in Chicago Making a Difference” by Today’s Chicago Woman. Dr. Cira is a trauma and anxiety expert, clinical supervisor, writer, speaker, consultant, activist, wife, and mommy. Website: ciracenter.orgInstagram: @drcolleenciraFacebook: Colleen Duffy Cira ––––––––––––––––––––– 🎙️Listen to more episodes of the All Things Private Practice Podcast 🎙️Spotify 🎙️Apple 🎙️YouTube Music ▶️ YouTube ✈️ Learn about Retreats 🗨️ Join the free Empowered Escape FB Community 🗨️ Join the free All Things Private Practice FB Community ––––––––––––––––––––– Thanks to Our Sponsors: The Receptionist for iPad, Alma, & Portland, Maine, Summit 2026!✨ The Receptionist for iPad Thanks to The Receptionist for iPad for sponsoring this episode. The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option. ✨ Alma Thanks to Alma for sponsoring this episode.  Alma empowers you to confidently accept insurance backed by an all-in-one EHR that simplifies scheduling, documentation, and day-to-day practice operations. With a network of engaged providers and free CE courses, Alma makes it easy for you to build the practice of your dreams on your terms. Alma believes that when therapists get the support they need, mental healthcare gets better for everyone. Learn more at helloalma.com/ATPP. ✨ Portland, Maine, Summit 2026 The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. ––––––––––––––––––––– ✨ Free Podcasting Workbook Get a practical podcasting workbook for therapists considering starting a podcast, created by Patrick Casale, host of the podcasts All Things Private Practice and Divergent Conversations. You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain. Grab your free copy of the Podcasting Workbook: atppod.com/free-podcasting-workbook Mentioned in this episode: The Receptionist for iPad I want to thank The Receptionist for iPad for sponsoring this episode. From new patients faced with an empty lobby and no idea where to find their therapist to clinicians with a session running over time and the doorbell ringing, some of the most anxiety-ridden moments of a therapy appointment happen before a session even starts. The Receptionist for iPad, helps you tackle some of that pre-appointment apprehension and anxiety. The Receptionist for iPad is an easy-to-use digital client check-in system that helps your visitors check in securely to their appointments and notify their practitioners of their arrival via SMS, email, or your preferred channel. No more confusion, and less lobby checking or having clients sign in on paper logbooks. It can even help you upgrade and update your demographic information for your clients as well and even validate parking. Start a 14-day free trial of the Receptionist for iPad by going to thereceptionist.com/privatepractice. Make sure to start your trial with that link and you'll also get your first month free if you decide to sign up. Alma Thanks to Alma for sponsoring this episode.  Alma empowers you to confidently accept insurance backed by an all-in-one EHR that simplifies scheduling, documentation, and day-to-day practice operations. With a network of engaged providers and free CE courses, Alma makes...

    34 min
  6. Beyond Picky Eating: How to Recognize and Treat ARFID

    FEB 14

    Beyond Picky Eating: How to Recognize and Treat ARFID

    In this episode, Patrick Casale and Dr. Marianne Miller break down critical myths about Avoidant/Restrictive Food Intake Disorder (ARFID) and offer practical, compassionate approaches for clinicians, parents, and anyone supporting neurodivergent folks with eating challenges. Here are 3 key takeaways: ARFID is not “picky eating”: Labeling someone as a “picky eater” implies willfulness or stubbornness, when ARFID is in fact a complex, involuntary experience often tied to sensory processing and interoceptive cues.A collaborative, sensory-affirming approach matters: Treating ARFID requires asking nuanced questions about sensory preferences, hunger awareness, and family dynamics. Pressure, shame, and coercion do more harm than good—compassion and understanding are the foundation of effective support.Education is essential—for providers and families: Ongoing education and unlearning old beliefs is vital. There are fantastic resources and training for therapists, parents, and adults living with ARFID to build understanding and empathy. More about Dr. Marianne: Dr. Marianne is a licensed therapist with nearly 30 years in mental health and 13 years specializing in eating disorders. She spent 12 years as a full-time academic before moving into full-time private practice in 2018. She is the host of the Dr. Marianne-Land podcast and creates online education, including her ARFID and Selective Eating course. Her work centers a non-diet, liberation-focused, Health at Every Size (HAES®) approach and supports people of all genders and neurotypes. She is neurodivergent and LGBTQIA+ affirming. Instagram: instagram.com/drmariannemillerARFID and Selective Eating Course: drmariannemiller.com/arfid ––––––––––––––––––––– 🎙️Listen to more episodes of the All Things Private Practice Podcast 🎙️Spotify 🎙️Apple 🎙️YouTube Music ▶️ YouTube ✈️ Learn about Retreats 🗨️ Join the free Empowered Escape FB Community 🗨️ Join the free All Things Private Practice FB Community ––––––––––––––––––––– Thanks to Our Sponsors: The Receptionist for iPad & Portland, Maine, Summit 2026!✨ The Receptionist for iPad Thanks to The Receptionist for iPad for sponsoring this episode. The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option. ✨ Portland, Maine, Summit 2026 The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. ––––––––––––––––––––– ✨ Free Podcasting Workbook Get a practical podcasting workbook for therapists considering starting a podcast, created by Patrick Casale, host of the podcasts All Things Private Practice and Divergent Conversations. You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain. Grab your free copy of the Podcasting Workbook: atppod.com/free-podcasting-workbook Mentioned in this episode: The Receptionist for iPad I want to thank The Receptionist for iPad for sponsoring this episode. From new patients faced with an empty lobby and no idea where to find their therapist to clinicians with a session running over time and the doorbell ringing, some of the most anxiety-ridden moments of a therapy appointment happen before a session even starts. The Receptionist for iPad, helps you tackle some of that pre-appointment apprehension and anxiety. The Receptionist for iPad is an easy-to-use digital client check-in system that helps your visitors check in securely to their appointments and notify their practitioners of their arrival via SMS, email, or your preferred channel. No more confusion, and less lobby checking or having clients sign in on paper logbooks. It can even help you upgrade and update your demographic information for your clients as well and even validate parking. Start a 14-day free trial of the Receptionist for iPad by going to thereceptionist.com/privatepractice. Make sure to start your trial with that link and you'll also get your first month free if you decide to sign up. Portland, Maine, Summit 2026  The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: https://www.empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine.

    28 min
  7. Navigating ADHD and Rejection Sensitivity as a Therapist

    FEB 7

    Navigating ADHD and Rejection Sensitivity as a Therapist

    As an ADHD therapist, coach, and entrepreneur, navigating professional and personal life comes with unique challenges—and opportunities. In this episode, Patrick Casale and Bobbi-Jo Molokken, psychotherapist, ADHD coach, and founder of Embrace the Muchness, LLC, dive into topics like Rejection Sensitive Dysphoria (RSD), real-life ADHD accommodations for therapists, and the importance of authentic self-disclosure with clients. Here are 3 key takeaways: Accommodations Are Essential, Not Optional: Implementing simple strategies like concurrent note-taking, scheduled sending of emails, and pausing to address recurring thoughts can increase effectiveness in both sessions and business operations.Name and Normalize Your Experience: Recognizing and labeling RSD can help you create space between feeling and reaction, leading to healthier decision-making and emotional regulation—especially when facing criticism or feedback.Model Neurodivergent Coping Tools for Clients: Transparently sharing your own supportive strategies in sessions doesn’t just help you—it's also invaluable modeling for ADHD clients who need to see that accommodations are not a weakness but a strength. If you’re a therapist or entrepreneur navigating ADHD, remember: relatability fosters accessibility. Embrace your muchness, and don’t be afraid to show up as your authentic self—for your clients and your community. More about Bobbi-Jo: Bobbi-Jo Mol-okken, LISW, CCTP, is a psychotherapist and ADHD coach based in Iowa. Diagnosed with ADHD as an adult and a parent of ADHD children, she brings both personal and professional insight to her work. She is passionate about providing neurodiversity-affirming education and resources that empower individuals and professionals to better understand and support ADHD. She is the founder of Embrace the Muchness LLC, where she offers ADHD coaching, professional development training, clinical consultation, and digital resources designed for neurodivergent individuals and those who support them. She recently released the Inner Equilibrium Audit, a three-phase self-reflection tool that helps individuals explore patterns of time use, energy balance, and executive functioning in daily life. Instagram: instagram.com/embracethemuchnessFree Facebook Group: facebook.com/groups/embracingthemuchnessWebsite: embracethemuchness.com ––––––––––––––––––––– 🎙️Listen to more episodes of the All Things Private Practice Podcast 🎙️Spotify 🎙️Apple 🎙️YouTube Music ▶️ YouTube ✈️ Learn about Retreats 🗨️ Join the free Empowered Escape FB Community 🗨️ Join the free All Things Private Practice FB Community ––––––––––––––––––––– Thanks to Our Sponsors: The Receptionist for iPad & Portland, Maine, Summit 2026!✨ The Receptionist for iPad Thanks to The Receptionist for iPad for sponsoring this episode. The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option. ✨ Portland, Maine, Summit 2026 The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. ––––––––––––––––––––– ✨ Free Podcasting Workbook Get a practical podcasting workbook for therapists considering starting a podcast, created by Patrick Casale, host of the podcasts All Things Private Practice and Divergent Conversations. You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain. Grab your free copy of the Podcasting Workbook: atppod.com/free-podcasting-workbook Mentioned in this episode: Portland, Maine, Summit 2026  The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: https://www.empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. The Receptionist for iPad I want to thank The Receptionist for iPad for sponsoring this episode. From new patients faced with an empty lobby and no idea where to find their therapist to clinicians with a session running over time and the doorbell ringing, some of the most anxiety-ridden moments of a therapy appointment happen before a session even starts. The Receptionist for iPad, helps you tackle some of that pre-appointment apprehension and anxiety. The Receptionist for iPad is an easy-to-use digital client check-in system that helps your visitors check in securely to their appointments and notify their practitioners of their arrival via SMS, email, or your preferred channel. No more confusion, and less lobby checking or having clients sign in on paper logbooks. It can even help you upgrade and update your demographic information for your clients as well and even validate parking. Start a 14-day...

    39 min
  8. Push-Pull of AuDHD Burnout: ADHD Excitement vs. Autistic Exhaustion

    JAN 31

    Push-Pull of AuDHD Burnout: ADHD Excitement vs. Autistic Exhaustion

    AuDHD Burnout goes beyond overwhelm felt from external forces in life and into an internal struggle of navigating the everyday tug-of-war needs and desires stemming from being both Autistic and ADHD. In this episode, Patrick Casale talks with Atsede Scarseth, an AuDHD LPC, Coach, and Certified Yoga Teacher, about the complexities of AuDHD (Autistic + ADHD) burnout, masking, and the necessity of both self-acceptance and truly restorative rest, particularly as a neurodivergent entrepreneur. Here are 3 key takeaways: Burnout is Nuanced: It’s not just about overworking; neurodivergent people often burn out from sensory overload, masking, or pushing past personal limits—not simply job stress.Integration is Key: Insight into your neurodivergence is only the beginning. Real transformation—and healing—happens when you learn to embody those insights and adjust your life accordingly.The Power of Neurodivergent Community: Building spaces (like specialized retreats) where unmasking is welcomed and rest is prioritized can be transformative. It’s about community, not just survival. More about Atsede: Atsede (At-sed-uh) is a Licensed Professional Counselor, Coach, and Certified Yoga Teacher. Originally from New York, she’s lived in Colorado for 10+ years. Atsede completed her Masters of Arts in Clinical Mental Health Counseling at Northwestern University. Her neurodivergence (Gifted, AuDHD), various life experiences, and unique worldview allows her to meet people where they are authentically. She enjoys music, nature, and intuitive movement as each one holds a significant place in her life and informs how she interacts and connects with those around her. Atsede spent much of her early years confused, overwhelmed, and anxious despite her ability to “successfully” navigate the majority of situations she was presented with. Her journey to understanding her needs and how to take care of herself included a holistic approach involving mental, physical, and spiritual wellness. She likes to balance evidence-based therapeutic modalities and spiritually aligned practices (yoga, psychedelic work, intuitive practices, etc.). She also enjoys traveling and experiencing different ways of living, which hosting retreats allows her to do while giving back to the communities she’s sharing space with. Retreat Offer: Check out Neurodivergent by Nature: A Lush Getaway in Ireland. This is a retreat for the Neurodivergent, highly sensitive feelers to get together, unmask, reset, rest, learn, and connect. Use code PATRICK for $300 off the experience. Learn more: unearthingchoicecounseling.com/irelandInstagram: instagram.com/atsedescarsethYouTube: youtube.com/@atsedescarseth ––––––––––––––––––––– 🎙️Listen to more episodes of the All Things Private Practice Podcast 🎙️Spotify 🎙️Apple 🎙️YouTube Music ▶️ YouTube ✈️ Learn about Retreats 🗨️ Join the free Empowered Escape FB Community 🗨️ Join the free All Things Private Practice FB Community ––––––––––––––––––––– Thanks to Our Sponsors: The Receptionist for iPad & Portland, Maine, Summit 2026!✨ The Receptionist for iPad Thanks to The Receptionist for iPad for sponsoring this episode. The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option. ✨ Portland, Maine, Summit 2026 The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. ––––––––––––––––––––– ✨ Free Podcasting Workbook Get a practical podcasting workbook for therapists considering starting a podcast, created by Patrick Casale, host of the podcasts All Things Private Practice and Divergent Conversations. You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain. Grab your free copy of the Podcasting Workbook: atppod.com/free-podcasting-workbook Mentioned in this episode: Portland, Maine, Summit 2026  The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: https://www.empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine. The Receptionist for iPad I want to thank The Receptionist for iPad for sponsoring this episode. From new patients faced with an empty lobby and no idea where to find their therapist to clinicians with a session running over time and the doorbell ringing, some of the most anxiety-ridden moments of a therapy appointment happen before a session even starts. The Receptionist for iPad, helps you tackle some of that pre-appointment apprehension and anxiety. The Receptionist for iPad is an easy-to-use digital client check-in system that helps your visitors check in securely to...

    45 min
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4.9
out of 5
154 Ratings

About

All Things Private Practice Podcast TM is where we dive deep into the gritty, unfiltered world of being a mental entrepreneur, mental health professional, and a private practice therapist. Join us as we explore the emotional roller coaster of small business ownership, tackling the raw and unapologetic aspects that often go unspoken. In each episode, we fearlessly dissect self-doubt, resilience, impostor syndrome, and paralyzing perfectionism. This podcast normalizes fear and failure and helps make the small business journey relatable. Patrick Casale is an Autistic ADHD licensed clinical mental health therapist, group practice owner, business coach, consultant, AuDHD TEDX speaker, retreat host, and serial entrepreneur. He interviews industry experts to share their stories of resilience, and to offer "how-tos" to help support your entrepreneurial journeys. This is the All Things Private Practice Podcast, where authenticity meets audacity, and the road to success is paved with resilience. Doubt Yourself Do It Anyway TM

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