The Business of Psychology

Dr Rosie Gilderthorp

Are you a mental health professional with a feeling in the pit of your stomach that the system is BROKEN? Did you start your training full of ideas about changing the landscape of mental health for the better but now you find you are so busy seeing people in crisis that you don't have time to do any of it? Do you KNOW that we need to get out of our therapy rooms and start reaching people in other ways? Do you KNOW that the key to better mental health is prevention not crisis management? If you do then join me for a mix practical skills, strategies and inspirational interviews with psychologists and therapists just like you who are using their skills to do BIG things way beyond the therapy room. Prepare to get your "trainee spirit" back.

  1. Episode 186

    AI is changing therapy with Dr Aisha Tariq

    AI is changing therapy with Dr Aisha TariqWelcome to the Business of Psychology podcast. Almost every psychologist and therapist I speak to right now has some version of the same feeling about AI. A mix of curiosity, a strange sense of guilt, and a worry that they're either being left behind or they're about to do something unethical without realizing it. There is a lot of noise, a lot of hype, and very little practical talk about what actually helps in a real practice, and where the genuine risks of AI might be. My guest today has been doing AI since 2022, long before most of this conversation started. Dr Aisha Tariq is a clinical psychologist and the clinical director of Illuminated Thinking, a Glasgow practice of 25 clinicians. She's built AI into how that practice runs and how her team work clinically, so she can be really specific about what saves real time across her team, and also where the pitfalls are. She's also built her own AI clinical documentation tool, Cogent, and she's the co-founder of the AI in Psychology Summit, which is happening on the 5th of October in 2026. Full show notes and a transcript of this episode are available at The Business of Psychology Links: AI in Psychology Summit - 5th October Esther and Aisha are offering listeners 20% off the summit tickets! Follow this link for the discount: https://aipsychology.co.uk/?ref=DRROSIE&discount=PODCAST20 Episode 162: Using AI in therapy and other legal questions with Clare Veal from Aubergine Legal Links for Aisha: Cogent Clinic Links for Rosie: Substack: substack.com/@drrosie Rosie on Instagram: @rosiegilderthorp @drrosiegilderthorp The highlightsAisha tells us about her independent practice and she ended up with a practice of 25 clinicians 02:23I ask Aisha what it was that made her take an interest in AI 04:22We discuss the feeling of shame associated with using AI 10:29Aisha talks about rolling out AI to her team 13:42Aisha tells us what steps to take if we'd like to explore having these tools in our practices19:50Aisha talks about the development of Cogent 24:13I ask Aisha what common mistakes she sees psychologists and therapists making with AI 32:35We discuss the AI in Psychology Summit 33:54 Start Up Your Psychology PracticeIf you're fitting private practice clients around an employed role that doesn't give you the flexibility that you need, this is for you. Start Up Your Psychology Practice helps you build a practice that can replace your income with fees that work, a clear specialism and marketing that fits your daily life so you can finally let go of the juggle. Right now it includes a two-hour one-to-one intensive with me to plan it all out together. Follow the link to find out more and book a call with me to see if Start Up might be right for you: https://psychologybusinessschool.com/lp/start-up-private-practice-bundle/

  2. Episode 187

    Safeguarding for psychologists in independent practice with Dr Rebekah Eglinton

    Safeguarding for psychologists in independent practice with Dr Rebekah EglintonWelcome to the Business of Psychology podcast. Today, we're tackling a topic that strikes a chord of pure anxiety for almost every independent practitioner; safeguarding. In institutional settings like the NHS, we're used to having an embedded safeguarding lead, clear-cut multidisciplinary pathways, and a collective safety net. But when you step out into independent practice, that ultimate accountability falls squarely on our shoulders, often leaving us feeling isolated and really anxious when risk comes into the therapy room. So to help us move from a place of paralyzing fear and towards a place where we can feel more kind of realistic, grounded, and confident, I am joined today by the brilliant Dr Rebekah Eglinton. Bekah is a consultant clinical psychologist and the clinical director of Eglinton Consultancy. She has a really deep background in high-stakes safeguarding governance, having previously served as the chief psychologist and head of support, safeguarding, and police referrals at the Independent Inquiry into Child Sexual Abuse, where she oversaw thousands of sensitive national-scale referrals. She's also a registrant council member and non-executive director at the Health and Care Professions Council and an associate non-executive director and wellbeing guardian at Devon Partnership NHS Trust. So I have got a brilliant person today to help you deal with your anxiety around safeguarding, and we're going to be talking with Bekah about the things we really need to watch out for in independent practice and also about some training she's developed to help us all feel much more confident as we step into the therapy room, possibly for the first time with clients that might have some risk in their background. Full show notes and a transcript of this episode are available at The Business of Psychology Links for Rebekah: Eglinton Consultancy: Safeguarding Training for Psychologists & Therapists: https://www.eglintonconsultancy.com/eventtickets/p/traumainformedtrainingtickets-2cdzs-2adsl www.eglintonconsultancy.com Instagram: @dr.rebekaheglinton Links for Rosie: Substack: substack.com/@drrosie Rosie on Instagram: @rosiegilderthorp @drrosiegilderthorp The highlightsRebekah tells us what she sees as the most common safeguarding blind spots or oversights in independent practice 03:25Rebekah talk about GDPR 10:30I ask Rebekah about what ‘defensible documentation’ might actually look like for an independent clinician 19:55We discuss templates and AI as ways to help with compliance and note taking 24:16Rebakah tells us what motivated her to develop a training for psychologists in independent practice 33:08I ask Rebekah how she’s marketed the training 40:23Rebakah tells us where we can find out more about the training 44:15 Start Up Your Psychology PracticeIf you're fitting private practice clients around an employed role that doesn't give you the flexibility that you need, this is for you. Start Up Your Psychology Practice helps you build a practice that can replace your income with fees that work, a clear specialism and marketing that fits your daily life so you can finally let go of the juggle. Right now it includes a two-hour one-to-one intensive with me to plan it all out together. Follow the link to find out more and book a call with me to see if Start Up might be right for you: https://psychologybusinessschool.com/lp/start-up-private-practice-bundle/

  3. Episode 188

    Fear in the Therapy Room with Michael Guilding

    Fear in the Therapy Room with Michael GuildingWelcome to the Business of Psychology podcast. My guest today is Michael Guilding, a retired psychotherapist with 30 years of clinical experience, including over a decade working within NHS psychological therapies as head of counseling. Michael spent the past 10 years studying the human fear system, building on attachment theory and polyvagal theory to understand complex trauma and depression. He teaches workshops for the Complex Trauma Institute and has just released his book, Fear in the Therapy Room. Full show notes and a transcript of this episode are available at The Business of Psychology Links for Michael: https://michaelguilding.com/ Book: Fear in the Therapy Room: https://michaelguilding.com/book/ Amazon: https://amzn.eu/d/00rg0AWB Waterstones: https://www.waterstones.com/book/fear-in-the-therapy-room/michael-guilding/9781781612903 Links for Rosie: Substack: substack.com/@drrosie Rosie on Instagram: @rosiegilderthorp @drrosiegilderthorp The highlightsMichael tells us about who his book, Fear in the Therapy Room, is written for 01:37Michael talks about the fear system draining Energy 5:45We discuss burnout and our awareness 9:44I ask Michael about fear alert, fear arousal, and fear collapse 13:33Michael explains about the link between fear collapse and depression 20:59We look at the role of cognition 28:28Michael talks about rethinking therapeutic touch 32:20Michael looks at resistance to change 37:08I ask about supporting clients through chronic stress 43:15We discuss how to support therapists 50:35Michael tells us where we can buy his book 52:19 Start Up Your Psychology PracticeIf you're fitting private practice clients around an employed role that doesn't give you the flexibility that you need, this is for you. Start Up Your Psychology Practice helps you build a practice that can replace your income with fees that work, a clear specialism and marketing that fits your daily life so you can finally let go of the juggle. Right now it includes a two-hour one-to-one intensive with me to plan it all out together. Follow the link to find out more and book a call with me to see if Start Up might be right for you: https://psychologybusinessschool.com/lp/start-up-private-practice-bundle/

  4. Episode 189

    When my clinic dies and the idea for a book was born

    When my clinic dies and the idea for a book was bornWelcome to The Business of Psychology. This is a short series to let you behind the curtain on my journey to publishing my first book, You Are Doing Enough. I'm not doing this as a polished, look how easy this was, success type story. I'm doing it because I know so many of you listening are therapists and psychologists who have your own book idea sitting somewhere, and I really want you to hear what the process has actually been like, and my tips for getting that book out of your head and onto the page. I talk about what got me motivated and into the zone for writing the book, because I have wanted to write a book for a very long time, and have started many books that I never finished. I've written 30,000 words and thrown them away time and time again, but this felt different from the very beginning. I want to talk about why I think this was different from ideas that haven't gone anywhere before, then in the next episode, I'll talk about what I did to enable myself to write the book, and then I'll talk about the steps I took to get an agent because this book will be traditionally published. Later in the year, we'll do a few more episodes about the nuts and bolts of publishing and selling a book, and hopefully that will coincide with the book's release date. It’s due to be published in May 2027, and is already open for pre-orders. Full show notes for this episode are available at The Business of Psychology Rosie on Instagram: @rosiegilderthorp @drrosiegilderthorp Pre Order You Are Doing Enough and get access to Get Your Book Published with Louise BuckleyClick here to pre-order You Are Doing Enough Pre-ordering now gets you a ticket to Get Your Book Published with Louise Buckley (literary agent) live on 6th November at 11:30 (replay available); just fill in this form after purchasing: https://psychologybusinessschool.mykajabi.com/offers/rGsNE9iF The moment I knew this had to be a bookI have written the beginnings of many books before. I write a lot. I write for my Substack, I write for other organizations' blogs. I write materials for Psychology Business School. I write materials for my clients. I really love writing. It's always been a passion of mine. But the idea of writing a book always intimidated me, partly because I don't know that I have the kind of brain that finds it easy to structure something as long as a book. I have lots of ideas, I’m quite good at the actual putting of words on the page in a way that is engaging for people. But I've never been sure that I could hold somebody's attention for an entire book, because that seems like a real art of pacing, and knowing where to put the major learning points. I think that's why I'd started lots of books and then been like, "I don't know how to bring this home as a complete book that somebody would actually want to read from start to finish." Then I’d lose my enthusiasm because I couldn't imagine it being successful. As you're probably thinking to yourselves, that is a form of imposter syndrome, and it's exactly the same as the imposter syndrome that I coach people through all the time when they're starting their businesses. Because actually writing a book is a skill, and if you put your mind to it, you can learn a new skill, and I just hadn't been allowing myself the time or the opportunity to invest in learning that skill, probably because deep in my heart I was worried I didn't have it in me to do it. Those were all the reasons I hadn't written a book before, but this one felt different, and I think that's because it came in a moment of my life which felt a bit like a crisis. As some of you may be aware, I quite suddenly lost the childcare that I'd been relying on to run my clinical practice, and it was really difficult. It's a moment I talk about in the book because as other parents of autistic, otherwise neurodivergent, or children with learning disabilities will know, finding childcare for a child whose needs are unusual is really difficult. For a couple of years, I'd thought it was impossible for us, and that meant that my working time had to be very limited. That meant my clinical time was extremely limited, because for good reasons we need to have very protected and secure childcare for clinical hours, slightly less so for coaching and writing work. I'd always managed a few clinical hours a week, but I really wanted to scale that up. We'd moved back to Kent, where I've got much more of a support network, and I was really excited about having an in-person practice again. I had a lovely premises in town, and I really put my back into filling up the books. We had found some childcare to support that, and she was brilliant. My son, who was the person who most needed that individualized support from her, formed a really close relationship with her. She was great. But unfortunately, for valid and important reasons, she needed to leave us. She gave in her notice at about six months and left us after nine. As you can imagine, having put all of that work into building up my practice, to then need to wind it down again so quickly when I knew there wasn't going to be somebody else around the corner was devastating. But what was really interesting to me was there was no part of me that wanted to start looking for a replacement. I knew as soon as she gave me her resignation that I would not replace her. I knew that I was ready to embrace a new chapter in our lives, and that would involve a different way of working. Rather than just trying to plug gaps in childcare to make my old model work again, which is what I'd been doing for the past five years or so, I was ready to recognize that what my children need from me is different, and that actually I want to be the one that is around for the unpredictable pickup times, the reduced timetables, the meetings, and that I could not bear to bring in a conveyor belt of people who my kids would attach to and would then leave them. I knew that I wasn't going to put them through that. I tend to make big decisions quite instinctively, and I knew immediately that my clinic was going to close and this time there was not going to be a plan to reopen the doors. But that didn't make it any easier. I was certain, but I was really sad, and the grief hit me quite hard because it felt like a final acknowledgement that the career that I'd imagined for myself, which was already looking pretty different to the one that I'd been sitting in training at Salomon's imagining, but this was the moment where I accepted that I probably wasn't going to return to that path, and that seeing lots of clients wasn't going to be in my future, at least for a long while. So that was really difficult. Something I know about myself is that I tend not to sit for very long with the way that I feel about things, and that's something I often work on with my clinical clients. A lot of the clients that I was supporting at the time were also parents of neurodivergent children and children with learning disabilities, many of whom had come to me because they'd also been through traumatic experiences. I noticed that something that I work with regularly with my clients was this idea of allowing the grief to be there, and that we all had different ways that we needed to sit with that. My clients tend to be a bit like me and very often dive into action. I noticed that because I wasn't doing what I've always done when we've had a big shock or a big change in the family, which is immediately think of a resilience plan, I wasn't doing that. I was like, "It's not going to work, my plan is not to replace this part of my income straight away. My plan is to allow this to go for the time being." So I felt like I needed an outlet to help me process what that meant for my identity, so I started writing. When I started, I wasn't writing a book. I thought it might be a Substack series or something I didn't publish. I was really writing to consolidate my thoughts about what we'd been through, what my children have been through, what myself and my husband have been through as parents, what I've been through as a professional. I was trying to make sense of it; it was my attempt to make sense, made ink. We've got lots of question marks over the labels that we use for neurodivergence, the diagnostic process, I had so many questions about all of that. What it meant for my children, what it meant for me, what it meant for the future. All of that uncertainty pinging around in my head, combined with not knowing how we're going to make this family life work, how I'm going to make my professional life work. I just thought, this is too much for one mind, I need to put this on paper in order to process it. So I started doing that. It was taking the form of shorter form articles because that's what I'm used to writing, but they weren't really designed to be read by anybody or go anywhere. I started doing that, and I set it up as a practice for myself that I was going...

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Are you a mental health professional with a feeling in the pit of your stomach that the system is BROKEN? Did you start your training full of ideas about changing the landscape of mental health for the better but now you find you are so busy seeing people in crisis that you don't have time to do any of it? Do you KNOW that we need to get out of our therapy rooms and start reaching people in other ways? Do you KNOW that the key to better mental health is prevention not crisis management? If you do then join me for a mix practical skills, strategies and inspirational interviews with psychologists and therapists just like you who are using their skills to do BIG things way beyond the therapy room. Prepare to get your "trainee spirit" back.

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