Private Practice Skills

Private Practice Skills

If I have long-form content for my YouTube channel, I'll share on here too for those who prefer to listen to the mp3 version :)

  1. Jun 12

    Big Tech Therapy is Making Headlines

    The land of Big Tech Therapy has been making headlines. I cover some of them in this episode. *The links shared below are a reference only and do not necessarily reflect the opinions of Marie Fang, Private Practice Skills, or its sponsors. If you’d like a great summary of all that I covered, check out ZynnyMe’s article: https://www.zynnyme.com/blog/alma-headway-and-the-big-question If you feel compelled to do something, this r/therapists post links to several options at the systemic level: https://www.reddit.com/r/therapists/comments/1tvzpov/support_and_advocacy_for_therapists/ Build Better Health’s Mental Health Insurance Reform Task Force’s Petition (if you’d like to sign): https://actionnetwork.org/petitions/we-demand-a-system-that-reflects-the-true-value-of-mental-health-care Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email and forms easy and streamlined. Check them out here: ⁠https://hubs.la/Q04k58tL0⁠ *Get $250 off your first year with Paubox with coupon code "SKILLS" *Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals! Citations: Alma has investments from Cigna and Optum: https://cignaventures.com/alma-raises-130m-in-series-d-funding-led-by-thoma-bravo-to-advance-its-mission-to-simplify-access-to-high-quality-affordable-mental-health-care/ Health Care Service Corporation (HCSC), the parent company of several Blue Cross Blue Shield programs, invests in Headway: https://www.hcsc.com/newsroom/news-releases/2023/strategic-investment-headway-behavioral-health Reference: HCSC is parent company of Blue Cross Blue Shield: https://www.hcsc.com/who-we-are Rula backed by Blue Venture Fund: https://bhbusiness.com/2024/09/17/digital-mental-health-platform-rula-health-expands-to-50-states/ Reference: Blue Venture Fund invests on behalf of Blue Cross Blue Shield: https://blueventurefund.com/ Headway and Alma announce 30 percent cut in Optum Rates, January 2025: https://clearhealthcosts.com/blog/2024/11/2-digital-mental-health-platforms-cut-pay-rates-for-therapists-with-unitedhealths-optum-stirring-anger/ Aetna cuts rates with Alma-contracted therapists: https://bhbusiness.com/2026/05/21/aetna-cuts-rates-with-alma-contracted-therapists/ r/therapists megathread on Aetna’s rate cuts through Alma: https://www.reddit.com/r/therapists/comments/1tj1bl1/megathread_aetna_alma_reimbursement_changes_90837/ APA urges Aetna to halt rate cuts: https://updates.apaservices.org/apa--american-psychiatric-association-urge-aetna-to-pause-reimbursement-rate-cuts-for-behavioral-health-clinicians Aetna Launches Aetna Mental Health on Demand: https://www.aetna.com/insights/news/aetna-launches-mental-health-on-demand.html CVS Announces Aetna Mental Health on Demand: https://www.cvshealth.com/news/condition-management/aetna-launches-aetna-mental-health-on-demand-to-provide-real-time-access-to-care-and-ongoing-support.html Proof News Article: "Woman’s Talkspace Therapy App Sessions Exposed in Court" https://www.proofnews.org/womans-talkspace-therapy-app-sessions-exposed-in-court/ FTC Sues Amazon for Monopoly Power: https://www.ftc.gov/news-events/news/press-releases/2023/09/ftc-sues-amazon-illegally-maintaining-monopoly-power Class Action Lawsuit Against Headway: https://www.classaction.org/news/headway-hit-with-class-action-over-alleged-disclosure-of-patient-info-to-google Clear Health Costs Article: "Therapists have misgivings on the platforms: Alma, Headway etc. and the business of therapy” https://clearhealthcosts.com/blog/2025/11/therapists-have-misgivings-on-the-platforms-alma-headway-etc-and-the-business-of-therapy/ Website: www.privatepracticeskills.com This podcast is not intended as professional or legal advice. Be sure to seek the services of a professional if you are in need of them.

    26 min
  2. Jun 5

    Is it Okay for Therapists to Charge for Therapy in Advance?

    After a consult call with a new potential therapist who charged the morning of the therapy session, I found myself in a deep dive seeking the answer to this question: is it ethical for therapists to charge in advance of session? Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email and forms easy and streamlined. Check them out here: https://hubs.la/Q04k58tL0 *Get $250 off your first year with Paubox with coupon code "SKILLS" *Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals! Links Mentioned: r/therapists: "Do you charge your clients before or after the session?" https://www.reddit.com/r/therapists/comments/1dilgg3/do_you_charge_your_clients_before_or_after_the/ Quora: "What are the ethical implications of paying for therapy sessions in advance?” https://therapistsexposed.quora.com/What-are-the-ethical-implications-of-paying-for-therapy-sessions-in-advance Quora: "Do all therapists require their clients to pay up front before starting treatment/therapy sessions?" https://www.quora.com/Do-all-therapists-require-their-clients-to-pay-up-front-before-starting-treatment-therapy-sessions Quora: "Should a therapist ask for payment up front or at the end of the session?" https://www.quora.com/Should-a-therapist-ask-for-payment-up-front-or-at-the-end-of-the-session Ethical Principles of Psychologists and Code of Conduct https://www.apa.org/ethics/code AAMFT’s Code of Ethics: https://www.aamft.org/AAMFT/web/Action-Advocacy/Code-of-Ethics-New.aspx LINKS: *Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely! 👉 FREE Guide: Start a Private Practice in Counseling: https://tinyurl.com/y9ek9en8 👉 All my filming gear: https://kit.co/privatepracticeskills/all-my-gear This podcast is geared toward therapists of all kinds, including psychologists, MFTs, LPCCs, social workers, and others in the clinical counseling field. Welcome to Private Practice Skills! I’m Dr. Marie Fang, psychologist in private practice. I post videos offering tools I learned the hard way about starting and growing private practice so that you don’t have to. Website: www.privatepracticeskills.com YouTube: https://www.youtube.com/c/privatepracticeskills Instagram: https://www.instagram.com/privatepracticeskills/ This podcast is not intended as professional or legal advice. Be sure to seek the services of a professional if you are in need of them.

    30 min
  3. May 29

    Therapy Starts Before the Initial Session

    I recently reached out to a therapist for myself and realized how much the entire intake process sets the tone of the therapeutic alliance. In this episode, I share some suggestions for how we can hold a therapeutic frame with potential clients before the therapy starts. Not only will it improve the client experience, but setting accurate expectations can help clients make an accurate decision before consenting to therapy, and clients are less likely to cancel before the first session (like I did!). Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email easy and streamlined. Check them out here: https://bit.ly/pps_paubox_spotify *Get $250 off your first year with Paubox with coupon code "SKILLS" *Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals! Links Mentioned: Article: "Premature discontinuation in adult psychotherapy: a meta-analysis" https://pubmed.ncbi.nlm.nih.gov/22506792/ Article: “The Nature, Timing, and Symptom Trajectories of Dropout from Transdiagnostic and Single-Diagnosis Cognitive-Behavioral Therapy for Anxiety Disorders" https://pmc.ncbi.nlm.nih.gov/articles/PMC8531532/ LINKS: *Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely! 👉 FREE Guide: Start a Private Practice in Counseling: https://tinyurl.com/y9ek9en8 👉 All my filming gear: https://kit.co/privatepracticeskills/all-my-gear This podcast is geared toward therapists of all kinds, including psychologists, MFTs, LPCCs, social workers, and others in the clinical counseling field. Welcome to Private Practice Skills! I’m Dr. Marie Fang, psychologist in private practice. I post videos offering tools I learned the hard way about starting and growing private practice so that you don’t have to. Website: www.privatepracticeskills.com YouTube: https://www.youtube.com/c/privatepracticeskills Instagram: https://www.instagram.com/privatepracticeskills/ This podcast is not intended as professional or legal advice. Be sure to seek the services of a professional if you are in need of them.

    32 min
  4. May 22

    The Most Fundamental Therapy Skills Explained: Active Listening

    It’s the start of a new series: The Most Fundamental Therapy Skills Explained. Woo! Today we’re kicking off the series by talking about active listening. Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email easy and streamlined. Check them out here: https://bit.ly/pps_paubox_spotify *Get $250 off your first year with Paubox with coupon code "SKILLS" *Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals! Links Mentioned: Video: My Story of Sudden Hearing Loss: https://youtu.be/DYQJKKnbxFk APA’s Definition of Active Listening: https://dictionary.apa.org/active-listening Rogers, C. R., & Farson, R. E. (1987). Active listening. In R. G. Newman, M. A. Danzinger, & M. Cohen (Eds.), Communicating in business today (pp. 580–593). D. C. Heath & Company. https://books.google.com/books/about/Communicating_in_Business_Today.html?id=PJ24PAAACAAJ Article: “Active Listening” https://www.ncbi.nlm.nih.gov/books/NBK442015/ Article: "Coregulation of therapist and client emotion during psychotherapy” https://pmc.ncbi.nlm.nih.gov/articles/PMC7233481/ LINKS: *Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely! 👉 FREE Guide: Start a Private Practice in Counseling: https://tinyurl.com/y9ek9en8 👉 All my filming gear: https://kit.co/privatepracticeskills/all-my-gear This podcast is geared toward therapists of all kinds, including psychologists, MFTs, LPCCs, social workers, and others in the clinical counseling field. Welcome to Private Practice Skills! I’m Dr. Marie Fang, psychologist in private practice. I post videos offering tools I learned the hard way about starting and growing private practice so that you don’t have to. Website: www.privatepracticeskills.com YouTube: https://www.youtube.com/c/privatepracticeskills Instagram: https://www.instagram.com/privatepracticeskills/ This podcast is not intended as professional or legal advice. Be sure to seek the services of a professional if you are in need of them.

    37 min
  5. May 15

    Social Media is a Hot Mess. We can do Better

    We all know that social media is messy. In this episode, we explore two questions that have been taking up space in my brain lately: How much pseudoscience is spread by respected therapists with HUGE platforms, even amongst fellow therapists (think: psychologists with longstanding bestsellers) How harmful we are to each other in the comments. Why do we dogpile on each other so hard? Why are therapists just as culpable of piling on each other? Is speaking to each other this way online effective? And importantly: is there a better way?Thank you to Loretta J. Ross’ for her work on Calling In - links to her work referenced below! Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email easy and streamlined. Check them out here: https://bit.ly/pps_paubox_spotify *Get $250 off your first year with Paubox with coupon code "SKILLS" *Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals! Links Mentioned: Loretta J. Ross’ TED Talk: "Don't call people out -- call them in” https://www.youtube.com/watch?v=xw_720iQDss&t=850s Loretta’s book: "Calling In: How to Start Making Change with Those You'd Rather Cancel" https://amzn.to/439WHfC (this is an affiliate link) Article: "Addressing misinformation about mental health with patients” https://www.apa.org/topics/journalism-facts/misinformation-mental-health Article: "An experimental online study on the impact of negative social media comments on anxiety and mood” https://www.nature.com/articles/s41598-025-10810-8 Article: "Online disinhibition mediates the relationship between emotion regulation difficulties and uncivil communication" https://www.nature.com/articles/s41598-024-81086-7 Article: "The online disinhibition effect” https://pubmed.ncbi.nlm.nih.gov/15257832/ Article: "Calling IN: A Less Disposable Way of Holding Each Other Accountable” https://www.bgdblog.org/2013/12/calling-less-disposable-way-holding-accountable/ LINKS: *Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely! 👉 FREE Guide: Start a Private Practice in Counseling: https://tinyurl.com/y9ek9en8 👉 All my filming gear: https://kit.co/privatepracticeskills/all-my-gear This podcast is geared toward therapists of all kinds, including psychologists, MFTs, LPCCs, social workers, and others in the clinical counseling field. Welcome to Private Practice Skills! I’m Dr. Marie Fang, psychologist in private practice. I post videos offering tools I learned the hard way about starting and growing private practice so that you don’t have to. Website: www.privatepracticeskills.com YouTube: https://www.youtube.com/c/privatepracticeskills Instagram: https://www.instagram.com/privatepracticeskills/ This podcast is not intended as professional or legal advice. Be sure to seek the services of a professional if you are in need of them.

    37 min
  6. May 8

    Big Tech & AI Won't Replace Private Practice

    Lots of private practice therapists are seeing a drop in referrals lately due to an array of factors, including the ongoing growth of big tech therapy and AI-based services. It raises the question: is private practice still sustainable? In this episode, I share my personal take: private practice isn’t going anywhere. And, if we can stay grounded in our roots of offering specialized, individualized, dynamic therapy, we can differentiate ourselves from big tech therapy. I share my take on this in this episode. What do you think? What pieces did I miss? Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email easy and streamlined. Check them out here: https://bit.ly/pps_paubox_spotify *Get $250 off your first year with Paubox with coupon code "SKILLS" *Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals! Related Episodes: "Trying AI Therapy (I'm a Psychologist)” https://www.youtube.com/watch?v=Jqpxi_oCpYc "Beat Big Tech Therapy by not Playing Their Game” https://www.youtube.com/watch?v=wKrlL6oxUX4 LINKS: *Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely! 👉 FREE Guide: Start a Private Practice in Counseling: https://tinyurl.com/y9ek9en8 👉 All my filming gear: https://kit.co/privatepracticeskills/all-my-gear This podcast is geared toward therapists of all kinds, including psychologists, MFTs, LPCCs, social workers, and others in the clinical counseling field. Welcome to Private Practice Skills! I’m Dr. Marie Fang, psychologist in private practice. I post videos offering tools I learned the hard way about starting and growing private practice so that you don’t have to. Website: www.privatepracticeskills.com YouTube: https://www.youtube.com/c/privatepracticeskills Instagram: https://www.instagram.com/privatepracticeskills/ This podcast is not intended as professional or legal advice. Be sure to seek the services of a professional if you are in need of them.

    31 min
  7. May 1

    Why Do Therapists Do That?

    I typed into Google "why do therapists..." and let Google autosuggest what it thought I wanted to ask. The suggested questions were interesting! Sometimes curious, sometimes controversial, I tackled these questions in this episode. Thank you to Paubox for sponsoring this episode. Paubox makes HIPAA-secure email easy and streamlined. Check them out here: https://bit.ly/pps_paubox_spotify *Get $250 off your first year with Paubox with coupon code "SKILLS" *Bonus Deal:* If you add the Paubox badge to your website you get an extra $100 off your first year - that means you can get your whole first year free if you apply both deals! Links mentioned: Prior Episode: "Why Does my Therapist Do That?” https://youtu.be/rN3MYbFwWLM NPR: "Finding a therapist who takes your insurance can be nearly impossible. Here's why" https://www.npr.org/sections/shots-health-news/2024/08/24/nx-s1-5028551/insurance-therapy-therapist-mental-health-coverage Average Therapist Salary on Indeed: https://www.indeed.com/career/therapist/salaries "Certified Life Coach: What It Means and How to Become One" https://www.coursera.org/articles/certified-life-coach Reddit Post on Life Coaches: https://www.reddit.com/r/therapists/comments/1pqc60p/for_fun_i_obtained_details_on_how_much_life/?force_seo=1 LINKS: *Some links are affiliate links. A percentage of purchases come back to me and help my channel immensely! 👉 FREE Guide: Start a Private Practice in Counseling: https://tinyurl.com/y9ek9en8 👉 All my filming gear: https://kit.co/privatepracticeskills/all-my-gear This podcast is geared toward therapists of all kinds, including psychologists, MFTs, LPCCs, social workers, and others in the clinical counseling field. Welcome to Private Practice Skills! I’m Dr. Marie Fang, psychologist in private practice. I post videos offering tools I learned the hard way about starting and growing private practice so that you don’t have to. Website: www.privatepracticeskills.com YouTube: https://www.youtube.com/c/privatepracticeskills Instagram: https://www.instagram.com/privatepracticeskills/ This podcast is not intended as professional or legal advice. Be sure to seek the services of a professional if you are in need of them.

    33 min
4.9
out of 5
24 Ratings

About

If I have long-form content for my YouTube channel, I'll share on here too for those who prefer to listen to the mp3 version :)

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