Why A Lot of Therapists Struggle in Private Practice | Katie Piura | TPOT 430
From The Practice of Therapy Podcast by Gordon Brewer, MEd, LMFT: Therapist | Consultant | Writer | Speaker
April 27, 2026 · 31 min
About this episode
Katie Piura discusses the essential mindset shifts and business knowledge therapists need for a successful private practice.
Thinking about starting a private practice… but feeling unsure where to begin? In this episode, Katie Piura shares the mindset shifts every therapist needs to make before launching (or growing) a successful practice. From burnout in agency work to building something aligned and sustainable, Katie breaks down the real challenges therapists face and why being a great clinician isn't always enough. We also get into the business side of private practice that grad school never taught you, including money mindset, marketing, and why asking for help might be the most important step you take. If you've been thinking about private practice but feel stuck, overwhelmed, or unsure... this conversation is for you. Resources Mentioned In This Episode Subscribe to YouTube Read the show notes here Watch on YouTube Use the promo code "GORDON" to get 2 months of Therapy Notes free Consulting with Gordon The PsychCraft Network Follow us on Instagram Meet Katie Piura She is a Licensed Clinical Social Worker with over 10 years of experience in behavioral health, specializing in culturally competent mental health care, trauma-informed care, emotional wellness, and child, adolescent, and young adult…
People in this episode
Host: Gordon Brewer
Guest: Katie Piura
Topics covered
- private practice
- therapist mindset
- business challenges
- burnout
- marketing
- money mindset
Keywords
- private practice
- therapist
- burnout
- business
- marketing
- money mindset
- consulting
- mental health
Sponsors
Therapy Notes
Mentioned in this episode
Organizations: Therapy Notes, The PsychCraft Network
Places: Latin America, United States
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- Are Superbills Worth It in Private Practice? | Mark Florian | TPOT 428 · April 13, 2026 · 29 min
- Private Pay vs Insurance: What Therapists Get WRONG | Avivit Fisher | TPOT 427 · April 6, 2026 · 34 min
- Thoughts on AI and Tech Platforms in Private Practice | TPOT 426 · March 30, 2026 · 41 min
- Helping Clients Navigate Digital Overwhelm in Private Practice | Eli Singer | TPOT 425 · March 23, 2026 · 31 min
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