Why Private Practice Looks So Different Now | Lex E Santí | TPOT 433

Why Private Practice Looks So Different Now | Lex E Santí | TPOT 433

May 18, 2026 · 39 min

About this episode

Gordon Brewer discusses the evolution of private practice with Lex E. Santí, focusing on changes in therapy due to telehealth and client expectations.

Private practice has changed a LOT over the last few years… and therapists are still trying to figure out what comes next. In this episode, Gordon talks with Lex E. Santi about the evolution of therapy after telehealth, online platforms, insurance shifts, and changing client expectations. They dive into why more clinicians are entering private practice, why clients still crave in-person connection, and how companies like BetterHelp, Alma, and Headway are reshaping the profession. They also explore the pressure therapists feel to market themselves, build niches, and create an online presence in a rapidly changing industry. Toward the end of the conversation, Lex shares how writing, narrative therapy, mindfulness, and storytelling intersect in his clinical work and creative life. 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 Lex E Santí Lex Enrico Santí is a therapist, clinical supervisor, and the founder of A Key Therapy PLLC, where he works at the intersection of evidence-based practice and…

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