Starting a private practice is about more than becoming a great therapist, it's about building a sustainable business.
In this episode of The Healthy Practice, Lisa O'Rorke is joined by Dr Rosie Gilderthorp, Clinical Psychologist, founder of Know Your Mind Consulting and creator of the Psychology Business School, to discuss what it really takes to create a thriving, values-led therapy practice.
From setting your fees to managing finances, choosing the right technology and avoiding burnout, this conversation is packed with practical advice for therapists at every stage of their private practice journey.
Building a practice that works for you
Moving into private practice can feel overwhelming. Alongside supporting clients, you're suddenly responsible for marketing, finances, administration and making strategic business decisions.
Throughout the episode, Lisa and Rosie explore some of the questions every practice owner asks, including:
- What should you focus on during your first few months in private practice?
- Is finding a niche really worth it?
- How do you set fees that support both your clients and your own wellbeing?
- What policies should every therapy business have in place?
- How can you prepare financially for quieter periods?
- When does it make sense to invest in your own practice space?
Whether you're just getting started or looking to grow an established practice, the discussion offers practical insights to help you build a business that's both financially sustainable and professionally rewarding.
Running a successful practice without burning out
One of the strongest messages throughout the conversation is that a successful therapy practice isn't built by working more hours, it's built by working smarter.
From embracing technology to setting healthy boundaries around your time, Rosie shares practical ways to reduce administrative pressure and create more space for the work that matters most: supporting your clients.
The episode also explores how therapists can market themselves authentically, diversify their income where appropriate, and make confident business decisions without losing sight of their professional values.
Watch the full episode
If you're planning to start a private practice, or you're looking for practical ways to strengthen the one you already have, this episode is full of actionable advice from someone who understands both the clinical and business sides of therapy.
Healthy private practices don't happen by accident. They grow through thoughtful decisions, sustainable systems and a willingness to invest in both your clients and yourself. As this conversation reminds us, building a successful business isn't about doing everything perfectly—it's about creating a practice that supports the life and career you want.
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Frequently asked questions
How do I start a successful private therapy practice?
Starting a successful private practice involves more than clinical skills. You'll need to consider your business structure, pricing, policies, marketing, finances and the systems you use to manage your practice efficiently.
How should therapists set their fees?
Your fees should reflect not only your session time but also your qualifications, experience, administrative work, supervision, ongoing professional development, taxes and business costs. Setting sustainable fees helps support both your clients and your long-term wellbeing.
Do therapists need a niche?
While it's possible to work with a broad range of clients, developing a niche can help you communicate your expertise more clearly, attract the right clients and differentiate your practice in a competitive market.
What technology do therapists need in private practice?
Many therapists use practice management software to manage appointments, clinical notes, online booking, invoicing and payments. The right technology can reduce administrative time and help practices run more efficiently.
How can therapists market their private practice ethically?
Ethical marketing focuses on educating and informing potential clients rather than providing therapy through social media. Sharing expertise, resources and helpful content can help build trust while remaining within professional boundaries.
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