As a licensed clinical psychologist with over 20 years of experience as a private practice therapist, I have worked with individuals, couples, and families to help them navigate life’s challenges and find new opportunities and contentment. My expertise spans a range of psychological concerns, including anxiety, depression, trauma, and relationship difficulties. I aim to create a supportive, nonjudgmental space where clients feel heard, understood, and empowered to make meaningful life changes. But what exactly is a “private practice psychologist?” why do people pursue private therapy, and what does a private counseling practice offer that is unique?
Private Practice Therapist Overview
A private practice therapist is a licensed mental health professional who operates independently or within a small group rather than employed by a hospital, clinic, or other institution. We provide private counseling practice services directly to clients, often in their own offices or via telehealth.
Why Choose a Private Practice Therapist:
Seeing a private practice therapist has several benefits, depending on what you’re looking for in therapy. Here are some key reasons why people make this choice:
1. Personalized Care
A private practice therapist often has fewer clients than those working in clinics, allowing them to tailor treatment plans specifically to your needs and goals. We are careful to ensure that we feel we can help; there is no competition in our field, so we are happy to refer people to another professional with a different approach or method who may be able to serve you better.
2. Greater control over who you see
Clients see the same therapist throughout treatment, fostering a stronger therapeutic relationship. In a private counseling practice, there is no risk of being assigned to a professional with openings rather than the person there who best fits you.
3. Greater Choice and Specialization
You can choose a professional who specializes in exactly what you need, whether it’s treatment for ADHD, autism, trauma, anxiety, or other mental health concerns. You can also be seen for general concerns that may not carry a diagnosis, such as general malaise, a feeling of a lack of meaningfulness, or a life transition. Particularly with the growth of teletherapy, you can often find someone with more niche expertise that fits your unique needs.
4. More Flexibility in Scheduling
These professionals set their schedules so that you may have more options for appointment times, including evenings. (However, sometimes, a clinic will have more choices at the beginning of treatment.)
5. Consistency and Long-Term Care
Unlike community clinics or school-based services with high turnover, a private practice therapist tends to stay in one place longer. This helps build a strong, ongoing therapeutic relationship.
6. More Privacy in a Private Counseling Practice
Private therapy is often more confidential than therapy in a clinic or hospital, where multiple providers may access your records. Some clients feel more comfortable discussing personal matters privately than in a hospital or clinic. The office environment of a private counseling practice is usually more comfortable than a busy clinic.
7. Less Restrictive Treatment Approaches
Therapists who open a private counseling practice often have more freedom to use different therapy styles and approaches that work best for you rather than being bound by clinic policies or insurance limitations.
Disadvantages of Seeing a Private Practice Therapist
1. Higher Cost & Insurance Limitations
- Rates for therapy can be expensive (e.g., $180–$250 per session).
- Not all accept insurance, and out-of-pocket costs can be high.
- Clients may have to submit their insurance claims for reimbursement if the therapist is out-of-network.
2. Limited Crisis Support
- Unlike hospitals or large clinics, private therapy may not offer 24/7 crisis support.
- If a client experiences a severe crisis (e.g., suicidal thoughts or psychotic episodes), they may need emergency care elsewhere.
3. Less Access to Additional Services
- Hospitals and community mental health centers often offer extra services, such as case management, group therapy, or medication management, that a private counseling practice may not offer.
- Clients may need to find a separate psychiatrist for medication if their therapist is not licensed to prescribe.
4. Availability & Wait Times
- Many sought-after professionals have long waitlists, sometimes taking months to get an appointment.
- Finding private therapy specializing in certain areas (e.g., treatment for trauma, autism, or ADHD) can be even more challenging.
5. No Built-In Supervision or Collaboration
- Unlike those working in hospitals or agencies, these professionals don’t always have colleagues for direct collaboration or supervision, which can be a downside for complex concerns. (Note that many professionals, including myself, do pursue collaboration and supervision despite practicing independently.)
Summary
What Makes Private Therapy Different from Other Options?
- More personalized – Private therapy is focused on your specific needs and goals.
- More flexible – You can choose your therapist, schedule, and approach.
- Can be expensive – May not accept insurance or have high out-of-pocket costs.
- Less crisis support – Unlike a hospital or clinic, they may not be available 24/7.
Types of Private Practice Therapist
Licensed Professional Counselors (LPC, LMHC, LPCC, etc.)
- Education: Master’s degree in counseling, psychology, or a related field
- Scope:
- Individual, couples, and family therapy
- Specialize in treatment of anxiety and depression, trauma, ADHD, and more
- Use talk therapy, CBT, DBT, and other techniques
- Suitability for independent practice: High
Licensed Clinical Social Workers (LCSW, LICSW, LMSW, etc.)
- Education: Master’s in Social Work (MSW)
- Scope:
- Therapy for individuals, families, and groups
- Often focus on trauma, relationships, addiction, and systemic issues
- Can provide case management and connect clients to resources
- Suitability: High
Marriage and Family Therapists (LMFT)
- Education: Master’s in Marriage and Family Therapy (MFT) or related field
- Scope:
- Specialize in relationship and family dynamics
- Work with couples, families, and individuals
- Often use systemic therapy approaches
- Suitability: High, especially for couples therapy
Psychologists (PhD/PsyD)
- Education: Doctorate in Psychology (PhD or PsyD)
- Scope:
- A private practice psychologist provides therapy and psychological assessments (e.g., ADHD, autism, personality disorders)
- May specialize in research-based interventions, trauma therapy, or neuropsychology
- A private practice psychologist cannot prescribe medication (except in some states with additional training)
- Suitability: High, although some focus on research and consultation
Psychiatrists (MD/DO)
- Education: Medical degree (MD or DO) + psychiatry residency
- Scope:
- Can prescribe medication for mental health conditions (e.g., ADHD, depression, bipolar disorder)
- Some offer therapy, but many focus on medication management
- Can diagnose complex mental health disorders
- Suitability: Medium. Many work in group settings where others are providing talk therapy
Psychiatric Nurse Practitioners (PMHNP)
- Education: Master’s or Doctorate in Nursing (MSN, DNP) with a psychiatry focus
- Scope:
- Can prescribe psychiatric medication (in most states)
- Some offer therapy, but most focus on medication management
- Suitability: Many do private therapy, but those who focus on prescribing often work in a group with therapists
Who Typically Becomes a Private Practice Therapist?
- LPCs, LMHCs, LMFTs, LCSWs, and Psychologists – These professionals most commonly provide talk therapy.
- Psychiatrists and PMHNPs – More likely to focus on medication management, sometimes in collaboration with therapists.
Is a Private Counseling Practice Right for You?
A private practice therapist might be a good fit if you:
- Prefer individualized, one-on-one therapy with the same provider long term.
- Need a specialist for a particular mental health condition (e.g., ADHD, autism, trauma). (This may be possible at clinics as well, but you need to ensure that this is the case.)
- Can afford to pay or have insurance that covers out-of-network providers.
- Want more flexibility in scheduling and session length.
- Value a personalized and often more private setting.
- Want to see a specific clinician with a certain approach or breadth of experience
You may want to consider other options if you:
- Would like more of a team approach, where you can see people with different specialties
- Need lower-cost services that take most insurances or offer sliding-scale fees.
- Require crisis intervention or 24/7 mental health support.
- Prefer a structured program with multiple services, such as group therapy or case management.
What is Private Therapy Like?
Seeing a private therapist can be a very personal and tailored experience. Here’s what you can generally expect from the process:
1. Finding the Right Private Therapist
- You’ll likely research each private practice psychologist or therapist based on their clinical specialties, where they are licensed to provide care, background and bio, and whether they accept your insurance (if applicable).
- Many therapists offer a free consultation (often 10-15 minutes) to discuss your needs and see if they’re a good fit.
2. First Private Therapy Session (Intake)
- The first private therapy session is usually about gathering background information. Your therapist may ask about:
- Current concerns (e.g., anxiety, ADHD, trauma, relationships).
- Your mental health history and any past therapy experiences.
- Your goals for therapy – what meaningful and measurable changes you’d like to see.
- It’s normal to feel nervous, but therapists create a safe and non-judgmental space.
3. Ongoing Sessions
- Private therapy sessions usually last 45-60 minutes, often either weekly or biweekly.
- You talk about your thoughts, feelings, and challenges. The therapist listens and helps you explore patterns, behaviors, and coping strategies.
- They may assign “homework,” like journaling, trying relaxation techniques, or practicing new ways of thinking.
4. The Therapy Relationship
- Over time, you build trust with your therapist, allowing for deeper conversations.
- A good therapist provides support and challenges—they validate your experiences but also encourage growth.
- Some sessions may feel emotional or difficult, but that’s part of the healing process.
5. Progress & Changes
- Therapy isn’t a quick fix—it’s a process. That said, therapy results should not be a mystery; you should experience positive, meaningful, measurable change.
- Over weeks or months, you might notice changes in your mindset, contentment, coping skills, resiliency, or relationships.
- Some people stay in therapy for a short period (e.g., 8-12 sessions), while others continue for longer depending on their needs.
Ending Therapy
- When you feel ready, you and your therapist can discuss ending therapy. The goal of therapy is not to need to be in treatment forever!
- Some therapists offer “check-in” sessions after formal therapy ends to provide continued support if needed.
My Journey to Becoming a Private Practice Psychologist
Becoming a private practice psychologist takes years of education, supervised experience, and licensing. Here’s a step-by-step breakdown of the required experience, education, and training I pursued before opening a private counseling practice:
1. Earned a Bachelor’s Degree (4 Years)
- Field of Study: I majored in Child Study at the Eliot-Pearson Department at Tufts University. (Others major in Psychology, Neuroscience, or a related field).
- Experience Gained:
- Introductory developmental psychology knowledge
- Research experience to understand how different methods work
- Internships and volunteer work in mental health settings
2. Earned a Doctoral Degree in Psychology (4 Years)
- Many of my colleagues earned a PhD (Doctor of Philosophy in Psychology) that focuses on research and clinical training.
- I earned a PsyD (Doctor of Psychology) which Focuses more on clinical practice than research.
- Experience Gained:
- Graduate coursework (counseling techniques, diagnosis, ethics)
- Practicum (two years of supervised clinical training with real clients)
- Research, including a Dissertation
3. Complete a Pre-Doctoral Internship (1 Year)
- Experience Gained:
- Full-time supervised clinical training (I worked around 2,100 hours)
- I worked in hospitals, a community mental health center, and schools
- Direct therapy and psychological assessments under close supervision
5. Obtain Licensure for Private Therapy (Varies by State, Usually 1-2 Years of Postdoc Work)
- Postdoctoral Supervised Hours (1 Year, 1,500-2,000 Hours Required in Most States)
- I work under a licensed psychologist’s close supervision and mentorship before practicing independently.
- I gained experience diagnosing, treating, and evaluating a wide variety of clients.
- Pass the Examination for Professional Practice in Psychology (EPPP)
- National licensing exam covering clinical knowledge and ethics. The exam is comprehensive and quite challenging.
- Pass Any State-Specific Exams (If Required)
- Some states, like California, require additional ethics or jurisprudence exams.
6. Gain Experience Before Becoming a Private Practice Therapist
- Before becoming a full-time private practice psychologist, I worked in a large mental health clinic, three psychiatric hospitals, and on an emergency response team to gain experience with a wide variety of clients and therapeutic techniques before becoming fully independent.
Starting a Private Counseling Practice
- After all the experience, education, and training above, I started my private counseling practice.
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- Business knowledge (insurance billing, marketing, finance)
- Networking (building a client base, professional referrals)
- Legal compliance (HIPAA laws, contracts, record-keeping)Additional skills I built:
Total Time to Become a Private Practice Psychologist:
- My education, training, supervision, and licensing took around 10 years before I felt ready to become a full-time private practice psychologist
Conclusion and My Work:
I am a private practice psychologist committed to compassionate care and evidence-based treatment. I strive to help my clients achieve personal growth, resilience, and improved contentment and well-being. My integrative approach uses psychotherapy techniques tailored to each individual’s unique needs, ensuring a collaborative and effective therapeutic experience. Whether you seek support for a specific issue or personal development, I am here to guide you toward a healthier and more fulfilling life. If you have any questions about private counseling practice, what it’s like to see a private practice psychologist in general, or how to find a psychologist, please contact me or schedule a consultation anytime.
