When you start out in private practice, the focus is often on the client – and rightly so. After all, they are the reason we’re here. But as you continue to build your practice, it’s important to remember that your success depends on more than just how you serve your clients. To sustain a counselling private practice in the long term, you need to attend to three crucial aspects: the needs of your client, your role as the practice owner, and the wider societal context in which you’re working.

By considering these three areas – the client, yourself, and your practice environment – you’ll be better equipped to navigate the challenges that arise and create a practice that supports your well-being, professional ethics, and growth.

To dig deeper into these topics, you may like to listen to this interview with Caz Binstead, author of Relational Ethics in Psychotherapy and Counselling Private Practice.

If you would like to subscribe to the podcast, click here.

1. Looking After Your Clients (Boundaries Matter)

As therapists, we want to offer the best service possible to our clients. And part of that means setting boundaries that protect both the client and the therapist. Ethical practice is at the heart of what we do, but the reality is that therapists can feel muddled when trying to balance their needs as a practice owner and  those of their clients. 

Boundaries are important not only to create a safe space for your clients but also to ensure that your practice remains sustainable. 

For instance, a well-communicated cancellation policy is vital. A fair policy ensures that you aren’t left in a position where your income is jeopardized due to last-minute cancellations. However it can be difficult to enforce, especially when a client is ill, going through a rough time or questions your charging decision. 

If you keep changing your mind – even though you’re trying to be accommodating – your inconsistency may attract complaints.  Remember that your time and energy are valuable.  By charging for late cancellations you are attending both to client ethics and your practice health.

2. Looking After Yourself (Self-Care and Fees)

As a business owner, you’re wearing many hats. You’re not just a therapist; you’re also managing the financial and logistical side of your practice. This is where self-care and fee-setting come into play. It’s easy to feel the pressure of wanting to help everyone who walks through the door, but it’s important to remember that your well-being is just as important as the service you provide to your clients.

Setting fair and sustainable fees forms a key part of looking after yourself. If you’re undercharging or not regularly increasing your rates, you might be setting yourself up for burnout. Therapy is an emotionally demanding job, and without a reasonable income to match the energy and expertise you put in, you risk depleting yourself. 

Charging what you’re worth will help ensure that you’re not overworking yourself. This way, you can maintain a healthy work-life balance, ensuring that you don’t end up feeling drained and overwhelmed.

Fees are also connected to the type of clients you attract. Fair pricing not only reflects your worth but ensures that you’re attracting clients who are genuinely committed to their growth. It’s much harder to work with clients who aren’t invested in their therapy or who cancel frequently, as this can also contribute to your emotional fatigue. Setting fees that feel right for you can help mitigate these risks and create a sustainable practice.

3. Navigating the Context of Private Practice (Isolation and Burnout)

Private practice, especially in the UK, can be an isolating experience. Many therapists work on their own, with little or no contact with other professionals throughout the day. While this can offer the flexibility you need to create your own schedule, it can also lead to feelings of isolation, stress, and burnout if not managed properly.

In addition to setting boundaries with clients and taking care of your financial needs, it’s essential to take steps to counteract this isolation. Find ways to connect with other therapists or business owners. Whether through online communities, peer supervision, or local meetups, connecting with others in similar situations can help you feel supported and less alone.

Therapy Growth Group includes opportunities to meet other therapists and form professional support networks.  These range from peer supervision and group coaching conversations to an online community and referrals directory.  Read more about Therapy Growth Group here.

Supervision is also an important part of managing burnout. It provides a space to offload your feelings and frustrations about your practice, your clients, and your career. Supervisors can help you stay grounded and provide guidance on ethical dilemmas, boundaries, and self-care.

Beyond supervision, it’s important to prioritize your self-care. Engage in activities that replenish your energy, whether it’s walking, yoga, or pursuing hobbies that bring you joy. These moments outside of your work are vital in maintaining your overall well-being and preventing burnout.


Bringing It All Together: A Thriving Practice

Creating a thriving private practice is about more than just working hard for your clients. It’s about creating a sustainable practice that respects both your professional ethics and your personal needs. By attending to the needs of your clients, setting fair fees that value your time, and making sure you’re not isolated, you’ll be better positioned to manage the ups and downs of private practice and continue to do the important work you’re passionate about.

Remember, building and maintaining a counselling private practice isn’t a race. It’s a long-term investment in yourself, your clients, and your future. By looking after yourself, staying authentic, and ensuring your practice is ethically grounded, you’ll create a private practice that thrives for years to come.