Demystifying Therapy: Insights & Self-Care from the Trenches

Wicked Psychotherapists

In this episode of Wicked Psychotherapists, hosts Tanya Dos Santos and Erin Gray offer a candid look into the world of psychotherapy, addressing common myths about therapist income, the realities of private practice expenses, and the complexities of insurance and client rates.

They share personal experiences to highlight the often overlooked costs of running a private practice, including continuing education, taxes, malpractice insurance, and the unpredictable nature of client appointments.
The discussion also touches on the ethical considerations of making therapy accessible, dealing with insurance audits, and the personal impact of offering sliding scale fees.
Additionally, Tanya and Erin navigate the nuances of therapist-client boundaries, especially regarding after-hours communication, sharing client anecdotes to illustrate their points.
The episode closes with an exploration of self-care practices for therapists, underscoring the importance of maintaining personal well-being to effectively support their clients.

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1. Welcome to Wicked Psychotherapists: Unveiling Mental Health (00:00:00)

2. Demystifying Therapist Income: The Real Picture (00:00:35)

3. Navigating the Complexities of Insurance and Client Payments (00:02:31)

4. The Ethical Dilemma of Charging for Therapy (00:03:58)

5. Client Cancellations and the Financial Impact on Therapists (00:04:29)

6. Setting Boundaries for Client Communication (00:07:55)

7. Self-Care Strategies for Therapists (00:14:55)

8. Addressing Misconceptions About Therapy and Therapists (00:18:07)

9. The Distinction Between Therapy and Coaching (00:23:12)

10. Navigating Telehealth and Licensing Boundaries (00:26:32)

11. Ethical Considerations in Therapy vs. Coaching (00:27:29)

12. Confidentiality and Professional Boundaries in Therapy (00:30:41)

13. Personal Sharing in Therapy: Balancing Professionalism and Humanity (00:39:40)

14. Concluding Thoughts on Therapist-Client Dynamics (00:50:54)