80: Common Money Mistakes in Therapists

 
 
 

We all make mistakes as therapists when it comes to our money. In this episode, I’m sharing the seven most common mistakes I see in private practice therapists, and tips on how to cope with them. I cover the benefits of financial wellness and specific advice for therapists new to the field or private practice. 

Common Money Mistakes in Therapists

  1. Undercharging. Whether a therapist is undercharging based on their hourly rate,  staying on insurance panels that don’t reimburse them appropriately, or seeing too many sliding scale clients, undercharging is one of the most common money mistakes I see therapists make.

  2. DIY-ing to save money. Therapists make a common money mistake by “saving” money by doing things themselves, even if it’s at the expense of their business, income, or energy. We are taught the importance of being scrappy and stretching a dollar, but in business, there are times when doing it all yourself can backfire.

  3. Not having a separate business bank account. Too many therapists have their business and personal finances comingled. This comingling of bank accounts is a huge money mistake from a month-to-month accounting, annual tax filing, and a legal standpoint.

  4. Letting boundaries slide. I see too many private practice therapists working nights, weekends, or times and days that aren’t best for them, essentially allowing clients to dictate when they work. Another boundary mistake therapists make is continuing to see a client when they have a large unpaid balance. Still, more therapists are out there not charging cancellation fees, or going over on session time all impact a therapist’s bottom line.

  5. Money Mindset Cognitive Distortions. This is when therapists lie to themselves as say they are “bad at math” or “aren’t good with money” so they don’t engage with it. This set of beliefs about money can make therapists feel uncomfortable with money and create a pattern of financial avoidance. 

  6. Hiding themselves and not marketing. Not marketing a private practice is a money mistake because it’s rooted in the idea that “sales is bad.” This impacts a therapist’s bottom line if they are struggling to find and fill their practice with aligned clients. This can mean having cookie-cutter websites, about pages, or profiles on therapist directories, leading to a potential client being confused about what a particular therapist offers.

  7. Not trusting themselves. This money mistake looks like therapists believing others more than they believe themselves, their intuition, what’s best for them, and spending money hoping others will tell them what to do. Many therapists fall into a trap of feeling like they have to put their wisdom and comfort aside and follow the loudest voice in the room (or more likely on the interweb) and do things they are uncomfortable with in order to have a full practice. This can lead to self-distrust and undermining their own unique personality, in addition to spending lots of money on coaching programs, courses, and swipe files that might not be in their best interest or their practice’s best interest.

New Therapist Tips

If you are new to the therapist world, you are bound to get a lot of what I call “dusty advice.” Advice that’s been passed down from therapist to therapist, that wasn’t necessarily good advice in the first place, but because it’s been around for so long, you may feel like you have to take it. Advice like “don’t worry about your income. This job is so rewarding that the money is secondary to the work you do.” Or “it’s not appropriate to charge more than other therapists. You have to put in your time to raise your rate.” 

Instead, come back to why you went into this field, and think about how therapy is the embodiment of the Social Enterprise Model. The social enterprise model exists at the intersection of three things: what we do well, what values we stand for, and what we can be paid well to do. As therapists, I invite you to think about money exchange and the social enterprise model. Am I charging enough for what I do well and providing a service that is in alignment with my values? It’s impossible to be a good therapist if you are stressed out about making ends meet financially. Find others in your community--or online--who hold similar values and understand that underpaying people in helping fields is a symptom of the underbelly of capitalism. 

Financial Wellness Benefits

Financial wellness is feeling good about your money because you have a handle on your money mindset and understand what money is coming in, going out, and what goals you are saving or investing toward. Often people struggle with their relationship with money. Because of how they think, feel, and believe about money, it makes it hard to wisely engage with their money. Reframing a person’s relationship with money can take time, and it looks different for everyone. I’ll say as a financial therapist, commonalities of a person who has a healthy money mindset are having a neutral view of money, and feeling comfortable and confident in their relationship with money.

Research shows that people who are stressed about money tend to carry more debt, are distracted at work and home because of their finances, and struggle to make wise financial choices that allow them to enjoy life. When a person practices financial self-care, they are able to reap the benefits of financial wellness. It’s fair to say that practicing financial self-care can help people improve their overall well-being.

Financial Self Care Tips for Therapists

  1. Find Your Fee. Charge enough money to take care of all areas of financial wellness. Make sure your fee covers time off, pays all of your business and personal expenses, allows you to save for your future goals, invest in retirement, quarterly taxes, health insurance, and work an aligned schedule. Take a read here if you are interested in a more in-depth look at how to set your fees.

  2. Outsource strategically. Pay for software, systems, or people to help. Billing. If you are spending 8-10 hours a month on client billing, upgrade your EMR to include automated billing. I spend less than 20 minutes a month on my billing since I have automated billing set up through Simple Practice. When I first started, I could spend anywhere from 2-4 hours a week on billing! Administrative Tasks. If you are struggling to stay on top of administrative tasks like returning client calls or responding to website inquiries, it might be time to hire a virtual assistant. Not only can paying for help in this way save you personal energy, but your clients will also feel held and supported, knowing their calls and emails will be answered, enriching their experience with you. Website. Is DIY-ing your website making your head spin? I use and love Monica's website templates. Set-up is a breeze and now my website helps my practice call in aligned clients even when I'm sleeping.

  3. Get your accounting in order. Get a business bank account by filing for an “EIN,” or “Employee Identification Number” if you are in the United States. Separate your business and personal finances, track your income and expenses, and makes sure you are paying your quarterly taxes and filing taxes annually. There are free accounting options like WAVE, and low-cost options like Quickbooks or Freshbooks. I personally use Heard who does bookkeeping, helps with payroll setup, annual tax filing and the ability to connect with an accountant at any time who can review any of your questions without charging you extra! All the support is included. You can check out Heard here.

  4. Uphold your boundaries. Get comfortable having your boundaries in your paperwork, aka your office policies, as a way to set up boundaries with your clients from day one. This means having a policy and plan in place for when and how you’ll work, cancellation policies, when and how clients will be billed, and adhering to the start and end times of your appointments. I look at upholding these boundaries as setting up expectations for your clients and modeling for them the importance of having and adhering to healthy boundaries. 

  5. Increase your money confidence. Take your financial literacy and confidence step by step! There are three basic pillars of personal finance: spending plan (or a budget), short-term saving goals, and investing in your future. Decide where you want to focus on your finances first. I invite all therapists to read and listen to several different personal finance folks and find someone who speaks to them. We thankfully are in a world where there are more shame-free financial educators you can turn to for help.

  6. Reframe your relationship with marketing. Marketing allows your ideal clients to find you and know that help is available. When you are visible, you allow people who need your services to find you. Marketing for therapists is important both from a business standpoint (to ensure your practice stays full and profitable) but also from a destigmatization perspective.

  7. Hire Intentionally. Find help intentionally, ask yourself why you are getting help, and don’t be afraid to say to the person you work with “that’s not a fit for me.” Review your numbers to learn more about your income and expenses, and what marketing is or isn’t working in your practice before hiring help. I also have a podcast covering coaching red flags to further suss out types of coaches who are ethical and signs that a coach may be peddling snake oil. Take a listen here.

I hope this episode helped you to see that you aren’t alone in making money mistakes. As private practice therapists, we have to be more than clinicians: we also have to be business owners. Rather than feeling bad about what we don’t know about money, I invite you to take small, aligned steps to work on healing your money mistakes with compassion. If you are a therapist in private practice and are interested in diving into your relationship with money, sustainable pricing, upholding boundaries, niching down, and creating and launching a beautiful and hardworking website in a small group program, check out my program Grow a Profitable Practice From the Inside Out. 

Some links included in this article are affiliate links, meaning I may earn a commission at no additional cost to you.

 
Previous
Previous

81: AMA Podcast: A Financial Therapist Answers Your Questions

Next
Next

Small Business Mistakes I Made in 2021 PLUS Lessons Learned for 2022