Author Archives: Andrea Cashman

Multiple Income Streams

Posted by: Andrea Cashman on July 8, 2014 3:55 pm

Building a private practice financially is not easy. It is financially wise to have multiple income streams in order to stay afloat and cover overhead costs involved in running your business. Not only is this important in your transitioning to a full time counsellor but this can help balance costs when there are lulls in client appointment bookings. Utilizing these available time slots to generate other means of income may be a smart thing to do not only for cost but as a marketing strategy as well. Personally, I continue to be a registered nurse as well as work for EAP companies.

Here are some ideas to help you get started:

–        Get established with an employee assistance program (EAP) or many. You may be one of their many treatment providers that they refer clients to in the community. Many EAP companies also have consulting positions, for example, workshop presenters, return to work consultants, crisis/debriefing counsellors. Typically, EAP companies on average prefer 5 years of post graduate experience in counselling. A great webinar offered by CCPA from time to time explains the in’s and out’s of EAP companies in more detail.

–        Offer to mentor/consult with other counsellors building their practice or developing their niche. Of course, you will need the professional knowledge and experience to offer this service but this could be a great additional income stream for seasoned counsellors.

–        Find a teaching opportunity through schools if you have a teaching background. You may also offer workshops on your expertise. You may also offer workshops to organizations as well.

–        Look into part time work with a community agency that offers counselling

–        Do you have group counselling experience? Can you offer group sessions to clients in your niche?

–        Assess what you are already doing now that could be turned into a potential income stream.

–        Volunteer for your local counselling association. This may not be an income stream but it may generate more referrals.

–        Publishing can also be another way for generating additional income through writing self-published content through the traditional means of publishing for a journal or paper or modern ways such as e-books, workbooks, creating downloadable resources such as videos, audio resources etc.,

Relying solely on direct client hours may hinder your success in developing your private practice. Client hours factor on referrals, state of the economy, time of the year etc., We counsellors need to think outside of the box in terms of generating more income as we become more established.

I’d love to hear from you about potential ideas for additional income sources. What do you think would work for you or has worked for you?

 

Andrea Cashman is a private practice counsellor who has founded Holistic Counselling Services for individual clients seeking therapy in Ottawa, ON. She also practices at the Ottawa Hospital as a registered nurse. Feel free to comment below or contact her at [email protected] or visit her website at www.holisticcounsellingservices.ca




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Finding a Supervisor to Help Guide you in your Private Practice

Posted by: Andrea Cashman on June 16, 2014 4:17 pm

We have all experienced supervision in counselling program practicums. It usually involves either one on one supervision or peer supervision with more than one trainee present. Supervision involves reviewing and discussing ongoing counselling cases in order to form case conceptualization. It involves tracking progress of your clinical skills and client progress. It involves discussion around interventions used and formulation of goals. It’s a requirement for counselling programs to determine competency in graduates. It is also a requirement for all counsellors in private practice and in most institutions as we are unregulated as of now. Once we are regulated with the CRPO and pass regulatory and training requirements, will we be able to continue practising without supervision, although, I would strongly advise it for continued education and competency. Counselling in private practice is enmeshed with isolation, so supervision and even peer supervision assists in networking further. Supervision is usually provided by regulated psychologists. Some psychologists may also provide you with third party billing to ensure your clients can access insurance coverage. Unfortunately, for counsellors now, we cannot provide this as we are unregulated.

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*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Prioritization and Time Management

Posted by: Andrea Cashman on June 4, 2014 3:51 pm

Running your own business requires patience and persistence but not only that, it requires you to be great at time management and prioritization. Chances are, if you are beginning your practice you already have other means for income in another job or career. You may also be juggling family and caregiver issues. Learning how to be effective at prioritizing and time management will give you the skills to become a great therapist without you losing your cool or experiencing burnout. It is important to note that you need to establish limits and boundaries for yourself. Failure to acknowledge this can lead to high expectations and perfectionism with resultant burnout. Let’s face it, you cannot be in all places and do everything at any given time. You should give the most time to the most pressing of issues and realize that you are human. For example, I may prioritize attending a workshop over researching for my next website blog post. I have to admit, I wasn’t always the best at time management. You would think as a registered nurse I had mastered time management…but this didn’t translate to counselling in the beginning for me. I sometimes got overwhelmed with the amount of things I needed to do to market myself or expand in my practice and expertise. That’s when I started to turn towards a to-do list. I’m not a to-do list type of person in my personal life but I have used one frequently for my practice. Checking off items on my to-do list gave me a great sense of accomplishment. My to-do list is always full as I am ambitious; however, I have realized the need to put self-care first so I don’t burnout as a counsellor. I don’t berate myself if I don’t meet a deadline I’ve set for myself as tomorrow is another day. You may even use your calendar or agenda to map out some key items you’d like to accomplish that day.  Another great tip is to have an effective work space in order to accomplish more. I personally use my office more as it forces me to work; whereas my home office is subject to distractions. Your ability to block out or limit distractions is essential to getting more work done. You may find it beneficial to turn off your phone and make specific time allotments to work on your career development. Give yourself more time to work on higher priorities. Time management also translates to the counselling sessions themselves. It is important that you have some time between clients, especially if some cases are emotionally draining. Having at least 10 minutes between clients allows you to prepare for the next client.

If you are still struggling with time management, I suggest seeking online resources and/or books to assist you. Remember not to overextend yourself. You need to take care of yourself so that you can effectively counsel your clients.


Andrea Cashman is a private practice counsellor who has founded Holistic Counselling Services for individual clients seeking therapy in Ottawa, ON. She also practices at the Ottawa Hospital as a registered nurse. Feel free to comment below or contact her at
[email protected] or visit her website at www.holisticcounsellingservices.ca

 




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

The Best Marketing Method

Posted by: Andrea Cashman on May 16, 2014 3:25 pm

In order for you to build and sustain a practice you need to market yourself. There are many types of marketing strategies out there that can suit your niche and personality. Marketing can be scary to a new counsellor in private practice. Where do you start? How much do you invest time wise and financially? What is the best way to market? If you are feeling frustrated and overwhelmed with the process of marketing your business, know that you are not alone and that many other therapists feel the same way. You are  in a profession that puts clients first so I can imagine if you feel that self promotion feels uneasy. I suggest to you that you market in your comfort zone.

Unfortunately, there is no best way. Yes, I tricked you into thinking there was one way. There are many smart ways. However, I think the best marketing tool at your disposal is to have a website as I’ve mentioned in my last post. A website speaks on your behalf to the public. It can easily be added to your business cards, email signatures, advertising etc., Alright, I’ve touched upon the main tool to have. Here are some marketing tips and methods to try (but I advise you to try the ones that speak to you personally and professionally).

–        Consider public speaking and offering workshops to potential clients in your specialty. These can even be free or at a low cost to generate more attendance.

–        You can invest in some online marketing advertisement such as having your name on certain sites such as Theravive, Psychology today etc., or advertising through Google itself. I advise you what ever way you choose, do some research prior to your decision.

–        Connect and network with key stakeholders revolving around your specialty. Your list could include family doctors or specialists and other therapists. Think out of the box in terms of who would benefit from referring you clients. Always, ALWAYS carry business cards on you, even to the grocery store. You just never know who you’ll meet and be able to network with.

–        Create social media sites which link back to your website. These do require time and effort to  draw people’s attentions in.

–        Create a newsletter or blog on your website

–        Write for a newspaper or magazine

–        Interview on a radio show

Can you think of any other marketing methods? Have you tried something and it failed? Has something worked well for you? The goal is to eventually have word of mouth referrals from these networks and from clients themselves but you have to start somewhere. It will definitely feel like more effort in the beginning and you’ll need to put some conscious effort in the long run to sustain clients. So where would you like to begin?
Andrea Cashman is a private practice counsellor who has founded Holistic Counselling Services for individual clients seeking therapy in Ottawa, ON. She also practices at the Ottawa Hospital as a registered nurse. Feel free to comment below or contact her at [email protected] or visit her website at www.holisticcounsellingservices.ca

 




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Building Your Website

Posted by: Andrea Cashman on April 25, 2014 3:42 pm

There are many counsellors that do not have websites. I believe this is a mistake. In a day in age where the majority of the population turns to the internet to do research, having a website is essential to providing potential clients research into your practice and if you are their ideal fit for a counsellor. The main reasons to have a website are as follows:

–        It’s a formal way for you to market yourself with clients and network with other professionals
–        It helps clients FIND you
–        It establishes your credibility and outlines your experience as a counsellor. It’s a great idea to include your expertise and niche in your website.
–        It should help clients figure out if you can help them with their problems.

How to build a website is a daunting task; however, marketing your website if one of the best ways to promote yourself. If you can afford to hire a professional to build your website, do so. Many starting out cannot afford to so make sure you find a good website provider that provides you the look your are looking for. There are both free and paid website hosts. Whichever you choose, your choice should allow you to choose from preexisting templates and make it easy for you to shape your website into your vision. Here are some other tips for you to consider:

–        Make sure your contact information is visible on every page of your website.
–        Make sure your website personally reflects your style.
–        Avoid use of jargon as much as possible. Make sure your website is understandable to everyone
–        Make sure that your website speaks to the benefits of your service.
–        Use a simple, clean format and use consistency where ever possible. Choose no more than 2 fonts and colours.
–        Ask others to review your website for any spelling, grammar mistakes that you may have missed and to provide you valuable feedback on the esthetics and wording of your website.
–        Consider the use of social media to bring in clients to your website. You can choose various other social media as a professional forum, such as Pinterest, Instagram, Twitter and Facebook, to bring in more website traffic. Personally, I have a Facebook page in addition to my website.

Other things for you to research and consider in terms of your website and online presence are: having a blog on your site, including useful links for clients in your area, keeping up on SEO tactics (Search Engine Optimization) that will help increase your rank of your website for internet searches and having a mobile version of your website (I have one with webs.com) for those smart phone internet users. Best of luck in building your website. Take your time to really plot out and research what works best for you and your potential clients.
Andrea Cashman is a private practice counsellor who has founded Holistic Counselling Services for individual clients seeking therapy in Ottawa, ON. She also practices at the Ottawa Hospital as a registered nurse. Feel free to comment below or contact her at [email protected] or visit her website at www.holisticcounsellingservices.ca

 

 




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Being Authentic as a Counsellor

Posted by: Andrea Cashman on April 9, 2014 12:58 pm

I remember the topic of authenticity coming up in my graduate degree training and I was a bit puzzled on why this wouldn’t be a given, an automatic in counselling as you should be authentic with your clients. The world english dictionary defines authentic as 1. of undisputed origin or authorship; genuine 2. Accurate in representation of the facts; trustworthy; reliable. From these definitions, I gather being authentic would be to demonstrate your professionalism, your credentialism, your ethics and your therapy process in an honest and reliable fashion. I also gather from this definition that not only should you represent yourself in such an honest fashion on paper, but as a counsellor, in person, as well. How can you expect to effectively practice if you are not honest and trustworthy as a counsellor? Clients are looking for authenticity, are they not? Many clients have been lied to, abused, mistreated and are seeking a trusting, reliable therapeutic relationship in which to heal. Many clients come into therapy to process and treat interpersonal difficulties and injustices. This is why being authentic has value.

Authenticity in counselling is a moral ideal that stems from humanistic and existentialistic therapies. Carl Rogers would probably call this “congruence”. Rogers promotes that the more congruent a counsellor is, the more they are themselves in the therapy relationship, putting up no professional front or facade which will be the most beneficial for the client (Donaghy, 2002). I practice from Rogers’ Client Centered Therapy or Person Centered Therapy as it is sometimes called. Rogers believed that congruence was one of three core essentials to practicing psychotherapy. For me, as a counsellor it is the upmost importance for me to be congruent with the client, thus being authentic in our session. Honesty and authenticity are values that hold true to me. My hope is that my clients are being authentic themselves, as I believe it is a two-fold process. I envision being authentic in session as not only exploring my perspective of the clients issue in hopes to gain a deeper understanding into who they are and what there perspective is. I also believe being authentic is using self-disclosure (where and when appropriate), owning one’s own mistakes as a counsellor and being honest about the process of therapy and client progress. As with all professions, there can be bad seeds. As a counsellor, it is imperative that you represent the counselling profession ethically and authentically as possible.

Donaghy (2002) points out that authenticity in therapy may not be absolute when she quotes that therapy itself is an artificial practice and secondly questions whether the therapists own authenticity as a person, rather than as a therapist, has any bearing on acheiving authenticity in therapy. Maybe authenticity is an ideal, a matter of degree and not an absolute. I see it more as an absolute, but these are my values and I’m an idealistic person. I believe that authenticity is what life should be about and therapy should be too. Spirituality has taught me authenticity. Encouraging clients to be authentic within themselves and others is a worthy goal of therapy. Being authentic role models as counsellors can help clients acheive authenticity.

I’m curious to know what you think: Is it possible to acheive authenticity in your counselling practice? What makes a counsellor authentic? What barriers can you forsee (if any) authenticity impeding therapy? Do you consider authenticity an absolute or a matter of degree in counselling?

Reference:

Donaghy, M. August 2002. Authenticity? A goal to therapy. Practical Philosophy. http://www.society-for-philosophy-in-practice.org/journal/pdf/5-2%2040%20Donaghy%20-%20Authenticity.pdf

 

Andrea Cashman is a private practice counsellor who has founded Holistic Counselling Services for individual clients seeking therapy in Ottawa, ON. She also practices at the Ottawa Hospital as a registered nurse. Feel free to comment below or contact her at [email protected] or visit her website at www.holisticcounsellingservices.ca

 

 




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Do you Possess Enough Self-Worth to Run a Private Practice?

Posted by: Andrea Cashman on April 1, 2014 3:54 pm

I’ve had a few people ask me questions about running a private practice as they were contemplating opening their own. Of the counsellors that I’ve spoken to, it was made clear which ones had severe doubts in their abilities and which ones were self-assured and confident with making their entrepreneural move. I do not believe that this is a career choice for the faint of heart. Private practice can be very isolating at times. While the appeal to be your own boss and be creative as you wish to be, there is always the drawback of  isolation, stress and uncertainty popping up to make an appearance.

There are many stressors that private practice can bring. There is the stress of economic uncertainty. Building a practice will take time, perhaps years for you to make a decent income. Even once established, there will be ebbs and flows in your practice that you will need to consider and plan for. You may be working in isolation even if you are renting space in an office. You also have to consider working different hours which may include early morning appointments and evening appointments to make client hours available. You also have to consider that you have no cover when you are ill. Great self-care is essential to running your practice, not just physical care but emotional and mental care as well. Seeing a counsellor for your own issues is highly recommended to avoid any countertransference issues. I strongly recommend you have had at least one session as a client to see what it is like from a client’s perspective. Another thing to keep in mind about your practice is the expectation of client cancellations, no shows and drop outs. This is where supervision is beneficial to work on any doubts you have as a counsellor. There can be other stressors as well, for example, competition of other practitioners, marketing stress, adminstrative or environmental stressors etc.,

What stressors do you anticipate in your practice? Reflect on how you can deal with them and what you will need in doing so? Will social support, networking, personal counselling, research, supervision, time management help you with these stressors? Taking the time to reflect on your doubts and anticipated stress will make you feel better prepared to make the transition. I know how hard it can be; however, I think you need to be in a place in your life where you have the strength and stamina to open your business. If you feel your not ready at this current time, it doesn’t mean you will never be. It just means that you need to work on yourself first and there’s nothing wrong with that.

 


Andrea Cashman is a private practice counsellor who has founded Holistic Counselling Services for individual clients seeking therapy in Ottawa, ON. She also practices at the Ottawa Hospital as a registered nurse. Feel free to comment below or contact her at [email protected] or visit her website at www.holisticcounsellingservices.ca




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

The Essential Documentation Needed in Your Private Practice

Posted by: Andrea Cashman on March 10, 2014 4:39 pm

There are certain administrative requirements that are mandatory to operate your counselling private practice. These include documentation for client files such as a consent form for treatment, an intake form, session notes and payment receipts. I find these are the four that I use the most.

Writing session notes are essential because it is your professional and ethical duty to track the progress of your clients. It is up to you what to include in your notes. Keep it factual. If you were ever subpoened in a court case, chances are your notes will be. Personally, I make sure to write any treatment I have provided in addition to my assessment and observations of the client in session. A good format to try would be the SOAP format. I learnt this back in nursing school and it’s a great tool to use. SOAP stands for subjective, objective, assessment and (treatment) plan. Here is an example: http://www.ehow.com/how_6120666_write-case-notes-soap-format.html

An intake form is given to the client at the first session to fill out. It provides more information for the counsellor. It will be up to your discretion what you decide to include in your form; however, this is where research will help you decide. I think it is great to include client demographics, psychiatric and medical conditions, an emergency contact, previous counselling and what worked/didn’t work, who their GP is, their view of their presenting issue and what short and long term goals they would like to acheive in therapy.

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*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Are You Ready to Make the Leap into Private Practice? 4 Points to Consider In Your Decision Making

Posted by: Andrea Cashman on February 26, 2014 3:55 pm

Making the decision to open a therapy private practice is a decision that requires a lot of soul searching. Opening a practice requires patience, knowledge, persistence and endurance, not to mention passion. It will take research and planning to make your dream a reality. I encourage people who are seeking this new adventure in their counselling career to take the time to reflect to make sure it is the right decision for you. There are a few things that I recommend you ask yourself before moving forward:

  1. Are you emotionally ready? Are you emotionally stable at this point to open your own practice? Keep in mind that you will be an entrepreneur, your own boss and you will be self-employed. I always encourage therapy for therapists to deal with their own issues so that transference issues and burnout are avoided as much as possible. Great self care practices to keep yourself healthy while you treat client issues are essential.
  2. Are you physically ready? Starting a private practice will require extensive time commitments not only in the planning stages but even with maintaining your practice. I suggest giving at least three months to develop and implement a business plan prior to opening. There is a lot involved in the process and keeping a checklist of what’s involved is crucial. I also suggest investing in a few books that will help you develop a business plan. Personally, I like the book “The Essential Skills for Setting Up a Counselling and Psychotherapy Practice” by McMahon, Palmer and Wilding.
  3. Are you financially ready? Create a financial cost-analysis of what will be financially involved in starting up. This can include (but not limited to) office rent, furniture and supplies as well as liability and general insurance, supervision, CCPA certification and advertising. Make sure you have a back up financial plan via secondary means of income. I recommend going part time in your practice to begin with and work somewhere else to provide consistent financial income.
  4. Do you have the credentials and experience? People make the leap into private practice at different stages in their counselling career. It is best to have some counselling experience under your belt. Seeking supervision from a psychologist and continuing to take educational courses, workshops and certifications will assist you in developing a tailored knowledge base that coincides with your niche. Networking with other therapists will not only help with referrals but also with building on your knowledge base.

It may be best to write a pro/con list if you decide to take the private practice route. This may help in your decision process. Don’t forget to reflect, process and research. I wish you all the best in your private practice embarkment. Stay tuned for more blog posts on running your private practice.

Andrea Cashman is a private practice counsellor who has founded Holistic Counselling Services for individual clients seeking therapy in Ottawa, ON. She also practices at the Ottawa Hospital as a registered nurse. Feel free to comment below or contact her at [email protected] or visit her website at www.holisticcounsellingservices.ca

 




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA