The zynnyme Blog

Private Practice Blog for Therapists

Hundreds of articles on building, growing, and sustaining your private practice — written by therapists, for therapists. Not recycled generic business advice.

Latest Articles
State of Therapy: Why Therapists Feel Trapped by Insurance: The Power and Control Wheel, Reframed
Miranda Palmer Miranda Palmer

State of Therapy: Why Therapists Feel Trapped by Insurance: The Power and Control Wheel, Reframed

A colleague told us recently that he missed our laughter; he'd noticed the fun had gone thin on the podcast. He was right.

Both of us come out of domestic violence work, so we know the power and control wheel well. On a whim, we held it up against what therapists are living inside the insurance system right now, and went wedge by wedge. Once you see the pattern on paper, you can't un-see it.

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We Adapted the Duluth Power and Control Wheel for Insurance Companies and Therapists. Here's Why.
Fees & Insurance Miranda Palmer Fees & Insurance Miranda Palmer

We Adapted the Duluth Power and Control Wheel for Insurance Companies and Therapists. Here's Why.

The denials, the clawbacks, the gaslighting letters: none of it is random. We adapted the Duluth Power and Control Wheel to name the coordinated pattern of power and control insurance companies and venture-backed platforms are using against therapists, told through real stories and documented examples, with guidance on safety planning, leaving panels, and systemic change.

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Therapy Transcripts Are Being Subpoenaed in Court: What Every Therapist Needs to Know

Therapy Transcripts Are Being Subpoenaed in Court: What Every Therapist Needs to Know

A woman's private therapy messages, typed to her therapist through an app, were subpoenaed and used against her in court by her former employer. It is not a hypothetical, and it is not only a Talkspace problem. Kelly Higdon and Miranda Palmer break down the Kamrass v. AdventHealth case, why therapist-client privilege does not protect what you think it does, why "HIPAA compliant" is more marketing than protection, and the concrete steps you can take to guard your clients' data.

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Starting a Private Practice With a Business Partner: Lessons from Allison and Amanda

Starting a Private Practice With a Business Partner: Lessons from Allison and Amanda

Three years ago, Allison and Amanda were tired, overworked, and stuck on insurance panels at a generalist group practice - here's how they built something completely different, together, on their own terms.

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5 Steps to Find Out How Many Clients Need You

5 Steps to Find Out How Many Clients Need You

I was making a presentation to the Seattle Division of the Washington Association of Marriage and Family Therapists and made a statement to the audience: "There are more than enough clients to fill every single practice of all of you- and all of the other private practice therapists in Seattle." 

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Professional Will for Therapists: Why "I'll Deal With It Later" Isn't Enough
Success Stories Kelly Higdon Success Stories Kelly Higdon

Professional Will for Therapists: Why "I'll Deal With It Later" Isn't Enough

Therapists get sick, get hurt, and die, and when they do, someone has to call the clients, secure the records, and close the practice, often while grieving. This guest post from Robyn Miller, Ph.D., founder of TheraClosure, shares what she learned stepping in as a practice executor for two colleagues, and what every therapist should have ready before they need it. A professional will isn't morbid paperwork; it's infrastructure, the same as your fees, contracts, and insurance.

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“BST was the best investment I have made in myself. I went from working 45-50 hours per week to working 25 hrs, doubling my income,” Cyndi

What if this really could change everything?

You don’t have to decide today.

Just get on the interest list and we’ll walk you through what Business School for Therapists is, what it includes, and how it’s helped thousands of therapists get their life (and income) back.