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Episode 160 The Three Money Realms of Private Practice

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Startup Nation, Meet:
Deb Lyman, LCSW

Deb Lyman, LCSW is a therapist, clinical supervisor and consultant in private practice in Oakland, CA. She loves helping early and mid-career therapists develop more confidence with both the clinical and business sides of their practices, particularly when it comes to issues of fees and the frame.


She'll help you think more deeply about the clinical implications of your business decisions and the business implications of your clinical decisions.

Show Notes:
  1. The Business Realm - systems, tracking, billing, profit and loss, and other concrete logistics.

  2. The Clinical Realm - the symbolic meaning of money and the fee to your client.

  3. The Personal Realm - your personal money story and how it influences your thinking in the other two realms.


All of this takes place in a cultural and historical context.


If you want to feel confident with the business of practice and do deep clinical work, it is essential to explore your own relationship with money.


Exploring the concrete and the symbolic aspects of money and the fee with your clients can deepen the therapy.

Resources & Giveaways
Guest's Contact Info:

If you are in private practice, you wear a lot of hats. And some of those hats are totally great. But some — like filing taxes and running payroll, for example — not so great. That’s where Gusto comes in. Gusto makes payroll, taxes, and HR actually easy for small businesses. Fast, simple payroll processing, benefits, and expert HR support all in one place. Gusto automatically pays and files your federal, state, and local taxes so you don’t have to worry about it. Plus they make it easy to add on health benefits and even 401(k)s for your team. So let them wear one of your many hats — you have better things to do. Listeners get three months free when they run their first payroll. Try a demo and see for yourself at

When it comes to keeping your practice organized, you want software that’s not only simple, but the best. We recommend TherapyNotes. Their platform lets you manage notes, claims, scheduling, and more. Plus, they offer amazing, unlimited phone and email support, so when you have a question they are there to help. To get started with the practice management software trusted by over 60,000 professionals go to and start a free trial today. If you enter promo code PPS they will give you two months to try it out for free.

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Meet Your Co-Hosts:

What’s up #StartupNation!?! We’re so excited you’re here. In case you’re new to our community, I’m Dr. Kate Campbell, LMFT (on the right) and my business partner aka “BP” Katie Lemieux, LMFT is on the left.


We both built our thriving, 6-figure full-fee private practices from the ground up and love inspiring ambitious mental health professionals across the globe to brand themselves and grow their dream private practice!

We have a blast co-hosting the podcast! We look forward to inspiring you from startup to mastery!

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