In this episode, hosts Kelly and Miranda sit down for an honest, big-picture discussion about the challenges therapists face in private practice today. Sparked by a lively Reddit thread, they explore why even experienced clinicians sometimes struggle to achieve great client outcomes—and why the issues often run much deeper than individual skill.

Kelly and Miranda unpack the systemic problems plaguing the mental health field, from underwhelming graduate training and overwhelming student debt to exploitative supervision and a broken insurance system. They discuss how these factors impact not just therapists but also client care and the profession as a whole.

If you’ve ever wondered why private practice often feels so hard—or how to create a more sustainable, effective practice—this episode is a must-listen. Dive in for an open, insightful conversation that challenges old assumptions and offers hope for meaningful change.

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Check out more episodes of the Starting a Counseling Practice Success Stories podcast on these platforms + leave a review letting us know what you think:

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