Office, check; supervisor, check; license application, check; website, check (sort of)

I've made a lot of progress, I just haven't had a chance to post! First of all, I've signed a lease to rent an office 1 day per week. I like the neighborhood, I like the building, I like the office, and I like my landlords. So I'm pretty happy about that, and it allows me to move forward with other things, like getting business cards printed and publishing my website. More importantly, I have an office, which makes my practice feel much more solid and grounded. Now that I'm paying rent, I'll be more motivated to start getting clients.


My rent is about $25 / week, that is, per Saturday. I think that is pretty reasonable, and it does not feel like a huge financial investment. My first day is this Saturday, and of course I have no patients yet, but I think I'll go there, soak up the atmosphere, and maybe do some writing.


I can't start seeing clients yet because my Associate license is still being processed. That's another bit of progress I've made: I completed the application, settled on a supervisor, and submitted all the paperwork. This included an official MSW transcript; and a certification of my license from New York. It's been about a week, and according to the DOH updates, it is now being processed. Who knows how long that will take, but I'm hoping I have my license number in the next week.


I weighed the risks and benefits of going "live" with my practice, and only scheduling any new clients in two weeks or so, hoping that I'd have my license in time; but I decided that that was too risky - for all I know the application will be delayed and then I'd be in a weird spot. So I'm just getting my website ready so that I can go "live" as soon as I have my license number.


Speaking of websites, I've been designing a simple site using WordPress.com themes. WordPress is a blog site but it is pretty simple, using pages, to tweak the blog so it looks like a website. You can also purchase a URL for your site, which I did a few days ago.


I'm still working on the website text - it is hard to know how much info too much info. I've noticed a trend in private practice sites: Its the scatter-shot method - mention as many specialties as you can, with the aim that something will catch the eye of the viewer. The general consensus I've seen is that it's actually better to focus on a niche. But since I'm starting out new, I haven't really found my niche.


Anyway, I tend towards simple, and I'm somewhat averse to selling myself, but I also want a website that will connect with potential clients, so I'm writing somewhat more than I'm naturally inclined.


In summary, I feel like I've made a lot of progress in February. My original "launch" date was Feb. 1; that didn't happen because I got a job. But I've made a lot of the second half of last month, and I expect that sometime in March I'll launch my website, start dropping business cards around town, and list myself on a few sites. Then we'll see if anyone calls.


Next Steps:


Malpractice insurance - can't decide which plan
Business cards - can't decide which design
Phone - do I need a separate phone or phone line?
Client info and disclosure statement - write it


On top of all this, I keep reminding myself that I'm actually going to have to do therapy too. That in itself is pretty intimidating.

Slowly making progress

Several weeks ago I wrote about getting a new job. As predicted, that has taken some attention away from my practice. I am now 3 weeks into my office job, settling in (it's not as bad as I expected...or at least, I'm getting used to the badness!); I've gotten my first paycheck - that's always nice - and now I am moving forward with my private practice.

Progress report:

Supervision

• I've scheduled two meetings with potential supervisors
• One is a man who works close to my home; I identified his website while looking at other therapist sites, and I like his clinical perspective
• Another is a woman who is not quite as close to me, but who was recommended by a friend
• Once I meet with them and choose someone, I'll be able to send in my LICSW-Associate application; that will take a while to process, but once it's done, I'll be able to legally provide therapy, which is kind of important

Malpractice Insurance

• Here are some basic things I've discovered about malpractice insurance:
• "Malpractice insurance" is the same thing as "Professional liability insurance"
• This may be obvious, but it took me a while to figure it out
• It is sold at an annual rate, and is usually quoted based on how much they pay out per and per year, e.g. "$1,000,000 per occurrence / $3,000,000 total per year"
• The cost also depends on whether you work part-time or not; and sometimes when you graduated.
• For some plans (like NASW - see below) the rate goes up each year, because you are covering increasingly more years back. So for the first year you pay, say, $40, but by year 6 you are paying for coverage for six prior years, so the rate is more like $150.
• There are various deals based on what association you belong to, but of course you also have to factor in the membership fee, and the added benefits of membership.
• Case in point: NASW costs $170 / year to join, and I can get part-time coverage for $44
• This is a good deal if I am going to join the NASW anyway (I has a student membership which I let expire); but if I want just insurance, there are much better deals.
• For your reference, here is a good link with a list of insurance coverage options for counselors, although I don't know how up-to-date it is, and obviously I can't recommend any of the plans listed.

Office

• I have not found an office. I had some options but I didn't want to start renting while my start-up was stalled, and now they are all rented.

More news later...

Okay, back on track

The last two weeks have been tumultuous. I accepted a job in a field that is not directly related to mental health: I hadn't had any luck with social service agencies in the area, and it was time to start getting some paychecks. The job is a research position in the field of education; I'm still kind of bummed about this step, as it feels like I'm moving away from what I want, not towards it. This is more symbolic than real - I know I can always leave after six, twelve, or 15 months when something more relevant comes along - but can symbols still have a strong hold on our ideas about ourselves.

But I've come to some acceptance about this step. Now I need to make some progress on my practice: The whole point of taking this job (besides not becoming homeless) is to have the financial stability to move ahead with my licensure and with my private practice.

My current goal is this: By the end of the year I will have saved a decent amount of money; I will have 4-6 regular clients (I'd be happy with 4) on one day a week (and maybe an added evening); I will have made a number of mistakes and corrected for them, thus learning what I need to learn about what works and what doesn't, and honing my business into a well-functioning practice. Then I'll only be 4 months or so away from getting my license. I'm hoping that, around 2013, a promising part-time agency position will open up somewhere. I like the idea of working at a mental health center for 2-3 days a week and doing my private practice 2-3 days a week.

My plan of 'opening shop' by February 1 is looking like it needs scaling back. I still need a supervisor signed on, then I need to file the forms with the Dept. of Health. I need to write my blurbs, website, etc.

But as long as I take it one 'action step' at a time I think I can move forward. Stay tuned!

Progress and Procrastinations

I'm happy to report that I've made some important progress in the last week. I've also had a few steps I've been procrastinating on.

Progress:

• Made some progress with my website design (using WordPress templates for now - pretty easy, but I don't love any of the designs), and had a couple of friends look it over
• Registered new business (sole proprietership - why? I'll try to write about that a bit later), and received UBI (but not the license, yet), which is the business ID I need to set up a business account at my credit union
• Almost opened my business account - I went in and got all the info, but, since I want my wife to be a partner in the sole proprietorship, and since she's on the license, it turned out I couldn't open the account without her present. But that should take 5 minutes - hoping to do that before Friday.
• (Side note: The main reason I want a separate business account is so I can put all my expenses on one card, which will make bookkeeping a lot easier I hope.)
• I confirmed (per my most recent post) from the WA DOH that I CAN have a supervisor who is NOT an LICSW - more on that later.
• Which brings me to: I think I found a great supervisor! It was based on a professional recommendation. We're not officially signed on yet - she's still checking on availability and details, but her background, focus, theoretical orientation, are great matches. Once we meet and make sure we're a good fit, I'll be really relieved because I was not looking forward to shopping around
• (Side note 2: I already emailed several people, but they are on hold for in case my current favorite falls through; for the record, this seems to be a good place to find supervisors in Washington State).
• I emailed several people about office space; one person required a 2-day/wk commitment, including a Saturday; another one caters to new practices, lets you rent by the hour, has family and play facilities, and is in a decent, although not great, location. I'm hoping to visit their site next week.
•   (Side note 3: I used the Counseling Seattle Office Space Page)
• Oh, yeah, and I got a part-time job! I'll discuss that later, but I'm generally very happy about this development. It will put me and my family on a solid financial base, and I can start up my practice as slowly as I want, without feel pressure to make it grow faster than I feel comfortable.
• I also went to the store and bought a bunch of office supplies

Okay, on to what I haven't done. Looking over my to-do list and action-step list, I see a few things that I am clearly resisting... 

Procrastinations:

• Everything to do with writing content for my website and 'listing blurb' (is that what you call it?)
• Why do I resist this? Despite being a therapist, I have a deep aversion to therapist language on websites - it just sounds fluffy, self-promotiony, and so on. How do I write something that is 'me' but also will attract strangers - basically, customers? It's much easier to do other things.
• Also, I'm not quite out of the closet about my 'theripality' as it were. I have relatives who look down on therapy, or think it's crap; others maybe think, "What, Justin's a therapist?" This boils down to self-confidence, of course, but it's projected on others. How will I feel when my uncle or father-in-law or high school friends read my website? Can I take myself seriously and ignore what others think? Does part of me secretly think therapy is a load of crap?
  Here's a question for readers: What are the best private practice therapist sites you have seen?
• Fill out LICSW Associate application form
• There is a simple reason for this: I didn't have any printer paper; now I do, so I might as well get it filled out - especially the form I need my new supervisor to complete.
• Come to think of it, maybe now's the time to have my OLD supervisor fill out my hours - that way I won't have to worry about him dropping off the face of the earth.

Next priorities on my agenda are:

• Finish opening business account
• Start writing content for my website and blurb
• Make sure I have a supervisor and meet with her
• Check out offices

The To-Do List

As I've written, the process is daunting, at least for someone like me. I'm making use of two high-tech tools to move forward:

1. The to-do list
2. "Next steps" list

"Next steps" are simple things you can do - "Call potential supervisor," "Check licensing rules" e.g. And they are useful because they are simple and specific. It is easy to get overwhelmed by a task like, "Set up business" or "Make website". So you break it down into specific steps. If you do a step every day, you will eventually complete the broader task.

That said, master to-do lists are useful too. So, just to give a sense of what's potentially involved just in getting off the ground, I thought I'd post my current to-do list (not necessarily in chronological order, or in order of priority). Am I missing anything?:

Groundwork

• Find qualified supervisor
• Get paperwork completed for license application
• Decide on target customers:
• Kids, families, couples, adults, men, all?
• Decide on name of practice / business
• Based on my name; location; theme?
• Decide on location:
• Chose neighborhood options
• Find office available at appropriate times
• Choose when I want to work
• Rent it

Misc. expenses and purchases needed

• Toys, materials for kids, families
• New professional clothes
• Small business software
• Business cell phone
• Smart Phone for traffic checks and emailing?
• Transport: Bike, car
• New computer (I need it but this can wait)

Business side of things

• Decide what type of business (leaning towards LLC)
• Get business license
• Get business credit union account (checking, credit)
• Credit card system?
• Malpractice insurance
• Health insurance
• Set up record keeping system
• Excel? 
• Business software?
• Comprehend insurance system (for future)
• Learn more about general business expense rules

Marketing

• Website and email address
• Choose URL
• Hire someone?
• Wordpress?
• Other services?
• Local therapy listings
• Use my current contacts
• Make new contacts
• Business cards
• Logo?
• Design
• Get printed
• Leave in good spots
• Cafes
• Other?
• Beef up LinkedIn Profile
• Spread the word elsewhere
• Local listings (various)
• Facebook?
• LinkedIn?
• Friends?
• Family?

Licensing

• Find Supervisor
• Register as Associate
• Continuing Education hours
• HIV AIDS Training
• Complete hours
• Transfer hours from my old job
• Complete Paperwork, get approved for exam
• Take Clinical Exam
• Get my license

Paperwork issues

• Prepare disclosure form, and policy statement
• Develop a good system for records 
• Prepare list of referrals (Psychiatrist, other therapists)

There, that's not so hard.