If you have a therapy practice/business, you are a wonderful type of Entrepreneur!

In a graduate school business class, years ago, I studied “entrepreneurship.” This was about creating a business and selling products. At the time, I was a computer business consultant in Hartford, Connecticut, USA. I was considering starting my own computer consulting business and took this class to see entrepreneurship in the consulting business might be a good avenue for me.

Our first assignment was to break into groups and (on paper) create a new company and that company’s first product line. We had to come up with a “brand” and figure out how to manufacture, market, sell and distribute our company’s product line.

This was in the 1980s – nearly 30 years ago and a visible part of our culture were young people called “yuppies.” Yuppie was short for “young urban professional” or “young upwardly mobile professional.” Some people called them DINKs for “double income, no kids.” These singles and married couples in their twenties and thirties were bright, on the go people with much disposable income. The “yuppie” lifestyle was about having money, nice things and a lot of time to enjoy their life or career.

What my study group and I knew was that yuppies were a great target market. They had a lot of disposable income and were happy to spend that money on items of convenience.

My group designed a line of disposable, designer-looking, paper products. We called them “Yup-cups, yup-plates and yup-towels.” I lead the product design, branding, and marketing part of the project and loved it. Luckily others loved creating the manufacturing and distribution plans because when it came to those topics, I lost interest.

To this day, I can’t remember what grade I got in the class. Because the next 10 years of my career were shaped and changed by a different class assignment.

We were asked to take an “Are You an Entrepreneur?” assessment quiz. A high score on this test suggested that you will be successful and an entrepreneur. My score was very low and the comment was” Stay working for someone else. You do not have what it takes to be an entrepreneur.”

Whoa, I felt sad. I wanted to work for myself – choose my own hours and have that computer consulting business with clients I wanted to work with.

On the other hand, it somehow felt right. The idea of manufacturing and distribution and managing a hundred or a thousand people didn’t seem like my cup of tea. I took it as a sign that I would not be successful as an entrepreneur. I stopped dreaming of my own consulting business.

It took me about ten years of working for others (and deep soul searching) to understand. Then I got it! I was never going to enjoy owning a business that included a lot of manufacturing with dozens of people working for me. But creating a small business (a micro-business) with 10 or less employees (or even just me!) appealed to me. I wasn’t interested in creating a product driven business. I wanted to provide service to people – to have a service business.

Since then I have started three successful micro-businesses – including the computer consulting business, my therapy practice and my online coaching and training organization.

The moral of the story? Therapists in or who want to be in private practice are entrepreneurial by nature.


They love providing a service to others. They love to work for themselves, set their own schedule and choose their clients. I see this type of therapist as a specific kind of entrepreneur – you a “thera-preneur.” They do work they love with clients they adore and get paid for their service.

The Classic Private Practitioner is one example of thera-preneur.” It is a lovely model and one I have owned for 15 years and taught about for the last seven years. Most therapists start with the Classic Private Practitioner model. Most enjoy serving their clients this way for their entire career. It is wonderful to see how many of you have embraced this model so successfully!

As I have watched this warm, community of therapy-business owners, I notice that some therapists have decided to use their therapy skills and time in other ways to suit their passions and lifestyle. This is what is so nice about the service-driven business model. It is flexible in that you can design your business exactly as you want it. You can work in a way that serves you as well as your clients.

Many therapists added teaching, training, or coaching to their menu of services. Others added more clinicians to their practice and earned more income. Others decided to write books and gain instant credibility. Some decided to take up an important cause or issue and became the go-to person in their area. There are so many ways you can design your therapy-business in ways that support you, your family, your lifestyle, and your clients.

As I look back, I think that entrepreneurial assessment test wasn’t scored right for service-oriented entrepreneurs like therapists. Because therapy-business owners are entrepreneurs and a wonderful type of entrepreneur: “thera-preneurs.” They are very creative professionals. They are able to design how they deliver services and run their businesses to suit their passions, energy, business and lifestyle goals.

Not much has been said or written about all the options for running a therapy-business. I think you should have this information. That is why I am talking and writing about it now.

What do you think? Have you felt like an entrepreneur?

Are you interested in adding other services or products to your menu of services? If so, what would that look like?

Are you curious or have you thoughts about other ways you could use your therapy skills that would leverage your time – meaning make money beyond the “seat in the chair” therapy hours?

I would love to hear your comments, please leave them below. As you know I read and treasure every comment.

Finally, I am happy to be a part of this fabulous community of “thera-preneurs.” Thanks for the joy you bring into my life and into the world.

May you have the life and business you really want!

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{ 13 comments… read them below or add one }

Karilee July 13, 2010 at 5:58 pm

That’s the first time I’ve encountered the word “therapreneur”, and it does describe some of my clients very well. It’s enjoyable to work with entrepreneurs in helping professions. They’re warm, caring people, and many of them are just starting to learn how to get past the “seat in chair” limitations of their original business concept.

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Casey Truffo July 13, 2010 at 7:49 pm

Karilee,
Nice to hear your experience. I created the word “therapreneur”TM and find it fits so many in the healing profession. Glad it resonated with you!
I wish you amazing success with the entrepreneurs you work with, Karilee.
Warmly,
Casey

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Elizabeth Doherty Thomas July 12, 2010 at 10:41 am

Casey, I am so glad you’re writing that next book! It seems like it will help many people both in terms of their own mindset but also to show the OPTIONS they have. The world is only as limited as your ideas, right!

I am currently in a very interesting path as I hope to start graduate school next fall (2011) to be an MFT. I am doing a ton of work on myself in preparation for journey towards helping others. In that process I’ve come to see that private practice (a portion of my vision) does not HAVE to be isolating. My goal in the next 6 months is to build an organic group of local therapists (across all divisions of MFT, social work, LP’s, etc) along with graduate students in counseling programs, who wish for SOCIAL connection with other private practice therapists along with some “nuts and bolts” help from sharing about credit cards, forms, HIPPA, etc. etc.. But most of it will be social. This profession doesn’t have to be so isolating. I’ve decided part of my passion and entrepreneurial spirit must be to create the world *I* want to have when I graduate and face isolation. I love introverts and believe (hope?) I have designed a way, with help from my husband (an introvert in private practice) for introverts to feel warmth, connection, and honest networking opportunities with others without the anxiety, sales-pitches, our fat wallets necessary to be part of most of those types of groups. Only time will tell!

Perhaps your next book after this one is how to slow down ones brain from flooding with ideas. While I act on VERY few of my ideas, I do sometimes wish I could just shut off my brain. ;-)

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Casey Truffo July 13, 2010 at 7:47 pm

Elizabeth,
What a lovely path you are exploring – both going for your MFT AND starting the organic group of local therapists to help people feel less isolated. NICE
Hugs,
Casey

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Mary Russo PhD July 11, 2010 at 6:22 pm

Thanks for your ongoing interest in other therapists and their endeavors to make it all work.
I am writing to let you know who I am. I have been inpractice for over 25 years in the bay area and contiue to provide therapy services as well as an ongoing womens support group.
Recently I have publihsed a childrens book about overcoming fear (The Adventures of Wizahickon, aviailable on Amazon.com and AuthorHouse.com) also soon by second book on self esteem (Polka Dot Sue) due out in the late fall.
Any interaction with other therapists is a joy and I would be interested in being on your site to stay connected.
As always referrals are wonderful.
Thanks.

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Casey Truffo July 13, 2010 at 7:45 pm

Mary,

How delightful to hear of your books! What age groups are your books for? I am delighted you have shared about you and your projects with our community and me. I look forward to hearing your ideas on other issues~

Hugs,
Casey

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Peggy Haymes July 9, 2010 at 12:24 pm

Perfect timing on this subject. I just had lunch with someone from my networking group. We were talking about my group presentation that I did yesterday in which I explained that the various work that I do (counselor, speaker, writer) all falls under the heading of “helping people live well.” His comment was that sometimes people get confused because they don’t know if I’m a writer, speaker or counselor! How can they refer if they don’t know which box I’m in?

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Casey Truffo July 9, 2010 at 2:04 pm

Hi Peggy,
That is amazing! DId you have an answer for him?
Hugs,
Casey

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Debbra Bronstad July 8, 2010 at 9:44 pm

Casey, thank you for this inspiring article that speaks to the entrepreneur in me. I started a small home business for health coaching years before returning to school to become a therapist. Now as an MFT intern, I have created service oriented businesses to sustain me financially while completing my pre-licensed hours. My niches are Grief Recovery education and Values identification & coaching to develop online communities. I would love to participate in your beta group!

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Casey Truffo July 9, 2010 at 8:58 am

Debbra,
You certainly are an amazing entrepreneur! I’d love to hear more about your businesses that are sustaining you through the licensing process.
Thanks for sharing,
Casey

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Valerie July 8, 2010 at 9:12 pm

Thanks for your ideas, Casey. I’m interested in hearing more.
Val Vinar

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Casey Truffo July 9, 2010 at 8:56 am

Hi Val! Thanks for the comment! I will be sharing more about the Entrepreneurial Therapist very soon.

Hope you are well,
Casey

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Lisa Brookes Kift, MFT July 8, 2010 at 6:30 pm

There are a few things you said here that really resonate with me:

“…some therapists have decided to use their therapy skills and time in other ways to suit their passions and lifestyle.”

I love my private practice – and I have always loved writing. This is why it’s been so enjoyable to develop my second business (Therapy-At-Home Workbooks) over the last four years. I also write a lot for my site as well as others – and it’s really fantastic to be able to enjoy the clinical side – and the writing side – of the work I do. I’ve found an additional stream of income that absolutely “suits my passions.” I feel very fortunate.

I also liked your point that private practice therapists ARE “entrepreneurial by nature.” Good to remind people of that especially when many wonder whether they can put on a “business hat” when pursuing other interests associated with their work. It’s counterintuitive for many therapists.

Lisa Brookes Kift, MFT
The Toolbox at http://LisaKiftTherapy.com

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