The Imperative of Supporting Private Practice Therapists

Choosing private practice therapists also means supporting local small businesses - I just celebrated my one-year anniversary as a woman-owned small business!

The Imperative of Supporting Private Practice Therapists Over Venture Capitalist Firms: Response to Mental Health Match’s Article “Is This the End of Private Practice Therapists?”

Original Article: https://mentalhealthmatch.com/articles/for-therapists/end-private-practice-therapist?fbclid=IwAR3tbCDNxjLApbF-xV06847SR4yXMRODZbYFPlTUM3_0Rxa9NmdTUVzHzPY_aem_AQClQJYacYuc_SezDn5vi0k4XT6Q-6uDNGBtZt_QgJ03d9bqyK_riYzsh-RX89u1F9c


As the landscape of mental health care evolves, the growing influence of venture capitalist (VC) firms in the therapy industry is a cause for concern. The allure of convenience and accessibility promised by digital platforms like BetterHelp and Talkspace masks a deeper issue: the commodification of therapy. To ensure the highest standards of care and uphold ethical practices, it is crucial to support private practice therapists over these profit-driven firms that have a history of putting profit over client rights and wellbeing. This not only preserves the integrity of the therapeutic profession, but also bolsters local small businesses that are the backbone of our communities.

The Value of Private Practice

Private practice therapists offer a level of personalized care that is fundamental to effective therapy. The therapeutic relationship is not a mere transaction; it is a deeply personal and evolving connection that requires time, trust, and mutual understanding. In private practices, therapists have the flexibility to adapt their methods to suit individual client needs, fostering a supportive environment that encourages genuine healing and growth.

In contrast, VC-backed digital platforms often prioritize speed and efficiency over quality. Therapists are incentivized to engage in quick, superficial interactions, undermining the depth and effectiveness of therapy. Side Hustl states about therapists pay structure from BetterHelp “You are also compensated by how many words are written to you, by the client, AND, how many words you write to the client” which  may encourage therapists to focus more on the word count than the content of their message to ensure they make a livable wage. This approach is analogous to the gig economy models seen in other industries, where the emphasis is on volume rather than value. Such a model is inherently incompatible with the nuanced and sensitive nature of mental health care.

Ethical Standards and Professional Integrity

The pressures exerted by VC firms to maximize profits can lead to practices that compromise ethical standards. There have been instances where therapists on these platforms were encouraged to provide services in states where they were not licensed, putting their professional credentials at risk. Moreover, pay structures that reward brevity over substance can lead to inadequate care, as therapists may be forced to prioritize quick responses over thoughtful, meaningful engagement.

Private practice therapists, on the other hand, operate with a high degree of autonomy, allowing them to adhere strictly to ethical guidelines and professional standards. They are accountable to their clients and their profession, not to investors demanding ever-increasing returns. This autonomy is essential for maintaining the trust and integrity that are the hallmarks of effective therapeutic relationships.

Supporting Local Economies

Choosing private practice therapists also means supporting local small businesses. These practitioners are often deeply embedded in their communities, contributing to the local economy and providing services tailored to the specific needs of their clientele. By contrast, large digital platforms centralize profits, often channeling them away from the communities they serve and into the hands of distant investors.

Local therapists build networks with other professionals and organizations in their area, fostering a collaborative approach to mental health care that benefits the entire community. This localized focus is lost in the one-size-fits-all model of large online platforms, which can dilute the quality and relevance of care provided.

Solutions for a Sustainable Future

To counter the encroachment of VC-backed firms in the therapy industry, several measures can be taken:

1. License Reciprocity: Implementing national license reciprocity would enable therapists to reach clients across state lines, expanding access to care without compromising the quality of service.

2. Not participating in these digital services platforms as therapists and not referring clients to these platforms

3. Specialization and Expertise: Encouraging therapists to specialize in specific areas can enhance the level of care provided and make them more competitive against generalized digital platforms.

4. Legislative Advocacy: Therapists must unite to advocate for laws that simplify the insurance process and ensure fair reimbursement rates. Simplifying credentialing and billing can make it easier for private practices to thrive. This includes voting and calling local representatives.

5. Community Building: Strengthening professional networks among therapists can provide the support needed to maintain high standards of care and ethical practices.

6. Encouraging platforms that advertise these services to remove them from their sponsors by writing letters and writing reviews

The encroachment of venture capitalist firms into the mental health industry poses significant risks to the quality and integrity of therapy. Supporting private practice therapists is essential for maintaining high standards of care, upholding ethical practices, and fostering local economic growth. By prioritizing personalized, community-based care over commodified, profit-driven models, we can ensure that the therapeutic profession continues to serve the best interests of clients and communities alike.

Sources:

https://sidehusl.com/betterhelp/#:~:text=You are also compensated by,word and averaging $30/hr.

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