Private practice with lifestyle focus

[Attending1985]

My dream would be starting my own pp and working with people who are interested in nutritional and lifestyle interventions as well as psychotherapy. I would not be opposed to prescribing medications but it would not be my focus. I’m employed right now and I don’t see a demand for this from my patient population. This makes me question the feasibility of actually doing this. Any input appreciated.

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[Monocles]

Move to an affluent place with lots of health-conscious professionals. I'm sure tons of people would be lining up. Hell, you can start a whole partial program and fill the morning with exercise classes, yoga, nutrition/cooking followed by an hour of group therapy.

Why doesn't this already exist??

 

[TexasPhysician]

You won’t be the first. Recently met a psychiatrist doing just this (cash only) downtown. Mandatory to be in therapy with him to be considered for medication. Takes few patients as they are all 1+ hour therapy visits.

 

[Sushirolls]

It's practically the business model of Natropathic doctors, except they are also doing miracle infusions, too. Your competition will be largely ND, and DC, and the occasional FM/IM who has such a clinic.

In my area I've even seen a group of nothing but ARNP/FNP, with NDs.

 

[Attending1985]

It's practically the business model of Natropathic doctors, expect they are also doing miracle infusions, too. Your competition will be largely ND, and DC, and the occasional FM/IM who has such a clinic.

In my area I've even seen a group of nothing but ARNP/FNP, with NDs.

I wouldn’t be doing testing of hormones/heavy metals/nutrients that naturopaths do. I would be offering psychiatric services that emphasize nutrition, exercise, psychotherapy but utilize medications.

 

[Attending1985]

You won’t be the first. Recently met a psychiatrist doing just this (cash only) downtown. Mandatory to be in therapy with him to be considered for medication. Takes few patients as they are all 1+ hour therapy visits.

Is he busy/successful?

 

[Attending1985]

Move to an affluent place with lots of health-conscious professionals. I'm sure tons of people would be lining up. Hell, you can start a whole partial program and fill the morning with exercise classes, yoga, nutrition/cooking followed by an hour of group therapy.

Why doesn't this already exist??

Yeah my patient population is definitely not affluent.

 

[Sushirolls]

Tell us more. What does this vision look like? The nutrition emphasize, the exercise, and therapy approach? Help me understand how this practice will be different than a simple private practice?

 

[Candidate2017]

I wouldn’t be doing testing of hormones/heavy metals/nutrients that naturopaths do. I would be offering psychiatric services that emphasize nutrition, exercise, psychotherapy but utilize medications.

Huge demand. We do this in our residency clinic that has a 2 month wait. Seems like your employer is about the low hanging high volume, which makes sense since they have to pay themselves and you.

 

[TexasPhysician]

Is he busy/successful?

Its all relative, but he has as many patients as he wants.

 

[Attending1985]

Tell us more. What does this vision look like? The nutrition emphasize, the exercise, and therapy approach? Help me understand how this practice will be different than a simple private practice?

This wouldn’t be radically different than a simple private practice. I would be incorporating dietary approaches (keto, elimination, anti-inflammatory) as well as focusing on incorporating exercise as a treatment or preventative. Someday I would love to study yoga myself and incorporate that.

 

[Sushirolls]

Seems quite doable.