Telepsychiatry private practice

[MedMan80]

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Can anyone give ideas on getting referrals, i joined local FB groups but those are saturated with NPs offering services. Cold emails?

 

[Atreides]

Make sure you tell them, if they get even a few concerns about any of the vetted CPAs they will take them off the list.

Just sent an email. Idk if it'll make much of a difference but hope so. I'm interviewing new CPA's and they've unanimously been stunned by the recommendations I've been given and the flippant attitude my current CPAs have had when I've raised my concerns to them. I've been trying to set up a meeting with them and they keep dodging it. For the amount I'm paying, it's ridiculously poor service.

 

[Jules A]

Just sent an email. Idk if it'll make much of a difference but hope so. I'm interviewing new CPA's and they've unanimously been stunned by the recommendations I've been given and the flippant attitude my current CPAs have had when I've raised my concerns to them. I've been trying to set up a meeting with them and they keep dodging it. For the amount I'm paying, it's ridiculously poor service.

I bet he will respond to your email. When someone posts a complaint on the message board about a vetted business he always replies.

 

[Atreides]

I bet he will respond to your email. When someone posts a complaint on the message board about a vetted business he always replies.

Yup, very quick response. Not from him personally but someone on his team. They asked if I was okay with them reaching out to the CPAs to discuss my experience. Told them to go ahead but give me about two weeks to get all the documents I need transferred over to my new CPA.

 

[Dopamemes]

This wouldn't be a CPA firm which shares a name with a conservative media corporation, would it? If so, also had a bad experience and also switched away.

 

[Atreides]

This wouldn't be a CPA firm which shares a name with a conservative media corporation, would it? If so, also had a bad experience and also switched away.

Yes

 

[Cath Up]

Anyone have a psychologytoday referral link for the 6 months free if they're still doing that? I am opening up a private practice, trying to minimize expenses for now as a PGY4. Feel free to PM if you're up for sharing a link!

 

[Atreides]

Anyone have a psychologytoday referral link for the 6 months free if they're still doing that? I am opening up a private practice, trying to minimize expenses for now as a PGY4. Feel free to PM if you're up for sharing a link!

Sure, PM me your email and I’ll send you an invite.

 

[randomdoc1]

Anyone have a psychologytoday referral link for the 6 months free if they're still doing that? I am opening up a private practice, trying to minimize expenses for now as a PGY4. Feel free to PM if you're up for sharing a link!

Also, some malpractice insurances if you do risk management training will offer you a discount on the insurance premium.

But as a practice founder that's done well...don't be shy to spend a little bit. It's all about return on investment. I've learned a bigger thing is, avoid getting trapped in long contracts as feasible. Then test out products and if it is delivering, keep it. I've tried my share of software, marketing, and other products. Most I let go and some I kept. The keepers can be a huge help to the practice. Even when it comes to renting space, if short leases are possible, that is more ideal.

Would highly recommend having a physical space to do in person sessions. If you offer in person options, your potential traffic will be far higher. Lots of places are looking to sublet, so you can get a good steal.

 

[Cath Up]

Also, some malpractice insurances if you do risk management training will offer you a discount on the insurance premium.

But as a practice founder that's done well...don't be shy to spend a little bit. It's all about return on investment. I've learned a bigger thing is, avoid getting trapped in long contracts as feasible. Then test out products and if it is delivering, keep it. I've tried my share of software, marketing, and other products. Most I let go and some I kept. The keepers can be a huge help to the practice. Even when it comes to renting space, if short leases are possible, that is more ideal.

Would highly recommend having a physical space to do in person sessions. If you offer in person options, your potential traffic will be far higher. Lots of places are looking to sublet, so you can get a good steal.

I’ll try to keep all this in mind. I will definitely have an in person spot where I see most patients most of the time, for reasons you mention and just because I think that results in better care.

So far I know about the tax write off for making the website ADA compliant, discount for doing risk management training, got 6 free months of free psychology today, have 6 months free of a website designer/hosting service from a friend. If you or anyone else knows about other discounts I’m all ears!

 

[Psychferlyfe3000]

Can anyone give ideas on getting referrals, i joined local FB groups but those are saturated with NPs offering services. Cold emails?

I've gotten nothing from FB groups. I get more and more referrals from therapists if their patients have good experiences. If you can talk to someone who runs a large therapist group and get them to like you, that is even better.

 

[randomdoc1]

I've gotten nothing from FB groups. I get more and more referrals from therapists if their patients have good experiences. If you can talk to someone who runs a large therapist group and get them to like you, that is even better.

PCP offices and ob/gyn offices. Their schedules are so full as is and a lot do not want to be slowed with psych concerns. I mean, some do well working with psych. But especially ob/gyn where they are incentivized to do procedures, they will be grateful to hand their ppd cases to you or else they get called all the time about somatic complaints. If you help with managing the anxiety and depression, the ob/gyn can focus on the gyn. It's win win. It's kind of nice since much of their population is younger and not overly medically complex and many want the judicious route with pharm considering being a new mother. They are often very motivated to adjunct with psychotherapy.

 

[Stagg737]

I've gotten nothing from FB groups. I get more and more referrals from therapists if their patients have good experiences. If you can talk to someone who runs a large therapist group and get them to like you, that is even better.

100% this. Some places therapists are in short supply, but in the rural half of the state I treat everyone seems to have a therapist but no one has a psychiatrist. If you can build a good relationship with some busy therapists that should help significantly.

PCP offices and ob/gyn offices. Their schedules are so full as is and a lot do not want to be slowed with psych concerns. I mean, some do well working with psych. But especially ob/gyn where they are incentivized to do procedures, they will be grateful to hand their ppd cases to you or else they get called all the time about somatic complaints. If you help with managing the anxiety and depression, the ob/gyn can focus on the gyn. It's win win. It's kind of nice since much of their population is younger and not overly medically complex and many want the judicious route with pharm considering being a new mother. They are often very motivated to adjunct with psychotherapy.

Partially agree. I work with a fair amount of peripartum patients, share an office with a reproductive psychiatrist and also work with another one whose entire job is a reproductive psychiatry clinic and I do think that unless someone has specific training in repro psych or has taken the time to really delve into it then they should be careful about treating these patients. There's a lot of clinical situations and crossover that we don't typically encounter and the general practices are often different than what one might expect. The repro FB group actually seems pretty solid, but I've seen more than a few general psychiatrists get shocked by consensus responses from the repro psych specialists to things they were certain they should or shouldn't do.

 

[PsyDr]

PCP offices and ob/gyn offices. Their schedules are so full as is and a lot do not want to be slowed with psych concerns. I mean, some do well working with psych. But especially ob/gyn where they are incentivized to do procedures, they will be grateful to hand their ppd cases to you or else they get called all the time about somatic complaints. If you help with managing the anxiety and depression, the ob/gyn can focus on the gyn. It's win win. It's kind of nice since much of their population is younger and not overly medically complex and many want the judicious route with pharm considering being a new mother. They are often very motivated to adjunct with psychotherapy.

Dentists are great for the "I'm not anxious, I just newly developed bruxism" crowd.

 

[randomdoc1]

100% this. Some places therapists are in short supply, but in the rural half of the state I treat everyone seems to have a therapist but no one has a psychiatrist. If you can build a good relationship with some busy therapists that should help significantly.


Partially agree. I work with a fair amount of peripartum patients, share an office with a reproductive psychiatrist and also work with another one whose entire job is a reproductive psychiatry clinic and I do think that unless someone has specific training in repro psych or has taken the time to really delve into it then they should be careful about treating these patients. There's a lot of clinical situations and crossover that we don't typically encounter and the general practices are often different than what one might expect. The repro FB group actually seems pretty solid, but I've seen more than a few general psychiatrists get shocked by consensus responses from the repro psych specialists to things they were certain they should or shouldn't do.

I guess I'm a little spoiled. Our geo area has a free to use consult service with repro psych as they are strongly encouraging general psych to take on some of the work load given the demand. And I personally have a lotta ob training, so I guess it helped. But I see where you are getting at, I've come across a share of general psychs who for understandable as well as mysterious reasons are nervous about treating this population. But I dunno, even if I did not have the extensive ob back drop I have...give me this over a severe BPD with wealthy, overly enmeshed family, entitled, and unrealistic expectations (looking for a reason to file a complaint due to their displaced frustration) any day! The average peripartum patient has a way better prognosis and lower med mal risk HA xD.

 

[randomdoc1]

I've gotten nothing from FB groups. I get more and more referrals from therapists if their patients have good experiences. If you can talk to someone who runs a large therapist group and get them to like you, that is even better.

The other very sweet thing about this. If you make good relationships with highly respected psychotherapy providers, your name propagates in a very nice way in the community. Free marketing and the benefits of networking. Also, the mutual patient will join the encounter with a nice layer of trust. Their depression is already getting better seeing your name on the calendar. Seriously! And what's wrong with a little placebo if it is not hurting anything?