Episode 187

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Published on:

26th Apr 2025

Episode 187: FLASHBACK — Therapy Vs. Coaching: How to Expand Your Services Ethically [featuring Carly Hill]

Ever wonder what the difference is between therapy and coaching? And if you are a therapist who wants to expand your services with coaching, do you have any clue what to do, where to start, and how to protect yourself legally?

In this flashback episode, I talk with Carly Hill, LCSW and business coach for therapists who want to add coaching to their businesses. We discuss an important topic for therapists looking to add coaching to their practice: How to do it ethically and protect yourself, your business, and your clients.

Here are three key takeaways from the episode:

  1. Don't just slap coaching onto your private practice: It's crucial to separate your therapy and coaching services into distinct business entities. This not only avoids ethical dilemmas but also ensures that you comply with licensing regulations and accounting practices.
  2. Understand the difference between therapy and coaching: While some definitions focus on past vs. future-oriented approaches, the simpler distinction lies in medical necessity. Therapy addresses clinical and mental health issues, while coaching tackles situational and nonclinical problems.
  3. Coaching certification is not required, but competence is essential: As a therapist, you already possess a wealth of clinical knowledge and experience. It's up to you to determine if you feel confident delivering coaching services in a specific area. While certification can boost confidence, it's not a prerequisite for calling yourself a coach.

Listen to the full episode to learn more about the ethical considerations of incorporating coaching into your private practice. And remember, protecting your license and serving your clients with integrity should always be top priorities.

More about Carly:

Carly Hill is an LCSW and business strategist for clinicians. She specializes in helping overworked and underpaid female clinicians make more money and more impact by teaching them to build the online coaching business of their dreams.

She helps clinicians break free from the 1:1 model to leverage their time, get paid for their knowledge, and live a life of true freedom. She helps clinicians to find their coaching niche, develop their high-ticket offer, and organically call in their ideal clients easily and effortlessly using her unique modern marketing masterplan.

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***This episode is an episode that All Things Private Practice is re-releasing for 2025. Please enjoy, and we'll be back with new content, resources, and guests in a couple of months.

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Mentioned in this episode:

NeuroPreneur Circle Community

NeuroPreneur Circle is an online community built by and for neurodivergent entrepreneurs who want a supportive space to build a business, a space where they can show up as themselves and in whatever way feels most comfortable. NeuroPreneur Circle exists because community built on masking isn't really community. And business advice built for neurotypical brains isn't actually useful to us, no matter how many times we try to make it fit. Whatever your neurotype, whatever you're building, there's a space here for you. You've been creating alone long enough. Visit: https://atppod.com/community

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About the Podcast

The Neurodivergent Entrepreneur
Honest conversations about building a business while Neurodivergent, the self-doubt, the chaos, and everything in between.
The Neurodivergent Entrepreneur is a podcast for ADHD, Autistic, and all other neurodivergent entrepreneurs who are building businesses, creative work, and lives that actually fit how their brains work. Hosted by Patrick Casale, LCMHC, this show is for people who
want to create meaningful work, create outside of the box, grow their impact, and build something sustainable without losing themselves in the process.

Being a neurodivergent entrepreneur can feel like holding a lot of contradictions at once. You may have big ideas, deep passion, creative energy, and a strong desire to do things differently. You may also be navigating burnout, masking, self-doubt, perfectionism, rejection sensitivity, executive dysfunction, inconsistent energy, and the pressure to keep showing up when your capacity is already stretched. This podcast speaks to that reality honestly, because building a business around your brain, your values, and your lived experience can be powerful, complicated, messy, and deeply personal.

Patrick Casale is a chronically ill, AuDHD, mental health therapist, entrepreneur, TEDx speaker, event host, group practice owner, and neurodivergent business owner who has built, grown, burned out, pivoted, and kept going. His work brings together clinical insight, lived experience, business perspective, and real conversation about what it actually takes to create something that feels values aligned. His conversations are direct, compassionate, unfiltered, and practical, with room for both the emotional reality of entrepreneurship and the concrete decisions that shape a sustainable business.

New episodes drop every Wednesday and feature honest conversations with neurodivergent entrepreneurs, creators, therapists, business owners, and leaders. Together, Patrick and his guests explore entrepreneurship, identity, mental health, chronic health,
creativity, leadership, systems, money mindset, visibility, community, sustainable growth, and the behind-the-scenes reality of creating work that matters.

Build your dream business. Protect your capacity. Work with your brain instead of against it.