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The Case for Private Group Practice vs. Counseling Agencies in Boston

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Black Calendar
June 24, 2025
Black Calendar
Aaron Gilbert
The Case for Private Group Practice vs. Counseling jobs in Boston

Talented therapist clinicians are in high demand, especially for a counseling job in Boston, and rightly so. In face, there is no facet of our life, performance, or sense of meaning that is not greatly influenced by the quality of our mental and emotional health. Simply put, your work has great value. 

When it comes to where you work when looking for a counseling job in Boston as an LICSW, discerning between agencies, private group practice, or even telehealth startups can be daunting. Ultimately, it’s about knowing yourself and choosing the best fit for you. This ensures you, and your clients, can thrive. 

The Rise of Private Practice to Meet Modern Mental Health Demands 

In North America, we are experiencing a renaissance of creativity in the field of mental health. The enormous strain of the COVID years created a forcing function. In terms of increased demand and decreased in-person capacity, our field had to adapt. 

The best of these adaptations can be found in creative and passionate private group practices. These have proliferated in Boston, Massachusetts, and across the country. These start-up or highly flexible established practices can offer many things that may not be available in traditional agencies, clinics, or hospitals. Also, while these conventional institutions are vital to our communities and deservedly highly regarded, they are not often the best fit for the long term counseling job in Boston. This is true for many talented and passionate therapists or counselors. 

Benefits of Mental Health Jobs in Boston For a Private Group Practice 

What do some private group practices offer that you cannot find in agencies? Of course, it depends on the specific practice, and you will want to do your due diligence on each of them. Carefully review their websites and see what people are saying about them. See if you can reach out to a member of the practice. And, most importantly, consider what YOU want most for yourself and your career. 

The best private practices in Boston will allow you independence and autonomy not found in an agency, when looking for a counseling job in Boston. As a professional independent therapist, you will be allowed to make your own schedule. You can practice therapy in your style and according to your determination of best practice. 

The New Standard for Therapists in Private Group Practice 

In private group practice, much of the time devoted to paperwork, forms, and notes will be eliminated. Often, agencies adhere to outdated practices of record keeping and procedures. This is draining for the therapist and does not directly help the patient or client you are working with. In a creative, patient-focused private practice, record keeping will be largely at your discretion and in the direct interest and benefit of the client. 

Moreover, in the best private group practices, you can present yourself to the public. You can use the practice website in your own voice and style, highlighting your talents. You can showcase your approach to therapy, among other things. Standout private practices will have a compelling website. With wide readership, this provides you with a robust platform to reach people. 

Founder’s Note: You can identify additional specializations or training you wish to pursue and receive support and time to do so in supportive private practices. Earning potential is high with the great majority of the income you generate going directly to you. Why? These practices, especially those that are predominantly virtual, tend to have lower overhead costs. This allows for the payments to flow more directly to you. 

Elite private group practices can also offer the perfect blend of autonomy with support, collegiality, and clinical direction, when you want or need it. You are in charge of your schedule in terms of the hours you work and the vacations you take. These practices can work well both as full-time work or part-time in conjunction with a salaried position. Generally, you can take advantage of peer and individual clinical supervision when you wish. The best practices will have dedicated non-clinical support to help with billing, scheduling, and all non-clinical matters. This allows you to focus on what you love for a counseling job in Boston - the clinical work with your clients. 

Considering Your Next Step as a Therapist

You have achieved your professional independent therapy license in your discipline. You may have worked in a variety of mental health settings, doing individual, group, couples, and family therapy. Perhaps you have done community organizing and connected people with services and resources in their community. You may have worked in hospitals, clinics, and both public and private agencies.

At this stage, you are feeling more confident in your skills and your own therapeutic style and orientation. You want to express yourself and share your talents in a way that brings out your best.

If this sounds like you, you may be considering creating your own private practice or joining a private group practice. You may be asking:

  • “What makes the most sense for me?”
  • “What am I going to enjoy the most?”
  • “Where can I find the most reward and satisfaction?”

As with most important life decisions, this choice depends as much on what is inside of you as it does on the external opportunities available. Taking time to reflect honestly on your priorities and goals will be invaluable.

Pros and Cons: Starting a Private Practice vs. Joining a Private Group Practice

Your Own Private Practice

  • You are the boss and make all decisions (P).
  • You are responsible for all expenditures (C).
  • You handle all marketing and outreach (C).
  • You do all billing of clients and insurance (C).
  • You decide what to do with any profit (P).
  • You practice therapy exactly as you wish (P).
  • You can create your own brand (P).
  • You decide your own schedule (P).
  • You present yourself to the public as you wish (P).
  • You are responsible for your own client recruitment (C).
  • You work alone most of the time (C).
  • Your salary is determined solely by you and the profit your practice generates (P/C).

Joining a Private Group Practice

  • You work independently but have access to other like-minded professionals (P).
  • Decisions affecting the direction of the practice are shared (P/C).
  • You are not responsible for expenditures (P).
  • You contribute some marketing, but the practice does most on your behalf (P).
  • You initiate billing but are not responsible for collections (P).
  • Your pay is predictable, based on a percentage of your generated income (P).
  • Your brand is both individual and as part of the group (P/C).
  • You decide your schedule but must coordinate with the practice (P).
  • Client recruitment is handled by the practice (P).
  • You practice therapy in your own style with referral support from the practice (P).
  • You have access to regular clinical team meetings or supervision (P).

Quick Summary

  • Starting your own practice offers higher income potential and personal recognition but carries higher risk, more non-clinical work, and greater time demands.
  • Joining a private group practice offers predictable income, strong professional support, and the ability to focus more fully on clinical work, but may cap upper income potential and limit individual recognition.
  • Do what is best for you! f you have questions, please reach out to me: Aaron Gilbert, LICSW, Founder of Boston Evening Therapy Associates - www.bostoneveningtherapy.com

A Final Word in Finding the Right Counseling Job in Boston for You 

When planning your next step in your career as a professional LICSW therapist or a counseling jobs in Boston, you will want to consider not just the job, but yourself as well. In what type of environment do you thrive? Where and how can you express your talents as a therapist? What position fits best with your overall life plan for yourself? Consider in what role you could imagine yourself thriving and growing. This is not just for a year or two, but for 5, 10, or more years. 

In summary, some of the potential advantages of working with a leading private group practice in Massachusetts for counseling jobs in Boston include: 

  • Professional Independence and Autonomy
  • High Earning potential
  • Ability to set your own schedule and times off
  • Limited Paperwork and procedures
  • Opportunity for personal creativity and professional advancement
  • Availability of clinical peer and private support when you wish
  • Personalized and effective marketing for your unique talents and ambitions
  • Dedicated non-clinical support with Billing, scheduling and more
  • Perfect blend of independence and peer support
  • Complete recognition and respect of you and your professional judgement

In recognition of the critical service that you provide for people and wishing you the very best success in your professional career! 

Additional Resources 

Mentalyc.com

LiberationHealingSeattle

Talkspace

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