Therapy Insurance and Billing Trends for Private Practice in 2025: An Interview with Sanjana Sathya
Therapy Insurance and Billing Trends for Private Practice in 2025: An Interview with Sanjana Sathya
Curt and Katie chat with Sanjana Sathya, co-founder of Thrizer, about the current landscape of mental health billing and insurance. Drawing from the 2025 State of Mental Health Insurance and Marketing report, Sanjana shares insights from hundreds of clinicians on reimbursement trends, hybrid practice models, and strategies for reducing administrative burden. They explore how therapists can make sustainable choices about private pay, insurance, and out-of-network billing — all while preparing for future changes in the mental health field.
Transcripts and more information for this episode will be
available at mtsgpodcast.com!
In this podcast episode, we talk about how insurance is working for therapy right now
Therapists in private practice must make choices between insurance, private pay, or hybrid billing. They all have pros and cons that can shift as
the economy and insurance reimbursement rates change. We talked with our partner, Sanjana Sathya from Thrizer about a survey they conducted to identify what the state of insurance is now.
· Survey insights on therapist billing models
· Pros and cons of accepting insurance as a therapist
· Exploring private pay and hybrid models for therapy practices
· What is out-of-network billing and how can therapists use this model to best effect?
· How therapists can choose a trustworthy billing service
· How to future-proof your therapy practices
Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:
Our Linktree: https://linktr.ee/therapyreimagined
Modern Therapist’s Survival Guide Creative Credits:
Voice Over by DW McCann https://www.facebook.com/McCannDW/
Music by Crystal Grooms Mangano https://groomsymusic.com/
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43:09
Navigating Incel Culture: Therapy Approaches for Manosphere Clients
Navigating Incel Culture: Therapy Approaches for Manosphere Clients
Curt and Katie respond to all the discussions that popped up about the Netflix series Adolescence and its portrayal of a 13-year-old boy accused of murder. We chat about the complexities of working with clients labeled as "incels." We also explore the importance of understanding the impact of that label (especially when clients are not self-identified as “incels”), internet culture - particularly the manosphere, and the challenges therapists can face when working with clients holding these beliefs.
Transcripts and additional information for this episode will be available at mtsgpodcast.com!
In this podcast episode we discuss working with clients labeled as
"incels"
Curt and Katie explore the focus on “incels” in the discussions about the Netflix series Adolescence. We dive into the nuances of understanding internet subcultures and how therapists can effectively work with clients influenced by the manosphere, while also addressing concerns about suicidality, homicidality, and therapy strategies.
What is an "Incel" and where does that term fit into the evolution of the manosphere internet community?
Challenges in therapy with clients from the manosphere (incels, red pill, men's rights groups)
The intersection of autism and the incel community in therapy
Safety concerns: Suicidality and homicidality in clients from manosphere communities
Strategies for effective therapy with clients from the incel/manosphere communities
Key treatment goals when working with clients from the incel community
Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:
Our Linktree: https://linktr.ee/therapyreimagined
Modern Therapist’s Survival Guide Creative Credits:
Voice Over by DW McCann https://www.facebook.com/McCannDW/
Music by Crystal Grooms Mangano https://groomsymusic.com/
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47:24
Planning for Death or Incapacitation - What Therapists Need to Do: An interview with Dr. Robyn Miller, Ph.D.
Planning for Death or Incapacitation - What Therapists Need to Do: An interview with Dr. Robyn Miller, Ph.D.
Curt and Katie chat with Dr. Robyn Miller, Ph.D., of TheraClosure about professional wills and what therapists need to do to effectively plan for their own incapacity or death. She shares her experience stepping in as a practice executor for colleagues, the trauma that can result when therapists disappear without explanation, and the systems she’s created through her program to provide compassionate and organized transitions for patients. This is a conversation about professional wills, ethical responsibilities, and why planning for the worst brings peace of mind.
Transcripts and more information for this episode will be available at mtsgpodcast.com!
(Show notes provided in collaboration with Otter.ai and ChatGPT.)
In this podcast episode, we talk about planning for a therapist’s unexpected absence, incapacity, or death
Too many therapists avoid thinking about what will happen to their clients if they can no longer practice due to sudden illness, incapacitation, or death. Dr. Robyn Miller joins Curt and Katie to discuss why it’s essential to have a professional will, and how to make sure you’re not leaving your clients without closure or support.
Why Therapists Must Plan for Death or Incapacitation
What Goes into a Professional Will for Therapists
The Role and Burden of a Practice Executor
Creating a Plan that’s Clinically Thoughtful
Systemic Issues and Professional Responsibility
Action Steps for Modern Therapists
Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:
Our Linktree: https://linktr.ee/therapyreimagined
Modern Therapist’s Survival Guide Creative Credits:
Voice Over by DW McCann https://www.facebook.com/McCannDW/
Music by Crystal Grooms Mangano https://groomsymusic.com/
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43:39
Interpersonal Branding - Therapist Marketing That Aligns With Who You Are: An interview with Carrie Wiita
Interpersonal Branding - Therapist Marketing That Aligns With Who You Are: An interview with Carrie Wiita
Curt and Katie chat with Carrie Wiita about authenticity, first impressions, and why traditional business coaching doesn’t work for most therapists. Carrie critiques traditional business coaching models that rely on anecdotal “success stories” and mindset hype, and instead offers a relational, thoughtful, and research-informed framework to help therapists show up in alignment with their professional identities. We also explore the unique challenges therapists from marginalized communities face in marketing, and how systemic issues influence visibility and access.
Transcripts and more information for this episode will be available at mtsgpodcast.com!
In this podcast episode, we talk about how therapists can market themselves ethically, authentically, and effectively
Marketing for therapists doesn’t have to feel slimy, manipulative, or one-size-fits-all. Carrie Wiita, a marketing therapist and creator of interpersonal branding, shares how therapists can use their natural strengths, values, and clinical insights to build trust through marketing—without pretending to be someone they’re not.
What is Interpersonal Branding for Therapists?
The Problem with Traditional Business Coaching for Therapists
The Impact of First Impressions on the Therapeutic Relationship
Navigating Identity and Professional Boundaries as a Therapist
Marketing and Systemic Oppression with the Therapist Profession
Stay in Touch with Curt, Katie, and the whole Therapy Reimagined #TherapyMovement:
Our Linktree: https://linktr.ee/therapyreimagined
Modern Therapist’s Survival Guide Creative Credits:
Voice Over by DW McCann https://www.facebook.com/McCannDW/
Music by Crystal Grooms Mangano https://groomsymusic.com/
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42:27
Special Episode: Modern Therapist’s Consumer Guide on JotPsych
Special Episode: Modern Therapist’s Consumer Guide on JotPsych
Curt and Katie talk with Nate Peereboom, CEO and co-founder of JotPsych, an AI-powered scribe designed to automate therapy notes and save therapists 90–95% of their note-taking time. Jot Psych supports over 30 languages, integrates with many EHRs, and prioritizes security and privacy. In this conversation, we dive into how AI can support clinicians while protecting the integrity of the therapeutic relationship. This episode is part of our Modern Therapist Consumer Guide, where we explore innovative tools and services built for therapists and their clients.
In this podcast episode we talk about AI Scribes and making your clinical documentation more efficient and effective with JotPsych
We explore how Jot Psych uses artificial intelligence to ease the documentation burden in therapy practices, while maintaining HIPAA compliance and respecting client privacy.
Interview with Nate Peereboom, JotPsych
0:01:07 - Nate introduces himself and JotPsych
0:02:18 - Origin story of JotPsych and why they created the company
0:05:34 - Mission, vision, and values of the business
0:09:42 - Process of using JotPsych and note generation
0:12:08 - Business and clinical considerations for using AI scribes
0:16:14 - Privacy concerns and client consent
0:20:30 - Concerns about data training and potential AI therapist replacement
0:31:18 - Multilingual capabilities
0:31:52 - Quality assurance processes
0:34:49 - Onboarding process for new users
0:40:16 - Where to find more information about JotPsych
Curt and Katie Chat – Our review of JotPsych
0:42:07 – Katie and Curt talk through our impressions of JotPsych: Considerations for choosing JotPsych, paying attention to scope and accuracy in documentation that is produced, how tools
like Jot Psych can serve solo and group practices, the importance of testing AI tools in real-world practice before full adoption
A Special Offer for the listeners of Modern Therapist’s Survival Guide podcast from JotPsych
Try Jot Psych with a 10-day free trial and get 50% off the first two paid months.
Visit jotpsych.com/modern-therapist and use code MODERN
Credits:
Voice Over by DW McCann https://www.facebook.com/McCannDW/
Music by Crystal Grooms Mangano http://www.crystalmangano.com/
Sobre The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy
The Modern Therapist’s Survival Guide: Where Therapists Live, Breathe, and Practice as Human Beings It’s time to reimagine therapy and what it means to be a therapist. We are human beings who can now present ourselves as whole people, with authenticity, purpose, and connection. Especially now, when clinicians must develop a personal brand to market their private practices, and are connecting over social media, engaging in social activism, pushing back against mental health stigma, and facing a whole new style of entrepreneurship. To support you as a whole person, a business owner, and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age.
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