“Is It Just Me?”: The Loneliness and Decision Fatigue of Building a Private Practice

You wanted more freedom. More flexibility. Maybe even more income.

But no one told you how lonely private practice can feel.

One minute you’re reading about business structures and fee-setting. The next, you’re wondering if you’ve made a huge mistake. The decisions never seem to end and somehow, you still don’t feel confident that you’re doing it “right.”

If this sounds familiar, you’re not alone. And more importantly you’re not doing it wrong.

Why Therapists in Private Practice Feel So Isolated

Most of us were trained to be clinicians, not entrepreneurs. That means:

• No built-in team to bounce ideas off of

• No supervisor to help with ethical grey zones

• No one to gut-check your rates, policies, or intake forms

Add to that the culture of self-sufficiency — especially in helping professions — and suddenly asking for help can feel like failure.

But here’s the truth: you’re not supposed to do this alone. Private practice might be solo, but it doesn’t have to be isolating.

The Cost of Constant Decision-Making

Should I raise my rates? Is it worth paying for a directory listing? Should I see clients on weekends to fill my schedule?

The endless stream of choices wears you down. That’s decision fatigue — and it’s real. It erodes your confidence, clouds your judgment, and makes even simple tasks feel heavy.

You might find yourself:

• Second-guessing everything

• Over-researching and under-acting

• Signing up for every free training and still not feeling clearer

  
  

What Helps? (Spoiler: It’s Not Another Podcast)

You don’t need more information. You need connection and clarity.

That’s why our programs at The Private Practice Consultants are built to offer both. Whether it’s a free webinar, live coaching, or self-paced support, we help you quiet the noise, make smart decisions, and feel like you’re finally moving forward.

Because the truth is: private practice isn’t just about independence. It’s about building a business that works for your life — with support.

Feeling stuck and alone? Start here: Grab our free Therapist Guide to Building a Support Team — it’s packed with ideas for getting real help, even on a budget.

Want to take your private practice even further? Click here to learn more about our offers or book a call here.