Two years ago, I took a leap, and maybe a little naivety, by opening Bent Couch Counselling. My mission, I thought, was clear: to create a safe, inclusive space specifically for the LGBTQIA+ community. With my background in the Australian Healthcare System and personal experiences with trauma, I felt ready for the challenge, but I quickly identified that private practice brings a whole new set of responsibilities and hard realities.

Reflecting on these past two years, I’ve learnt a lot about myself, my work, and what it truly means to support others. For anyone contemplating starting a private counselling practice, here are some insights I’ve gained from my journey, including the triumphs, struggles, and self-care strategies that have kept me grounded while supporting LGBTQIA+ mental health.

Realising the weight of running a business alone

One of the first lessons in private practice is understanding just how many hats you need to wear. You’re not just the counsellor; you’re also the receptionist, administrator, marketer, and accountant. In the beginning, I was caught in an endless cycle of tasks, finishing client sessions only to face hours of admin work, invoicing, and planning. I was exhausted and often wondered if I’d taken on too much.

Running a small business can be overwhelming, especially when you’re handling it solo. Previously, I’d worked with teams that managed client files, scheduling, and payments. Now, every detail was individually on my shoulders. Creating a structured approach and setting aside specific times for admin each week became essential. If you’re starting a private practice, I highly recommend using client management software. These seemed costly at the time; however, investing in tools to streamline your tasks isn’t just convenient; it’s vital for reducing stress and allowing you to focus on the actual counselling work.

Building client trust and managing expectations

Building trust with clients was something I anticipated, but I didn’t fully grasp how complex maintaining that trust can be over time. Many clients come to me with deep-rooted stories of rejection, trauma, and shame. For some, negative experiences with previous therapists add another layer of difficulty to building rapport.

I remember an early client, a young man who had recently come out to his family and was struggling. He was hesitant, guarded, and avoided direct questions. After those early sessions, I sometimes doubted whether I was the right counsellor for him. But as I learnt to lean into the process, trust is a gradual process. With every session, I focused on creating a safe, non-judgemental environment. Gradually, he opened up, reclaiming parts of himself he’d hidden away for so long. For new counsellors, I’d say patience is essential; building a therapeutic relationship takes time, but the rewards are profound.

The emotional toll of Counselling work and the need for Self-Care

One thing I hadn’t anticipated was the emotional toll that private practice can take. When you’re fully invested in helping people, especially those dealing with serious issues, it can be difficult to leave the emotions of the day behind. Early on, I often replayed sessions in my mind, questioning if I could’ve handled things differently.

Over time, I realised that self-care is absolutely crucial to staying resilient in this field.

Here are 10 Self-Care Tips that have assisted me in staying mentally well and present for my clients:

1. Create a Routine: Establish a start and end time for your workday to maintain a balance between work and personal time.

2. Take Micro-Breaks: Brief breaks between sessions help reset your focus and maintain energy throughout the day.

3. Stay Active: Physical activity, even a short walk, can relieve stress and improve mental clarity.

4. Set Boundaries: Define your work hours and avoid responding to work-related messages outside of these times. When work finishes, shut down your computer and your mind to the work day.

5. Use Peer Support: Regular check-ins with colleagues or a peer group provide valuable support and perspective.

6. Practice Mindfulness: Simple breathing exercises or mindful moments throughout the day help ground you between sessions. I use box breathing and meditation.

7. Invest in Supervision: A good supervisor can help process challenging cases and guide professional growth.

8. Celebrate Small Wins: Recognise your achievements and positive client outcomes to boost motivation.

9. Prioritise Rest and Sleep: Consistent sleep is essential for mental clarity and resilience.

10. Engage in Hobbies: Dedicate time to hobbies outside of work to keep your mind refreshed and balanced.

Implementing these practices took time, and while some days are still challenging, having a self-care routine has helped me create mental distance when needed and maintain energy for my clients.

Financial struggles and managing expectations

When I started running a counselling business and opened Bent Couch Counselling, I knew the financial side would be challenging, especially since financial sustainability in private practice takes time. Unlike a full-time job, private practice doesn’t bring in immediate income, as expenses for a private counselling practice like rent, software, and professional development can quickly add up. Every month there seemed to be a new cost, and each quiet month made me question my decision to go solo.

Budgeting carefully became crucial. I started setting aside funds during busier months to cover the quieter ones, and I also began journaling to track positive client feedback and milestones. This tangible reminder of the impact I was making helped silence my self-doubt and kept me focused. For anyone considering private practice, it’s essential to be prepared for financial ups and downs and to know that it may take time before it becomes financially stable.

Marketing my services authentically

Marketing felt uncomfortable at first. Like many counsellors, I didn’t feel entirely comfortable promoting myself. But I quickly realised that without visibility, I wouldn’t reach the people who genuinely needed my support.

I reframed marketing for counsellors as an extension of my counselling work, focusing on topics that resonate with clients, such as LGBTQIA+ mental health support and building resilience. Authentic marketing has helped me reach clients who align with Bent Couch’s mission. 

Instead of traditional advertising, I shared my voice authentically through blog posts and social media. Potential clients started reaching out, mentioning they connected with something I’d shared. If you’re starting your own practice, remember that marketing doesn’t have to feel inauthentic; letting your values guide your approach will resonate with clients who are aligned with your mission. It is also important to get your name known, as scary as that may seem, and believe in everything you do. Remember, if you have doubts, then your potential clients may also have doubts. Be confident in your message and the value you bring to the table, and trust that the right clients will be drawn to your authenticity.

The challenge of flexibility and setting boundaries

In private practice, it’s easy to fall into the habit of saying “yes” to everything. I initially wanted to accommodate every request, squeezing clients in at all hours. But I quickly realised this was unsustainable. Being constantly on call led to burnout and made it difficult to be fully present in sessions with other clients.

Setting boundaries was a game-changer. I ensured I had space between sessions, structured working hours, and time off when needed. Initially, I felt guilty for not being available whenever clients needed me, but establishing these boundaries has allowed me to be more focused and effective, benefiting both myself and my clients. For new counsellors, a balanced schedule is crucial for maintaining energy, passion, and effectiveness in private practice.

The power of peer support and supervision

Private practice can feel isolating, especially when facing complex cases or self-doubt. One of the best decisions I made was connecting with other counsellors, both through the Australian Counselling Association and peer groups. These networks provided a space to share struggles, seek advice, and gain new perspectives. I also found an excellent supervisor who has guided me in growing as a therapist and supported me through challenging cases.

In addition to peer support, I co-facilitate Community Couch Conversations, a support group for gay and queer men. This experience has shown me the healing power of community, enriching my own journey as a counsellor. Collaboration and community are essential in a field that can sometimes feel solitary.

Embracing lifelong learning in Private Practice

One of the biggest surprises in private practice has been realising how much there is still to learn. I thought I had a solid grasp of counselling, but each client brings a fresh perspective and new challenges, reminding me that every session is an opportunity to grow.

I’ve made ongoing professional development a priority through workshops, peer discussions, and clinical supervision. Staying committed to growth isn’t just about improving my skills; it’s about honouring my commitment to clients and providing the best support possible.

Looking ahead: What’s next for Bent Couch Counselling?

Reflecting on these past two years, I’m incredibly proud of Bent Couch Counselling’s progress. Building this practice hasn’t been easy, and there have been plenty of moments of doubt. But seeing clients reclaim their lives and self-worth makes it all worth it.

For new counsellors venturing into private practice, my advice is to embrace the journey, with all its highs and lows. Every struggle, every moment of self-doubt, and every success shapes who you are as a practitioner. And remember, you’re not alone; there’s a community of counsellors out here, ready to support each other.

Private practice has been one of the most fulfilling and humbling experiences of my career. As I look to the future, I’m excited to continue learning, growing, and hopefully inspiring others along the way.

Shaun Williams, an experienced counsellor, provides compassionate, LGBTQIA+ focused mental health support, specialising in resilience, self-care, and authentic client connections in private practice.