Your decisions can be based on a variety of factors including whether or not you want to deal with managed care, whether or not you decide to accept the insurance the client has, whether the client can afford your fee in cash, whether the client is presenting an issue that fits with your expertise and interests. Focus on what you enjoy Most therapists want to focus on therapy, not business. Those who do have an entrepreneurial streak usually join as Network Directors. Therapists are trained in therapy, not business Therapists were not trained in the business of building their practice. They, for the most part, would rather pay someone else to generate their referrals so that they can focus on their calling as healers.
Referrals are the bread and butter of any private practice.
Without referrals, a private practice will die. Yet, most therapists do not know how to create additional referrals when they need them. The network can keep member therapists from having to worry about advertising, marketing and other contractual arrangements. Many therapists live in fear of open office hours. In reality, without referrals, they have no job security.