Building a Business as a Neurodivergent Therapy Practice Owner with Dr. Amy Marschall

Heard Business School

Building a therapy business isn’t an easy task. But creating one as a neurodivergent therapist? Even harder.

Dr. Amy Marschall, a licensed psychologist and private practice owner of RMH-Therapy, shares her experience with host Michael Fulwiler, on how she found her own personal secret sauce to building additional income streams, including providing assessments and evaluations.

In detailing her journey of navigating her ADHD and autism to starting a private practice, Dr. Amy shares how she has built these other streams of income, as well as the intricacies of diagnostic processes, the hurdles of acquiring accurate diagnoses, and the consequences these have on patients seeking support.

Learn how Dr. Amy maintains professional boundaries, her tips on billing practices, the value of administrative support, and the nuances of having a practice in a rural area.

In the conversation, they discuss:

• Dr. Amy’s personal experience with misdiagnosis, noting the complexities and consequences tied to acquiring an official autism diagnosis, such as being placed on government lists and facing immigration challenges.
• The financial and administrative hurdles of psychological testing, highlight the high costs, and the complexities introduced by insurance companies.
• She shared the importance of maintaining firm professional boundaries and avoiding unpaid labor to prevent burnout, as well as her strategies for balancing higher-paying tech consultations with low-cost services for clients in need.

Connect with the guest:

• Visit her website: resiliencymentalhealth.com
• Dr. Amy on X: https://x.com/DrAmyPsyD
• Dr. Amy on Facebook: https://www.facebook.com/DrAmyMarschall/

Connect with Michael and Heard:

• Michael’s LinkedIn: https://www.linkedin.com/in/michaelfulwiler/
• Newsletter: https://www.joinheard.com/newsletter
• Book a free consult: https://www.joinheard.com/welcome-form

Jump into the conversation:

(00:00) Introduction to Heard Business School with guest Dr. Amy Marschall

(02:55) Dr. Amy’s experience in the group practice field

(04:54) Her experience and transition from a group practice to a private practice

(07:11) How she thought about the financial side of her practice

(12:29) Her process from getting clients rurally to clients in different states

(14:00) Dr. Amy’s niche and the type of clients she works with

(17:22) The mistakes Dr. Amy made when she first started her private practice

(20:28) How she started offering assessments and evaluations

(26:42) What Dr. Amy charges for assessments versus therapy sessions

(30:42) How Dr. Amy thinks about the balance between testing and therapy in her practice

(31:43) The process of training through Pessi

(36:59) How Dr. Amy’s ADHD and autism affect her work

(45:20) Current challenges Dr. Amy is experiencing today in her work and how she is dealing with them

(48:21) One thing Dr. Amy wants therapists to take from this conversation

(50:00) Closing

This episode is to be used for informational purposes only and does not constitute legal, business, or tax advice. Each person should consult their own attorney, business advisor, or tax advisor with respect to matters referenced in this episode.