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The Therapist Mom Podcast: Where Private Practice and Motherhood CollideAuthor: Ashley Comegys
Motherhood and private practice arent two separate worlds, theyre your whole world colliding every day. The Therapist Mom Podcast is your weekly reminder that you can build a practice that fits your life, not the other way around. Being a therapist and a mom isnt about balance, its about building differently and refusing to play by rules that were never written for us. Hosted by Ashley Comegys, a therapist, coach, and mom of three. Youll hear candid stories, rebellious truths, and practical strategies for designing a practice that gives you freedom, flexibility, and room to breathe. The Therapist Mom Podcast is your permission slip to build a private practice that works for your real life. Each week, youll get honest conversations and practical strategy around starting, growing, and running a private practice, without the hustle, guilt, or burnout. Well talk about boundaries, money, motherhood, and dismantling the systems that were never built for us in the first place. Because youre not just a mom or just a therapist. Youre both, and deserve a business that recognizes and respects that. If youre ready to build a flexible, values-aligned private practice that gives you time freedom and the autonomy youve been craving, youre in the right place. Language: en Genres: Business, Entrepreneurship, Kids & Family, Parenting Contact email: Get it Feed URL: Get it iTunes ID: Get it Trailer: |
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Ep 151: How to Run Your First Therapy Session With Clients In Private Practice
Episode 152
Sunday, 3 May, 2026
How to Nail Your First Therapy Session (Without Burnout or Perfectionism)This episode of The Therapist Mom Podcast is packed with actionable insights to help you create a first therapy session structure that supports both your clinical goals and your sanity. If you’ve ever felt unsure about what to cover in those first meetings—especially if you’re shifting from agency work or just starting your private practice—you’re in exactly the right place.As someone who took the leap into private practice back in 2015, I know firsthand how overwhelming that first client session can feel. I remember texting my only friend in private practice before every initial appointment, sweating over what to say and wondering, “Is this how it’s supposed to go?” The truth is, it doesn’t have to be perfect—and it’s okay if you’re still finding your rhythm. This episode is about making that process gentler, more authentic, and a whole lot less stressful for you and your clients.Whether you’re a newly-minted private practice owner or you’re rethinking how you want to show up as a clinician, this conversation will help you develop a workable, confidence-boosting framework—without the pressure to “do it all” or get 100% right on day one.What You’ll Learn in This EpisodeWhy the First Session Matters (More Than the Forms): Discover how the initial meeting sets the tone for everything that follows, and why it’s about connection, not just paperwork.How to Craft a Structure That Supports You AND Your Client: Practical steps for balancing admin, clinical, and relational tasks—without it feeling robotic or overwhelming.Common First Session Mistakes and How to Avoid Them: Save yourself hours of second-guessing by learning what you can let go of—and why being human is your superpower.Episode Timestamps00:02: The real (and sometimes rocky) experience of transitioning into private practice and that “am I missing something?” feeling01:32: Why the first therapy session often feels overwhelming, and why it doesn’t have to be perfect05:13: Three essential goals for your first session—beyond just gathering information07:06: How to create safety, review consents, and handle admin without losing the connection13:13: Giving yourself permission to take your time and why two (or even three) sessions is perfectly normal18:50: What to do when sessions go off-script, and how to gently redirect without shutting your client down20:26: The most common mistakes new private practice owners make—and how to sidestep them22:38: Why overthinking is normal, what to prioritize instead, and how experience builds confidenceTop Takeaways on First Session Structure in Private Practice1. The First Session Is About Relationship, Not Just IntakeLet’s break this down: Your very first meeting with a new client isn’t just about checking boxes on an intake form. It’s about setting the stage for a safe, supportive, and collaborative space. I always remind myself that the forms are important, but the real work is in how we hold the session—from talking through client rights to revisiting boundaries and expectations in a gentle, conversational way.Relatable story: When I started, I used to panic about missing some tiny detail. Over time, I learned that giving myself (and my client) permission to slow down actually builds more trust. It’s so human to want to “get it right”—but, honestly, your warmth and presence are the biggest assets you bring to that first session.2. Build a Structure That’s Flexible and RealisticHere’s how you can start implementing this TODAY:Step 1: Create a checklist of non-negotiables you need to cover: admin updates, consents, cancellation policies, limits of confidentiality.Step 2: Use a detailed intake questionnaire completed ahead of time so you can focus on connection in session.Step 3: Have your own “cheat sheet” for redirecting the conversation—practice a couple of phrases like, “That feels important, and I want to make sure we leave space for these other topics, too. Can we circle back next time?”I promise, this structure isn’t about rigidity—it’s about giving you (and your client) a roadmap instead of letting session one feel like a free-for-all.3. Don’t Fall for the “One Session Does It All” TrapWe all make mistakes, but let’s save you the headache. Here’s what NOT to do when applying this strategy:Mistake 1: Rushing to complete the entire intake just to satisfy a documentation checklist—this often sacrifices genuine rapport.Mistake 2: Skipping over the informed consent, privacy, and rights review because it feels awkward or repetitive. Clients crave clarity and autonomy—don’t shortchange them.Mistake 3: Forgetting to review and highlight questionnaires before session. Your preparation will help you spot important details and keep things on track—even when the conversation veers off script.Join us for Therapist Mom Networking Meetup — a casual space to connect with other therapist moms, share what’s working in your practice, talk through challenges, and build real community. No pressure, no pitching — just support and connection. Register at https://www.raisedtoempower.com/networking💻 This episode is sponsored by Jane, the all-in-one practice management software I use and love. Book your FREE Live Demo HERE and when you're ready to sign up use code ASHLEY1MO for a 1 month grace period⭐️ Follow on Instagram @Raisedtoempower⭐️ Grab your FREE networking guide for therapists HERE⭐️ Learn more about how I can help support you and your practice, and ways we can work together at www.raisedtoempower.comYou don’t have to figure this out alone. Ashley Comegys specializes in helping therapist moms build private practices that allow them the time freedom, flexibility and autonomy they need in their careers. Looking for support in either starting your practice, or looking to revamp your marketing and systems? Let’s chat— book your consultation here!🎧 If you find today's episode helpful or inspiring, be sure to share it with your therapist friends, subscribe to the show, and leave your five star rating and review.Disclaimer: This podcast is for educational purposes only and is not a substitute for therapy, supervision, or legal advice.
