{"id":101167810,"date":"2026-10-26T22:36:59","date_gmt":"2026-10-26T20:36:59","guid":{"rendered":"https:\/\/natashakohan.com\/how-to-build-a-sustainable-practice-of-a-psychotherapist-that-provides\/"},"modified":"2026-10-26T22:58:18","modified_gmt":"2026-10-26T20:58:18","slug":"how-to-build-a-sustainable-practice-of-a-psychotherapist-that-provides","status":"publish","type":"page","link":"https:\/\/natashakohan.com\/en\/how-to-build-a-sustainable-practice-of-a-psychotherapist-that-provides\/","title":{"rendered":"How to build a sustainable practice of a psychotherapist that provides."},"content":{"rendered":"\n<p>Most likely, I would never have raised this topic if it were not for my entrepreneurial experience. This experience has a special entrepreneurial optics, which is often simply bewildering, having entered the world of psychotherapy. Bewilderment arises when I hear from colleagues that they are far from fully providing for themselves while working as a psychotherapist. We have been learning for years how to help people. But we have no idea how to help ourselves live decently.<\/p>\n\n\n\n<p>We do not consider our business (private practice) as a business, which, in theory, should not only bring benefits to clients and pleasure and recognition of the owner. How many of us expect a return on investment in our education? How much does training for a Gestalt therapist cost in Ukraine? 10-15 thousand euros, several years of life and a lot of time. How many of us started learning Gestalt thinking that it was just a hobby that would never become a profession? And how many of us end up practicing successfully? And how many of us successfully mask our true desire to earn money in this profession under the guise of a noble occupation for the soul and for the sake of others?<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/natashakohan.com\/wp-content\/uploads\/2026\/10\/img_2445.png\" alt=\"\" class=\"wp-image-101167801\"\/><\/figure>\n\n\n\n<p>Yes, they teach us to be psychotherapists, but they hardly teach us how to build a private practice and treat practice as our business. When I came to psychology, I realized that most of my colleagues are very far from entrepreneurial thinking and separate work as a psychotherapist and earning money. Moreover, our mentality generally perceives requests to earn money as something unpleasant and shameful. Who are entrepreneurs from the point of view of an ordinary Ukrainian? Usually they talk about earners &#8211; baryghs. And being a psychologist-barygoy is generally some kind of triple shame.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">My British experience<\/h2>\n\n\n\n<p>For more than a year now, I have been visiting an online group where British psychotherapists discuss precisely the issue of promoting their business. The group is called the Private Practice Business Development Group. The reasons for the creation of this group by British therapists are as follows:<\/p>\n\n\n\n<ul>\n<li>lack of business skills modules in the curricula <\/li>\n\n\n\n<li>the political need to create spaces where the work of a psychotherapist can be viewed as a &#8220;business&#8221;, but from a moral point of view. <\/li>\n<\/ul>\n\n\n\n<p>Another example is my conversation with a British therapist with whom I worked as a <a href=\"https:\/\/natashakohan.com\/en\/a-psychologist-for-ukrainians-in-the-uk-finding-your-soulmate-in-a-foreign-country\/\">psychotherapist for Ukrainians in England<\/a>. After we discussed all our work-related issues, I asked her if she considered psychotherapy a business. She was a little surprised, but answered without hesitation &#8211; of course, yes. And she explained &#8211; if you pay taxes, it means that you are already engaged in entrepreneurial activity. And she added that her entrepreneurial activity includes a private practice of a psychotherapist, courses and master classes (digital information products) and rent of an office for psychotherapists.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">A question that many psychotherapists avoid<\/h2>\n\n\n\n<p>\u041c\u043e\u0439 \u043b\u044e\u0431\u0438\u043c\u044b\u0439 \u0432\u043e\u043f\u0440\u043e\u0441, but very sometimes unpleasant, which I sometimes ask my colleagues &#8211; can psychotherapy feed you and your children? Can you support yourself by working as a psychotherapist? How well do you provide for yourself?<\/p>\n\n\n\n<p>Rare colleagues will bitterly say that they do not provide themselves with psychotherapeutic practice. Many simply avoid answering. I myself know how it is &#8211; when you invested a lot of money in the profession for years, and then you can&#8217;t even pay for personal therapy and supervision. <\/p>\n\n\n\n<p>By the way, let&#8217;s go straight to the numbers. By all rules, it would be good for a Gestalt psychotherapist to have personal therapy once a week, supervision and a supervisory group. According to my modest calculations, the budget for this should be UAH 19,000 per month. In order for me to break even, paying this, I need to have 3-4 clients regularly and stably per week at my current price. This is to get to zero, and to still have a very modest life, you need 6-8 more clients. As a result, you need 9-12 clients per week just to basically exist. <\/p>\n\n\n\n<p>And these numbers are more or less relevant in Ukraine. If you live abroad, your budget immediately doubles or triples at least. And considering that a Ukrainian psychotherapist can only work with Ukrainians at Ukrainian prices, the picture turns out to be sad.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What happens when we avoid the entrepreneurial part of our practice?<\/h2>\n\n\n\n<p>In early October, I held a workshop for Gestalt therapist colleagues on this topic. She asked them what they avoid most. And it turned out that many avoid this kind of analysis of numbers. And when we close our eyes to the numbers, what are we risking?<\/p>\n\n\n\n<p>Let&#8217;s start with why we come to the profession of psychotherapist. Not for money, right? We come to the profession to help others, to make the world better, or, as my favorite coach used to say, to make even the space around us better. But forgetting about ourselves and our well-being, aren&#8217;t we playing a game against ourselves and against our clients at the same time? Now I will explain.<\/p>\n\n\n\n<p>Psychotherapy has something that ordinary business does not have &#8211; asymmetry of power. The client comes to us in a vulnerable state, and the psychotherapist has some power over the client. What can happen with therapy when the therapist needs money? It becomes more difficult for the therapist to let go of the client, more difficult to withstand the cancellation of the session. The therapist can take too many clients, agree to inappropriate cases. As a result, irritation and burnout appear. borders are violated.<\/p>\n\n\n\n<p>As a result, the quality of the service suffers &#8211; it suffers precisely for the sake of which everything was started. That is why it is important to learn to have an entrepreneurial approach to the private practice of a psychotherapist. Because there is a system, and not a chaotic, unpredictable flow of clients, it is possible to maintain a balance between giving and taking. Provide quality service and charge good or sufficient money for it. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Most likely, I would never have raised this topic if it were not for my entrepreneurial experience. This experience has a special entrepreneurial optics, which is often simply bewildering, having entered the world of psychotherapy. Bewilderment arises when I hear from colleagues that they are far from fully providing for themselves while working as a [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"ngg_post_thumbnail":0,"footnotes":""},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The steady practice of a psychotherapist that provides Natasha Kokhan \u2014 Gestalt psychotherapist<\/title>\n<meta name=\"description\" content=\"How to build a sustainable practice of a psychotherapist that provides? 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