How I Automated My Private Practice and Went Fully Virtual (Even Though I Swore I Never Would)
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If you had told me in 2019 that I’d be running a 100% virtual mental health private practice, I would’ve laughed. Like, “Not a chance. I’m an in-person therapist forever” kind of laugh.
But 2020 changed everything.
What started as a temporary pivot turned into the best business decision I’ve ever made. Now, my entire practice is virtual—and I wouldn't have it any other way.
Because I went virtual, I can now work from anywhere. And I mean anywhere. I can run sessions from my house, my cabin in the woods, a different country for the week, or even while on a family vacation. My only real requirement? A laptop or phone and a decent internet connection.
Of course, this shift didn’t happen overnight. It took time, strategy, and the right systems to make it work—without burning me out. Here’s exactly how I automated my private practice, cut back on admin tasks, and finally got my time (and sanity) back.
Step 1: Going Paperless and Automate Client Experience
The foundation of my automation journey was switching everything over to SimplePractice.
This all-in-one electronic health record (EHR) system changed the game for me. Here’s what it lets me do:
Clients can book their own sessions online—no phone tag, no back-and-forth emails.
They enter their credit card info up front, and my system automatically charges it after each session (including late fees if needed).
They get automated intake forms, consent forms, demographic info, insurance details, and assessments—all handled through the client portal.
SimplePractice sends reminders via email and text, so I don’t have to.
My calendar, notes, billing, and telehealth links all live in one place.
Oh—and the new AI note-taking feature? Life-changing. I show up, do what I do best (therapy), and the notes practically write themselves. It saves me a ton of time.
Step 2: Automating Payments & Giving Myself a Raise
Another feature of SimplePractice is the autopay option. Copays and late fees? Automatically charged to the card on file. No awkward convos, no invoices sitting around unpaid.
I still do my own billing, but it’s streamlined. I batch it every Friday—takes me 15 to 30 minutes max. I bill through SimplePractice and through one other insurance I’m in-network with. That’s it.
And here's something that really helped me: I fired the worst insurance company. One plan constantly requested risk adjustment audits, basically asking me to justify sessions so they could decide if they felt like paying. It was my lowest-paying insurance anyway, so I dropped it. That alone gave me a raise.
I did the same with my second-lowest payer. I didn’t drop it completely because I love the clients I have under that plan, but I stopped accepting new clients with it. I do make exceptions for past clients returning to therapy, but overall, it's simplified things immensely.
Step 3: I Don’t Answer My Phone (And No One Misses It)
Yep, you read that right—I don’t answer my phone. At all.
And yet, my calendar stays full.
Here’s how I made that happen:
No phone number on my website. I only list my email.
I have an easy-to-navigate website with booking links, specialty info, and a solid FAQ page.
If someone does call, my voicemail clearly tells them: “If you're looking to schedule an appointment, hang up and go to my website at [mywebsite.com] and click ‘Schedule Appointment.’”
On my Psychology Today profile, I also direct people straight to my website to book.
By the time someone reaches out, they’ve usually already seen my specializations (anxiety, ADHD, and relationship issues), read my blog, and know I might be a good fit. If they’re not a fit, it’s rare—but I’ve built in systems to screen for that too (more on that below).
Step 4: Built-in Client Screening
You might wonder—don’t I need to offer free consultations or call everyone first to make sure they’re a good fit?
Not anymore.
Here’s how I handle client screening without extra calls:
On my intake forms, I include clear questions about insurance—what plans I accept, whether they plan to submit a superbill, and how they intend to pay.
I also ask if they’ll physically be in the state of Connecticut during sessions (since that’s where I’m licensed).
That info is also included in the automated welcome email they get from SimplePractice when they book.
If I do catch something that’s not a fit—like a conflict of interest (someone’s spouse or child) or an out-of-network issue—I just email them a quick note, offer referrals, and cancel the appointment. No stress, no drawn-out conversations.
Step 5: Marketing That Works While I Sleep
I’ve also automated a lot of my marketing. Here’s how I consistently bring in ideal clients without being glued to social media (in fact I don’t even have social media):
Psychology Today sends me a good amount of traffic.
I’ve got a solid website with SEO-friendly content.
I write blog posts (like this one!) that help potential clients feel seen and understood.
I get referrals from clients recommending me to their friends and from local churches, since I also specialize in Christian counseling.
And the big one: insurance directories send me the most clients. If you're paneled, clients will find you.
All of this works together to keep a steady flow of new clients coming in—with minimal effort on my end.
Final Thoughts: Freedom + Focus
Going virtual and automating my practice wasn’t just about convenience—it was about reclaiming my time, reducing my stress, and creating a business that works for my life.
I get to focus on what I do best: helping people.
And I get to do it without drowning in paperwork, playing phone tag, or juggling endless admin tasks.
If you're a therapist wondering if it’s possible to run a flexible, low-stress private practice—I'm living proof that you can.