Kate Fisch on Building a Group Practice and then Starting Other Businesses | GP 48

Kate Fisch on Building a Group Practice and then Starting Other Businesses | GP 48

How can you recalculate the business services you have into creating something new to work with? What other services can you provide with your skillset to broaden the scope of your practice and curb potential clinical burnout? Can you invert your clinical services so that you can treat new patients and not refer them out?

In this podcast episode, Alison Pidgeon speaks with Kate Fisch about building a group practice and then starting other businesses.

Meet Kate Fisch

Kate Fisch, LCSW is a practicing psychotherapist, eating disorder specialist, and eating disorder treatment navigation consultant, who has devoted the entirety of her career to helping women overcome patterns of disordered eating, improve the relationship with their bodies, and finally find peace in their relationship with food.

While maintaining a private practice and regularly treating clients struggling with eating disorders, Kate often contributes as an eating disorder treatment expert for written publications and speaks nationally on the topic at professional conferences.

Visit her website, connect on Facebook and Instagram. Get in touch via email kate@northsidementalhealth.com

In This Podcast


  • Delegating and building the practice
  • The next business venture

Delegating and building the practice

Kate’s practice currently has 16 clinicians, with a long waiting list of clients. She brought on board high-quality clinicians that wanted to see other types of clients as well as the clients that they specialized in helping, which in Kate’s practice is working with eating disorders. Kate describes her group as having grown organically, however, the general niche for her clients is working with people with eating disorders.

I remember listening to one of Joe’s podcasts saying that you have to have an A+ support system, there are no B+ staff. (Kate Fisch)

In the past 18 months, they have put real structures in place. She first hired an Office Manager then took one of her therapists who had been with her for the longest time and moved her into the role of Clinical Director. Handing over the admin and staff management, she has saved a lot of time.

The next business venture

Kate created Eating Recovery Academy, a place where clinicians can learn how to treat eating disorders effectively and quickly without having to take full and expensive certification courses.

Kate then worked with a fellow clinician to launch another stream which based itself upon psycho-education instead of psycho-therapy, where she worked with the parents and family members of people who struggled with an eating disorder and essentially coached them instead of treating them.

Ask yourself what is it that you really enjoy doing, what are people willing to pay for and what is missing that could help people? Combine these answers with creative thinking and consider how you could use these answers with your practice to branch out your skills and services.

Useful Links:

Meet Alison Pidgeon

A portrait of Alison Pidgeon is shown. She discusses ways to grow your group practice on this week's episode of Practice of the Practice. Alison is a serial entrepreneur with four businesses, one of which is a 15 clinician group practice. She’s also a mom to three boys, wife, coffee drinker, and loves to travel. She started her practice in 2015 and, four years later, has two locations. With a specialization in women’s issues, the practices have made a positive impact on the community by offering different types of specialties not being offered anywhere else in the area.

Alison has been working with Practice of the Practice since 2016. She has helped over 70 therapist entrepreneurs start and grow their businesses, through mastermind groups and individual consulting.

Thanks For Listening!

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