Professional Resources
What Farmers Already Know About Vertical Integration and the Uncanny Similarity to What’s Happening in the Mental Health Industr
By Dr. Elizabeth Carr, Founder, Kentlands Psychotherapy This article explores how corporate consolidation in agriculture mirrors the forces shaping independent mental health practice today. What if the future of private practice looks a lot like what’s already happened to America’s family farms? I recently watched a 60 Minutes segment on corporate consolidation in American agriculture….
Strategic Positioning During Industry Upheaval
Why Practice Size Matters More Than Ever Our mental health industry is experiencing significant consolidation, and if you’re a practice owner or clinician, you’re likely feeling it. In recent months, I’ve watched a well-established practice close its doors, received calls from experienced clinicians at respected organizations exploring new opportunities, and heard from colleagues across the…
How Fear Undermines Our Professional Authority and Independence.
Paper Tigers and Real Constraints As mental health professionals, we pride ourselves on helping clients navigate fear. Identifying it, understanding it, and challenging it when it limits their lives. Yet many of us operate under our own set of fears that go largely unexamined: fear of discussing insurance reimbursement rates with colleagues, fear of misclassifying…
Are You Asking About AI Use?
A Case For Asking Every Mental Health Client About Their Chatbot Use Over the years, I’ve witnessed several versions of our evolving digital landscape that are shaping patients’ lives. In the early 2000s, I was an expert witness in a court case where an individual had developed an eBay auction “addiction.” He was compulsively bidding…
Can ChatGPT Be My Therapist?
Psychologists and other mental health professionals are deep in the weeds debating the differences between people using an AI tool for something akin to therapy and engaging in traditional psychotherapy with a trained and licensed human. From my perspective, we’re driving this debate from two disparate agendas. One is the need to protect the public….





