
Work With Us
Work and learn with us
Develop a strong clinical practice
I am looking to add people to my team who are specifically interested in doing clinical work, including:
General assessment and diagnosis
Providing evidence based treatment for OCD and Anxiety Disorders. Please note that work in both of these areas is required to work here
Providing evidence based treatment for other clinical concerns including: Trauma (PTSD and/or Developmental Trauma), ADHD, BFRBs, Insomnia, Mood Disorders, Autism, Binge Eating Disorder, Bulimia, and other concerns. Please note that work in all of these areas is not required, but many clients we help present with these issues, so a willingness to work in some of these areas is necessary, particularly mood disorders and ADHD.
All other clinical specialties would also be very welcome!
This position is suitable for Registered Psychologists and Provisional Psychologists and includes extensive clinical consultation and supervision. Please see the FAQ below to see more details about how supervision and consultation plans work.
These positions are quite different from other private practice jobs:
This is a perfect contract for people who want their own private practice. Contracts are 2 years long, with the explicit idea that you can freely take your whole caseload with you at the end of that time, or negotiate a contract to stay on longer if it suits you. I feel proud of the clinicians that move on to their own practices and provide business mentorship toward this goal throughout people’s work with me.
Supervision and Consultation are included as a contract benefit, and the program is extensive for a private practice setting, including 1-2 hours of one on one meetings per week, and for provisionals, weekly tape review, note review, as well a monthly group consult meeting.
This is a clinical practice, not a counselling practice. We all have areas we work in that are talk therapy based, but the bulk of referrals here are folks who have at least one significant diagnosis that negatively impacts their life. This is a gift for those wanting to do clinical work because you will have the client flow to actually become proficient in it.
This is a teaching clinic. I do not expect you to already have these skills, and I can work with people at all levels of experience, though some training may be required. My goal is to develop a community of people doing high fidelity clinical work at a specialist level, and I recognize that the training required to do this is not widely accessible
You will have access to the best protocols that are available for the conditions we work with, and have the opportunity to learn how to use them first focusing on adherence, then on flexibility. All treatment decisions need to be evidence based, and if an EST exists for a condition you would need to offer it before a treatment with a less robust or non-existent evidence base.
FAQs
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Registered and Provisional Psychologists are welcome!
I do not offer internships for pre-licensed professionals at this time.
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Nope!
This is not a suitable position for those wanting to split their time with other private practices or wanting to work very part time.
Due to the intense amount of time I invest training folks, instead of a non-compete AFTER your contract, I have a non-compete DURING your contract. I do not hire people who want to offer the same services at my practice and another private practice. If you work elsewhere and provide services we do not provide at my practice that would be okay.
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Contracts are a way to protect our relationship in case things don’t go as we planned, so I've built things into my contract that allow me to preserve a collegial relationship with contractors if things go a bit sideways.
Because I invest up to 5 hours per week of training and supervision, I do a LOT of unpaid work when people are starting out, and don't start breaking even until someone is seeing about 15 clients per week. If folks don't work more than 15 hours per week because they are at capacity at or below that number, I will never receive any retroactive compensation for my time, but that's okay with me and if people stay two years it works out so I'm compensated well enough that I'm happy. However, if someone leaves their contract early, I will lose an absurd amount of income in lost time, and then everyone who told me this model would never work because of my time investment will be right, so I really need folks to stay on through to the end of their contracts for this model to work. I LOVE training, and I'll take a bit of a pay cut to do it if I have to, but I don't want to do it for free.
Because of this, if people leave early they MAY have to pay me for the one on one consultation or supervision meetings we had (not tape or note review time, or group consult time, just the hours spent one on one that I would otherwise have been seeing clients). I have looked at other models people use to manage this, such as an ongoing split after people leave, but haven't found a better way to do this yet. I am 100 percent open to negotiating this and hearing other ideas if you have a different idea of how to protect my time while also being fair to you.
I get this can be scary, but here is why it shouldn't be:
1) You will take your caseload with you when you leave. Math will show that fairly compensating me for my time will not ruin you financially in any way.
2) The skills I teach are lucrative. Even a few months of quality consultation should leave you with skills that increase your earning potential.
3) I have never actually had to charge anyone this penalty, and I don't want to. I have only had one person need to end a contract early, and I did not charge them for the consultation they received because of the nature of their personal situation at that time, which was the reason they ended their contract.
I believe I’ve got a super fair model here, and I’m open to improving it! Bring me your creative ideas! The best way to see if you're comfortable signing a contract like this is to get to know me a bit before we decide to work together. Let me take you for coffee!
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No. Because many of the areas that we specialize in have CBT treatments as the gold standard/evidence based treatments, this isn’t the right practice for folks who don’t have CBT as a major area of interest and practice (CBT includes Schema therapy, ERP, ACT, DBT, PE, CPT, and more). It’s totally possible to be a great therapist and never do any CBT, however (hot take!) it’s not currently possible to do evidence based treatment for OCD or anxiety disorders without doing CBT. I’ll be the first to cheer when something that has better PR than exposure therapy starts to show more promising results, but alas, not yet.
This also is not a good fit for folks who do not know or don’t want to learn differential diagnosis for commonly occurring clinical conditions. Not every client wants/needs/has a diagnosis, but those that do have to be able to access them.
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Online only practitioners will be considered if they are fully registered, but I think provisionals need to work in the office. I’m exceedingly flexible and you might be able to talk me out of it, but I have some good reasons for it:
There is a huge demand for in person services, and online only folks take a lot longer to build a full caseload. Sometimes the practice has had to turn away referrals (a lot of them, actually) due to not having anyone available to see people in person. That’s sad because we really do great work and sometimes people end up seeing much less competent folks just to be seen in person. Everyone loses.
Also, we have a beautiful new office space and I love seeing the people who work with me. I can’t have a party office if everyone is at home (joking not joking)
I did provide in home supervision to provisionals, but the time it takes for me to travel is a pain in the butt, and sometimes people who wanted to work from home end up not even liking it, which then creates issues in finding them office space I hadn’t planned around.
Can we just dodge that and have lunch together in the office?
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Nope! Sorry!
I provide such extensive supervision (4-5 hours per week minimum if you include everything) that people’s primary supervisor ends up being primary in name only, and it gets weird because practically and emotionally I am the primary. If we made a deal that I provide less supervision you’d have to already be very competent in clinical work, because it can’t be learned in a more hands off, one hour a week type situation in my experience.
I might make an exception if your supervisor is a clinical specialist, but otherwise we just can’t do this.
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There are a lot of factors here, but so far clinicians have been full and on wait lists between 6 months to year after they start. Once people get full for the first time, they generally stay full or on a wait list most of the time after that. Learning how to manage a wait list that allows you to be full most of the time without creating undue wait times for clients is one of those business/clinical skills that takes a while to really refine, but once you get it, it's a lot easier to have a relatively stable case load.
People who fill faster choose to work evenings and weekends, offer a greater variety of hours, see clients in person, and network more. People who work a limited number of hours online and only during the day should expect to take a year to have 15-20 full fee clients per week.
The fall is the best time to start as referrals are slower in summer months, but everyone has to start sometime!
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For the first two years someone is with me I use a graduated split, so it’s 60/40 until someone gets to 20 clients average per week (calculated biweekly) and after that it’s 70/30.
I am very willing to negotiate a different split for folks wanting to stay on past the two year mark if they are fully registered.
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Provisional Psychologists get:
2 hours of one on one supervision each week
1 audio recorded session reviewed each week
All their notes reviewed each week
One monthly group consult meeting
Detailed and specific competency based written feedback every 3 months
Registered Psychologists get minimum one hour of consultation per week, and also attend the monthly group consult, but they can opt in or out of the other components depending on their competency. Those newer to clinical work may be encouraged to add more components to support their practice.
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Because my contractors and I invest a lot of time and energy in each other, I like to meet with people a few times before we decide to work together.
I usually start with a phone call to make sure you understand the nuts and bolts of what's on this webpage and so we can get a sense of the other person. If that seems all good we move onto a sit down where we talk about your goals, your skills, etc. After this meeting we can both take some time to think and sometimes, but not always, there is a third meeting where we're really getting into the weeds clinically, or maybe we're signing your contract and celebrating. The point is that I take a little bit more time than some places might!
Interested in learning more?
Please contact me via the form below and we can arrange a time to speak.
crysbrownpsych@gmail.com
780-399-1157