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The Business of Psychology

Dr Rosie Gilderthorp
The Business of Psychology
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202 episodes

  • The Business of Psychology

    "I’m Not Good at Business" – The Stories That Keep You Small

    14/08/2026 | 26 mins.
    “I’m Not Good at Business” - The Stories That Keep You Small
    In this miniseries I'm going to talk about some of the beliefs that I see most commonly in psychologists and therapists that keep people small, safe, and not really getting the most benefit out of being in independent practice. I'm going to share how if we can become aware of them, there are practical steps we can take that most of the time will get us through the discomfort that comes along with these beliefs. If that can give you a little bit more confidence to step forward in your business, I will be extremely happy.
    Today we're going to talk about the 'I'm not good at business' story. This is the one I told myself so relentlessly at the beginning of my practice, and I hear in around 50% of calls that I have with coaching clients. We're going to talk about the belief, where it comes up, how it sabotages your attempts to start or grow in independent practice, and look at some ways we can build new evidence to counteract the belief and move through the discomfort that it causes.
    Full show notes for this episode available at The Business of Psychology
    Links for Rosie:
    Substack: substack.com/@drrosie
    Rosie on Instagram:
    @rosiegilderthorp
    @drrosiegilderthorp
    The Magnetic Profile
    In my new mini course, The Magnetic Profile, I walk you through one specific business task. Over five short lessons, we use my Values, Voice, Impact framework to help you choose who your profile is for, say what they most need to hear, and plug it all into a simple template that you can use on directory sites, your website, and as a business asset that I'm going to show you how to repurpose in 100 different ways to help the right clients to find you. Most importantly, you'll come out of the course with a finished profile and proof that you can do this business thing in a way that feels ethical and manageable. You can find all the details here: https://psychologybusinessschool.mykajabi.com/the-magnetic-profile
    The 'I'm not good at business' Belief
    At the beginning of my practice, I didn't think that I had the kind of personality that would make a good business owner. I'd been told throughout my life that I was quite soft, that I was quite gentle, that people would walk all over me. Elements of that were true. In my personal life, I don't particularly like to be the boss. I don't like telling people what to do. It's certainly true that in a negotiation, I will not do what they do on The Apprentice and be proud of having a laser-focused obsession with profit, and I'm not single-minded. We consume a lot of media about what good business looks like, and it's this very shark-ish, profit-focused, screw you, I'm going to take what I want attitude. I'd grown up watching The Apprentice and Dragon's Den and absorbing those narratives that don't fit my personality at all. So I think I'd bought the idea that if you weren't like that, you weren't good at business. Obviously that is not true at all, because when you get out into the business community and meet people who are really successful, you discover quickly that the people that make it to the top are warm, they are empathic, they're really good at working out what people need from them and finding creative ways to meet that need. There are some exceptions, but in the industries that we're interested in, in mental health or education, or industries adjacent to wellbeing, if you lack that empathy and you lack any compassion, it's very difficult for you to come up with the kind of ideas that are going to take off. I also learned that building relationships and being a trustworthy person to be in a business relationship with is a real accelerant to business growth. That's something, that if you're completely single-minded and out for the profit margin, and have no passion for helping people or your local business community, is incredibly hard to fake. Establishing meaningful relationships where people will give you a leg up, I think would be impossible if you had that kind of personality type.
    What I discovered quite quickly in my business journey was that leaning into the skills that I have as a psychologist, the fact that I am much more interested in helping people solve their problems than I am making a profit, the fact that I genuinely care about the people that I meet at business networking, and I really get quite invested and excited in their business problems and want to try and help, those were superpowers that made me stand out, that helped me build the relationship network, which accelerated my business to being quite successful reasonably quickly.
    What I do in coaching is try and encourage other people to really recognise the strengths that you have in your personality, that can be rocket fuel for your business, and to deal with what might be the limitations. I know that because I'm not naturally 100% focused on the profit margin, I won't make a deal with somebody on the spot because I know if I do, it's very likely that I'll undercharge or do something that compromises the health of my business, because I'm excited to work with them, and I'm not very good at doing the mental maths on the spot. I know that about myself, so I changed my sales process so that I'm sending the proposal after the call. I am never talking about the exact solution that I'm going to offer on a call. You'll notice if you ever do a coaching discovery call with me, that most of the time I'll talk about what you think about whether StartUp might be right for you. I might give you my opinion about whether one of my coaching programs is likely to be a good fit, but I won't make the offer and send you through all the details until after our call, because I don't always make brilliant decisions for my business in the heat of the moment. Rather than criticizing myself and saying, "I'm not good at business, so I shouldn't do it," I take an approach where I allow myself to play to my strengths, and then I mitigate the bits that I'm not so good at by getting in support or just switching up my processes so that I have more time for the bits that I know I'm going to struggle with.
    That's the kind of thing that you can do if this ‘I'm not good at business’ story isn't dominating your psychology. While it's front and center, you don't see any of that. In those early days where I thought I was just bad at business, it felt very existential. It was like, either I make this really successful really quickly, or I've got no business being in business, and I should get out and get back into an employed role, which wasn't even possible for me. I think it's really important to try and move past this belief, otherwise you can make a decision which is based on very black and white thinking, defining yourself either as good or bad at business, when in reality there are so many ways that all different personalities can be good at business if we understand ourselves well and we're willing to structure our work around that.
    The Culture
    It's really interesting to consider where this ‘I'm not good at business’ belief that is so pervasive in our community actually comes from, because most people going into independent practice actually don't have any business experience. We by definition don't have evidence for this belief, and yet it is so common. I think the answer is that it's something that's really baked into the culture, in the NHS, but also in our training pathways.
    There's so many deep reasons that might be baked into our culture, and I think one that needs talking about is the relationship between psychology, psychotherapy, and privilege. I think we have a strange cultural problem with the concept of earning money and a deeply ingrained belief that people that want money are less pure, less compassionate, less caring than people who don't even think about money. I could give you direct quotes of people saying that to me in training, so I don't think it's that much of a stretch. As with almost everything, I think that is uncomfortably linked with the class system that we have here in the UK, and that potentially psychology and psychotherapy came from this kind of upper class tradition where it wasn't polite to talk about money or think about money, but that's because you didn't have to talk or think about money. It's our job to challenge that and to think about whether we really believe in this way of thinking, or whether we want to start thinking a bit differently.
    If this is the culture that you've been trained in, then the ‘I'm not good at business’ story is actually an affirmative one. It's one that began as positive; people telling themselves, "I'm doing this low-paid work because I'm a good person, because I really care about people, and that means that I must be rejecting all things that are about money and acquisition of money, and business falls under that category.” I think it's a classic example of stories that were once positive for us becoming toxic and holding us back as we develop through our lives and they start to become more problematic. If you are plagued by this, then getting together in your peer supervision group and chatting about it and thinking through where did this story come from for
  • The Business of Psychology

    Neurodivergence: Having the big conversations and living your values with Dr Naomi Fisher

    15/05/2026 | 53 mins.
    Neurodivergence: Having the big conversations and living your values with Dr Naomi Fisher
    Welcome to the Business of Psychology podcast. Today we're joined by a guest I recommend often. When I'm talking to clients and other parents, I very frequently find myself recommending her books and accessible webinars on supporting children who are struggling through alternative education and reducing demand. And when I'm talking to other psychologists and therapists, I use her as an excellent example of somebody who's able to combine two specialisms and pull off a psychology based portfolio career beautifully.
    Dr Naomi Fisher is a clinical psychologist specialising in autism and trauma. She's an EMDR consultant and trainer, and a prolific author who's cultivated her expertise through research, public sector work, and in her independent practice. Today we're exploring how her experiences doing her PhD in autism and NHS practice has shaped the impactful work that she does today. And we're also going to dive into the politics of neurodiversity and why Naomi is concerned that current social pressures are making it really hard for clinicians to have those nuanced conversations about diagnosis and education, and why she's launched her new podcast, Let's Talk Neurosense alongside Dr Danielle Drinkwater.
    Full show notes and a transcript of this episode are available at The Business of Psychology
    Links for Naomi:
    Website: naomifisher.co.uk
    Podcast: Let's Talk Neurosense: The Psychology of Neurodiversity
    Sunstack: Think Again: Making Childhood Fit For Children
    Links for Rosie:
    Substack: substack.com/@drrosie
    Rosie on Instagram:
    @rosiegilderthorp
    @drrosiegilderthorp
    The highlights
    Naomi tells us about her unusual route into clinical psychology, doing her PhD first 01:57
    I ask Naomi about the central question of her PhD 06:38
    Naomi talks about what drew her into clinical work 08:45
    We discuss the breadth of experience our clinical training gave us 12:07
    Naomi describes what she typically does in her practice at the moment 15:54
    Naomi talks about her drive get good information out there and the backlash she’s received 20:21
    I ask Naomi how she deals with being recognised 26:48
    Naomi tells us about her podcast, Let’s Talk Neurosense 37:33
    Naomi tells us where we can find her 51:48

    Start Up Your Psychology Practice
    Are you tired of just talking about starting your practice but never quite committing?
    If you’re ready to stop dancing with burnout and finally go 'all in', my 90-day program, 'Start Up Your Psychology Practice,' was made for you. This is a group coaching experience designed to help you ethically replace your full-time salary in part-time hours. We handle everything: from legal compliance and GDPR to attracting your first consistent stream of self-funding clients. No more piecing it together alone.
    And here is the best part: sign up before the end of May to get £200 off your investment. Let’s build a practice that gives you the freedom you deserve.
    Apply today: https://psychologybusinessschool.com/lp/start-up-private-practice-bundle/
  • The Business of Psychology

    Consultancy and systemic change in private practice with Dr Laura Bennet

    08/05/2026 | 49 mins.
    Consultancy and systemic change in private practice with Dr Laura Bennet
    Welcome to the Business of Psychology podcast. Today I'm joined by Dr Laura Bennett, a clinical psychologist with over 20 years of experience supporting children, young people, and their families through some of life's most complex challenges.
    Since qualifying in 2009, Laura has worked across a range of NHS services, before founding Oasis Psychology in Dorset in 2022. Her practice is a really good example of a specialist service, as Laura specialises in supporting children who are in care, those who have been adopted, and families on the edge of care, focusing deeply on developmental trauma and attachment, and most importantly, supporting the system around the child.
    Today we are looking at Laura's work beyond the therapy room. Many psychologists and therapists worry that moving into private practice means narrowing their scope to just one-to-one clinical hours. Laura is proving the opposite. She's currently spearheading the Parenting with Trauma Project in collaboration with Dorset Action for Children and Bournemouth University. It's clear from Laura's journey that she's never really stopped at the therapy room and has been working with systems and research and data. So I know that you're going to find her story really interesting, and hopefully inspirational if you are somebody who wants to do a little bit more, or different from therapy in your work.
    Full show notes and a transcript of this episode are available at The Business of Psychology
    Links for Laura:
    LinkedIn: Dr Laura Bennet
    Oasis Psychology
    Links for Rosie:
    Substack: substack.com/@drrosie
    Rosie on Instagram:
    @rosiegilderthorp
    @drrosiegilderthorp
    The highlights
    Laura tells us about her transition into private practice after 13 years in the NHS 01:57
    Laura talks about what she provides through her private practice, Oasis Psychology 5:21
    Laura discusses how she transitioned into a service that’s less focused on one-to-one work, and more about indirect support. 7:04
    I ask Laura about her work with Action for Children 21:42
    Laura gives us her advice for psychologists and therapists who have an idea for a different type of project, but feel a bit stuck 36:37
    Laura tells us the best place to connect with her 47:34

    Start Up Your Psychology Practice
    Are you tired of just talking about starting your practice but never quite committing?
    If you’re ready to stop dancing with burnout and finally go 'all in', my 90-day program, 'Start Up Your Psychology Practice,' was made for you. This is a group coaching experience designed to help you ethically replace your full-time salary in part-time hours. We handle everything: from legal compliance and GDPR to attracting your first consistent stream of self-funding clients. No more piecing it together alone.
    And here is the best part: sign up before the end of May to get £200 off your investment. Let’s build a practice that gives you the freedom you deserve.
    Apply today: https://psychologybusinessschool.com/lp/start-up-private-practice-bundle/
  • The Business of Psychology

    Smartphone activism as a psychologist in private practice with Dr Erin Carroll

    01/05/2026 | 56 mins.
    Smartphone activism as a psychologist in private practice with Dr Erin Carroll
    Welcome to the Business of Psychology podcast. One of the biggest fears I hear from psychologists and therapists leaving the NHS for independent practice is that they'll lose their connection to the bigger picture, to public health, and that they'll spend all their time working in a silo, working one-to-one, and lose their impact on wider society. But today's guest is proof that being in private practice can actually be the perfect springboard for grassroots activism and community leadership. I'm joined by Dr Erin Carroll, a clinical psychologist who has taken her expertise in emotional development out of the consulting room and into the heart of her community. Erin's been a driving force in the Smartphone Free Childhood movement in our combined hometown of Tunbridge Wells, and she's helped to achieve something really remarkable; getting all of the local secondary head teachers to sign a joint letter supporting brick only phone policies for younger students, something that Erin really believes in. So today we're talking about how we as psychologists can use our training to lead cultural change, and why finding a cause that really lights a fire in your belly is the best antidote to that isolation that we can often feel in private practice.
    Full show notes and a transcript of this episode are available at The Business of Psychology
    Links:
    Erin: www.erincarrollpsychologist.co.uk
    Smartphone Free Childhood
    Health Professionals for Safer Screens
    The Amazing Generation by Jonathan Haidt & Catherine Price, illustrated by Cynthia Yuan Cheng
    Links for Rosie:
    Substack: substack.com/@drrosie
    Rosie on Instagram:
    @rosiegilderthorp
    @drrosiegilderthorp
    The highlights
    Erin tells us about her professional life up to the point that she became involved in Smartphone Free Childhood, and what led you down that path 01:45
    Erin talks about the role of screens and emotional regulation 11:56
    We discuss online harms and safeguarding concerns 18:49
    We look at the addictive aspect of smartphones 27:05
    Erin talks about the Smartphone Free Childhood parent Pact, and schools taking action 32:44
    I ask Erin about her plans going forward, in her activist role 48:56
    Erin tells us how to get in touch with her and connect with the Smartphone Free Childhood community 54:14

    Start Up Your Psychology Practice
    Are you tired of just talking about starting your practice but never quite committing?
    If you’re ready to stop dancing with burnout and finally go 'all in', my 90-day program, 'Start Up Your Psychology Practice,' was made for you. This is a group coaching experience designed to help you ethically replace your full-time salary in part-time hours. We handle everything: from legal compliance and GDPR to attracting your first consistent stream of self-funding clients. No more piecing it together alone.
    And here is the best part: sign up before the end of May to get £200 off your investment. Let’s build a practice that gives you the freedom you deserve.
    Apply today: https://psychologybusinessschool.com/lp/start-up-private-practice-bundle/
  • The Business of Psychology

    Why every therapist needs to use social media to improve their SEO

    24/04/2026 | 16 mins.
    Why every therapist needs to use social media to improve their SEO
    Welcome to the Business of Psychology podcast. Today I am changing my tune! I have decided to go back on some of the advice that I have given over the years about social media and the importance of it to the average private practice. I hope that this will be a really helpful episode for you if you are somebody who is feeling the social media fatigue, doesn't feel naturally like it's a good home for you, and it doesn't form a cornerstone of your marketing strategy, and you've listened to my previous podcast episode and come to the conclusion that this is not the way that you need to be winning clients. I hope this will be a useful episode for you because it still isn't, it still doesn't need to be something that takes up a lot of time in your week, and it shouldn't do if your ideal client personas are not people who are going to search for a therapist on social media, and therapy is the main thing that you are selling in your practice. If that’s the case, then I absolutely stand by my previous advice that social media is not something that should take up lots of your time, week in and week out. But I am going to caveat it slightly, and that's because I have been on some training recently about how social media is an important part of optimizing our websites and our digital presence so that we will continue to be found by people on search engines and through AI recommendations. These things are becoming really important, and it just wouldn't be right of me to not bring this to your attention if it's not something that you've been thinking about yet.
    Full show notes for this episode are available at The Business of Psychology
    Links:
    The Directory Profile Template
    Business of Psychology Episode 111: How to create a great directory site profile
    Summer School Lesson 5: Directory sites
    Links for Rosie:
    Substack: substack.com/@drrosie
    Rosie on Instagram:
    @rosiegilderthorp
    @drrosiegilderthorp
    Start Up Your Psychology Practice
    Are you tired of just talking about starting your practice but never quite committing?
    If you’re ready to stop dancing with burnout and finally go 'all in', my 90-day program, 'Start Up Your Psychology Practice,' was made for you. This is a group coaching experience designed to help you ethically replace your full-time salary in part-time hours. We handle everything: from legal compliance and GDPR to attracting your first consistent stream of self-funding clients. No more piecing it together alone.
    And here is the best part: sign up before the end of May to get £200 off your investment. Let’s build a practice that gives you the freedom you deserve.
    Apply today: Start Up Your Psychology Practice

    Why every therapist needs to use social media to improve their SEO
    There have been big changes already, and there are more coming, to the way that search engines like Google and Yahoo and all of them really, recommend websites to people searching. They are now using AI in the way that they search our websites to try and work out who we are and to generate AI advice for people who type in questions to their search bars. You'll have seen this if you are using your smartphone to look for help. You will get a load of normal looking search results, but you'll also get an AI generated answer to your question at the top, which will cite various expert sources to give you an answer to your question. I'm sure you'll have noticed like I have, that most people are not going beyond that AI answer because it is generally quite helpful and now, certainly on mine through Google, it's telling me where it's getting its advice from, and I find it much easier to trust than I used to. I think that's the direction of travel and eventually I think we're going to end up in a world where people just ask a question verbally to their AI, whether it’s Gemini, Chat GPT, Claude, whatever they're using, and they'll just take the answer that it gives rather than bothering to look through a page of search results. So we really need to understand how we make sure that we are the expert source that these AI models are using, because if we're not, then we're going to find that traffic to our websites from search starts to decline, if it hasn't already.
    The good news, because I know that probably sounds a bit scary, is I actually think it's a good thing for us because now AI is so much cleverer than the previous technology that the search engines were using, it's able to piece together our digital presence from wherever we are to understand who we are and the services we offer in a much deeper and better way. We just need to do a few things to make that really easy for the AI to do, and social media is an important piece of that puzzle, because social media can give you a digital footprint which gives AI a really clear indication of who you are, who you help, and what you stand for, so that it understands better, in combination with your website, who to recommend you to when they're searching for help. So I'll talk you through a little bit about how that works and a few really simple things you can do to start helping the AI bots to understand who you are a little bit better so that you're future proofing your search engine optimization.
    EEAT: Experience, Expertise, Authoritativeness and Trustworthiness
    The first thing we need to understand is that search engines already look for EEAT when they're deciding who to serve up as a recommendation to somebody who's searching. That acronym stands for Experience, Expertise, Authoritativeness and Trustworthiness. These are the four things that an AI is assessing on your digital footprint before it decides whether to serve you up or to serve someone else up as an answer to a question that somebody's asking. AI search tools like Perplexity, Chat GPT, Gemini, Claude, are crawling the web to find answers to questions. And if your social media or your website has a clear niche specific keyword like 'birth trauma psychologist in Plymouth', and you've got high levels of experience, expertise, authoritativeness and trustworthiness, then the AI is more likely to recommend you than somebody generic when a user asks for a therapist for birth trauma in Plymouth, for example.
    The five things we can do to improve our digital discoverability to AI and demonstrate that we have the EEAT it's looking for:

    The first thing is to have one bio that you use everywhere that contains a primary keyword that you want to be discoverable for. If you think of your bio as a bit like a sticky label that you might put on the front of an old fashioned filing cabinet; it needs to really clearly tell AI what it is that you have inside your cabinet, and it's really important to get that key word right. That key word might be 'birth trauma psychologist in Plymouth' (it doesn't need to be a single word, it can be a phrase), it could be 'neurodiversity specialist', it could be 'CBT therapist specialising in OCD', but it just needs to be really clear and contain the key words that you would like people searching for to get your name associated with.
    The second thing you need to do is make sure that the bio you've created is everywhere that you are mentioned. You'll have to create a few versions of it, but they should be as similar to each other as possible. You can have a long version of it for the about page on your website - use that same copy exactly for LinkedIn and Psychology Today. Then you'll need to create a much shorter version of it for social media, but it should have the same keywords in it and be as similar as humanly possible, so that bio that follows you around gives you a really clear digital footprint that the AI can understand. Within that bio you want to show off your experience, expertise, authoritativeness and trustworthiness. And if you are following my framework for crafting a good Psychology Today profile (I'll link to the freebie that I have that's going to support you to do that in the show notes of this episode, as well as the podcast episode on the Business of Psychology) you will be demonstrating the experience, expertise, authoritativeness and trustworthiness that AI is looking for. So make sure that your bio covers those areas and use my framework, because I think that will help you to do that.
    The next thing that you need to make sure that you're discoverable in this new world is captions that are easy to understand on your social media posts for those bots that are...
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About The Business of Psychology
Are you a mental health professional with a feeling in the pit of your stomach that the system is BROKEN? Did you start your training full of ideas about changing the landscape of mental health for the better but now you find you are so busy seeing people in crisis that you don't have time to do any of it? Do you KNOW that we need to get out of our therapy rooms and start reaching people in other ways? Do you KNOW that the key to better mental health is prevention not crisis management? If you do then join me for a mix practical skills, strategies and inspirational interviews with psychologists and therapists just like you who are using their skills to do BIG things way beyond the therapy room. Prepare to get your "trainee spirit" back.
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