by jennbossio | Mar 24, 2025 | Consultation, Training
If you’re a clinical psychology graduate—or about to become one—brace yourself. Your graduate program prepared you to assess, diagnose, and treat mental health issues. It taught you about research design and ethics. It drilled you on the importance of evidence-based practice. But you know what it didn’t prepare you for? Running a business. And if you’re like the overwhelming majority of clinical psychology graduates, chances are, you’re headed straight into private practice, a space where business savvy isn’t just helpful—it’s absolutely essential.
The Shift: From Academia and Hospitals to Private Practice
Clinical psychology programs have a massive blind spot when it comes to career preparation. Here’s the reality: psychology PhDs are still structured like they were decades ago, where the assumption was that most graduates would either land cushy academic jobs or work in hospital systems. But if you’ve been paying attention, you know this isn’t happening anymore.
For example, at Queen’s University–where I completed my own training–there’s an annual internal survey that tracks what clinical psychology grads do after finishing their training. Over the past two decades, there’s been a sharp decline in graduates going into academia. Why? Academic jobs are extraordinarily competitive, and tenure-track positions are rarer than a stress-free PhD dissertation defence (har har har).
Hospitals, once a primary employer for clinical psychologists, aren’t much better. Psychologists are expensive to hire, and many of these roles are now being filled by less-trained, lower-cost providers like psychotherapists or social workers. Nothing against these professions (some of the best professionals I’ve ever worked with are RPs or MSWs), but they simply do not offer the scope of practice that a C.Psych does (e.g., diagnosis, ability to research, supervision). As a profession, we’ve done a terrible job of advocating for our value, and it shows.
So where do most psychologists end up? Private practice.
The Problem: No One Teaches Us How to Run a Private Practice
Here’s the kicker: even though the majority of clinical psychology graduates now head into private practice, we receive zero training in how to run one. Let that sink in. After years (and years… and years) of specialized training in assessment, therapy, and research, we’re thrown into the world of business with no map, no compass, and no clue. Other professions don’t leave their grads this high and dry. Dentists, for example, often get basic business training. Even psychotherapists—whose training is significantly shorter and less intensive than ours—are taught how to market themselves. Yet clinical psychologists, with all of our advanced training, are left to figure it out on our own.
When I graduated, I naively thought that private practice would be a breeze. After all, we have low overhead compared to most businesses. All I had to do was find an office, slap my name on a door, and start doing the work I was trained to do, right? Wrong.
The Reality: What Grad School Didn’t Tell You About Private Practice
Let me tell you what private practice really looks like when you’re going solo. First, you’ll likely need to sign a long-term lease for office space, locking yourself into a fixed expense that looms over you every single month. Then, you’ll need to furnish that office—and unless you want to look like you’re running a therapy practice out of your mom’s basement, this will cost many thousands of dollars. Next comes the website. You’ll pour even more money into getting one built, and then you’ll spend hours (probably weeks) trying to write content for it—without understanding anything about SEO (search engine optimization), which is essential for ranking high enough on Google for potential clients to even find you.
But wait, there’s more. Suddenly, you’re not just a psychologist. You’re also an accountant, a marketer, and an administrative assistant. You’ll spend your “free” time between sessions fielding phone calls, scheduling appointments, chasing down payments, and reviewing your books to make sure your rent is covered. I vividly remember doing my own bookkeeping during my first year of solo practice and thinking, This is not what I signed up for.
Grad school doesn’t prepare you for any of this. And while some people might thrive in this chaos, let me tell you—many do not.
Why Private Practice Alone is Unsustainable for Most Psychologists
The solo private practice model might have worked during COVID, when demand for therapy was so high that even therapists who barely marketed themselves were fully booked. But now? The landscape has changed. The market is flooded with practitioners, particularly psychotherapists graduating from programs like Yorkville University, which churns out thousands of new grads annually. And while psychotherapists often have less training than psychologists, they’re taught how to market themselves—and they’re doing it well.
The truth is, solo practice is incredibly isolating and exhausting. For a profession that involves talking to people all day, it’s ironic how lonely private practice can feel. You’re on your own, handling every aspect of the business by yourself, with no one to share the load. Burnout happens fast. And the worst part? It doesn’t have to be this way.
The Solution: Group Practices as a Sustainable, Fulfilling Career Path
This is why I believe so strongly in the value of high-quality group practices. A well-run group practice takes care of everything that makes solo practice so overwhelming: the lease, the marketing, the admin work, the scheduling, even the billing. At The Tri Health Clinic, for example, we’ve built a system that allows our clinicians to focus on what they do best—seeing clients. You don’t have to spend your evenings trying to figure out how Google Ads work or agonizing over your accounting software. Instead, you can go home and actually have a life.
But the benefits of a group practice go beyond logistics. One of the things I love most about running The Tri Health Clinic is the sense of community we’ve created. Therapists shouldn’t have to go it alone. In a group practice, you have colleagues to consult with, learn from, and lean on. You have opportunities for in-house training and high-quality supervision. You’re part of a team. And that makes all the difference.
Why Psychologists Need to Advocate for Themselves
Here’s the hard truth: if psychologists don’t start advocating for their unique skills and training, we will fade into the background of the mental health landscape. Psychotherapists with flashy websites and strong marketing skills are outpacing us—not because they’re better therapists (although some certainly are!), but because they know how to sell themselves. Meanwhile, psychologists, who have far more extensive training, are often invisible to the public.
And let’s not forget our responsibility to the profession itself. It’s not just about self-preservation; it’s about ethics. When psychologists supervise psychotherapists, for example, they elevate the quality of care for the clients those psychotherapists see. It’s a ripple effect. By stepping into leadership roles, we can guide the next generation of mental health providers and ensure that clients receive the best care possible. It’s a model that mirrors the relationship between dentists and hygienists, where both play essential but distinct roles within the same system.
Clinical Psychology Schools Need to Do Better
To clinical psychology graduate programs: It’s time to get with the times. The mental health landscape has shifted, and clinical psychology programs are failing their students—and in turn, failing the profession. The fact is, most clinical psychology graduates now end up in private practice, yet schools continue to provide zero training on how to run a business or navigate the realities of today’s market. From where I stand, if this continues, it looks like our profession is heading the way of the dinosaurs.
Psychologists have so much to offer the world, but if schools don’t adapt to support their graduates, we’re only going to see more burnout, more isolation, and more missed opportunities. The solution starts with equipping psychology students with the skills they need to succeed in private practice—not just clinical skills, but business acumen, marketing know-how, and practical tools to navigate the modern mental health field.
And if you’re an early-career psychologist feeling overwhelmed by the business side of things, know that you’re not alone. If grad schools won’t help you, find someone who will. I’ve been there, and I’ve figured it out. Let me help you build a practice that’s not just sustainable, but fulfilling. Because psychology is an incredible profession, and it’s worth fighting for.
by jennbossio | Dec 11, 2024 | Consultation, Medicine, Sexual Health, Training
Sexual health is an integral part of overall well-being, yet it remains a subject often shrouded in silence within healthcare settings. This blog aims to shed light on the importance of breaking down these barriers and creating spaces for open, honest discussions about sexual health. By doing so, we empower both healthcare providers and patients to address concerns, seek appropriate care, and ultimately lead healthier, more fulfilling lives.
The Impact of Taboos on Sexual Health:
Taboos surrounding sexual health can have far-reaching consequences. Patients may hesitate to share important information with their healthcare providers, leading to misdiagnoses or inadequate treatment plans. Providers, on the other hand, may feel unprepared or uncomfortable addressing sexual health concerns, potentially overlooking crucial aspects of a patient’s well-being.
My Goal is to Tear Down Sexual Myths:
In the realm of sexual health, breaking down taboos is my forte. With a career dedicated to this cause, I’ve pioneered research and clinical interventions that illuminate the path towards a healthier, more fulfilling sexual life. A cornerstone of my work revolves around post-prostate cancer treatment, an area where I’ve crafted inventive cognitive-behavioral and mindfulness-based treatment manuals. Through these innovative approaches, we’ve shattered preconceived notions, proving that post-treatment, not only can intimacy endure, but it can thrive. This is at the core of my practice – liberating individuals and couples from restrictive notions of how sex “should” be. By embracing a more holistic, experience-driven approach, we unlock a world of pleasure and connection. It’s not about performance, it’s about relishing the moment.
The Role of Healthcare Providers:
Healthcare providers play a pivotal role in fostering open dialogues about sexual health. By actively seeking training and resources, providers can equip themselves with the knowledge and confidence needed to broach these sensitive subjects. Creating a safe, non-judgmental environment allows patients to express their concerns and questions without fear, leading to more accurate diagnoses and tailored treatment plans.
In today’s diverse and ever-evolving society, it is crucial for healthcare providers to address sexual health in a comprehensive and compassionate manner. Many individuals face unique challenges and experiences related to their sexual health, and it is the responsibility of medical professionals to ensure that they receive appropriate care and support.
When healthcare providers take the initiative to further their understanding of sexual health, they are better equipped to recognize and address a wide range of issues. Training programs and resources can provide valuable insights into various sexual health conditions, behaviors, and practices, helping providers to better comprehend and validate their patients’ concerns. With this knowledge, providers can offer relevant advice, treatment options, and preventative measures tailored to each individual’s needs.
Moreover, by creating a safe and non-judgmental environment, healthcare professionals can help patients overcome any hesitations or reservations they may have about discussing sensitive topics. Patients need to feel comfortable when discussing their sexual health concerns, as this is crucial to accurate diagnoses and effective treatment plans. When patients feel safe, they are more likely to openly communicate their symptoms and experiences, enabling healthcare providers to make informed decisions and provide appropriate care.
By fostering open dialogues about sexual health, healthcare providers contribute to a more inclusive healthcare system. Patients from all backgrounds, orientations, and gender identities deserve equal access to healthcare services and support. Addressing sexual health issues with sensitivity and empathy helps break down barriers and eliminates the stigma that can surround these topics. It allows patients to feel understood and valued, enhancing their overall experience and improving the quality of care they receive.
Tips for Healthcare Providers:
- Education and Training: Stay updated on the latest research and best practices in sexual health. Attend workshops, webinars, and conferences dedicated to this field.
- Initiate the Conversation: Incorporate questions about sexual health into routine assessments. Use inclusive language to signal that this topic is welcomed and valued.
- Active Listening: Pay close attention to patients’ concerns, and validate their experiences. This builds trust and encourages open communication.
- Provide Resources: Offer educational materials, reputable websites, or referrals to specialists who can provide further support and information.
- Normalize Discussions: Communicate that discussing sexual health is a standard part of comprehensive healthcare. This helps reduce stigma and encourages patients to be more forthcoming.
In Conclusion:
Breaking free from the taboos surrounding sexual health is a crucial step towards holistic healthcare. Over the course of my career, I have worked to exemplify the positive impact that can be achieved when open dialogues are fostered. I work closely with therapists, physicians, nurses, and other health care providers to feel better equipped to do just this: Talk with their patients about the importance of sex! And not just the bad parts of sex, like STIs and birth control, but the fun parts too. Intimacy, desire, arousal, and sexual function are all critical elements of living a good, healthy, fulfilling life. Who else will talk with our patients about it, if not us, as members of their healthcare teams?
By embracing this paradigm shift, healthcare providers can play a vital role in enhancing the well-being and overall quality of life for their patients. Together, we can create a healthcare landscape where sexual health is recognized, valued, and prioritized.
Contact me today if you would like to learn more.
by jennbossio | Nov 1, 2024 | Consultation, Sexual Health, Therapy, Training
As a clinical psychologist specializing in sex and couples therapy, I’ve seen firsthand how essential thorough assessments are in guiding treatment and achieving successful outcomes. When clients come to us, often grappling with sexual dysfunction or relationship difficulties, there is a natural inclination to focus solely on these immediate concerns. However, without a comprehensive assessment, we might miss underlying mental health issues that profoundly impact their intimate lives and relationships.
Understanding the Bigger Picture
One of the most important aspects of my work is to look beyond the presenting problems. Many times, clients may be struggling with conditions like depression or PTSD, which can significantly affect their sexual health and relationship satisfaction. It’s not uncommon for someone dealing with a mental illness to experience decreased libido, difficulties with arousal, or challenges in maintaining an emotional connection with their partner.
When clients are unaware of these underlying issues, they might feel frustrated that their efforts in couples therapy are not yielding the desired results. “I went to couples therapy for so long, but things haven’t gotten better! We must truly be doomed,” is a sentiment I’ve heard too often. This frustration can lead to a sense of hopelessness, which is why a thorough initial assessment is vital.
The Importance of Diagnosing Mental Health Conditions
Mental health stigma remains a significant barrier to effective treatment. In my practice, I’ve diagnosed individuals with depression or PTSD, and recommended pausing couples therapy to prioritize personal therapy. However, the reaction is often one of disbelief: “You think THIS is depression? This is nothing! ” This reluctance to acknowledge and address their mental health can prevent clients from making the progress they seek in their relationships and sexual lives.
Depression, for instance, is not just about feeling sad. It can manifest as irritability, lack of motivation, and disinterest in previously enjoyed activities, including sex. PTSD can lead to emotional numbness, avoidance behaviors, and hypervigilance, all of which can severely disrupt intimacy and connection with a partner. Addressing these conditions head-on is crucial before, or in tandem with, focusing on sexual and relational issues.
A Bio-Psycho-Social Approach
Assessment is the cornerstone of effective therapy. By identifying and addressing mental health issues early on, we can tailor our therapeutic approach to better meet the needs of our clients. This might mean integrating individual therapy with couples therapy or coordinating care with other healthcare providers to ensure that clients receive comprehensive support.
In practice, this approach has shown me that when clients begin to manage their mental health effectively, improvements in their sex lives and relationships often follow. They start to see the connection between their internal experiences and their external interactions, leading to more sustainable changes.
Personal Reflections
Reflecting on my journey as a psychologist who sees clients and who trains other therapists, I realize how vital it is to advocate for a deeper understanding of mental health within the realm of sex and couples therapy. Mental health stigma not only hinders individual well-being but also impedes the potential for fulfilling and healthy relationships. By fostering a compassionate, open, and non-judgmental space, we can encourage clients to acknowledge and address their mental health needs.
At the Tri Health Clinic, we believe that everyone deserves a fulfilling and healthy sex life and relationship. But achieving this often requires us to look beyond the surface and understand the deeper issues at play. Comprehensive assessments are not just a procedural step; they are a compassionate approach to ensure that our clients receive the most effective and holistic care possible.
A Call to Action
For mental health professionals and clients alike, recognizing the importance of mental health in sex and couples therapy can lead to more effective and satisfying outcomes. If you or someone you know is struggling with these issues, don’t hesitate to seek a thorough assessment and comprehensive treatment. Prioritizing mental health is the first step toward a healthier, more fulfilling intimate life.
Let’s continue to break the stigma and foster an environment where mental health is addressed openly and compassionately, paving the way for better relationships and overall well-being.
by jennbossio | Oct 1, 2024 | Consultation, Medicine, Sexual Health, Therapy, Training, Uncategorized
Six years. Wow. Looking back at when I first opened The Tri Health Clinic in 2018, I’m honestly overwhelmed with a mix of pride, gratitude, and excitement for what’s still to come.
It all started when I returned to Ontario after a few intense, transformative years in British Columbia. There, I had the absolute privilege of working with Dr. Lori Brotto and Dr. Rosemary Basson—two giants in the field of sex therapy. Their pioneering work, especially on the sexual response cycle, deeply shaped how I view sexual health, how I practice therapy, and how I train my clinicians today.
When I hired Tri Health’s first clinician, it felt like a huge leap. It wasn’t just about growing from being a solo practitioner to becoming a team—it was about creating a collective that would tackle sexual health in a way that hadn’t really been done before. Our goal was (and still is!) to remove the shame, the stigma, and the loneliness that so many people feel when it comes to their sex lives. We wanted to build a clinic that put evidence-based care at the forefront, and a place where people across Ontario could get the help they need.
By 2019, the clinic grew, and we needed more space. Moving into a larger office with four offices felt like a dream come true—but it didn’t stop there. Today, we’ve got six offices and a team of 15 clinicians, all working together to provide the best damn care we can. We’ve helped over a thousand people, and it’s surreal to think about the ripple effect that has on people’s lives. Sex and intimacy are often such isolating struggles, but every day, we get to remind people: you are not alone.
Looking ahead, our mission is clear. We want to keep growing, but not just for the sake of growth. We want to reach more people, help more individuals and couples, and most importantly, educate more medical professionals about how crucial sexual health is to overall well-being. We want to make sex therapy—and talking about sex—a normal part of healthcare in Ontario. Because sex is a part of life. It’s something we all deserve to feel good about.
The next six years? We’re just getting started.
We’re building something that, I hope, will make a lasting difference in this province. We’re not just a clinic; we’re becoming the go-to place for anyone in Ontario who needs support with sex or relationship issues. And I’m so damn excited for what’s to come.
Here’s to many more years of growth, learning, and—above all—helping people rediscover joy, connection, and pleasure in their intimate lives.
With gratitude,
– Jenn
by jennbossio | Sep 10, 2024 | Consultation, Medicine, Sexual Health
In the realm of sexual health, compassion, understanding, and unbiased care are paramount. Yet, every healthcare provider, regardless of their experience or intentions, carries implicit biases that can inadvertently impact the care they provide. Recognizing and addressing these biases is crucial for fostering a truly inclusive and judgment-free environment. In this article, we’ll delve into the concept of implicit bias, its presence in sexual health, and how healthcare providers can work to dismantle these preconceptions.
Understanding Implicit Bias
Implicit bias refers to the subconscious attitudes or stereotypes that affect our actions and decisions in an unconscious manner. These biases are rooted in societal and cultural conditioning and can seep into our professional lives, influencing our interactions with patients.
Identifying Implicit Biases
Recognizing one’s own implicit biases is the first step towards mitigating their impact. Here are some common biases that healthcare providers might unknowingly hold:
- Heteronormativity: Assuming that everyone is heterosexual unless told otherwise, which can alienate LGBTQ+ patients.
- Ageism: Presuming that older individuals are not sexually active or don’t have sexual concerns.
- Gender Assumptions: Expecting certain behaviors based on gender, such as assuming men are always interested in sex.
- Racial and Cultural Stereotypes: Associating specific sexual behaviors or preferences with particular racial or ethnic groups.
- Ableism: Overlooking the sexual needs and desires of individuals with disabilities.
Why Addressing Implicit Biases is Vital
- Enhanced Patient Trust and Communication: When patients sense a nonjudgmental atmosphere, they’re more likely to open up about their concerns, leading to more accurate diagnoses and tailored treatment plans.
- Improved Health Outcomes: Patients who feel heard and understood are more likely to adhere to treatment regimens, leading to better health outcomes.
- Promoting Health Equity: Addressing implicit biases is a crucial step towards reducing healthcare disparities among various communities.
- Professional Growth: Acknowledging and actively working to overcome biases enhances a healthcare provider’s effectiveness and cultural competence.
Taking Action: Mitigating Implicit Biases in Sexual Health
- Education and Awareness: Regular training and workshops can help healthcare providers recognize and challenge their own biases.
- Self-reflection: Engage in introspection to identify areas where implicit biases may be influencing your practice.
- Cultural Competence: Educate yourself about diverse sexual practices, relationships, and identities.
- Open Communication: Encourage patients to share their experiences, preferences, and concerns without judgment.
- Seek Feedback: Actively seek feedback from patients and colleagues to help uncover areas for improvement.
Look No Further
As a seasoned expert in sexual health, I offer tailored training and workshops to healthcare providers. Together, let’s create an environment that fosters open dialogues, where patients feel heard, understood, and respected.
Conclusion
In the field of sexual health, acknowledging and addressing implicit biases is a cornerstone of providing inclusive, empathetic care. By committing to ongoing education, self-reflection, and open communication, healthcare providers can pave the way for a more equitable and understanding healthcare landscape. Together, we can ensure that every patient receives the care they deserve, free from judgment or bias.
by jennbossio | Aug 16, 2024 | Consultation, Training
As the days grow longer and the sun shines brighter, many of us in Ontario, where bitter cold winters can seem to stretch endlessly, find our moods lifting. It’s not just anecdotal; research supports that people generally feel happier and more energetic during the summer months. This seasonal boost can often result in fewer people seeking support for sex or couples therapy during the summer.
Studies have shown that exposure to natural sunlight increases the brain’s release of a hormone called serotonin, which is associated with boosting mood and helping a person feel calm and focused. Conversely, the darker winter months can lead to a drop in serotonin levels, potentially leading to seasonal affective disorder (SAD) or exacerbating existing mental health issues. This fluctuation is particularly noticeable in places like Ontario, where winter’s harshness is keenly felt.
During the warmer, sunnier months, couples might find themselves more engaged in outdoor activities, vacations, and social gatherings, which can serve as temporary distractions from ongoing relationship issues or sexual concerns. The natural improvement in mood can also make problems seem less pressing, leading to a decreased urgency in seeking therapy.
For therapists, this seasonal slowdown can actually be a blessing in disguise. Here’s why:
- Revitalize and Rest: Use this period to focus on self-care. Running a practice and providing constant support to clients can be draining. Take this time to recharge your batteries. Whether it’s taking a vacation, spending time outdoors, or engaging in hobbies, ensure you’re practicing what you preach about maintaining a healthy work-life balance.
- Continuing Education: Summer is a perfect time to enhance your skills. Engage in workshops, courses, or certifications that can enrich your practice. As a provider of consultation and supervision for sex and couples therapy, I offer a range of training programs. This is an excellent opportunity to dive deeper into specific areas of interest or to broaden your understanding of the latest therapeutic techniques.
- Reflect and Plan: Use the quieter months to reflect on your practice. What’s working well? What could be improved? Plan for the busy months ahead. Consider revising your marketing strategies, updating your website, or planning new workshops or group sessions for the fall.
- Connect with Peers: The summer slowdown can also be a good time to network with other professionals. Attend conferences, join professional groups, or simply catch up with colleagues. Sharing experiences and learning from others can provide fresh perspectives and new ideas for your practice.
- Prepare for the Fall Surge: Historically, the demand for therapy increases in the fall as routines normalize and the seasonal affective shifts begin to set in. Use the summer to prepare for this surge. Ensure your administrative processes are streamlined, and perhaps even consider hiring additional support if needed.
It’s essential to recognize that while the summer months may bring a temporary lull in appointments, the need for sex and couples therapy doesn’t diminish. As therapists, we must be ready to support our clients year-round, but also to take advantage of the natural ebbs and flows of the profession to ensure our own well-being and professional growth.
So, while you enjoy the sunshine and warmth of summer, remember that this is also a time for rejuvenation and growth. And if you’re interested in enhancing your skills in sex and couples therapy, consider reaching out for consultation and supervision. Together, we can continue to provide the highest quality care for our clients, no matter the season.
