Today marks the one year anniversary of starting my solo private practice. As I reflect on this past year, I really surprised myself at the risk I was willing to take and the new found confidence I now have in myself. Early on in my career as a therapist, when asked if I was going to go into private practice, I would almost always reply with an excuse about how I “did not know enough yet” or how I “knew nothing about running a business,” etc. Soon after I became licensed, I accepted a job at a group private practice (one where the clinicians work for someone else) even after discussing plans to share office space with a friend of mine. Looking back on that decision, I realized that it was out of my own fears, self-doubts, and lack of confidence in my abilities as a therapist back then, that I made that decision.
Years passed and my confidence in my abilities as a therapist grew. I received great feedback from clients, saw them making progress, and began making a name for myself in my area. Still, I did not feel ready to be completely on my own. I still felt like I needed the referrals from the group practice, the support of co-workers, and the guidance if something went astray with a client. A few more months passed and I realized that other clinicians in the group practice were coming to me for guidance with their clients, their paperwork, and talking to me when they had a particularly hard session. It was around that time that I realized that I had begun to rely on the support from the group less and less, that I was beginning to develop the confidence as a therapist on my own. It was then I knew that I DID have the ability to run my own practice and no longer needed the support of a group practice.
I realized that I no longer had the same fears I once had or maybe those thoughts became quieter. I realized that I was ready to take the risk and open my own practice, that my ability to be an effective therapist would still be there even when I worked for myself.
A year ago today, I opened my doors to my own independent practice. I became my own boss, my own administrative staff, my own office manager. No one was holding me accountable but myself. Soon, the fears came rushing in…
- What if no one calls?
- What will I do if clients don’t like me?
- What if I am not as helpful as I once was?
- How will I handle all of the messy administrative issues?
Guess what? People did call!
Guess what! Clients continued to say I have helped them make a great deal of progress!
AND I have been able to handle all of the messy administrative things that come with being your own office manager too!
Are those thoughts still around a year later? ABSOLUTELY! Do I let them control my actions like I once did? No way! I tell those fears where to go and I continue being the best therapist I can be!
I was watching Shark Tank a little bit ago and something Mark Cuban said really stuck with me. “Perfection is the enemy of profitability” he said to one hopeful entrepreneur who had taken many years to test his product, wanting to make it perfect, before taking it to market and getting any sales. “You will be testing it for 72 years!” the Sharks said to him. “It doesn’t need to be perfect!”
I realized that I almost did the same thing myself, but in a different way. I was holding back starting my own practice because I felt I was not ready, whether I did not have enough experience or knowledge, I wasn’t “perfect” yet. But I’ve realized that even if I were practicing for 40 years working for someone else before opening my own practice, I might never feel 100% ready, be 100% perfect. Sure, I’ve made a few mistakes this year and am far from “the perfect therapist” but there are no perfect therapists out there! Being a therapist means constantly learning and growing. Working for myself has given me even more of an opportunity to do just that by allowing me more freedom and has forced me to learn things that I never would have gotten the chance to do working for a group practice. In a way, I’ve had to continually build my confidence in my abilities even more so since I am the one “running the show.”
What I’ve learned this year is this:
- I do not have to be the “perfect” therapist in order to be an effective therapist.
- Just because I work for myself does not mean I have to stop improving myself as a therapist.
- Having a bit of confidence can grow into more and more confidence, but you have to give yourself the opportunity to cultivate it.
- Working for myself has taught me to advocate more for myself, because no one else is around to do it for me!
My challenge to you (therapist or not!) is to let go of some of your perfection, some of your “should-ing” or “have to do this-ing” or “have to do that first-ing.” There might NEVER be a perfect time to take a risk but there is ALWAYS a perfect time to believe in yourself and your abilities–and that time is TODAY. That time is RiGHT NOW.
What happens if you fail? If you aren’t successful? Then you learn from your mistakes and try again. But if you never give yourself the opportunity to fail, then you learn nothing! Like the famous Wayne Gretsky quote “You miss 100 percent of the shots you never take.”
11 Qualities Every Truly Happy Relationship Has In Common
/in In the MediaI contributed to the following article for the Huffington Post about qualities every couple should develop in order to have a long and happy relationship:
“Friendship
“Couples who are good friends know each other well, give each other the benefit of the doubt and are fond of one another. When you take the time to strengthen your friendship, you’re more successful long-term. Making friendship a priority will help you weather any storm that comes your way.” ― Danielle Kepler, a therapist in Chicago, Illinois”
Read the rest of the article here.
6 Tips For Surviving The Holidays If You Don’t Like Your In-Laws
/in In the MediaI contributed to the following article for the Huffington Post about tips for surviving the holidays if you do not get along with your in-laws:
“Consider this present a peace offering.”
“Create a sense of solidarity with your partner
Tense situations with in-laws and spouses often occur in marriages and sometimes you may wonder where your partner’s allegiance lies. You both have been part of another family for a long time; that family has its own holiday traditions and customs. A turf war between the spouses and in-laws may ignite, since both parties want the partner’s attention during the holidays. One way to end the war is to create a sense of ‘we-ness’ with your partner so you’re both more inclined to side with each other rather than the parents. This may mean having to hold your ground and stand up for your spouse. It may seem harsh, but slowly parents will adjust to reality and accept that spouses comes first. Remember which team you are on. You are a spouse first and a son or daughter second.
― Danielle Kepler, a therapist in Chicago, Illinois “
Read the rest of the article here.
Two Tips on How to Deal with Your Family and Partner During the Holidays
/in Couples Therapy, From the Therapist's ChairThe holiday season brings many joyful times as well as many stressors. Spending time with family is something many of us look forward to enjoying, but depending on our relationship with in-laws and parents, the holidays may not be as rewarding as we hope. Getting married or being in a long-term relationship means you inherit a new set of parents, your partner’s parents, for better or for worse.
Here are two tips that may help you keep your relationship intact when navigating the relationship you have with your in-laws:
1) Discuss holiday schedules ahead of time in a productive way
Figuring out which family you visit or visit first and when should be a decision between the two of you and usually involves a bit of compromising. This is an important step in showing both of your families that you are now separate from them and have formed your own family. John Gottman identified a method called ’the two ovals’ which works well for figuring out holiday schedules.
Here’s how to do it:
2) Create a sense of ‘we-ness’ and solidarity with your partner, especially around the holidays.
Tense situations with in-laws and spouses often occur in marriages and sometimes you may wonder where your and your partner’s allegiance lies. You both have been part of another family for a long time; that family has its own holiday traditions and customs. Somewhat of a ’turf war’ between the spouses and in-laws may ignite, both wanting the partner’s attention during the holidays.
One of the main ways to end the war is to create a sense of ‘we-ness’ and solidarity with your partner and side with your partner over your parents. This may mean having to hold your ground and stand up for your spouse and take this or her side over your parents. This may seem harsh, but slowly your parents will adjust to reality and accept that your partner comes first. You are a partner/spouse first and a son/daughter second. Remember which team you are on.
Here’s a more mild example:
And another example:
This way you are choosing your partner over your parent/relatives. It might seem like a small gesture, but it adds up, especially in the eyes of your partner!
Hopefully these two tips help you navigate the holiday season with your partner.
Apologies 101: What You Need to Know About Giving and Receiving an ‘I’m Sorry’
/in In the MediaI contributed to the following Everup.com article about how to give an effective apology:
““An apology is really just you accepting some responsibility for your part in the argument,” explained Danielle Kepler, LCPC, a clinical therapist based in Chicago, IL. “It shows you care about the relationship and that you recognize what you may have done wrong.” An effective apology also makes some type of “repair attempt.
Kepler also said some of us hesitate to apologize because we fear the other person’s reaction, especially if emotions are still running high. “You shouldn’t apologize until the other person is in a place where they can listen to it and hear it,” she said. So if you’re fighting with your S.O. after coming home late without calling three nights in a row and insults are flying, it might be wise to wait until everyone calms down before delivering an apology.
Kepler also noted that apologies aren’t always reciprocal–and we shouldn’t expect them to be. “When you do ask someone to forgive you, just prepare that you may not get that ‘I’m sorry, too’ response right away … or at all. You’re not owed an apology back.
“I’m sorry you’re upset”—This isn’t an apology that expresses sincerity. “You’re apologizing for someone else’s feelings and it’s very condescending,” Kepler said.”
Read the rest of the article here.
This Common Behavior Could Easily End Your Marriage
/in In the MediaI contributed to the following article for the Huffington Post about ways to avoid criticism, one of John Gottman’s 4 Horsemen:
Erase the words “always” and “never” from your vocabulary.
“Saying your partner ‘always’ does something or ‘never’ does something will most likely get them on the defensive quickly. This turns your complaint into a character flaw or defect of theirs. Instead, keep your complaints specific and about a certain incident. That way, your partner is more likely to listen and be responsive.” ― Danielle Kepler, a therapist in Chicago, Illinois
Read more of the article here.
7 Fights Couples Tend To Have Right Before A Breakup
/in In the MediaI contributed to the following article for the Huffington Post about common fights couples tend to have before a breakup:
The “I’m sorry you feel that way” fight
For an apology to mean anything, it has to be genuine. When you tell your spouse “I’m sorry you feel that way” after you get into a heated argument, you’re dismissing his feelings and essentially issuing a non-apology apology, said Danielle Kepler, a therapist based in Chicago, Illinois.
“Instead of reducing the tension, this sort of apology comes off as condescending and contemptuous,” she said. “Apologizing for your partner’s feelings does not convey that you understand where they are coming from. Failed repair attempts are another sign of a possible unhappy future.”
Read more of the article here.
4 Tips To Have A Great Date
/in Couples Therapy, From the Therapist's Chair, Individual TherapyI hear these comments fairly often in my practice: “I’m not good at dating,” “I never know what to say” or “I can’t get past a 2nd or third date.” I also hear from my couples that their date nights are “boring” or “lacking connection.” Dating isn’t so much about what you say, but more about how you listen. Like Dale Carnegie wrote about in his classic book, How to Win Friends and Influence People, focus on being interested, not interesting. Although this advice was more about being a good salesmen, it can be applied to any relationship you have in your life. Everyone genuinely wants to feel understood and appreciated and nothing makes a person feel more understood than sincerely listening to him or her. If you keep this in mind, it can take some of the pressure off of you to feel like you need to have a bunch of interesting things going on in your life to share with the other person.
Based on John Gottman’s decades of observing people, here are 4 tips on how to have a great date, whether it’s a first date, 10th date, or a date with the spouse you’ve been with for 10 years!
Tip #1 Ask open-ended questions
There is a fine balance between asking a question that is too open such as “What’s up?” or “How’s it going?” People tend to give one word responses to those questions, possibly because they aren’t sure you want to know the full answer. Instead ask questions that are still open but more directed, such as “How has your summer been going? Have any plans for vacations?” It might be a good idea to ask questions about goals or visions of the future. This will allow you to get to know the person’s aspirations and dreams. Be careful to watch your audience and gage if your questions are uncomfortable for the person and find the right level of disclosure.
Tip #2 Listen to the person’s answers and find commonalities
As you ask open-ended questions, listen to the person’s answers and share something you have in common with what they are saying. People are more attracted to people who can relate to them and to those people with whom they share common ground. After you share a bit about yourself put the conversation back to them. Share enough to establish commonality and then ask a follow-up question to what they said earlier.
Tip #3 Paraphrase what the person said and show non-verbally that you are listening
If you paraphrase what the person said, it shows them that you are listening. This is also helpful when asking questions or when mentioning a commonality.
Another helpful thing to do that shows people you are listening is to nod briefly or respond with a verbal cue “uh huh, yeah?, hmm.”
Tip #4 Let go of your own agenda
Try not to focus so much on the outcome of the conversation. It’s hard to focus on listening when you are trying to come up with your next interesting question to ask the person. Instead, focus on what the other person is saying in that moment and ask follow-up questions to further your understanding of what they are saying. Look for those emotional cues where you can empathize with what they are saying.
Above all, just listen to the other person with your full attention. Your ability to draw people out with a general curiosity about them will go further than if you were the most interesting person in the world.
4 Things You’re Likely Doing That Will Eventually Kill Your Marriage
/in In the MediaI contributed to the following article for the Huffington Post on how to avoid Gottman’s 4 Horsemen patterns that eventually ‘kill’ your marriage:
Criticism:
Think about what’s really bothering you before criticizing your spouse.
“Before approaching your partner, take a few moments to figure out what the issue you need to bring up actually is. Then, take time to change your criticism into a complaint: Instead of saying ‘You always leave your shoes on the floor,’ say, ‘I’d appreciate it if you put your shoes in the closet.’” — Danielle Kepler, a therapist based in Chicago, Illinois
Contempt:
Make a point to show how much you value and appreciate your partner.
“Contempt develops when either partner feels unvalued. Make it a habit to tell your partner one thing they do each day that you appreciate. It can even be something small, like making you coffee in the morning.” — Danielle Kepler
Defensiveness:
Try to be sympathetic toward your partner.
“Slow down and listen for something, anything, you can agree with that your partner is saying. Try to take responsibility for a small part of the issue. ‘I see your point’ goes a long way.” — Danielle Kepler
Contempt:
Come up with a safe word that conveys your need for a break.
“When you’re starting to feel overwhelmed, communicate it to your spouse with a signal. Once you are both calm, continue the discussion.” — Danielle Kepler
Read more of the article here.
Four Changes You Can Make To Have More Productive Conversations
/in Couples Therapy, From the Therapist's ChairHave you ever had a conversation with a significant other, a co-worker or a relative and thought “well, that could have gone better…” I know I have! It’s hard bringing up issues with people; maybe that’s why so many of us keep our feelings to ourselves and do not share them with others.
Based on John Gottman’s 40 years of research with couples, here are 4 changes you can make so that your conversations do not turn into arguments or feelings of ill-will.
Change #1
Before even starting the conversation, think to yourself: “What is the specific behavior I want to see changed?” When you start to think about the issue this way, you are already changing what might come off as a criticism into a complaint. Complaints are about specific issues, not about a person’s character.
Change #2
Erase the phrase “I feel like…..” from your vocabulary. What usually comes after this phrase? The word YOU. As soon as you add the word “like” you are describing the other person. Your intentions may have been to describe your own feelings, but you are actually criticizing the other person instead.
Instead use the phrase “I feel/felt ______ (identify a feeling) when you do/did ______ (specific behavior).
By actually stating how you feel, you are more likely to elicit an apology. And let’s be honest, isn’t that what you want?
Change #3
Add the phrase “I see your point” to your vocabulary. If the other person starts to get defensive or critical, it’s very easy to get defensive back–almost too easy! Instead try to pick out small parts from what they are saying that you can understand. Saying “I see your point” goes a LONG way when someone is being critical or defensive and can almost instantly decrease the tension in a conversation.
Change #4
Never roll your eyes or smirk when having a conversation. These are both signs of contempt and tell the other person that you do not respect or value what they are saying. Although they might not create a blow-up mid conversation, over time these behaviors will chip away at your relationship with that person. These behaviors might be automatic responses for you depending on the person with whom you are talking, so be mindful of when you do them.
And there you have it! Try some of these out and see if your conversations turn out much better than you expected!
Why Taking A Career Risk Was Worth It
/in From the Therapist's ChairToday marks the one year anniversary of starting my solo private practice. As I reflect on this past year, I really surprised myself at the risk I was willing to take and the new found confidence I now have in myself. Early on in my career as a therapist, when asked if I was going to go into private practice, I would almost always reply with an excuse about how I “did not know enough yet” or how I “knew nothing about running a business,” etc. Soon after I became licensed, I accepted a job at a group private practice (one where the clinicians work for someone else) even after discussing plans to share office space with a friend of mine. Looking back on that decision, I realized that it was out of my own fears, self-doubts, and lack of confidence in my abilities as a therapist back then, that I made that decision.
Years passed and my confidence in my abilities as a therapist grew. I received great feedback from clients, saw them making progress, and began making a name for myself in my area. Still, I did not feel ready to be completely on my own. I still felt like I needed the referrals from the group practice, the support of co-workers, and the guidance if something went astray with a client. A few more months passed and I realized that other clinicians in the group practice were coming to me for guidance with their clients, their paperwork, and talking to me when they had a particularly hard session. It was around that time that I realized that I had begun to rely on the support from the group less and less, that I was beginning to develop the confidence as a therapist on my own. It was then I knew that I DID have the ability to run my own practice and no longer needed the support of a group practice.
I realized that I no longer had the same fears I once had or maybe those thoughts became quieter. I realized that I was ready to take the risk and open my own practice, that my ability to be an effective therapist would still be there even when I worked for myself.
A year ago today, I opened my doors to my own independent practice. I became my own boss, my own administrative staff, my own office manager. No one was holding me accountable but myself. Soon, the fears came rushing in…
Guess what? People did call!
Guess what! Clients continued to say I have helped them make a great deal of progress!
AND I have been able to handle all of the messy administrative things that come with being your own office manager too!
Are those thoughts still around a year later? ABSOLUTELY! Do I let them control my actions like I once did? No way! I tell those fears where to go and I continue being the best therapist I can be!
I realized that I almost did the same thing myself, but in a different way. I was holding back starting my own practice because I felt I was not ready, whether I did not have enough experience or knowledge, I wasn’t “perfect” yet. But I’ve realized that even if I were practicing for 40 years working for someone else before opening my own practice, I might never feel 100% ready, be 100% perfect. Sure, I’ve made a few mistakes this year and am far from “the perfect therapist” but there are no perfect therapists out there! Being a therapist means constantly learning and growing. Working for myself has given me even more of an opportunity to do just that by allowing me more freedom and has forced me to learn things that I never would have gotten the chance to do working for a group practice. In a way, I’ve had to continually build my confidence in my abilities even more so since I am the one “running the show.”
What I’ve learned this year is this:
My challenge to you (therapist or not!) is to let go of some of your perfection, some of your “should-ing” or “have to do this-ing” or “have to do that first-ing.” There might NEVER be a perfect time to take a risk but there is ALWAYS a perfect time to believe in yourself and your abilities–and that time is TODAY. That time is RiGHT NOW.
What happens if you fail? If you aren’t successful? Then you learn from your mistakes and try again. But if you never give yourself the opportunity to fail, then you learn nothing! Like the famous Wayne Gretsky quote “You miss 100 percent of the shots you never take.”