Most Therapists Are Overpaying. They Just Don't Know It.
Accounting for therapists in private practice has a specific problem: most solo practitioners are working with generalist accountants who apply a standard playbook. The playbook isn't wrong — it just isn't built for how a therapy practice actually works. The tax strategy doesn't reflect the income structure. The guidance doesn't account for the nuances of running a clinical practice. And because no one has ever told them otherwise, most therapists assume what they're getting is normal.
Alexia Camfield built a full private practice — cash pay, no insurance panels, fully booked. By any measure, she had the clinical side figured out. The financial side was a different story. She had an accountant. She was filing taxes. But no one was asking the right questions about her specific situation, and the confidence that her finances were being handled in a way that actually served her business wasn't there.
The Problem With Generic Accounting
Before finding Visor, Alexia consulted with two other accounting groups. Both were technically competent. But both came with bundled packages — practice development coaching, add-ons, services she didn't need and couldn't separate from the ones she did.
That's a pattern therapists in private practice know well. You bill by the hour. Every subscription, every add-on, every package with unclear value is a decision you feel in your own pocket. The barrier isn't skepticism — it's that the math has to work, and most offerings don't make it easy to see how.
"I consulted with two other groups and I felt like they wanted me to do coaching and all sorts of other practice development things that I don't want from my accounting — and the packages were not offered separately." — Alexia Camfield PhD, LCSW-S, L. Alexia Camfield PLLC
What she needed was a team that understood the specific financial profile of a therapy practice. Not a general small-business playbook with her industry name attached to it.
How It Started
Alexia first heard Mitchell speak at the Lovett Center. What stood out wasn't a pitch — it was that he clearly understood how therapists in private practice operate. The connection to the therapy practice community wasn't theoretical. It showed in how he talked about the specific financial realities of running a clinical practice.
That first impression held up. When Alexia came on as a client, the guidance she received was the kind she hadn't encountered before: tax strategy built around how her practice actually generates income, asks that fit into her workflow rather than adding to it, and real answers when questions came up.
"I feel that the tax guidance is beyond anything I could find for my business anywhere else. I feel like Visor really understands my business. I have very few friends in my field who have the same kind of confidence with their accountants." — Alexia Camfield PhD, LCSW-S, L. Alexia Camfield PLLC
What the System Looks Like
The day-to-day experience is what Alexia describes as the opposite of overwhelming. No pressure, no upsells, no complexity she didn't ask for. Questions get real answers. Financial anxieties — and she's candid that she has them — get addressed directly.
The system fits into how she actually runs her practice. It doesn't demand significant time or attention. For a solo practitioner billing by the hour, that matters. Time spent managing financial admin is time not spent with clients. A system that handles the financial side without creating new overhead changes the math on what her working day looks like.
Before → After
Before | After |
Generic accountant, no industry-specific guidance | Tax strategy built around psychotherapy practice financials |
Bundled packages with services she didn't need | Clean scope — no add-ons, no pressure |
Seasonal uncertainty, no real answers | Proactive guidance — questions addressed before they become problems |
Financial admin competing with client time | Workflow that fits a solo practitioner's day without adding overhead |
Isolated — most peers in the same position | Partnership with a team that knows her field |
Anxiety around accounting | Confidence that her finances are handled correctly |
The Outcome: Confidence. Clarity. Less Stress.
Alexia no longer wonders if she's overpaying. Tax seasons are predictable. Her understanding of her own finances has improved, which changes how she makes decisions about pricing, expenses, and what comes next as her practice grows.
The stress reduction is real. Financial anxiety drains a clinician's bandwidth. Having a reliable system and a team she can reach with specific questions has cleared it. What she notices most now is the contrast with colleagues — very few therapists in private practice have this kind of financial support, and most don't know what they're missing.
"I 100% guarantee you they will save you money and will make up for your investment. They are very experienced and considerate with small business owners and understand the psychotherapy business financials." — Alexia Camfield PhD, LCSW-S, L. Alexia Camfield PLLC
"I feel like a client and I feel like I have collaborators that help me with a part of my business that I'm not trained in." — Alexia Camfield PhD, LCSW-S, L. Alexia Camfield PLLC