Conversations With a Wounded Healer

Before pursuing a career as a psychotherapist, clinical supervisor, and founder of Fermata Psychotherapy, a psychoanalytic group practice in Chicago, Santiago Delboy, MBA, LCSW, spent over a decade climbing the corporate ladder in the US and his home country of Peru. The shift forced him to grapple with the "disagreeable" parts of himself.  In a nod to the educational children's shows of old, this...

All of us show up with multiple identities (partner, parent, revolutionary, etc.). How do we, as therapists, get better at existing in discomfort and creating space where everyone can explore without rushing to define themselves? Santiago Delboy, MBA, LCSW, is a psychotherapist, clinical supervisor, and founder of Fermata Psychotherapy, a psychoanalytic group practice in Chicago. I consider Santia...

Scan any therapists' forum and you'll discover that the operational strategies that group practices have relied on no longer work. Could organizing principles like collaboratives, collectives, and cooperatives offer group practices new ways to thrive?  Uriah Guilford, MFT, thinks so! He has had success bucking the industry's tried-and-true practice model. Uriah's evolution from traditional group p...

The answer to righting the world's many wrongs is more love. Love is also the problem. If you're new here, then solving this conundrum may seem hopeless. Fear not!  In part one of my conversation with Michael Sykes, we began with a simple question: How can we encourage ideas or policies rich in love for each other when so many of us struggle to love ourselves? In part two, Michael and I dig into t...

Some people remind us to trust the process, even when it seems hopeless. Michael Sykes is one of those people. He's the cheerleader encouraging us on the uneasy journey to authenticity. What I appreciate most is his commitment to integrity, even when the path toward that innate wholeness feels inaccessible. He doesn't shy away from sharing the most heart-centered version of himself with the world....

Chats with group practice employees are more fun when you're not their practice owner! Maybe a bit more revealing, too. Such is the case with my guest, Sierra Waller, LCPC, an early-career therapist working at Health In Tandem, a small group practice in Chicago. Apologies if you've landed here hoping for a gripe-and-gossip session. Instead, Sierra and I dig into her experiences as a newer therapis...

How do leaders keep their heads clear and hearts open in the heat of difficult conversations? I ask because it's only natural for leaders (and any human, really) to bristle at opposition to their ideas, critique of their efforts, or recommendations for improvement. Being in community with each other requires a high level of mutual responsibility. But the practice of accountability can activate dee...

Outward change (to our profession, our communities, and our world) can only happen when we start from within—and we're gonna need all the help we can get. Julianne Guinasso, LMFT, is a role model for these contentious times. She's a therapist in private practice and the co-founder of Level Up Leaders, a partnership that helps mental health group practice owners cultivate psychologically safe, trau...

I'll start by stating the obvious. Being a group practice owner or group practice therapist in "unprecedented times" is a challenging endeavor. Our people and profession are struggling under the pressures of late-stage capitalism, antagonistic politics, and rage-bait algorithms —the same forces that affect our clients. I'll follow up the obvious with a hard truth. Some of the ills are coming from...

Are you an n'betweener? Before you answer, I recommend queuing up part one of my conversation with Nora Alwah, LPC, the coach, therapist, TEDx speaker, and community-builder. She coined the term n'betweener© to describe those who, like herself, feel suspended between two (or more) identities; not fully inhabiting one or the other.  In part two, Nora and I explore ways that folks can expand their c...

Many of us know what it feels like to navigate a middle space. Folks who are gender-fluid come to mind. But I'm also thinking of those who balance a privileged identity with their relationship to a traditionally oppressed group. Or anyone whose ethnicity is not commonly associated with the culture in which they grew up.  How do we express this complicated identity in terms that others might unders...

There's an obvious throughline that runs from productive feedback to authentic relationships. And vice versa. Rebecca Slusher, LPCP, is the owner of Balanced Life Counseling in Chicago. She understands that managing the group's needs for connection, empathy, and equitable conflict resolution, while navigating the daily realities of doing business, is a work in progress — and that's okay! GUEST BIO...

Welcome to Part 2 of my catch-up with Annie Schuessler Zam. If you haven't already, I recommend starting with Part 1: A Continuum of Connection: Parent-Child Relationships, Caregiving, and Self-Healing. I consider Annie as a case study in remaining open to possibility. She embodies a fearlessness that we all possess but often shy away from activating. Courageousness is scary, after all.  GUEST BIO...

Shout out to all the folks who continue to show up for themselves. Lending physical and emotional support to others is easy. Extending that same amount of empathy and reliability to ourselves? Ugh, no. That's why many of us abandon our healing work just as things start to challenge us. But the muck is where we need to be if we have any hope of growing into a true expression of self. Annie Schuessl...

The solution to all (okay, most) of the challenges facing group practices is embedded, quite cleverly, in the name. Owner, admin, or therapist, your individual participation informs the altruistic and financial goals of the entire practice. And also… Groups are powered by people––real, live humans with individual expectations, convictions, experiences, and traumas.  Samantha Perry, LCSW, encourage...

I hate to break it to you, but friendships require effort. Actually, I'm happy to pass that info on!  Part Two of the conversation between Mishara D. Winston and Christina Michelle Watkins delves into the realities of authentic connection––notably, how we take responsibility for our attachment styles and our roles in a healthy rift-and-repair process. That's "the work." If you haven't already done...

What does it mean to be a good friend? If you're struggling to answer, my next question might help you find the words. How do we learn the skills to maintain genuine, deeply nourishing friendships?  For this special episode, I've enlisted a pair of exceptional role models: Mishara D. Winston and Christina Michelle Watkins, two visionary healers and storytellers in conversation—without me. It's an...

Good people create great group practices. Eventually. I tacked that adverb on the end not to undermine anyone's ability to craft cultures of transparency and inclusivity, but to acknowledge that the whole shebang requires constant work.  Amy Zajakowski Uhll, LCPC, founder and director of Chicago Center for Integration and Healing (CCIH), is an excellent example of an accomplished leader and eterna...

If Simon Mont wants to get into a conversation about ego, idols, and the mystical process of birthing new realities, who am I to discourage him? "Whatever you're ultimately concerned with is, definitionally, your God," he begins. "God comes from the German: that which you invoke. It's what you're invoking in every moment."  Thus begins the second half of my wide-ranging chat with Simon, a lifelong...

Now, I can't promise that a chat with Simon Mont will soothe away the complexities of our current socio-political environment. But, it can reconnect us to the big feelings and deep thoughts that we often abandoned in favor of surviving these "unprecedented times."  Simon is co-founder of Harmonize, the consulting firm that helps groups bridge the gap between values, vision, and impact. "I help peo...

How can we improve communication between practice owners and employees? Sthefany Alviar reveals insights from the contrast between her current role at Mirjam Quinn and Associates and a previous, less supportive private practice. She and Sarah explore issues such as financial transparency, the challenges of transitioning from salaried to contractual pay, and the importance of clear administrative s...

As promised, here's the fantastic part two of my conversation with Tamila Gresham. We delve into the foundational pieces of accountability: knowledge, nuance, relationship, and vulnerability.  You know what to do if you haven't met her yet: hit play on part one. Tamilia is co-founder of Harmonize, a consulting firm that helps organizations bridge the gap between values, vision, and impact. She's a...

Some advice for therapists and those in adjacent healing professions: This (gestures wildly at everything) is not the time to close ranks. We're being called to proceed with less ego and more accountability. Lately, however, anger (much of it warranted) and impatience have turned accountability into more of a cudgel than the intended call-in.  Tamila Gresham is here to reconnect us to core strateg...

How can we learn from past experiences to improve future practices? You may not know this but LGBTQ-focused group practices are a fairly recent development in our field. Jeff Levy recounts his journey from co-founding Live Oak, in Chicago, to his current solo private practice with a focus on virtual therapy and consultations. He and Sarah discuss the evolution of group practices, market shifts pos...

David Allen is quietly and thoroughly advancing the notion of masculinity into a new era. He's a tattoo artist working with post-mastectomy clients in Chicago. David is also a father who, despite his childhood wounds, has devoted himself to raising emotionally intelligent kids. It's a path informed by his work with cancer patients, his ancestral lineage, and his commitment to therapy.  If you miss...