The Testing Psychologist

In the second episode of my Scaling Smart mini-series, I dig into the tactical question every practice owner faces once they decide to grow: should you hire, or should you optimize the team and systems you already have? Drawing on my own experience—from my very first psychometrist hire 15+ years ago to the painful lessons of building a 45-person team—I break down the conditions that make hiring sm...

I'm back with my friend and repeat guest Uriah Guilford of Productive Therapist to dive deep into the world of AI and its growing role in private practice. We covered a lot in this episode—from voice AI agents and CRM integrations to ethical concerns and training staff to use AI responsibly. Uriah shared what he's excited about in tech, how he's integrating AI across his businesses, and even some...

In this episode, I break down one of the most common and anxiety-inducing questions I hear: "How much does it actually cost to start a private testing practice?" I walk through the key categories of startup costs—legal setup, clinical readiness, and marketing/admin—and share detailed estimates based on real-world examples. I also highlight hidden or overlooked expenses that can sneak up on you. An...

In this episode of The Testing Psychologist, I had the pleasure of hosting a powerhouse group from PAR: Jenny Greene, Nikel Rogers-Wood, Cecil Randy Reynolds, and Randy Kamphaus. We dove deep into the development and features of PAR's new Digital Record Form—a tool designed to streamline performance-based assessment administration, starting with the RIAS-2. We discussed how this innovation differs...

Dr. Liz Angoff returns to dive deeply into the art and structure of feedback sessions with parents. Dr. Liz emphasizes the insight that "feedback begins at intake," sharing practical strategies for preparing families throughout the evaluation process to avoid surprises during feedback meetings. We discuss common pitfalls, such as withholding diagnostic impressions until the final session, and high...

In this powerful episode, I sit down with Dr. Robyn Miller to explore why every mental health practitioner needs a professional will. After experiencing the loss of her closest colleague and being thrust into managing her practice, Dr. Miller shares stories of clients who discovered their therapist's death only after weeks of unanswered calls, and others who never learned what happened to years of...

In this episode, I dive into the often-confusing world of Pearson's Q products—specifically Q-interactive and Q-global. What started as a simple comparison turned into a deeper exploration of the origins of the "Q" branding and the roles these platforms play in private practice. I walk through the key differences in functionality, pricing, and integration (or lack thereof), and share how we use bo...

In this episode, I dig into the widely discussed New York Times Magazine article, "Have We Been Thinking About ADHD All Wrong?"—and more specifically, I zoom in on one particularly compelling component: the fluctuating nature of ADHD symptoms over time. This idea—that ADHD is not a fixed trait but something that ebbs and flows with age and environment—is grounded in research from the MTA study and...

In this episode, I sat down with my friend and returning guest, Dr. Tara Vossenkemper, for an honest and wide-ranging conversation about her family's leap into full-time RV life and how it's impacted her leadership, practice culture, and mental clarity. We dug deep into the experience of running a group practice remotely, the evolving dynamics of delegating projects vs. tasks, and the personal tra...

In today's episode, Dr. Stephanie Nelson returns to explore the evolution of evaluation reports, emphasizing the need for a shift from traditional diagnostic approaches to a more contextual understanding of clients. We discuss the limitations of relying heavily on diagnoses and numbers and try to broaden the field for consideration of assessment results and recommendations. The conversation also h...