Online gestalt therapy practice

Adults paying out of pocket, plus clients who use out-of-network insurance benefits and ask for a receipt to submit.

A fee per session, usually weekly or fortnightly. Some therapists offer a sliding scale for a few spots. Income depends on how many client hours you take on.

• Licensed mental health clinician with gestalt training
• Listening and building trust
• Keeping clear boundaries and good records
• Basic online marketing and admin

• You generally need an active state license to practice (such as LPC, LMFT, LCSW or psychologist). Check your state board's rules, including what titles you may use
• Seeing clients in another state may require a license there too, so check each state's rules
• HIPAA privacy rules apply to video tools, notes and billing, so check that your platforms support them
• Professional liability (malpractice) insurance, and check whether your state requires specific coverage
• Building a full caseload can take months, and the emotional load is real, so plan for supervision or peer support

Startup costs are typically around $500 to $3,000, depending on your video and record-keeping tools, insurance and marketing. These are estimates, and you work from home, so there is no office rent to cover.

Monthly revenue is typically around $1,000 to $5,000, depending on how many clients you see and your session fees. Building a full caseload can take months, so treat this as an estimate.

Check your state board's rules. You generally need an active state license, and the titles you may use vary. Seeing clients in another state may require a license there too. Also check HIPAA-ready platforms and malpractice insurance.