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Private Practice Kickstart
with Miranda Palmer, LMFT
& Kelly Higdon, LMFT

Therapists – are you suffering from DIAS?

Building a Counseling PracticeDo you have post-its stuck all over your desk? Does your inbox look like it hasn’t been touched in months? Do you have headaches, ruminating about business plans and website designs?

You might suffer from Do It All Syndrome.

This is something many people have and don’t even know it, especially when they are starting their counseling practices.

It’s something a lot of people don’t talk about either. Sure you knew when you started your practice you would be doing a lot of different things – finding an office (real estate agent), working on marketing and networking (website designer and PR), managing the money (accountant) and dealing with the day to day business stuff (human resources department).

It’s a lot of hats to wear and if not managed, DIAS can take over which leads to serious burn out.

So how do you cope and treat DIAS?

  • Have a plan: Most of DIAS comes from plugging holes to keep the ship from sinking. That is being reactive in your private practice. Planning ahead will prevent some of the chaos from taking over. Do some research, create a business plan and a marketing plan and the plan will give you confidence, focus and direction.
  • Outsource: I know you want to save money when you start a practice, but there are start up costs to building a private practice. Building a website that can’t be found, just because it is cheap isn’t going to help you. Know what you have in terms of financial and emotional resources. Just asking for help on a few tasks can lessen the stress.
  • Support: Coaching, mentorship, or masterminds, being surrounded with people that know how to get the work done and build a successful practice will help quicken your learning curve. Rome wasn’t built in a day, and neither will your practice be, but it can be built well with good tools and solid advice.
  • Self Care: We take care of so many other people and nurture our business that we forget about ourselves. You are what makes your business awesome. Without you, it doesn’t exist. So why not give some TLC to your physical, spiritual and emotional health.

One of the main side effects of DIAS is shame.

We can feel like we should be able to do it all. As if entrepreneurship and the struggles are normal and therefore don’t warrant the reaction that we are having.

However, the shame gets us further stuck in DIAS. We don’t ask for the help we need and we end up digging ourselves into a deeper hole of overwhelm. This is what I love about our business school bootcamp. The community has helped people deal with the shame so they can move from being stuck and into confident action.

So if you have struggled with DIAS, as a person in recovery, I want to encourage you to reach out for support. You aren’t alone. This is an all too common issues amongst those in counseling practices and there is help for you. Get some free support with the ZynnyMe community by joining us on Facebook. 

How about you? Have you ever experienced DIAS? What have you done to recover? Share below!

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Therapists – are you suffering from DIAS?

Kelly Higdon, LMFT

Kelly Higdon, LMFT is a private practice expert that believes therapists are some of the most important healers in the world. She teaches therapists how to grow successful businesses from scratch and to move beyond the couch with multiple streams of income. Get to know Kelly better through her free private practice marketing trainings, the Business School Bootcamp for therapists, or through private practice consultation.


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APA Reference
Higdon, K. (2019). Therapists – are you suffering from DIAS?. Psych Central. Retrieved on December 12, 2019, from