{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Ep 45: Stop Doing What Worked Ten Years Ago with Dr. Elizabeth Carr","description":" Rachel speaks with Dr. Elizabeth Carr, a clinical psychologist and the founder and CEO of Kentlands Psychotherapy in Gaithersburg, Maryland. Elizabeth leads a team of 20 doctoral and master's-level clinicians and has spent over two decades building a community-focused, financially sustainable practice through some of the most disruptive periods in the history of mental health care. A former Navy psychologist and sought-after speaker on practice management, she recently published a piece on strategic positioning during industry upheaval that is the centerpiece of this conversation.  The mental health practice landscape is shifting in ways that are affecting practices at every size \u2014 but not all in the same direction. Elizabeth describes what she calls the barbell effect: solo practitioners, particularly those operating fully virtual, are being squeezed out by venture capital-backed platforms with enormous marketing budgets and SEO dominance, while large practices that over-expanded during the COVID telehealth boom are now sitting on overhead they cannot fill. Mid-sized, community-rooted practices that stayed nimble are finding themselves in a stronger position \u2014 but only if their leaders are paying attention to what's actually happening in the market and willing to respond. Elizabeth and Rachel dig into what that looks like in practice: how to read referral data, when to pivot your service offerings, what AI can and cannot replace in clinical work, and why hyperlocal, in-person, relationship-based care may be the most durable competitive advantage a practice owner has right now.  Resources Mentioned  Articles Referenced:  A Workforce Under Pressure: Preparing the Behavioral Health Workforce for Today and Tomorrow \u2014 National Council for Mental Wellbeing (2025):  https:\/\/www.thenationalcouncil.org\/behavioral-health-workforce-under-pressure-preparing-today-tomorrow\/  Telehealth and Hybrid Practice Are Here to Stay \u2014 APA Monitor on Psychology (2024): https:\/\/www.apa.org\/monitor\/2024\/09\/telehealth-hybrid-practice  Strategic Positioning During Industry Upheaval \u2014 Dr. Elizabeth Carr, Kentlands Psychotherapy (January 2026):  https:\/\/www.kentlandspsychotherapy.com\/mental-health-professional\/strategic-positioning-during-industry-upheaval\/   Connect with Dr. Elizabeth Carr:   Kentlands Psychotherapy: https:\/\/www.kentlandspsychotherapy.com   Connect with The Mental Health Evolution:   Website:  https:\/\/www.traumaspecialiststraining.com\/mental-health-evolution-podcast  Instagram: \/thementalhealthevolution\/  LinkedIn: \/the-mental-health-evolution  Facebook: \/TheMentalHealthEvolution  Music by Zach Harrison  ","author_name":"The Mental Health Evolution","author_url":"https:\/\/sites.libsyn.com\/501993","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/41919395\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/88AA3C\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/item\/41919395"}