Why Choose a Counsellor in Private Practice vs. Group Practice

When you're looking for a counsellor, one of the first decisions you’ll face is whether to work with someone in private practice or a group practice. Both options offer quality care, but the experience can feel very different. Here’s a breakdown of what to consider when choosing between the two.

Personalized Care and Flexibility

Counsellors in private practice often have more freedom to tailor their approach to your unique needs. Without the constraints of a larger organization, they can customize treatment plans, integrate diverse therapeutic approaches, and adjust sessions to fit your evolving goals.

In group practices, therapists may follow standardized protocols or frameworks. While this ensures consistency, it can sometimes limit flexibility. Private practice therapists typically have more control over their schedules, which can make it easier to find appointment times that work for you.

More Availability and Consistent Scheduling

Private practice therapists often have greater flexibility to accommodate weekly or bi-weekly appointments. This consistency can be essential for maintaining progress and building a strong therapeutic relationship. With fewer clients to juggle compared to larger practices, private practitioners can offer more reliable scheduling and prioritize regular sessions.

In group practices, availability may be limited due to higher client volumes. If you value consistent support and regular check-ins, a private practice therapist may be better equipped to meet those needs.

Greater Confidentiality

In a small town, confidentiality is often a major concern. Private practice therapists generally have more control over privacy measures and limit access to client information. This means fewer people handle your records, reducing the chance of someone you know being involved in your care.

Group practices, especially in smaller communities, may have more staff interacting with your information, increasing the likelihood of overlap with acquaintances. If maintaining a high level of confidentiality is essential to you, a private practice may offer more discretion.

Continuity and Long-Term Support

When you work with a counsellor in private practice, you’re more likely to maintain a consistent relationship over time. Therapists in group practices may face more turnover or be reassigned, which could disrupt the therapeutic process.

If you’re seeking long-term support, a private practice therapist can offer a more stable and continuous therapeutic journey. This is especially important when working through complex issues like trauma, identity, or relationship challenges.

Specialized Expertise

Private practice therapists often specialize in specific areas like trauma, cultural identity, or relationship counselling. This focus allows them to dive deeply into particular concerns, offering nuanced care that reflects their expertise.

Group practices may provide a range of services under one roof, which can be convenient if you’re looking for multidisciplinary support. However, if you need someone who understands a specific issue—like the intersections of cultural identity and mental health—a private practice therapist may offer more specialized insight.

Administrative Ease and Accessibility

Group practices typically handle administrative tasks like billing and scheduling through a centralized system, which can streamline logistics. This can be helpful if you prefer a straightforward process for booking and managing appointments.

Private practice therapists often manage their own administrative work, which can mean a more personalized touch but also requires direct communication. Some clients appreciate the ability to reach their therapist directly without navigating a front desk or call center.

A Relational Experience

Working with a private practice therapist often feels more personal. With fewer bureaucratic layers, you and your counsellor can build a relational, client-centered experience that feels collaborative.

In a group practice, the structure may feel more clinical or institutional. While this can be comforting for some, others may prefer the intimacy and individualized focus that private practice offers.

Which Option Is Right for You?

Choosing between a private practice and a group practice depends on your needs and preferences. If you value specialized care, long-term consistency, flexible scheduling, greater confidentiality, and a personalized approach, private practice may be the better fit. If you’re looking for convenience, a wide range of services, and administrative ease, a group practice could be ideal.

At the end of the day, the most important thing is finding a counsellor who feels like the right fit for you. Trust your intuition—your healing journey is worth it.