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The practice-building library
Practical, Canadian, and honest: compliance, clinical measurement, documentation, billing, and what software should actually do for you.
Clinical practice · August 17, 2026 · 5 min read
Screening Adults for ADHD with the ASRS-6: Shaded Boxes, Not Sums
How the ASRS 6-item screener actually scores (it isn't a simple total), what a positive screen means, and the assessment that must follow.
Read the guideRunning your practice · 5 min
The Five-Subscription Practice: What Tool Sprawl Really Costs Solo Clinicians
EMR + video + website + forms + AI notes: the average solo practice runs five subscriptions. The math and the risks of consolidation done right.
August 14, 2026
Running your practice · 5 min
Getting Paid: Why Integrated Card Payments Beat E-Transfers for Therapy Practices
The real cost of chasing e-transfers, how integrated payments change collection rates, and what to look for in a payment setup.
August 13, 2026
Clinical practice · 4 min
The WHO-5 Well-Being Index: The 90-Second Measure Worth Adding to Every Battery
Scoring the WHO-5, the 50 percent threshold, why wellbeing tracking complements symptom measures, and the 10-point change rule.
August 11, 2026
Compliance & privacy · 5 min
Automated Emails Your Practice Should Send (and the Clinical Content They Must Never Contain)
Booking confirmations, 24-hour reminders, payment notices, and completion alerts — the automation set, plus the privacy rule that governs all of it.
August 10, 2026
Compliance & privacy · 6 min
Psychotherapy Notes vs Progress Notes in Canada: What's Actually Protected?
The US 'psychotherapy notes' concept doesn't map cleanly to PHIPA. What Canadian clinicians should know about process notes, access requests, and the single-record reality.
August 7, 2026
Clinical practice · 5 min
EPDS Screening: Using the Edinburgh Scale Well in Perinatal Care
EPDS scoring bands, the item-10 safety flag, re-screening cadence, and use with fathers and antenatal clients.
August 6, 2026
Running your practice · 6 min
Group Practice Software: What Changes When You're No Longer Solo
Caseload privacy, supervision, internal communication, seat billing, and onboarding — the group-practice requirements solo software can't fake.
August 4, 2026
Clinical practice · 5 min
AUDIT Scoring: Hazardous, Harmful, and Dependent Drinking Thresholds
How to score the WHO AUDIT, what 8/16/20 mean, sex-adjusted cut-offs, and when to use AUDIT-C or CAGE instead.
August 3, 2026
Running your practice · 5 min
Why a Client Portal Changes the Economics of a Small Practice
Self-booking, form completion, secure messaging, and payments — what moving client admin into a portal actually saves per week.
July 31, 2026
Running your practice · 6 min
What Should Therapy Cost? Setting Psychotherapy Fees in Canada (2026)
Market rates by discipline and region, the cost math behind a sustainable fee, raising fees ethically, and what to do about insurance maximums.
July 30, 2026
Running your practice · 6 min
Clinical Supervision in Group Practices: Workflows That Protect Everyone
How to run supervision with proper access boundaries: what supervisors should see, co-signing, documentation, and the software model that makes it safe.
July 28, 2026
Clinical practice · 5 min
PCL-5 Scoring: Cut-Offs, Reliable Change, and Honest Interpretation
How to score the PCL-5, what the 31-33 provisional cut-point means, and how to use 5-10 point changes in trauma treatment monitoring.
July 27, 2026
Running your practice · 5 min
Sliding Scale Fees in Therapy: How to Offer Them Without Burning Out
A sustainable sliding-scale policy: how many spots, how to set rates, how to document them, and how to automate the billing.
July 24, 2026
Growing your practice · 6 min
The Therapist Website That Actually Books Clients (Is Smaller Than You Think)
Why a one-page practitioner site with clear specialties, fees, and online booking outperforms an expensive brochure website.
July 23, 2026
Compliance & privacy · 7 min
Telehealth Therapy in Canada: Platform Requirements and Best Practices
What makes a video platform appropriate for psychotherapy: encryption, consent, location checks, emergency protocols, and cross-provincial rules.
July 21, 2026
Clinical practice · 5 min
DAP vs SOAP Notes: Which Should Your Practice Standardize On?
The real differences between DAP and SOAP for psychotherapy documentation, when each fits better, and why consistency beats format.
July 20, 2026
Running your practice · 6 min
Therapy Intake Forms: What to Include (and What to Leave Out)
The intake package that covers consent, history, and risk without exhausting the client: forms, fields, and sequencing for Canadian practice.
July 17, 2026
Running your practice · 6 min
How to Reduce No-Shows in a Therapy Practice (What Actually Works)
The evidence on appointment reminders, cancellation policies, deposits, and the scheduling patterns that quietly drive no-shows.
July 16, 2026
Running your practice · 9 min
Starting a Private Practice in Ontario: The Complete 2026 Checklist
Registration, insurance, HST, records, software, fees, and first clients — the practical sequence for launching a therapy practice in Ontario.
July 14, 2026
Clinical practice · 7 min
How to Document a Suicide Risk Assessment (With a Defensible Structure)
The domains a risk assessment note must cover, how to write a formulation instead of a score, and a safety-plan structure you can reuse.
July 13, 2026
Clinical practice · 6 min
Measurement-Based Care in Private Practice: The 15-Minute Setup
The evidence for routine outcome measurement, why most practices skip it, and a realistic workflow that adds zero minutes to your session.
July 10, 2026
Clinical practice · 7 min
SOAP Notes for Therapists: Structure, Examples, and Habits That Survive an Audit
What belongs in each SOAP section for psychotherapy, a worked example, common mistakes, and the documentation habits colleges expect.
July 9, 2026
Clinical practice · 5 min
GAD-7 Scoring and Interpretation: Cut-Offs, Bands, and Clinical Use
How to score the GAD-7, what the 5/10/15 bands mean, what it screens for beyond GAD, and how to trend it across sessions.
July 7, 2026
Clinical practice · 6 min
PHQ-9 Scoring and Interpretation: A Practical Guide for Clinicians
PHQ-9 severity bands, the item-9 risk flag, reliable change, and how to use repeated administrations for measurement-based care.
July 6, 2026
Compare · 7 min
Looking for an Owl Practice Alternative? PsychApp vs. Owl Practice (2026)
An honest comparison for Canadian mental-health clinicians weighing Owl Practice against PsychApp: measures, AI notes, video, billing, team features, and price.
July 5, 2026
Compare · 6 min
Jane App Alternative for Therapists: Why Mental Health Needs More Than a General EMR
Jane App is excellent general practice software. Here's what therapists, psychologists, and counsellors give up by using a multi-discipline EMR, and what a purpose-built alternative looks like.
July 4, 2026
Compliance & privacy · 8 min
PHIPA-Compliant Practice Management Software: A Checklist for Ontario Therapists
What PHIPA actually requires from your practice software: data residency, safeguards, audit trails, retention, and the questions to ask any vendor before trusting them with PHI.
July 3, 2026
Clinical practice · 7 min
AI Scribes for Therapists: What to Demand Before You Let AI Near a Session
AI note-taking can save therapists hours weekly, but consent, audio storage, and model training policies vary wildly. Here's the standard to hold any AI scribe to.
July 2, 2026
Running your practice · 9 min
The 2026 Guide to Practice Management Software for Therapists in Canada
Everything Canadian therapists, psychologists, and counsellors should evaluate in practice software: compliance, clinical tools, billing, telehealth, AI, and total monthly cost.
June 30, 2026
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