Field-Based Private Practice

Field-Based Private Practice

An interview Megan Costello, LMFT on taking the best of Community Mental Health into your private practice. Curt and Katie interview Megan about her very successful private practice that is 100% home and field-based. They talk about how to a field-based practice works, including practical considerations.

It’s time to reimagine therapy and what it means to be a therapist. We are human beings who can now present ourselves as whole people, with authenticity, purpose, and connection. Especially now, when therapists must develop a personal brand to market their practices.

To support you as a whole person and a therapist, your hosts, Curt Widhalm and Katie Vernoy talk about how to approach the role of therapist in the modern age.

Interview with Megan Costello, LMFT

Megan Costello, LMFT, is a person-centered behaviorist providing in-home counseling for families in Los Angeles. Megan has provided services to clients in their homes or the community for almost 15 years. Megan started her career as a behavioral technician, providing behavioral therapy under the supervision of Board Certified Behavior Analysts (BCBA) before she moved into a supervisory role for Applied Behavioral Analysis (ABA) cases (both in- home and school-based cases). Megan continued this work as she obtained her Masters of Science in Counseling at California State University, Long Beach. Megan then added clinical work in community mental health, providing specialized support to children on the autism spectrum with trauma histories. When Megan moved into private practice, she incorporated the best of the in-home and behavioral interventions into her treatment model. She brings practical advice and strategies to her clinical work, providing specialized, comprehensive treatment to higher needs or atypical cases.

In this episode we talk about:

  • Megan’s perspective and a new model for private practice
  • How to make applied behavioral analysis more person-centered
  • The value of being relentlessly client-centered and doing the highest impact work, regardless of how convenient to the therapist
  • The types of clients who would benefit more from in-home and school-based therapy
  • The benefits of in-home therapy over in-office therapy
  • The need to price your services accordingly
  • How to create an office in your car
  • How to manage your scheduling
  • The unique challenges of working in the home, looking at confidentiality, family involvement
  • The model that requires family and parent involvement
  • Safety assessments prior to going out to the home
  • How to assess over the phone prior to starting home-based treatment
  • Getting parent buy-in for active involvement in treatment for their child

Relevant Resources:

We’ve pulled together any resources mentioned in this episode and put together some handy-dandy links:

Megan’s website:

Megan’s consultation:

Megan’s trunk:

The Modern Therapists Group on Facebook

Therapy Reimagined 2019

Who we are:

Curt Widhalm is a Licensed Marriage & Family Therapist in private practice in the Los Angeles area. He is a Board Member at Large for the California Association of Marriage and Family Therapists, a Subject Matter Expert for the California Board of Behavioral Sciences, Adjunct Faculty at Pepperdine University, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making “dad jokes” and usually has a half-empty cup of coffee somewhere nearby. Learn more about Curt at

Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant. As a helping professional for two decades, she’s navigated the ups and downs of our unique line of work. She’s run her own solo therapy practice, designed innovative clinical programs, built and managed large, thriving teams of service providers, and consulted hundreds of helping professionals on how to build meaningful AND sustainable practices. In her spare time, Katie is secretly siphoning off Curt’s youthful energy, so that she can take over the world. Learn more about Katie at

A Quick Note:

Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We’re working on it.

Our guests are also only speaking for themselves and have their own opinions. We aren’t trying to take their voice, and no one speaks for us either. Mostly because they don’t want to, but hey.

Stay in Touch:


Voice Over by DW McCann

Music by Crystal Grooms Mangano

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