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5 Key Differences Between Working in a Private Group Practice vs. a Hospital or Agency Setting

October 3, 2025
Sofia Mansurova

Introduction:

Choosing your clinical path as a therapist means weighing not only the type of clients you want to serve—but the kind of professional environment that supports your growth, well-being, and long-term satisfaction. Whether you're newly licensed, pre-licensed, or an experienced clinician exploring new opportunities, it’s important to understand how settings like private group practices differ from hospitals or community agencies.

1. Autonomy and Flexibility vs. Bureaucracy and Burnout

In a hospital or agency setting, your schedule is often dictated by institutional needs—packed with back-to-back sessions, paperwork, administrative meetings, and layers of approval. The pace can be overwhelming, and burnout is common.

In contrast, group private practice offers autonomy. At Tiffany Griffiths, PsyD & Associates, Inc., clinicians choose their own schedules, client mix, and preferred modalities. You’re trusted as a professional to structure your time in a way that honors both your clients and your own wellness.

2. Clinical Focus vs. Administrative Drain

Hospital and agency therapists often spend significant time on administrative demands unrelated to clinical work—insurance approvals, excessive paperwork, productivity quotas, and compliance procedures that can overshadow the therapeutic mission.

At our practice, we’ve streamlined support systems to let you do what you do best—provide care. We offer dedicated billing teams, credentialing services, and front-office staff to manage calls and referrals, so you can focus on your clinical craft without the chaos.

3. Supportive Supervision and Training vs. One-Size-Fits-All Oversight

While agencies and hospitals may offer structured supervision, it’s often limited in frequency or tailored only to medical models. Group practices like ours offer comprehensive weekly supervision, peer diagnostic seminars, and ongoing clinical education tailored to your growth path. Whether you're pursuing licensure or expanding into new specialties, you're supported by real mentorship—not just checklists.

We also offer opportunities to supervise others, attend special topics trainings, and engage in a wellness program that nurtures clinician resilience and connection.

4. Competitive Pay and Benefits vs. Salary Caps and Delays

Hospital or agency pay structures can be rigid, with limited room for growth—even when your caseload is full or your outcomes are strong. Raises and incentives often depend on funding cycles or administrative approval.

In private group practice, your earnings directly reflect your work. Tiffany Griffiths, PsyD & Associates, Inc. offers competitive fee-for-service pay, salaried options, IRA matching, CEU reimbursements, and a path to stability with flexible full-time benefits. We honor the work you do—with compensation to match.

5. Culture of Collaboration vs. Systemic Pressure

Agencies and hospitals can be mission-driven, but they also operate under high stress and red tape. It’s easy to feel like a number in a large system. That affects morale, turnover, and connection.

Our culture is different. Tiffany Griffiths, PsyD & Associates, Inc. fosters a community of clinicians who support, inspire, and learn from each other. Each office has dedicated clinical leads, a Clinical Director (who truly supports your clinical path), and a strong commitment to diversity, equity, and inclusion. You’re not just employed—you belong.

Ready to Explore the Difference?

If you're seeking a career where your voice is heard, your growth is prioritized, and your clinical talents are valued, consider joining us. Whether you're a newly licensed therapist, postdoc, or seasoned clinician looking for a more balanced way to work—we're hiring across multiple specialties.

🔗 Visit our Hiring/Careers Page: www.drtiffanygriffiths.com

📬 Or email us directly at: office@drtiffanygriffiths.com

Sofia Mansurova
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