Upcoming Events


How to Start a Private Practice

Ivy Livengood, LCSW & Ellen livengood, lcsw

Saturday, August 8 from 1:00 PM to 3:00 PM ET

Join the Lexington Psychoanalytic Study Group for a candid conversation about establishing and sustaining a private practice.

Starting a practice of your own can feel both exciting and daunting. There are real risks and challenges to navigate—building a referral network from scratch, managing the financial uncertainty of the early months, handling billing and insurance decisions, and taking on the administrative work that no graduate program quite prepares you for. There's also the quieter, more personal work of developing a professional identity outside the structure of an institution or agency.

And yet, for many clinicians, private practice offers something difficult to find elsewhere: the autonomy to shape your schedule, your caseload, and your clinical approach; the freedom to practice in a way that reflects your values; and the opportunity to build something that sustains you over the long arc of a career, rather than depleting you.

In this presentation, we'll take an honest look at both sides—the practical considerations of logistics, finances, referrals, and professional identity, as well as the challenges and rewards of creating a practice that supports both your patients and yourself. We'll talk about what tends to go wrong, what makes the transition smoother, and how to know when you're ready.

Whether private practice is a distant possibility you're just beginning to consider, or a move you've been contemplating for years but haven't yet made, this conversation is designed to offer practical guidance, realistic expectations, and encouragement for thoughtful next steps. Bring your questions—there will be time for discussion.

Zoom link will be sent out a week before the event.

Saturday, august 8 from 1:00 PM to 3:00 PM ET

Location: Zoom

Fees:

Free to LPSG Members

$15 for Students and Residents

$25 for Professionals and Clinicians

 

Ivy Livengood, LCSW is a therapist, consultant, and founder of Ivy Consulting & Credentialing, a Lexington-based consulting firm she launched in 2021 after recognizing how little support existed for clinicians navigating private practice, insurance credentialing, and practice operations. Since then, she has helped hundreds of behavioral health professionals transition into private practice, managed credentialing initiatives for group practices and large behavioral health organizations, and consulted on practice operations and revenue cycle management. A Kentucky native passionate about strengthening the behavioral health profession, Ivy also provides psychotherapy in her own private practice, bringing a clinician's firsthand perspective to the business of building and sustaining a successful practice. She earned her Master of Social Work from the University of Kentucky, currently serves on the Board of Directors for the Kentucky Society for Clinical Social Work, and is training in the Advanced Psychodynamic Psychotherapy Program at the Cincinnati Psychoanalytic Institute.

Ellen Livengood, LCSW is a psychodynamic psychotherapist and owner of Your Guide to Livengood, LLC. After earning her MSW in 2014, she spent more than seven years at Eastern State Hospital and later worked in the University of Kentucky Behavioral Health Intake Department before transitioning to full-time private practice in 2021. Ellen completed the Advanced Psychotherapy Program at the Cincinnati Psychoanalytic Institute in 2025 and will begin formal psychoanalytic training there in the fall of 2026. Licensed in Kentucky and New York, she also provides LCSW supervision and consultation and serves on the boards of the Lexington Psychoanalytic Study Group.

Previous Events

June 6, 2026: The Clinician’s Reluctance to Begin and Deepen Treatment by Lena Ehrlich, Psy.D.

March 7, 2026: Reading Freud: A Theory of Origins and the Origin of Theory by Jonathan House, M.D.

September 6, 2025: The Benefits and Limitations of Psychoanalysis Complicated by a Pandemic: Marcia Kaplan, M.D.

May 17, 2025: With Good Intentions: Altruism and Boundary Violation: Beth J. Seelig, M.D.

February 15, 2025: Fragile: Handle with Care? Taylor Zimmerman

November 9, 2024: A Roadmap for Couple Therapy: A Psychiatrist’s Journey to an Integraive Approach to Couple Therapy. Arthur Nielsen, M.D.

January 13, 2024: Analysis Interminable: Masochism as a Barrier to Termination. Jeffrey Tuttle, M.D.

September 23, 2023: Transference/Countertransference or Whoa/Woe Oedipus! Aaron Godlaski, Ph.D. & Laurie Raymond, M.D

April 22,2023: “I Don’t Belong. I Just Don’t Fit In.” Spencer Kerr, M.D. & Laurie Raymond, M.D.

December 3, 2022: New Frontiers or New Countries? Is Telehealth the Same or Different from In Person Psychotherapy? Karl Stukenberg, Ph.D.

June 11, 2022: My Parents Hate My Boyfriend so They Sent Me to Therapy: Rita Robertson, L.I.S.W.

February 26, 2022: Working with Equal Parts Anger and Self-Criticism: Marcia Kaplan, M.D.

November 13, 2021: Knowing and Not-No-ing Gender in Psychoanalytic Therapies: William Nunley, M.D., M.P.H.

September 18, 2021: “When I Get Stressed Out I Just Want to Get Away”: Angie DeHart, L.C.S.W. & Laurie Raymond, M.D.

July 17, 2021: How Neuropsychoanalytic Thinking Can Enrich Your Practice (and I Promise to Keep You Awake!): Karl Stukenberg, Ph.D., ABPP

February 6, 2021: Listening to Clinical Process: What Do We Hear? Jeffrey Tuttle, M.D. & Laurie Raymond, M.D.

December 5, 2020: Overlapping Systems for Understanding Psychopathology: Sadomasochism, Character Organization, and Psychiatric Diagnosis: Marcia Kaplan, M.D.

July 25, 2020: You Never Look at Me from the Place at Which I See You: Selfie Culture and Cosmetic Surgery: Virginia Blum, Ph.D.

February 1, 2020: Psychodynamic Case Conference: Mia Perry, M.S.W., L.C.S.W. & Laurie Raymond, M.D.

November 9, 2019: FALL CONFERENCE: Sex as a Topic in Psychodynamically-Oriented Therapy: Sexual Fantasies and Sexual Orientation: Jennifer Downey, M.D.

July 20, 2019: Psychoanalysis on Tape: Termination: Karl Stukenberg, Ph.D.

April 27,2019: How Psychodynamic Formulation Guides Treatment Approach: A Case Illustration: Marcia Kaplan, M.D.

February 23, 2019: Known and Not Known: Treating Complex Trauma and Dissociation in the Context of Psychodynamic Psychotherapy: Keith Haas, L.C.S.W & Laurie Raymond, M.D.

December 1, 2018: Homosexuality: Psychotherapeutic Issues: Debra Katz, M.D. & Jeffrey Tuttle, M.D.

October 6, 2018: FALL CONFERENCE: How is the Pregnant Body Involved in the Mind? Missed Opportunities in Theory and Clinical Practice: Rosemary Balsam, F.R. C. Psych (London), M.R.C. (Edin).

July 14, 2018: Creating a Patient Ready to do Psychotherapy: Part II: Karl Stukenberg, Ph.D., A.B.P.P.

March 24, 2018: Creating a Patient Ready to do Psychotherapy: Part I: Karl Stukenberg, Ph.D., A.B.P.P.

February 3, 2018: "You," "Me," "I," "We": Laurie Raymond, M.D.

December 10, 2017: Scars that Heal and Scars that Never Heal: A Psychoanalysis Across Ages and Stages: Sydney Anderson, Ph.D.

November 4, 2017: The Assessment of Personality Organization in Psychotherapy: Jessica Gustavson, D.O., Jeffrey Tuttle, M.D. & Debra Katz, M.D.

August 5, 2017: On the Adolescent Neurosis: Debra Katz, M.D. & Jeffrey Tuttle, M.D.

April 29, 2017: Countertransference and the Transference Neurosis: Recognizing, Tolerating and Managing the Patient's Longings: Marcia Kaplan, M.D.

March 18, 2017: Integration of Employee Assistance Programs with Psychodynamic Psychotherapy: Discussion & Clinical Presentation: James Wayne, B. C.D., L.C.S.W.

November 12, 2016: Phantom Weapon Syndrome & Discussing Veteran Homecoming in New Ways: Travis Martin, Ph.D.

August 27, 2016: Neutrality in the Face of Self-Destructive Behavior: What's a Therapist to Do? Rita Robertson, L.I.S.W.

June 25, 2016: Introduction to the Work of W.R. Bion: James Gooch, M.D., Ph.D.

April 9, 2016: The Use of Fairy Tales in Psychotherapy: Jeffrey Tuttle, M.D.

November 21, 2015: Requiem for Vietnam: Reflections and Countertransferences of a Psychoanalyst: Jacob Lindy, M.D. & Joanne Lindy, Ph.D.

August 29, 2015: Mapping Trauma: Topography to Topology: Virginia Blum, Ph.D. & Anna Secor, Ph.D.

July 11, 2015: An Advance in Medical History: The Boy Who Could Learn to Read: Walter Troffkin, M.D.

April 25, 2015: Working Psychoanalytically with Narcissistic-Borderline Character Pathology (The Most Demanding Work You Will Ever Do): Marcia Kaplan, M.D.