We're hiring for retention, not burnout.
A small private practice in Maryland and DC, building thoughtfully — with the time, tools, and community that make this work sustainable across a career, not just the first three years of one.
Most therapists don't leave the profession. They leave the conditions of it.
The standard model of private practice asks clinicians to carry 28–32 sessions a week, write their own notes after hours, navigate insurance alone, and find peer support on their own time. The result is predictable: even the most committed clinicians burn out within five to seven years, or quietly reduce their caseload to the point where they can no longer afford to do the work they love.
Tabula Rasa Therapy is built around the opposite premise. Caseload is something to protect, not maximize. Documentation is a problem we solve with technology, not by asking clinicians to stay late. Peer community is part of the work week, not a luxury reserved for those with time left over. The offices we practice in are designed for the clinician's nervous system, not just the client's.
None of this is radical. It's just rare. The people we want to work with are clinicians who are good at this and intend to stay good at it for the next twenty years — and who recognize that staying good requires structural support, not heroic effort.
Four concrete commitments.
Values without specifics are marketing. Here is the actual deal.
A caseload that respects the work
Full-time clinicians cap at 22 client sessions per week. That's substantially below the 28–32 that's standard in private practice — and it's intentional. The extra hours go to documentation, peer consultation, your own thinking, and the kind of bandwidth that lets you be fully present in the next session.
Part-time arrangements are welcome. We'd rather have a clinician working 12 sessions a week sustainably for ten years than 30 sessions a week for three.
Documentation, handled
Every clinician has full access to Mentalyc, the HIPAA-compliant AI documentation tool built specifically for therapists. With consent, it turns each session into a structured, insurance-ready progress note in minutes rather than the 30–45 it normally takes.
The clinical judgment stays yours. The administrative drain goes away. Most of our clinicians finish their notes before they leave the office.
The admin you'd rather not do
Billing, insurance verification, claims follow-up, scheduling — handled by the practice. You don't manage your own credentialing renewals, you don't chase down denied claims, and you don't spend Sunday evenings reconciling a superbill spreadsheet.
Your job is the therapy. Everything else is ours.
Community built into the week
Peer consultation is a regular part of your schedule, not an after-hours obligation. Karla holds protected weekly time for case discussion and clinical reflection with the team.
Through our Olida Bethesda membership, you also have access to a network of 800+ clinicians across the DMV — speaker series, peer groups, a private referral network, and a beautifully designed members-only lounge for the in-between hours.
A practice with gorgeous views and the option of never going there.
When we practice in person, we practice at Olida Bethesda — opened in May 2026, thirteen offices designed exclusively for therapy on Old Georgetown Road. We were among the first cohort of practices in the building, and we chose it for the same reason most of our colleagues did: when the space takes care of itself, you take better care of your clients. Floor-to-ceiling views. Natural light. Soundproofed walls and sound masking throughout. A private members-only lounge with snacks and beverages for the spaces between sessions.
The point isn't the aesthetic, exactly. The point is that the environment a clinician works in shapes what they can give to the client across an eight-hour day. Beautiful, quiet, regulated rooms are an underrated form of professional infrastructure.
And: this is genuinely optional. Telehealth-only clinicians are full members of the practice. Hybrid is the norm. The offices are available when you want them, not required when you don't.
A built-in community of over 800 therapists, so you don't have to practice in isolation. Peer consultation, speaker series, networking events, a private referral network — and the kind of professional rhythm that's actually possible to sustain.
A neighborhood that gives back to the clinician.
Bethesda's Old Georgetown Road corridor is one of the easiest places in the DMV to take care of yourself between sessions. We chose it for the building, but we stayed for the block.
Equinox Bethesda
For the clinician who treats their own nervous system as the most important instrument in the room. Mindfulness classes, yoga, strength training, recovery — a block from the office.
Cafés, restaurants, real food
The kind of walkable lunch options that don't require you to eat at your desk. A practitioner's lunch break should feel like one.
Metro and parking, both easy
Bethesda Red Line is a short walk. Discounted parking in the building, plenty of street parking around. The commute isn't the part that exhausts you.
Clinicians who want to practice well for a long time.
We're a small practice, hiring slowly and thoughtfully. The qualifications matter — but so do the patterns of mind that make sustainable practice possible.
Licensed clinical social workers and licensed graduate professional counselors
LCSW-C or LGPC in Maryland, DC, or both. Independent licensure preferred but not required; we are willing to support clinicians working toward independent practice with structured supervision.
A few years of clinical practice, in any setting
Hospital, community mental health, school-based, group practice, or fellowship — what matters is that you have real client hours, real supervision, and a felt sense of the work. Recent grads with strong training are welcome to apply.
A clinical orientation that's thoughtful, not formulaic
Psychodynamic, family systems, CBT, IFS, trauma-informed — we don't require a specific framework. We do look for clinicians who can articulate why they work the way they do and who are curious about the work of other clinicians too.
A commitment to staying in this for the long haul
This is the most important one. We're investing in the clinicians we hire — through caseload protection, technology, admin support, supervision, and community. In exchange, we're looking for people who want this to be the practice they grow with, not the practice they pass through.
If any of this resonates, we'd like to talk.
Send a short note about yourself, your training, and what you're looking for in your next practice. Karla reads every inquiry personally and responds within a few business days.