Why Specialist Accounting Matters for Therapists.

When your work is people-first, your finances should feel effortless.

Running a therapy practice is very different from running a typical business. Your income may fluctuate across the year, payments can arrive across different platforms, and the line between professional and personal spend must be handled carefully and consistently.

Specialist support creates clarity. It keeps your income properly tracked, your expenses organised, and your tax position planned — so you’re not reacting at deadlines or guessing what you owe.

With Rothstone, accounting becomes a quiet support system in the background: compliant, efficient, and designed to save you time while strengthening your financial health.

  • Clear tracking of client income and session fees
  • Better control of practice costs and day-to-day expenses
  • Tax efficiency supported by clean, accurate records
  • Ongoing compliance without last-minute pressure

Therapist Accounting FAQs

We work with therapists and private practice owners who want clean records, a clearer tax position and less admin — whether you’re newly self-employed or running an established practice.

We handle the essentials with precision: bookkeeping, accounts and tax compliance — plus the structure that keeps your finances organised as your client list and income streams grow.

Yes. We focus on sensible planning, grounded in accurate records — helping you understand what’s deductible, what to set aside, and how to stay compliant without overpaying.

Absolutely. We keep your reporting consistent and your cash position clearer — so you can plan calmly, even when your diary and income fluctuate.

Simple and discreet. We learn how you work, organise your records, and agree a clean process going forward — so everything runs smoothly from the first month.

Call Us:

0208 264 0016

 

Book a free, no-obligation conversation. We’ll understand your practice, highlight where control can improve, and outline a clear plan — delivered with Rothstone’s calm, premium service experience.

Request a call back

What our therapist accounting covers?

01 ⎯⎯

Clean Bookkeeping & Records

Consistent bookkeeping that keeps your income and expenses tidy — making tax, reporting and planning feel straightforward.

02 ⎯⎯

Income Tracking & Visibility

Clear tracking of client receipts and session fees, so you always know what’s coming in — and what that means for tax and cash flow.

03 ⎯⎯

Tax Planning With Care

A measured approach to tax efficiency — helping you understand deductible costs and keep your position compliant and well-supported.

04 ⎯⎯

Compliance Without Pressure

Accounts and filings handled properly and on time — removing deadline stress and keeping everything in good order.

05 ⎯⎯

Smarter Practice Decisions

Clearer numbers that support pricing, investment and growth decisions — grounded in reliable reporting, not assumptions.

06 ⎯⎯

Simple, Modern Workflows

Streamlined processes that reduce admin and keep information current — so your finances stay organised without consuming your time.

07 ⎯⎯

Support as You Grow

As your caseload expands, we keep the finance function composed — with reporting and support that scales with you.

08 ⎯⎯

A Trusted, Long-Term Partner

A relationship-led service from Rothstone — reliable, discreet and built around what you need, not a one-size package.

Our Services.

Accounts »

Audit »

Bookkeeping »

Advisory »

Cloud »

Forensic »

MTD »

Payroll »

R&D »

Taxes »

VAT Services »

Financial Clarity That Lets You Focus on Care.

A discreet, dependable finance function — so decisions feel calm, confident and timely.

In private practice, time is precious. The goal isn’t just compliant accounts — it’s a finance setup that quietly supports you month to month, so you can plan, invest and grow without the background stress.

Rothstone keeps your position decision-ready through the year: tidy records, clear visibility, and careful planning that helps you stay organised and confident — without pulling focus away from your clients.

  • Cleaner, more consistent reporting throughout the year
  • More clarity on what to set aside for tax
  • Less admin friction and fewer deadline surprises
  • A calmer experience as your practice develops

The result is simple: clarity in the numbers, and more space to do the work that matters.

Why Choose Rothstone?

  Traditional Accounting Firms Rothstone Accountants
Understanding Generic support without practice nuance Built around therapists and private practice realities
Record Keeping Inconsistent bookkeeping, reactive tidy-ups Disciplined records that stay clean year-round
Tax Planning Mostly year-end conversations Ongoing planning to improve clarity and efficiency
Compliance Deadline-led, stressful when busy Calm, controlled compliance with fewer surprises
Service Style Transactional and admin-heavy Relationship-led, discreet and premium to work with
Overall Outcome Meets minimum requirements Delivers clarity, time back, and better control