Archive for Julie Onofrio

A Career in Massage – Is it for you?

I just released my first book last month on amazon.com! A Career in Massage – Is it for you? It is something I have been working on for over 10 years really.  It actually started as my first Ebook which I sold on one of my first websites created using Site Build it!  I started selling ebooks a few months after starting the website and now it is a paperback book (kindle and nook coming soon!)

It has felt like basically my life’s work to complete this book.  It is everything that I wish someone had told me about becoming a massage therapist. 

No one ever told me it was going to be this hard!

No one ever told me that it was about building a business!

No one told me that I would get burned out helping and that helping was a sign of something that is going wrong!

What I did want was a more rewarding career- one where I could be making more of a difference and one where I had more freedom.  I got all that but I never thought having freedom would also mean having no money! I of course lived simply (and still do – living in a mother-in-law house on a 5 acre ‘mini’ farm with horses, chickens that I take care of when my landlords are away where I also have a very large garden.)  I could set my own schedule, sleep in, take long lunches which in the early days included a ferry ride to a neighboring island for lunch and I could just get by without many cares.

Then my 40′s hit and the realization that retirement would be impossible at the rate I was going.  I also had some major health issues starting in 1998 which is one of the reasons why I did start this website. (I had severe, debilitating vertigo for about 10 years – gone now -knock, knock, knock.)  Back then it was just more something to do when I was stuck at home feeling sick.  I started writing and putting notes together on everything I wished I had more help with or had known about becoming a massage therapist.  It turned into this website that is basically my massage school notes.

Today it seems even more competitive with the increasing number of massage schools up until about 2007 when the number of schools started leveling out due to the economy.  There are many news sources like US News and World Report saying things like massage is an upcoming career for 2011.  The problem is that most statistics are really inaccurate because of things like most massage therapists are self employed so income and other stats do not count those massage therapists.  Schools take news reports like that and run with it continuing to tell potential massage students that they can make tons of money while having their own schedule and flexible hours.  Well you can get some of that but you won’t have enough money to retire on.

There are so many other things that massage schools are telling potential students that is just inaccurate so that they can make a career in massage sound more appealing:

  • You can make $60 an hour
  • Health insurance is covering massage
  • You will find a high paying job really easily
  • You can work on a cruise ship and travel the world having fun
  • You will be working in this soothing, relaxing environment like all the nice pictures they show at spas and health resorts
  • People love massage and will soon be flocking to your door if you just set up shop
  • You will be helping people

What they don’t tell you is that you will have to touch people! Imagine that!  Yes some massage students don’t realize that.  Touching has a much deeper meaning than most can imagine.  You can find out more in my book of course!

 


A Week of Massage Envy

Everywhere I looked last week, it seemed like someone was talking about Massage Envy (ME)- some good, some not so good as discussions about ME go…

Here is what I am referring too -(These are all from discussions on Facebook or linkedin.com or from newsfeeds.)

  • ME was mentioned in a thread saying that the massage therapists at one location were doing ‘Happy Endings” and the owner was notified and didn’t want to do anything about it.
  • One of the most searched for keywords on my site www.massage-career-guides.com is ‘massage envy sex’.
  • In one area, ME is connected to many companies who offer their employees health incentives or challenges.
  • Many massage therapists feel threatened by ME and feel that they have to reduce their rates to compete with ME and that ME are putting them out of business or at least making them work harder to get clients.  ME is said to be the Walmart of the massage profession.
  • ME is also a good way for massage therapists to get experience.  One long time employee is now going out on her own!

What interests me most about ME is the fear reactions that it brings up in many including myself at times.  Hearing that ME was offering massage to companies too left me wondering what is next – where will they go next?  Will there be only ME around the country offering low cost massage (good for the general public- not so good for employees paid low wages but they get experience.)

So if the general public is also moving towards preferring low cost massage what can the massage profession learn from this and what can be done about it?

The thing is that we don’t have any actual statistics to see what is really going on and how ME (or low cost massage franchises) are affecting the massage profession.  I am not sure if there is even a way to measure that or track that as there are so many other things going on in the profession right now- the Alliance for Massage Schools, the FSTMB, the NCBTMB, more research and teaching MT and medical professionals about research, more advanced training to learn new methods to help clients more, more acceptance by the medical profession and insurance is happening a little each day, moving into hospitals and hospice settings – many things are always changing and happening in the profession.

You can look at the few instances from your own practice and think that Yes ME is having an impact on your business.  Also looking at the list that I started with, it seems like ME is everywhere and into everything.  Will they start doing insurance billing?  ( I did hear that about a year ago but not sure if it happened or not).

Sometimes I also think that the best advice for a person considering massage school is to go to take business classes in college and buy a Massage Envy!  It is half being sarcastic and half truly what I think!

What do you think of ME?  How do you think it affects your practice and what you are doing?  If you work at a ME – what do you think? (There are always such a wide range of answers to that- many love it or many don’t like it.)

 

Massage Price Wars – What’s a massage worth?

Whenever massage therapists start talking about setting prices for their massage business the discussion can get quite interesting.  There is such a wide range of thinking and also a wide range of pricing.

Franchises have set low rates to try to get more clients over everyone else.  Many think that these low rates are hurting the massage profession.  Massage therapists who are located near these places feel that they can’t compete with such low prices or they lower their rate to match or undercut the franchises. On the other hand, many of these franchises actually have extensive advertising budgets and have commercials on TV and in major magazines such as Oprah.  Not everyone signs up for their memberships so in a way it is advertising for the massage profession.

On the other hand are the MT who charge way more than the going rate.  I have heard people who charge double and triple the going rate in an area.  It is illegal to do that when an insurance company is paying as far as I know. What are they doing for the profession? They of course also have to target people who have more money.  Why should people with more money have to pay more? Are they really worth that much more? When you charge more, you need to have more value or provide a specialized service.

Massage therapists who are just starting out will often feel like their work is not worth charging more.  They have less experience and are not as skilled as someone who may have been in the business for 5 or 10 years.  I have also seen many MT who have been in the business for 10 year or more who have never raised their rates and started out low to begin with.  How can someone charge so much for something so wonderful?

When I first started out in massage, I opened my practice in a health club renting a treatment room.  A friend of mine from massage school had just started there and had taken the practice over from a guy who was charging really low rates even for that time.  I can’t remember exactly what he was charging but I know we raised them a little to be more of the going rate for the area.  A year or so later, I was talking to a client who was also an accountant about raising rates and he said flat out not to raise my rates because I will lose too many clients.  I didn’t listen to him and went ahead and raised my rates.  I might have lost a few but I also gained many.  It was really scary to raise them thinking that I would lose too many clients.  What I found though that there were people willing to pay more for my massage services. My schedule was filled with people who were doing just that.  Yahoo!!!  Making more money!

Every few years I raise my rates.  I do give regular clients discounts when they buy packages of massage up front.  I have had all sorts of experiences when raising rates.  I had one client who was really wealthy and never minded me raising my rates every so often until one year he started complaining saying that he came so often that I should give him a discount.  He was also my most difficult and physically demanding client to work on.  I did raise his rates despite his complaints and he was unhappy and looking for another MT but was also moving out of town soon so didn’t bother to change.  I had another client once tell me – “You never have to explain why you are raising your rates and I would think less of you if you didn’t raise your rates each year.  It is just business.”

That brought me out of the fear of charging more and raising my rates each year. That’s what it is all really about I think – the fears.   If I don’t charge lower rates than everyone else I won’t get any clients.  If I charge too much, I won’t get any clients.  Either way it is just fear.  It takes time to work through those fears or you can take the leap and charge what you need to to make a decent living right from the beginning.  You have to be worth it -in skill and in self confidence.  The process can move faster when you have a mentor or group for support.

What is a massage worth?  What is your time worth?  That is what you are really being paid for – your time away from your family and friends.  How many people on their death beds have said “I wish I had worked more”?

My goal is to work less and make more.  Yes many will probably think that is being greedy.  I see it as one of the highest forms of self care.

A few years ago, I decided to stop taking clients who had a certain insurance plan that paid the lowest out of any insurance company.  At first, it hurt my business for a few months but I stuck to it and all of a sudden my schedule was filled with clients who had the insurance that paid the most.  I had never had many of those clients previously.  I just thought it was because no companies in my area carried that insurance or something. It wasn’t true.

Recently, I have had to make big changes in my massage business. One of the insurance companies who paid the most out of all of the insurance companies, cut their allowable fee almost in half.  Half of my massage business last year was working on those clients.  This year I have had to focus on getting more cash clients to make up the difference.

It takes time to adjust to price changes usually, but it is well worth it in the long run. Working for less than you need to make can be draining and make you feel resentful. (Yes, massage therapists may have bad feelings toward people who pay less. We are human!)

People are willing to pay more for a massage (or anything for that matter) when you offer something with more value.  Value determines price.  The thing though is in defining value.  It is basically what your client wants or needs.  If your massage business looks like and feels like everyone other massage business, then your potential clients can not easily decide on who to go to so they will choose the massage therapist with the lower price.  (As I just wrote that, it made me think of the many massage franchises out there.  Are they able to have lower rates and be successful because most massage therapists don’t know how to separate themselves from everyone else? Hmm..just a thought.)

Separating your massage business from everyone else can be a challenge for many MT. I separate myself from others simply by writing about massage and what it does extensively on my office website.  I don’t do any other marketing or advertising.  I provide the information that shows that I am different than a franchise or local chain that has lower prices. My massage is unique.  I do deep tissue work but use a lot of triggerpoint work combining the two.  It just works for me.

When it comes down to competing on price alone, no one wins.  Someone will always be out there offering a lower rate.  Someone is always going to charge more.

What is right for you depends on how much you need to make, how many hours a week you are able to work and the rate that you charge.  You need to be able to stay in business.  You will need to take a salary and pay your bills, stay or get out of debt, take nice vacations, get a massage once a week and save for retirement.  Just set your fees according to what you need to make!  It is also about what you feel comfortable charging and working towards developing your skills and confidence to be able to charge more.  What is your time worth?  What is it worth to be able to give someone their life back who has been living in pain for the past few years?  What is it worth to provide regular massage to a world class athlete to allow them to be the best in their field?  What is is worth to give a massage to someone who just lost their spouse or are in the end stages of life? What is it worth to give a massage to a homeless person who is in pain from living on the streets?  What is it worth to give a celebrity a massage or CEO of Microsoft?  What is it worth to give a massage to the local grocery clerk or factory worker?

 

Using magic to get massage clients – The power of boundaries

Sometimes it just seems like magic that I get massage clients.  Some would think that I am talking about the law of attraction idea but it is much more than that. I used to buy into the LOA and kept reading everything I could but you know it never really worked for me after all that.  I’ll write my next post on that but for now back to getting massage clients using magic.

I have written about the many different ways to get clients – there is the big list of marketing ideas, how to make websites, how to get clients through building a referral network and yes I have done many of them with my focus on my website.  Since the creation of websites, it has been such a big relief for me because frankly I just hate marketing and networking – yup it’s true. Websites for me are ideal being an introvert and shy – yup that’s true too.  For the most part my website is the only thing I use to get new clients.  When people are looking for massage online they are already want a massage.  Those are the clients I want mainly because I don’t have to do much to turn them into a regular client.  They already know what massage does and that they get relief from it or if they are a first time or fairly new to massage -they are at least open to massage. After all they are searching for massage.

So yes sometimes even with that my massage business is slower than I would like it to be but there is a whole other side to that.  My business is slow usually when I have something else on my mind or on those days when my heart just isn’t into doing massage.  Since the beginning of the year after having my best year ever last year massage wise I found that the main insurance company that I had been working with that also happened to pay the most out of any insurance company was reducing my allowable fees – well not just reducing but cutting them almost in half.  That meant I would have to do twice as many massages to make the same amount as last year.

In Feb, I received some distressing health news that further complicated the issues and frankly I just didn’t feel like working much doing massage.  I was exhausted from dealing with everything.  I didn’t like taking the insurance clients that I was – not because I didn’t like the people but it was just so discouraging not to get paid the same.  I couldn’t work more than I did last year with this new health issue- Don’t worry I am OK – just a hereditary high cholesterol issue that was also creating plaque in my arteries.  I have lost 15 pounds, stopped eating sugar and gluten and high fat foods, started walking more and am on my way to being healthier than ever. I reduced my cholesterol by over 50 points in about 3 months!

So back to using magic to get massage clients.  So there I was feeling like I didn’t want to do any massage, feeling frustrated with the insurance companies and thinking that I too would do an Oprah moment and think about ending my massage career at 25 years which would be at the end of this 2011.  One day last week I also tweaked my knee running to the bus and couldn’t work much that week so one afternoon I just laid down on the table and stretched and asked – What is all this telling me? What am I supposed to be doing?  What am I missing?  What do I need to change?  It became clear that with the physical challenges I just need to get even clearer about who I want to work with as a client.  My time is limited so I need to make the most out of every hour that I work. I spent about an hour and just came to know that my next steps would be to just stop taking insurance clients.  I thought also about how a few years ago I had to put my foot down and stop taking one of the insurance plans that paid the least out of them all.  That was a big decision since it seemed those people called the most.  I didn’t have any of the higher paying insurance clients calling.  It was a scary move to make.  I just finally one day said no more.  I had about a month of not being as booked as I like to be. (I usually like to do 12 sessions a week.) But soon the situation changed and I had moved all of the clients with the lower paying insurance out and all of a sudden the one’s with the higher paying insurance started arriving.  It is sort of like I had to make room for them to start calling.  I had to have faith that it was the right thing for me.  I was a little worried but I never went back on my boundary – no clients with the low paying insurance any more for me.  I did have a few moments when I thought I would have to break that but I didn’t.

So now the day I made the decision to stop taking insurance clients – before the decision my day was just one of those days right from the start.  I missed the bus running for the bus and tweaked my knee to boot.  After I got really clear about my goals and what boundaries I needed to set for myself the phone started ringing and my email box was lit up with the little red star telling me I had new mail.

Everytime in my career that I have set such boundaries, the more successful I have become.  I felt better the minute I made the decision.  I hadn’t been doing much to market myself because of my health challenges yet still the phone started ringing – OK I do have a website that is at the top of the SE for my keywords but it’s like magic – it knows when I am feeling like I can’t work so it doesn’t get me new clients.

Boundaries are so important. They are what support you in the process of building a business and throughout your personal life.  Getting clear is the process of getting to know yourself better each time.  You often don’t know how decisions will work out but you can learn first hand when you see the contrast between your choices – how does each one feel? Your feelings are what tell you when you are on track.  Keep making decisions that help you feel relief – just the slightest bit of relief will do! It doesn’t have to be a major life change.  Your boundaries are there to guide you and keep you on track for your goals and for your purpose or mission.  They will help you make difficult decisions – the one you have to make to stop seeing clients that don’t pay enough.  You might see that as being greedy or materialistic – I used to also think that.  The more I go through this though the more I see that it is just good self care.  What can you do right now to practice good self care right this minute?  What boundary do you need to set that supports the belief that you are valuable and are worth it to have as many clients as you need?

Massage Professionals in Cyberspace

I have been doing a lot of introspection on the whole dynamics that occur with online discussions in the massage profession on the many different sites – Facebook, Linkedin.com, www.massageprofessionals.com and www.bodyworkonline.com to name a few and really find many of the discussions very insightful but the online dynamics can really cause quite a stir.  I have been learning about online communications for years mainly from being online myself since 1999 with my first website www.thebodyworker.com.  I have found myself just trying to share information and get caught in the middle of some ugly comments and what are really misunderstandings or miscommunications.

One of my earlier incidences was someone who ended up calling me at my home and yelling every profanity in the book and many I have never even heard.  It all came out of me asking about his website service and how it could help MT. He answered rudely and I just asked more questions.  I also just posted what I had found out about his services which was not very much made a comment about how rude he was which lead to the phone calls.  That was before privacy domains and now my home phone is unlisted.  I have many people in my own Yahoo! discussion group become bullys and verbally abuse me and the group.  I would always try to reason with people to help them understand but quickly found out there was no reasoning and it only got me deeper in trouble with them.  I now just used the delete and ban member option.

So what makes online communication so interesting, challenging and difficult?  Part of the problem is that people of course are just reading what I am writing and don’t hear your voice with the inflections of emotions or tones so they read their own tone into things.  People also have a tendency to say different things online then they would if people were standing directly in front of them.  They feel less inhibited because there is no one standing right in front of them. It is called the The Online Disinhibition Effect. You most likely have never met in person. You don’t really know the real person you are communicating with.  You just know their online presence and don’t know much about them.    Many of the forums you can also just create a username that is not your real name or post under multiple identities which has happened on a major forum. Often you don’t even know if anyone is reading which has been one issue for me personally. There are also many who read but never post – the lurkers.  They actually probably learn more than anyone else in some ways!

It is the way of online communications.  I know I can be guilty of many of these things this being an introvert and shy but writing online has given me a way to have a voice and communicate more than I would if I were in a room of MT.  I would be the person sitting in the corner talking to no one the whole night. I’d be guarding the veggie dip bowl so I’d have something to talk about if someone came up next to me.  I’d leave early or just drop in and make an appearance and leave. So writing online has been very therapeutic for me and also part of my growth process.

Here is more of what I have been learning about communicating online.

Nothing is personal online.  If someone does not respond to something you post don’t take it personally.  It doesn’t mean anything.  People are busy.  There is a time lapse in communications so it does leave people time to think but often people just react and start typing.  When you are reading something, the feelings that you are having are your own!  Many may refrain from interacting thinking that they don’t want to be attacked.  Many discussions can seem like an attack but are not unless the person specifically says : You so and so are a bad massage therapist or whatever.  The feelings of being attacked can be from some other area in your life -either the past or present.  It can be a good opportunity to explore these issues with a supervisor or counselor. This is transference showing up again.  It is in all aspects of relationships not just the client/therapist relationship.  One of the effects of online disinhibition may be the enhancement of transference reactions meaning that when you can’t hear someone talking and don’t have face to face interactions with people the level of transference can be escalated. (More on Transference).  That means that there is just a much greater chance of being misunderstood online and that most things are not personal!

The goal is to stay safe online and to learn from others and share but not have to worry about being threatened or attacked.  Is it safer to not speak up or to speak up and risk people mis-interpreting your written words online? It is again a matter of boundaries and setting clear lines for yourself.

The best way to help increase the effectiveness of communicating online is to start meeting people offline.  How about on big Facebook MT party!

My goal for the rest of the year is to also start talking to more people in person or at least through video chat or one of the new in person video communication systems.  I also am planning on attending and organizing more local meet ups at www.meetup.com and going to a convention or two!