Therapy Business Brief
Hi, I’m Avivit Fisher. I help therapists build stronger private-pay practices through positioning, visibility, and better business decisions. Therapy Business Brief is for practice owners who want to grow with clarity, not more noise. Each week, I write about private-pay strategy, marketing decisions, and the economics of building a sustainable therapy business.
🛎 [TBB #175] Introducing the Private Pay System™
THIS ISSUE IS SPONSORED BY Trusted by over 225,000 practitioners. For a limited time, get 50% off your first four months. Activate your exclusive trial today NOTES FROM THE EDITOR Introducing: Private Pay System™ If you’ve been in private practice for a while, you’ve probably done many of the “right” things: updated your website, refined your niche, maybe even invested in marketing support, only to find private-pay growth still hard. That gap between effort and outcome is something I’ve been...
Resending: 🛎 [TBB #193] Private-pay practices are facing the same 3 problems
Today, my message will be short and straight to the point. After speaking with numerous therapists in the last few months, this is the pattern that I see: Many experienced a decrease in referrals Plateauing caseloads Confusion about the future of independent private practices Instead of doom-predicting or pretending that it's "business as usual", I've put together a list of resources that will help you focus on stabilizing and increasing your revenue. All are free, and designed to help you...
🛎 [TBB #193] Your Free Revenue Generating Library
Today, my message will be short and straight to the point. After speaking with numerous therapists in the last few months, this is the pattern that I see: Many experienced a decrease in referrals Plateauing caseloads Confusion about the future of independent private practices Instead of doom-predicting or pretending that it's "business as usual", I've put together a list of resources that will help you focus on stabilizing and increasing your revenue. All are free, and designed to help you...
🛎 [TBB #191] Do you accept the costs?
This week I debuted my Private Pay Practice Framework at the Therapy Flow summit. My main argument was: Growth tactics fail when the underlying system (positioning, referrals, visibility, operations) are not set up right. In other words, doing more SEO won't help you attract clients if they don't understand why you're the obvious choice for them. Here's a short clip of what I mean: But the most important point from the presentation that I want to highlight today, is the difference between...
🛎 [TBB #191] The true significance of AI tools
Last week I went to a Digital Health New York event. The panel discussion was dedicated to Clinical AI in Healthcare. I wrote about my impressions of the event and the discussion here. But a week later, I am finally able to distill my main takeaway from the impact of AI on healthcare, and more importantly mental health. The true value that AI tools bring to this space is not speed of execution, and not quick data synthesis. I also don't believe that it will be a replacement for therapists,...
🛎 [TBB #190] You've changed, I've changed, everything's changed
I've written about this before. Directory referrals have become less reliable, SEO is fluctuating, the AI impact on business and people is still unclear. And as referrals plateau, or worse, dwindle, panic is setting in. We find ourselves drowning in information, data, and opinions without a clear direction. So in this world of uncertainty, all we crave is a bit of stability and predictability. That's why insurance panels, additional revenue streams, or even change of careers feel more...
🛎 [TBB #189] This will be you best ROI this month
Today is an unusual issue. Instead of sharing my insights on growth and marketing, I'll treat you to a list of opportunities for growing your practice this month. This is truly an ROI issue so make sure you save it. May is shaping up to be a strong momentum month, and I invite you to participate in at least one of these opportunities. None of us want to be caught off guard this summer, so let's get ready! May 4-7: The Private Practice Growth BundleValued at over $1700, it's a FREE bundle...
🛎 [TBB #188] 18 proven principles of Private Pay Practice
After a decade of working with private-pay practices, I've distilled everything I believe about sustainable growth into this. These are the principles behind every engagement I take on. I'm calling it the Private Pay Manifesto™. THE PRIVATE PAY MANIFESTO™ For therapists building a sustainable private-pay practice. Every therapist deserves a marketing system that is simple, ethical, and sustainable. Not louder. Not trendier. Not overwhelming. Clear, strategic, and aligned with how real clients...
🛎 [TBB #186] What 10 years of Mental Health marketing taught me
NOTES FROM THE EDITOR This week I did a quick retrospective of my last 10 years in the mental health space. I revisited past client work, notes, and outcomes. Having worked with dozens of practices over the years, it was interesting to see what has changed, and what hasn’t. Here is what stood out: Mental health has shifted from a niche topic to the forefront of healthcare conversations. The provider market has exploded and the competition has become more complex due to big tech and AI. Brand...
🛎 [TBB #186] How to be chosen by clients
NOTES FROM THE EDITOR There's one aspect of client attraction that is almost never mentioned by marketers. But but it’s central to your business strategy: Being consistently chosen by your "ideal clients". Every time I work with a private-pay practice, I run into the same issue: They’re not the obvious choice yet. While you can't predict other people's behavior, you can influence how easy it is for someone to choose you. When your positioning is clear and specific, the right clients don’t...
🛎 [TBB #185] That $13 lead isn’t what it seems
THIS ISSUE IS SPONSORED BY Mentaya is a mental healthcare startup that helps private practice therapists unlock the value of out-of-network insurance benefits for their clients. Use the code AVIVIT for a 30-day free trial of the Benefits Checker. NOTES FROM THE EDITOR Last week I had lunch with a friend whose business is a luxury design service. During our conversation, she received a new lead through an app that “guaranteed” business leads at $13 per lead. Naturally, she was excited. In her...
Hi, I’m Avivit Fisher. I help therapists build stronger private-pay practices through positioning, visibility, and better business decisions. Therapy Business Brief is for practice owners who want to grow with clarity, not more noise. Each week, I write about private-pay strategy, marketing decisions, and the economics of building a sustainable therapy business.