Therapy Business Brief
Hi, I’m Avivit Fisher. I’ve been working in mental health marketing since 2017, and I write Therapy Business Brief for therapists who want to think more clearly about private-pay growth, without hype, urgency, or constant course-correction. Each week, I share perspective on private-pay growth, marketing decisions, and the realities of running a therapy practice.
🛎 [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...
Let's talk about income
Hi Reader, There’s a side of private practice that people don’t talk about enough. It’s not marketing. It’s not branding. It’s income. Even though we don’t talk about it openly, most of us have wrestled with these questions at some point. Often alone. How long does it take to fill a caseload? When is it safe to raise fees? Should I take insurance? What happens if referrals slow down? How do people create real stability over time? The answers to these shape our decisions and our financial...
🛎 [TBB #182] This is how to protect private-pay in 2026
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 The Ruler of Your Own Castle All therapists that I've ever worked with see clients for anxiety and depression. Many work with trauma and relationships too. And yet, none of them ended up with the same message. Each practice, after we clarified their positioning, became a distinct therapy brand. Arriving at that...
🛎 [TBB #181] Protecting Your Private Pay Fees with multi-state license
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 Keep or Lower? Here's a conundrum. If you're moving or expanding to a state with lower average fees, what are you planning to do about your rates? This isn’t a trivial decision. Lowering your fee once is easy. Raising it back later is not. And even a $25 difference per session compounds quickly across a full...
🛎 [TBB #180] The Real Math Behind Courses vs. Private Pay
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 Private-pay vs. Courses Throughout the years I've worked with therapists who considered building a course or a coaching program. Some wanted to do it for revenue diversification; others felt that trading time for money was becoming outdated. In many cases it was driven by the anxiety about the future. What I found...
🛎 [TBB #179] The State of Private Pay Practice in 2026
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 A new brief I've spent the last year observing the private pay practice model. I talked to clients and other therapists to better understand their experiences of attracting self-paying clients. The patterns I noticed are: Therapists are worried about large companies gobbling up the market share of small practices....
🛎 [TBB #178] The Private Pay System™ in practice
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 The Point of Messaging This week I've updated my website. Yet again. For the past 10 years I've updated it countless times as my niche, specialization and message kept evolving. Below are just few examples of my homepage from the last 3 years. From what you can see, the core of the business stayed the same...
🛎 [TBB #177] When ideal client work stops doing its job
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 The right fit is not the problem For years the foundational strategy work I did with private pay practices was based on the understanding of the "Ideal Client". Specifically, I relied on 3 categories to understand who the best fit was: What type of people you prefer to work with The type of people that can pay your...
🛎 [TBB #176] The hidden economics of bad decisions
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 The cost of making wrong choices In business (as in life), mistakes are unavoidable. But the unpopular truth is that many of them can be minimized. The now-popular adage “move fast and break things” worked for a specific period of time, and for a very specific type of business. Yet for years, we’ve been encouraged...
🛎 [TBB #174] The cleanest way to end your year
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 Let's wrap it up in a bow I confess, I didn’t reach any of the three goals I set for 2025. But what's more humbling is realizing that the goals I picked a year ago were completely misaligned with my business. Instead, I achieved other goals. Like doubling my revenue and getting crystal clear on what happens next....
Hi, I’m Avivit Fisher. I’ve been working in mental health marketing since 2017, and I write Therapy Business Brief for therapists who want to think more clearly about private-pay growth, without hype, urgency, or constant course-correction. Each week, I share perspective on private-pay growth, marketing decisions, and the realities of running a therapy practice.