profile

Therapy Business Brief

🛎 [TBB #165] Don't focus on passive income before you do this


PARTNERS AND SPONSORS

Today's email is brought to you by my Marketing Strategy Calls. Build a simple 90-day marketing plan in 60 minutes. Book Your Call.

NOTES FROM THE EDITOR

The Math Mistake

Often, creative people have a hard time focusing on completing their work. Creative minds work overtime when it comes to ideas. Leonardo da Vinci was arguably the most creative of them all and was notoriously bad at finishing his paintings.

Similarly, entrepreneurs see opportunities everywhere. Especially when it comes to creating new streams of income. Having fallen into the trap of looking for additional revenue sources and passive income myself, I now see it as a mistake.

Many therapists I speak to chase the dream of passive income too. And while it seems like being enterprising, they often start prematurely.

To be clear, I'm not against creating additional revenue streams. I just think that focusing on them too early in business can derail us from creating a solid primary income stream first.

Here's what I mean

Imagine that you're starting to get traction in your practice. Your caseload is almost full and you're wondering:

"What else can I do?"

There are different opportunities out there. You can hire associates, you can launch a coaching program, or start writing on Substack.

But what happens when something changes in the market and your referrals start to dry up? Now you have an associate you need to promote or a coaching program you must fill.

Your energy, instead of being focused on filling your own caseload, is now being used to justify your other revenue streams. So what do you focus on now?

Let's do some crude math

I'm not particularly good at math, nor am I a financial advisor. I'm just a marketer who wants to show you what's possible from having a full caseload.

Let's say your caseload consists of 20 weekly private-pay clients and your fee is $200 per session. That means that your yearly revenue (48 weeks) could be $192,000.

On average, a client stays in treatment for 20 sessions, about 5 months. So to keep your caseload consistently full, you'll need to attract 4 new clients a month.

Can you do that?

It means that even if your conversion rate is 50% (amazing), you'll need to generate at least 8 leads a month.

Do you have a system in place to consistently attract new clients?

If the answer is no, keeping your caseload full must be your focus and top priority.

But what about the passive income?

Wonderful question. Let's do some more crude math.

If your yearly revenue is $192,000 and you put away 5% for retirement ($9,600), with an average of 10% compound growth, you can look at around $550,000 in 20 years. That's the safest passive income there is.

But you can take it one step further and invest another 5% in something else, even another business. This is riskier but has the potential of higher returns.

Again, I'm not a financial advisor. I'm just doing some basic math to help you succeed with what you already have.

If you want to grow

Once you have a solid marketing system in place to generate leads and attract new clients, you can replicate it.

You can replicate it for a new location or a new hire. What's more, this system can become a business asset if you decide to sell your practice in the future.

So, if you want to grow your income and generate another revenue stream, build your systems first.

And now to the news!



NOTEWORTHY

Creating Online Courses the Smart Way

SimplePractice shares why so many therapists are drawn to online courses, and how to approach them realistically.

Why it matters: Passive income sounds great, but timing and structure make all the difference. This helps you decide if it’s worth pursuing.


Affiliate disclosure: I’m a SimplePractice affiliate, which means I may receive a small commission if you decide to use their platform at no additional cost to you. I only recommend tools I trust.


BUSINESS AND PRIVATE PRACTICE

When (and How) to Hire for Growth

Blueprint breaks down the signs that you’re ready to bring on help and how to scale your practice without losing momentum or sanity.

Why it matters: Hiring at the right time is a strategic move, not just a reaction to being busy.


INDUSTRY NEWS

Big Bets & AI Reveals at HLTH 2025

At this year’s HLTH conference, health tech companies announced major investments and AI-driven tools poised to reshape digital health.

Why it matters: These moves often trickle down to how clients find, choose, and interact with providers, including private practices.


FINAL THOUGHTS

I believe in using the resources you have.

Sure, it's nice to have a large advertising budget and a big team. But, for most of us this type of growth is unrealistic.

What you have now is the ability to see clients, your time, and energy.

That's enough leverage to start building your own future.

See you next week,

Avivit

Therapy Business Brief

Hi, I'm Avivit Fisher, the creator of Therapy Business Brief.I've been helping therapists fill their private pay caseloads since 2017. Every week, I link mental health industry updates, marketing, and private practice strategies, so you can uncover the opportunities for growing your practice.

Share this page