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.
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​ THIS ISSUE IS SPONSORED BYTrusted by over 225,000 practitioners. For a limited time, get 50% off your first four months. Activate your exclusive trial today​ NOTES FROM THE EDITORIntroducing: 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 watching closely for years. I entered the mental health marketing space in 2017, when very few people were focused on this niche at all. Since then, I’ve seen waves of solutions come and go. Coaching programs, agencies, platforms. Some built on substance, others on momentary hype. Over that same period, my own consultancy, REdD Strategy, has evolved alongside the market. In 2025, as I tested new offers, products, and formats, one thing became increasingly clear: most private-pay challenges aren’t caused by lack of effort or skill. They’re caused by the absence of a coherent system. That realization is what led me to name the work I do now as the Private Pay System™. What is the Private Pay System™ (PPS)?To start, the Private Pay System™ is a business asset, a marketing decision system you design and own. Its role isn’t to add more activity, but to clarify the decisions that shape who finds your practice, what they expect, and when they reach out. It’s not a checklist or a campaign. It’s what keeps you from chasing every new idea and wondering why things still feel unstable. The Private Pay System™ is how I help practices stop “doing everything right” yet still feeling unsure. It isn’t more marketing. When positioning, expectations, and visibility are decided intentionally, private-pay growth becomes steadier and calmer. It becomes far less dependent on constant effort, guesswork, or huge advertising budgets. The beauty of this system is in its endurance, simplicity, and elegance. What it means for your private-pay practiceWhen you create an intentional path for people to find and choose your practice, fewer things are left to chance. Instead of relying on visibility spikes, referrals alone, or constant tweaks, your practice starts sending clearer signals about who it’s for, what it offers, and what working with you actually feels like. Practically, that means:
The result isn’t faster growth. It’s steadier, more predictable private-pay momentum, without burning out or rebuilding from scratch each year. In short, your time, energy, and money stop leaking into decisions that don't work for your practice. If you have questions or are curious to learn more, you can reply to this email. See you next week, Avivit P.S. The curated section of this newsletter will be back next week. |
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.