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.
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 EDITORThe Ruler of Your Own CastleAll 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 clarity is what I call creating a Therapy Value Proposition (here's the definition). In the world that is saturated with directories, social profiles, and bots, remaining general with a lukewarm positioning is a slow financial death for a private-pay model. This week I read a sentence that stuck with me. It said: "That which is difficult and rare remains valuable." A clinician's work is certainly difficult. But many practices don’t position themselves as rare. To an outsider, they look similar. And once you're perceived as one of many, you feel the pressure to compete on price and accessibility. Except today, you can access support immediately at a very low cost. That's why positioning is not merely a fancy branding exercise. It’s a revenue decision. Protecting private-pay in 2026 isn’t about doing more marketing. It’s about narrowing your stance enough to be chosen without discounting. If you’re unsure whether your current positioning protects your fees or quietly undermines them, that’s a strategic decision worth exploring. Book a Strategic Direction Call See you next week, Avivit And now to the news! NOTEWORTHYFinancial Anxiety Is a Public Health IssueRising economic stress is increasingly linked to mental health strain, with financial anxiety becoming a widespread driver of distress. Why it matters: Economic pressure shapes client demand. Therapists may see more money-related stress in sessions, and greater sensitivity to pricing and value. BUSINESS AND PRIVATE PRACTICEStable Demand Without Insurance PanelsAn overview of the strategic, financial, and positioning considerations involved in building a private-pay therapy practice. Why it matters: Insurance pressure and reimbursement instability continue pushing clinicians to reconsider their payment model. Clarity around private-pay positioning is becoming more strategic than optional. INDUSTRY NEWSMental Health Apps Market Projected to GrowNew projections estimate continued expansion in the global mental health apps market, fueled by demand for digital and self-guided care. Why it matters: Digital tools are scaling quickly. While apps don’t replace therapy, they are reshaping expectations around cost, immediacy, and access. |
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.