Worth It Practice

Are You Niching Backwards? The Truth About Therapist Specializations and Building a Niche Therapy Practice


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I have a controversial take on niche therapy practices - and it might sting a little. 

In this episode, I explain why so much of the common advice about “finding your niche” in private practice is backwards, and what to consider about therapist specializations instead if you actually want to stand out, attract great-fit clients, and feel proud of the work you do.

You’ve heard the same lines before: your training doesn’t matter, just pick who you like working with. But here’s the truth - your training absolutely matters. Real therapist specializations are built through competence, experience, and intentional focus, not guesswork or generic marketing advice.

I share how authentic niche therapy can transform your practice, plus real private practice niche examples that show how strategy and expertise can work together.

I talk about:

  • Why most niche psychology advice oversimplifies the real work of building credibility
  • How to identify meaningful therapist specializations (and when to get more training)
  • The mindset shift that makes niche therapy both ethical and profitable
  • Real private practice niche examples that fill schedules fast and attract ideal clients
  • Why standing out as a niche psychology specialist builds trust and sustainability in private practice

If you’ve been told to “just pick a niche,” this episode will help you rethink that advice and create something much more authentic - and much more effective.

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Worth It PracticeBy Leah Clionsky

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