Worth It Practice

Starting Over in 2025: How I Would Build a Private-Pay Practice From Scratch


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If I were starting a private practice today, I’d approach it completely differently than I did in 2016 - because the therapy world has changed. 

In this episode, I share exactly how to start a private practice in therapy in 2025, what to focus on first, and the systems that still matter no matter how much technology evolves.

When I talk about starting a private practice, I don’t just mean setting up an office and waiting for clients to find you. I mean designing a sustainable, evidence-based business that reflects your values and supports your long-term goals. That means getting clear on your brand, building solid infrastructure, and learning how to find private-pay clients who are aligned with your services.

I’ll walk you through what I’d prioritize: a strong business plan, clear branding, and smart marketing therapy private practice strategies. You’ll hear how I’d use SEO, networking, and relationship-based marketing to create visibility - and why those same principles apply whether you’re solo or growing a team.

I share:

  • The first three steps I’d take when starting a private practice from scratch
  • How I’d write a business plan and develop a long-term vision
  • Why knowing how to start a private practice in therapy today means learning to adapt fast
  • What works (and what doesn’t) in marketing therapy private practice right now
  • Proven ways to attract and retain clients by mastering how to find private-pay clients

If you’re ready to build a private-pay practice that fits your life, this episode will help you think strategically, act intentionally, and grow sustainably.

RESOURCES MENTIONED IN THIS EPISODE:

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If you're interested in working with me, please reach out to my direct email at [email protected] or schedule a 20-minute free consultation.


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Thriving Child Center

PCIT Experts

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Worth It PracticeBy Leah Clionsky