Something I often get asked by therapists are thing like:

• “Where do I even start with setting goals for my practice?”

• “How do I actually stay consistent when my caseload is packed?”

• ”How am I supposed to post on instagram, record videos, market myself and work 9-5?”

• “Is there a way to grow without burning out?” 👀

I’m so excited to bring you an expert to discuss this. Someone outside of the therapy world, who specialises in consistency and goals.

BUT, before we go into it. I want to lay the groundwork. Many therapists feel uncomfortable about having conversations about money, charging more, or feeling embaressed by saying they want to earn a high salary. Between Sessions is a shame-free place. I am a firm believer that therapists do their best work when they’re not working from financial scarcity and can see an amount of clients that allows them to truly engage in the work rather than thinking ‘how will I get through 5 clients today?’.

And while using tools like problem-solving and behavioural activation gets us a step forward, I wanted to introduce you to someone who lives this stuff.

Enter our amazing guest author: Kayla Jury. Author of Having it All here on Substack.

Professional nerd. Part Hermione Granger, part Carrie Bradshaw. Curriculum consultant and coach who has built multiple six-figure businesses, moved cross-country, and somehow still finds time to write a YA fantasy series. (Yes, really.)

Kayla has a gift for turning big, exciting dreams into actual, tangible - you can live it, breath it and feel it results - without the hustle-till-you-drop vibe. In this guest post, she’s sharing her no-fluff process for setting goals and following through, so you can grow a practice you love and keep your sanity.

Take it away, Kayla! 🎤

Sophia invited me to write an article for all of you on consistency with your business practice - and when she did, I agreed right away. Because I KNOW so intimately what it is like to care so deeply about the work you do and have that be the most important thing to you while simultaneously wanting your biz to grow. Because really you just focus on helping people, not be stressed about money, and in fact actually go have time and money freedom to do fun things in your life!

So today we are going to dig right in!

Let’s be real - most of us didn’t become therapists because we love building spreadsheets or setting quarterly business goals. You became a therapist because you wanted to help people.

But here’s the catch: building and sustaining a private practice is its own kind of therapy work. It asks you to dream about the practice you want, then show up day after day to make it real.

And if you don’t know how to set clear goals - and stick with them - you’ll find yourself in the same cycle many therapists do: excited to grow one week, exhausted and avoiding admin the next.

Here’s what I want you to know: goal-setting doesn’t have to be heavy, overwhelming, or one more “should” on your list. Done right, it can actually feel energizing, supportive, and sustainable.

I’ve learned this firsthand - from teaching classrooms full of students, to running a six-figure coaching business, to now consulting and helping professionals like you. And the one thing that has always made the difference? Consistency.

Not perfection. Not overworking. Just consistent action that matches the vision you have for your practice and your life.

Consistency sounds simple: just keep showing up (**rolls eyes). But if you’ve ever promised yourself you’d “finally stay on top of admin” or “post every week” and then found yourself ghosting your own goal - welcome to being human.

The good news? You’re not broken. The reasons consistency is hard are surprisingly universal and once you can name them, you can actually outsmart them.

But first - let’s start with setting your goal!

We’ve been talking a lot lately in my own community about goals and one question keeps popping up:

How do I even know what goal to set?

Should you start a private practice? Write a book? Buy a house? Move across the country? Grow on YouTube? Start your own Substack? Have a team? Be a Solopreneur?

That “where do I even begin?” spiral is real.

I get it. I’ve been setting and achieving wildly different kinds of goals my whole life: podium finishes in marathons and Spartan races (after growing up unable to afford sports), teaching and training teachers, launching a six-figure coaching business, moving cross-country, and now living in New York while building a consulting business, writing a YA fantasy series, and running a Substack with paying subscribers.

And after years of trying, testing, and tweaking, here’s what I’ve learned: goal-setting is less about finding the “perfect” goal and more about creating a process that carries you from idea to reality.

This is the process I return to every time - whether I’m training for a race or launching a new offer. And yes, it works beautifully for therapists ready to grow a private practice without burning out.

1. Get a Super-Clear Vision

Skip this and you’ll wander (I know from personal experience!). Your practice goal isn’t just “fill my caseload” or “earn six figures.” Ask: What does my ideal day actually look like? Are you working evenings? From home or a shared office? Seeing ten clients or twenty? Journal the details - pen to paper. Let your future day unfold from the moment you wake up to the time you shut the laptop to when your head hits the pillow again that night.

2. Identify the Feelings

Knowing how future you feels during this time is actually the ultimate goal that you want. You don’t run a marathon because you want to run a marathon - you run a marathon because you want to feel proud. Or dedicated. Or like you are capable. Those feelings are actually your goal. It’s the same in your practice. What does future you feel when she is in that perfect day?

The MAGIC is that you can start tapping into those feelings NOW. And that actually helps you feel more progress, it helps you feel more successful, and it actually brings you to your goal faster. If you start seeing where you are already capable - BOOM quantum leap to the result you are really looking for!

Go back and reread everything you wrote in your vision. What is that person thinking all day? What are they feeling all day - and make a big ol’ list. Write them alllll down.

3. Know Where You’re Starting

Google Maps can’t give directions if you don’t drop a starting pin. Be honest about where you are - client load, income, systems - and also where you already feel those future self feelings. This isn’t self-critique; it’s data. This is how we know where to build from.

Do you already have 2 clients but future you has 10?

Do you already have 25 clients at $100 a session, but future you has 5 at $500 a session?

Do you already post once in a while on your blog, but future you posts weekly?

4. Brain-Dump Every Possible Action

Make a long, no-filter list of every action that could move you closer: outreach, website updates, new referral partnerships etc. Write down all the good ideas and yes, all the bad ideas. The ones that make your body say ‘no way’ help clarify the actions you DON’T want to take (so that you don’t end up doing a ‘should’) and help you see the ones that would be fun and easy to take instead!

5. Choose Aligned Action (this is my fave!)

Filter that giant list down by asking: 1. What would be fun? 2. What would be simple? 3. What would be easy?

You should have a couple left, from there ask - what would be the best return on my investment of time/money/effort?

Consistency isn’t about doing everything, it’s about choosing the actions that fit your life and then actually doing them. And this filter allows you to do the things you will actually stay consistent with (we will break down all of that soon too! Promise.) while also being things that will move the needle!

6. Define Progress Markers

One of the fastest routes to burnout is measuring success with only one yardstick (like revenue or client count). Track other signs of progress: more referrals, easier scheduling, shorter admin hours, even a lighter emotional load at the end of the week. IMO you can never have enough progress markers to help you know that you are on your way. The more markers you see, the more positive momentum you will build and the more energy you’ll have to keep going.

7. Build Consistency

This is where dreams turn into reality. Consistency isn’t about working more; it’s about trusting yourself to keep showing up. And while I could just put a small blurb here on a few bullet points of what to do - I know that this can be the trickiest part of goal setting and goal getting.

I believe that consistency is the thing that makes the difference between wishing and actually achieving.

How to Stay Consistent

Here are the four biggest culprits I see that keep you inconsistent (and yes, I’ve fallen into every single one):

1. You Don’t Actually Like the Thing

This one sounds obvious but it’s actually really sneaky. Maybe you decided you “should” write a weekly blog or offer Saturday sessions because someone said that’s what successful therapists do. But if you dread every minute of it, you’re not going to keep showing up.

>> >> Before you label yourself “inconsistent,” ask: Do I even like this? If not, what’s another way to reach the same outcome that would actually feel good? If it were FUN what would I choose?

>> >> Be thoughtful when choosing your aligned action above - so that you don’t fall into this one!

2. You Went Too Big, Too Fast

Sometimes we love the goal so much we try to do everything at once. You launch a new Substack and suddenly commit to daily posts, daily notes, and daily comments - until life catches up and you burn out.

Or maybe you went all in on IG, Substack, and email newsletter at the same time.
Or you decided that networking was going to be your thing and you signed up for 8 events this month and after the 3rd you’re exhausted and regretting it.

>> >> Instead, write down a list of allll the things that you want to do on your way there. Then break them out into smaller steps - like climbing a staircase. Then, you commit to, for the next two weeks, just being on that first step of the staircase. After you’ve been able to keep that one up, keep it going and move up to the next staircase. Now you will be doing both. And so forth, and so on.

This is what I have coined the next nudge - the smallest sustainable step. Master that, then add the next layer. Small steps build real momentum.

3. Your “Why” Isn’t Strong Enough

Without a reason that lights you up today, the hard days will win. If your only why is a far-off result (“someday I’ll have 1,000 subscribers,” “someday I’ll make six figures”), it’s too easy to quit when progress feels slow.

>> >> Get curious: Why does this matter to me right now? Journal it. Make it personal. A strong why makes showing up feel inevitable. What would having 1,000 subscribers feel like? Why will it matter in the world? How will it affect your mission?

What would making $100,000 do for you in your life? Why does that matter to you?

Staying connected to your WHY helps you find purpose in what you are doing now every time. You will see the importance of writing for your 49 (for now) followers. You will feel how that $250 client payment is enough right now.

4. It Doesn’t Match the Life You Actually Want

This is the sneakiest one. You might think you want a schedule full of clients and speaking at conferences (oh wait, this is me. 🫠 But maybe you too, lol.) or a trendy social presence until you try it and realize it doesn’t fit the life you’re building.

This is where the vision part of your goal setting really matters, and why not to skip it. BUT still, sometimes you are envisioning something that turns out, its not what you thought.

>> >> Treat every new habit like an experiment. If it doesn’t align with the way you truly want to live, give yourself permission to pivot. Freedom lives on the other side of that honesty.

You’ve now got the framework to choose the right goal for you and stay consistent with it - clear vision, aligned action, and the four biggest reasons people fall off track.

But here’s the truth: most people will read this and nod along…and then slide right back into “someday.”

You’ve seen how consistency builds trust. You know the steps.

The only question left is: what’s your next move?

Steady and Unstoppable is here to help you make it.

Inside this mini-course I’ll walk you through how to:

• turn tiny promises into unshakable self-belief

• break the start–stop cycle for good

• grow your practice without burning out

If you’re ready to stop restarting and finally trust yourself to show up consistently, confidently, and on your own terms - then I’m giving you EARLY access! And because Sophia is the bomb, I’m giving you an exclusive discount that I reserve for only my paid Substack community. If you’re ready to get support to stay consistent and grow your practice, I want to be here to help you do it! Use the code: SUBSTACKER for your exclusive discount!

➡️ CLICK HERE FOR YOUR SNEAK PEEK!

p.s. Sign up before October 6 and you’ll get a little extra magic - bonus coaching + guidance inside the community from the moment you join until the day we officially kick off

I hope you enjoyed Kayla’s guest post! I for one am definitely going to be taking this into my next private practice goals. Tell us in the comments what you think!! Sophia x

If you’ve ever thought about leaving the NHS — or even just dipping a toe into private practice — you probably know the feeling:

• Torn between security and freedom

• Guilty for wanting something different

• Afraid you won’t “make it” outside the system

• Wondering if private practice is really possible for you

• Not knowing where to even start

I know, because I’ve been there. Leaving the NHS was a difficult decision — and one of mu best.

This isn’t a workshop on “how to build a private practice” or a business masterclass.

It’s a space for honesty, hope, and conversation about what it really feels like to step into private work.

What We’ll Explore Together

• The psychological barriers that keep therapists stuck in the NHS (even when they’re burned out)

• The fears no one talks about: money, identity, and belonging

• The beliefs you may have internalised i.e. I need 2 years experience for EMDR training, I need years of experience to go private etc.

• What changes when you choose private practice — and what doesn’t

• Why it’s not just about business skills, but nervous system safety and visibility

• A hopeful picture of what’s possible for you - I’m talking freedom, global working, a full case load and out-earning your nhs salary 3x. Yes I’m not kidding.

Who This Is For

• NHS therapists who are curious about private practice, or who have just started but don’t know where to go

• Therapists already doing some private work who want to feel less alone

• Anyone at the crossroads, wondering if leaving the NHS is really worth it

Details

🗓 Date: Friday 26th of September
⏰ Time: 15:30pm BST Time (I know you NHS therapists try to keep Fri afternoon free!)
📍 Location: GoogleMeet - Link will be posted in the subscriber chat the day before
💌 Free to attend

Will be recorded for those who can’t attend.

****RECORDING BELOW****

How to Join

👉 Sign up by subscribing to my Substack. You’ll get the link and the replay straight to your inbox. Please note the replay will be edited — as this will be a private, open conversion and I will edit out anything I think should not ‘live forever’ on the internet.

About Your Host

I’m Sophia Spencer, an NHS CBT therapist turned private practitioner, writer, and coach. I work fully in private practice for myself (not working for a company). I see half the amount of clients I used to in the NHS, less complexity, and out-earn my NHS salary by a big margin. I don’t say this to show off, I say it so you know there are other alternatives. If you’re like me and found yourself googling other careers you could do instead of therapy, I get it. But the problem might not be the job, it could be the workplace and the type of work.

✨ Come join me live — bring your questions, your fears, and your hopes.

You’ll leave with a clearer sense of possibility, and maybe the first step toward a life where you can just be.

But after observing the market for the past year and speaking with colleagues who've implemented various models, the conversation is more nuanced than I initially thought.

The subscription trend isn't just coming from companies like BetterHelp. It's emerging from a real problem many of us face: the tension between providing consistent, effective therapy and the financial realities of both running a practice and making therapy accessible.

Why Subscription Models Are Gaining Traction

The appeal is obvious from a business perspective. Instead of income fluctuating wildly based on holidays, client cancellations, and seasonal patterns, subscriptions promise predictable revenue.

Clinically, CBT and other evidence based therapy normally thrives on consistency. We know that regular practice, homework completion, and sustained engagement lead to better outcomes. When clients pre-commit to a monthly package, they often show up more consistently.

“So, I do private pay. I charge about $85 per telehealth session. If someone is seeing me weekly, they have the option of paying $265 for the month or pay per session. It gives them a discount and it gives me that financial security. Makeup sessions are based on availability” Reddit Quote

The BetterHelp Model vs. Traditional Practice

BetterHelp has normalised the idea of unlimited messaging and therapy subscriptions for a monthly fee, but their model is fundamentally different from what most of us offer in private practice.

Their approach works because:

• Volume compensates for lower per-interaction rates

• Clients expect brief, supportive responses rather than structured therapy

• The platform handles all administrative burden

For independent CBT practitioners, trying to replicate this model often leads to burnout.

It’s also unclear how ethical this is, as well as clinically appropriate. I’m sure many of you are thinking ‘sounds like a safety behaviour to me!’ and I’m with you on that.

“I pondered this the other day, as a client of mine has started using a concierge doctor.

In the end, the lack of a clear boundaries could lead to all sorts of issues, especially dependence, burnout, or fuzzy boundaries.

I think it ends poorly.” Reddit Quote

What Actually Appears To Work: Structured Subscription Models

I spoke with some therapists I've seen succeed with subscriptions, and they aren't offering unlimited access. Instead, they're creating structured packages that essentially provide discount for clients who are attending regularly.

Example packages:

The "CBT Standard" Package (£400/month) as an alternative to paying session by session £110 (i.e. £440 per month)

• 4 x 50-minute sessions

• Access to personalised CBT worksheets

• Clients receive a discount due to regular attendance

• Financial clarity for the therapist

When Subscription Models Work Well

Based on conversations with colleagues using these models successfully, subscriptions work best when:

The client was going to attend regularly anyway: by paying in a subscription format, the client is saving money on sessions they were going to buy anyway.

You have clear boundaries, particularly around cancellations: Defined amounts of sessions, cancellation and sickness policies.

There's genuine added value: Beyond just packaging existing services, successful subscriptions offer generally something extra—resources, tools, or accessibility that enhances the therapeutic work.

Clear permission to end anytime with clarity around what that means: Most successful non-therapy subscription models operate on a "use it or lose it" basis for the current billing period—meaning clients can cancel at any time, but they've already paid for that month's services and any unused products don't carry forward.

This doesn’t really seem ethical in therapy services, so how can we manage it? The therapists I spoke to say clients can cancel mid-month, and the remaining sessions are refunded but charging the sessions already used at full cost.

For example, if a client on the "CBT Standard" package (£400/month for 4 sessions) cancels after 2 sessions mid month, those 2 completed sessions would be charged at the full individual rate of £220 (2 sessions × £110), and they'd receive a refund of the rest.

This means they lose the subscription discount on the sessions they did attend, but aren't financially penalised for ending therapy when clinically appropriate. This approach respects client autonomy while protecting the subscription model—clients can always leave treatment, but the discounted rate only applies when they complete the full monthly commitment they initially agreed to.

The Financial Ethics Question

Many ethical questions come up — but firstly for me, I have quite a few clients on fortnightly sessions due to cost. Under a model like the one discussed, those clients end up paying more per session (£220 for 2 sessions) unlike clients who can afford more and then get a discount (£400 per month for 4 sessions). That doesn’t sit right with me - but having multiple subscription models may also get confusing.

The Future: Hybrid Approaches

The most sustainable models I'm seeing combine traditional pay-per-session with optional subscription add-ons.

For example:

• Standard therapy sessions remain fee-for-service e.g. weekly pay

• Clients can start and stop subscriptions as and when they like

This approach preserves the flexibility of traditional therapy while offering the consistency benefits of subscriptions where clinically appropriate.

Should You Consider a Subscription Model?

Ask yourself these questions:

1. Is your client base predominantly private pay and you have clients who would save money as they were likely to attend weekly sessions anyway?

2. Can you clearly define what's included without creating unrealistic expectations?

3. Are you prepared to set and maintain professional boundaries within a subscription framework?

4. Does this model serve your clients' clinical needs, not just your business needs?

5. Do you feel ethically ok about this?

If you can't answer yes to all questions, it may be best to stick with traditional models for now.

Certainly I am still at a cross-roads with this and remain on a traditional model until I figure out the answer. But, I do think the therapy market is changing and clients are wanting more options.

Certainly I’ve had clients ask ‘can I get a discount if I pay all sessions upfront?’.

The Bottom Line

Subscription models aren't inherently good or bad—they're tools that can enhance private practice when used thoughtfully and ethically.

The key is ensuring that any subscription model genuinely serves your clients' therapeutic needs and your business needs. Done well, they can offer the consistency that makes CBT most effective. Done poorly, they risk commodifying the therapeutic relationship in ways that compromise both ethics and outcomes.

The therapy landscape is evolving, but our core responsibility remains unchanged: providing ethical, effective treatment that puts client welfare first.

What's your experience with subscription models in therapy? Have you considered implementing one in your practice? I'd love to hear your thoughts and concerns in the comments.

For paid subscribers, every month we will be doing a private private workshop every first Thursday of the month like this. Next workshop: Thursday 1st of May, 1900: Business Models for Therapists.

For all the notes, links and summary of the workshop, click here:

As highlighted in the workshop, SEO doesn't have to be a minefield, and you certainly don't need to spend thousands on professional help. This guide will walk you through practical, actionable steps to improve your website's visibility on Google and attract more clients today.

Understanding SEO: The Basics

SEO (Search Engine Optimization) is like PHQ or GAD assessments you use with clients - it gives your website a score that indicates its health, except this time, we want to score highly!

Why SEO matters for therapists:

• E.G. there are 40,000+ monthly searches for "therapist near me"

• The majority of self-made websites on Wix, Squarespace, etc. remain hidden in these searches

• As noted in the presentation, 95% of referrals can come directly through SEO

The Components of Good SEO

• Backlinks

• Content

• Website Optimisation

• Keywords

• Mobile Optimisation

• Consistent Content Publication

• Other factors

Let's break these down into actionable steps:

1. Building Backlinks

What are backlinks? Backlinks are links from one website to another. They signal to search engines that your website is a valuable and authoritative source.

Implementation steps:

1. Reverse blogging with other therapists:

   • Identify 3-5 other therapists in complementary fields (not direct competitors)

   • Propose a content exchange where you write a guest post for their site and they write one for yours

   • Ensure each post includes a link back to the author's website

   • Example email template:

Subject: Content Collaboration Opportunity

Hi [Name],

I'm [Your Name], a CBT therapist specialising in [your specialty]. I've been following your work and particularly enjoyed your recent article on [topic].

I'm reaching out to propose a content exchange that could benefit us both. Would you be interested in writing a guest post for my website while I write one for yours? This would help us both reach new audiences and improve our websites' SEO through quality backlinks.

Some topics I could write about for your audience include:
- [Relevant topic 1]
- [Relevant topic 2]
- [Relevant topic 3]

I'd love to hear your thoughts and discuss this further.

Best regards,
[Your Name]

There is also a facebook group called SEO Therapists where people reverse blog and you can join for free here.

Other ways to establish backlinks:

1. Create linkable content:

   • Develop comprehensive resources that others will naturally want to link to

   • Focus on creating content that solves specific problems for specific audiences

2. Local business directories:

   • Register with Psychology Today, Counselling Directory, and other therapy-specific directories and link to your own website

   • Join local business associations and get listed on their member directories

   • Each listing should include your website links

3. Press features

   • Use Qwoted or Editorielle

   • We will provide a further workshop on this

2. Creating Valuable Content

Content is a major component of successful SEO. Here's how to implement an effective content strategy:

1. Content audit:

   • Review your existing website content

   • Identify gaps in information that potential clients might be searching for

   • Note any outdated information that needs refreshing

2. Content planning:

   • Create a content calendar for the next 3 months

   • Plan 1-2 blog posts per month on topics relevant to your niche

   • Include a mix of educational content, client resources, and thought leadership

3. Content creation guidelines:

   • Write headlines that include your target keywords

   • Create content that is at least 800-1000 words for blog posts

   • Break content into scannable sections with descriptive subheadings

   • Include both internal links (to other pages on your site) and external links (to authoritative sources)

   • Add a clear call-to-action at the end of each piece

4. Content optimisation:

   • Include your target keyword in the title, first paragraph, and at least one subheading

   • Use related keywords naturally throughout the content

   • Add alt text to all images that describes what they show

3. Website Optimisation

Many self-built websites have technical issues that hurt their SEO. Here's how to address them:

1. Website health check:

   • Sign up for Ahrefs' free Website Health Check tool here

   • Input your domain to get your current score

   • Remember: Scores under 90 may signal quality issues to Google

2. Fix common technical issues:

   • Compress images to under 250kb (use tools like CompressImage)

   • Fix broken links using a tool like Broken Link Checker (part of Ahrefs)

   • Ensure all images have descriptive alt tags

3. Improve user experience:

   • Ensure clear navigation structure. It should not be yourwebsite.com and then every page comes after, such as:
     
     E.G.
     yourwebsite.com/about
     yourwebsite.com/cbt-for-depression
     yourwebsite.com/cbt-for-anxiety
     yourwebsite.com/cbt
     yourwebsite.com/emdr
     
     It should be organised such as:

     
     yourwebsite.com/about
     yourwebsite.com/cbt/cbt-for-depression
     yourwebsite.com/cbt/cbt-for-anxiety
     yourwebsite.com/therapies/cbt
     yourwebsite.com/therapists/emdr
     

     It’s important to have clear & tidy structure.

   • Make your contact information easily visible

   • Include prominent call-to-action buttons

   • Make sure text is readable (adequate size and contrast)
     

4. Index your website:

   • Set up Google Search Console

   • Submit your sitemap

   • Request indexing for new or updated pages

   • Monitor for any indexing issues

4. Keyword Strategy

As highlighted in the presentation, you likely won't rank for "CBT" alone, but you have many other opportunities:

1. Identify your niche keywords: Location-based keywords:

   • CBT Therapist [Your Town/City/Region]

   • Cognitive Behavioural Therapy in [Location]

   • CBT Counselling [Location]
     

   Service delivery keywords:

   • Online CBT Therapy (again - probably unlikely in todays landscape to rank high for this — you’re competing with companies who spend 1000s on SEO)

   • Virtual CBT Sessions

   • Remote CBT Counselling
     

   Problem/condition-specific keywords:

   • CBT for Trauma

   • CBT for Panic Attacks

   • Depression CBT Specialist

   • OCD Treatment with CBT
     

   Demographic-specific keywords:

   • CBT for Teenagers

   • CBT Therapist for Working Professionals

   • CBT for New Parents

   • CBT for LGBTQ+ Individuals
     

   Therapist characteristic keywords:

   • Female CBT Therapist

   • Bilingual CBT Therapist

   • Culturally Sensitive CBT

     Don’t worry if you do actually want to work with everything — just make sure you have a page that ranks for the keyword of every presentation. You don’t need to niche beyond what you’re comfortable with. But the more things you work with the more pages you will need to have an SEO page for them.
     

2. Keyword implementation:

   • Choose one primary keyword for each page of your website

   • Include your keyword in page titles, headers, and content

   • Aim for natural usage and repetition - also use other words that represent the a similar thing (e.g. depression, low mood, lethargy)

   • Remember: No two pages should target the same keyword
     

3. Create keyword-focused pages:

   • Develop dedicated pages for each major service or specialty

   • Optimise each page for a different keyword

   • Include location-based keywords on your contact and about pages if this is relevant for you

   • You may want to look at Google Trends to explore trending key words

5. Mobile Optimisation

With most searches happening on mobile devices, this is critical:

1. Mobile-friendly test:

   • Open your web from a mobile and see what it looks like

   • Test all key pages on your website

2. Mobile optimisation checklist:

   • Ensure text is readable without zooming

   • Make sure buttons and links are easily tappable

   • Check that forms work properly on mobile

   • Verify that images scale appropriately

   • Ensure menus are easy to navigate on small screens

6. Consistent Content Publication

Regular updates signal to Google that your site is active and relevant:

1. Content schedule:

   • Commit to a realistic publishing schedule (even once a month is better than nothing)

   • Create a content calendar with topics and publishing dates

   • Set reminders to ensure you stick to your schedule

2. Content types to consider:

   • Blog posts on therapy topics

   • Client resources and worksheets

   • FAQ pages addressing common client questions

   • News about your practice or relevant mental health research

3. Content promotion:

   • Share new content on your professional social media if you have it to draw traffic to your website

Implementation Timeline

To avoid overwhelm, here's a phased approach to implementing these SEO strategies:

Month 1: Foundation

• Set up Google Search Console and submit your sitemap

• Conduct website health check with Ahrefs

• Fix critical technical issues (broken links, oversized images)

• Identify your 3-5 primary keywords

Month 2: Optimisation

• Update page titles for key pages including your key words

• Optimise existing content with your identified keywords

• Ensure mobile-friendly performance

Month 3: Content Development

• Create 1-2 new optimised pages for key services

• Publish your first blog post targeting a specific keyword

• Reach out to 3 potential partners for backlink opportunities

• Begin regular content schedule

Ongoing Maintenance

• Publish new content according to your schedule

• Monitor performance in Google Search Console

• Continue building backlinks through networking

• Update and refresh older content periodically

Tracking Success

How will you know if your SEO efforts are working?

1. Key metrics to monitor:

   • Search Console: Impressions, clicks, and average position

   • Google Analytics: Organic traffic, bounce rate, time on site

   • Conversion tracking: Contact form submissions, appointment bookings

2. Realistic expectations:

   • SEO is a long-term strategy; expect to see initial results in 2-6 months

   • Focus on progress rather than perfection

   • Celebrate small wins, like ranking improvements for specific keywords!!

Common SEO Mistakes to Avoid

1. Keyword stuffing: Unnaturally forcing keywords into content

2. Ignoring mobile users: Not testing how your site performs on phones

3. Creating thin content: Publishing short, low-value pages

4. Neglecting page titles: Using generic titles that don't include keywords

5. Forgetting to index: Not submitting new content to Google

6. Targeting overly competitive keywords: Trying to rank for "CBT" alone

Free SEO Tools for Therapists

• Google Search Console: Track performance and submit pages for indexing

• Google Analytics: Monitor traffic and user behaviour

• Ahrefs Website Health Checker: Identify technical issues

Conclusion

Remember, as mentioned in the workshop, SEO isn't about tricks or gaming the system – it's about creating a valuable, user-friendly website that helps connect you with the clients who need your services!

By implementing these strategies systematically, you'll improve your visibility in search results and attract more clients who are specifically looking for the specialised CBT services you offer.

For more support and resources, visit betweensessions.org or email hello@betweensessions.org.

We are considering creating a mini-SEO course for our paid subscribers, if you’d be interested, please vote on the poll below!

This guide accompanies the "SEO For Therapists" workshop presented by Sophia Spencer for Between Sessions, April 2025.

When I set up my profile after qualifying as a CBT therapist, I approached it not just as a directory listing but as a powerful SEO asset. The result?

My profile now appears on the first page of Google searches for therapists in my area, generating a steady stream of appropriate client inquiries.

Why Your Psychology Today Profile Matters More Than You Think

Before we dive into optimisation techniques, let's understand why Psychology Today (PT) profiles carry so much weight:

1. Domain authority
Psychology Today has high domain authority (a metric that predicts how well a site will rank in search results). This means Google trusts content from Psychology Today more than it would trust the same content on your personal website.

This is why your psychology today profile can show on Google much quicker and easier, than your website can.

2. Geolocation advantages
Psych today profiles are structured in a way that makes them particularly effective for local searches like "CBT therapist in [your city]."

3. Verification signals
Being listed in a recognised directory sends trust signals to both search engines and potential clients, particularly as psychology today audits qualifications.

The Return on Investment of My Optimised Profile

When I first qualified, I invested two full hours in perfecting my Psychology Today profile. The return on that investment has been:

• My profile appears on the first page of Google results for my target keywords

• Clients arrive at sessions having already resonated with my approach

• My conversion rate from inquiry to booking is nearly twice as high with Psych Today leads compared to when I had a generic profile

My Step-by-Step Optimisation Process

1. Strategic Headline Crafting

Your headline is arguably the most important element of your profile. Most therapists make the mistake of being too generic (Just your name or "Accredited Therapist") or listing too many specialties ("Anxiety, Depression, Trauma, Relationships, Grief, Life Transitions..."). You can’t be a specialist in everything.

I took a specialised approach:

What I did: Created a headline that combined my niche specialisation with a client outcome.

Example: "Sophia - Social Anxiety & Confidence Specialist"

This headline:

• Contains searchable keywords (Social Anxiety, Confidence)

• Speaks directly to my ideal client

• Focuses on specific problems I see (social anxiety) and outcome (confidence)

• Differentiates me from general practitioners who are just listed by name

2. Photo Optimisation

Your profile photo isn't just about looking professional—it's about creating an immediate connection.

What I did: Used a high-resolution, authentic photo that conveyed warmth and confidence.

Beyond just image quality, I:

• Used a simple, non-distracting background

• Opted for a slight smile rather than a full grin or serious expression

• Had the photo sort-of professionally taken (I had it taken for the sole purpose of professional headshot but not by a professional!) but in a natural, approachable style

• Do not use a selfie

You don’t need to pay for professional photos. Getting a friend to take a headshot of you on their iPhone is enough - it’s the style of the photo that is most important as long as it meets a basic quality.

3. About Section SEO Enhancement

The "About" section needs to serve two key purposes: search engines (for SEO - search engine optimisation) and potential clients. This is the most important section. Clients can find you directly from Google if this is done correctly.

What I did: Structured my about section with both SEO and readability in mind.

I included:

• My primary keywords in the first 50 words (social anxiety, confidence)

• Short, scannable paragraphs (no more than 3-4 sentences each)

• Bullet points to break up text

• A clear problem-solution format

• Location references naturally woven into the text

• Language mirroring how clients describe their problems

Key insight: I researched how my ideal clients described their challenges in forums (reddit is a goldmine for this - see section below on Client Awareness levels for more), then incorporated that exact language into my profile.

For example:

Social Anxiety in client terms becomes worrying what people think.

Safety Behaviours in client terms becomes not being your authentic self or performing to be accepted.

I hope above is helpful! If you want to see exactly how I structured my About section for maximum impact, in the premium content below, I share:

• My exact Psychology Today About section template with annotations explaining the psychology behind each part

• My method for identifying exactly how your ideal clients describe their challenges

• How many times keywords are in my profile and where

Subscribe now to unlock these resources and transform your Psychology Today profile into a client-generating powerhouse!

Here’s my intro:

By interweaving key words, client language, and empathetic statements, your introduction becomes optimised for Google, whilst speaking directly to your client.

4. Specialties and Treatment Approach Sections

The specialties section is more than just a checklist—it's an opportunity to rank for specific search terms.

What I did: Prioritised depth in a few specialties rather than breadth across many.

Instead of checking every box that remotely applied to my practice, I:

• Selected 5-7 core specialties where I have genuine expertise (social anxiety, confidence, low self esteem)

• Listed my primary specialisation first

• Included related issues that my ideal clients might search for (e.g. relationship issues)

Having a few relevant specialisms helps create authority in your approach. A specialist in everything, unfortunately from a marketing perspective, is a specialist in nothing.

Whilst I know that you’re likely an amazing therapist with a range of diagnoses, unfortunately for marketing, it can be hard to then stand out in the (very busy) crowd.

For the treatment approach section, I:

• Selected Cognitive Behavioural Therapy as my primary approach

• Limited secondary approaches to those that genuinely inform my practice

• Added a brief explanation of how I integrate approaches for client benefit

5. Location Optimisation

Many therapists underestimate the importance of the location section, especially now that seeing clients across the country/world via videocall is common.

What I did: Optimised for both physical and virtual presence.

Specifically, I:

• Listed my exact office address in London for local SEO benefits

• Added surrounding areas and neighbourhoods in my "serves" section

• Included that I see people remotely anywhere

• Referenced my location naturally throughout my profile text

6. Client Focus Precision

The client focus section helps both your SEO relevance and attracts the right clients.

What I did: Got specific about who I work with best.

Rather than trying to appeal to everyone, I:

• Selected specific age ranges where I have the most experience

• Specialist in one diagnosis and a few other relevant diagnoses

7. Strategic Use of Keywords

Keywords need to be incorporated naturally and regularly throughout your profile.

What I did: Distributed relevant keywords strategically across all sections.

I researched and included:

• Location-based terms (city, neighbourhood, region)

• Therapy type (CBT, cognitive behavioural therapy)

• Professional terminology that clients might search for (social anxiety)

• Layperson's terms for the same concepts

My profile says social anxiety 16 times and confidence 18 times.

Repetition of your key words is key for Google to pick them up.

Understanding Client Awareness Levels in Your Keyword Strategy

One of the most overlooked aspects of profile optimisation is understanding the varying levels of client awareness.

Many therapists make the critical mistake of only using clinical terminology that matches their diagnosis framework rather than the language clients actually use to describe their experiences.

For example, a client struggling with undiagnosed PTSD isn't searching for "PTSD treatment" - they're searching for "help with nightmares" or "why do I feel jumpy all the time?"

But a client with diagnosed PTSD is probably searching for “ptsd therapist'“.

Similarly, someone with high-functioning anxiety might search "why can't I relax" rather than "anxiety therapist."

But a client who understands their anxiety, will likely search for “specialist anxiety therapist”.

In my profile, I deliberately included symptom-based language (e.g. self consciousness, low confidence) alongside clinical terms, which dramatically increased my visibility to clients in the early stages of recognising their challenges.

By mapping out the full awareness spectrum - from problem recognition ("why do I feel this way?") to solution awareness ("I need CBT for social anxiety") - I was able to capture potential clients at every stage of their help-seeking journey.

You can find how your clients describe their difficulties by simply going on the reddit forum for the appropriate difficulty.

You will see valuable information about how clients actually talk about their difficulties. I’ve listed the links for common ones below, but there are 1000s. Just Google search ‘Reddit [your difficulty]’ and it’ll come up if it exists!

Reddit Forums

Depression

Anxiety

Social Anxiety

Health Anxiety

Post-natal/partum depression

PTSD

Complex PTSD

Self Esteem

PMDD

Eating Disorders

Binge Eating Disorder

Body Dysmorphia

8. Building Profile Authority

Psychology Today profiles, like websites, gain authority over time through engagement.

What I did: Implemented strategies to increase my profile's authority.

These included:

• Updating my profile quarterly with fresh content

• Endorsing other therapists and receiving endorsements back

• Ensuring consistent information across my PT profile and other online listings

• Link to my psychology today profile from my website

The Results: From Invisible to First Page

Within three months of implementing these optimisation strategies, my Psychology Today profile moved from floating around the internet to page one of Google results for my target keywords.

More importantly, the quality of client inquiries improved dramatically—most were already on-board with my pricing and aligned with my niche.

Note: I don’t like to pretend anything is a quick fix. Whilst these changes ensured greater reach, a higher rank in Google and more referrals, my price is still premium and therefore not all enquiries translate into bookings. I am ok with this as I know my price point is higher, but I like to put a disclaimer that there is no silver bullet solution when it comes to private practice! The majority of my client bookings still come directly from my website, but these changes significantly increased my psych today reach and referrals.

Common Mistakes to Avoid

Based on my experience and observation of other therapists' profiles, here are the pitfalls to avoid:

1. Therapist-centered language
Focus on the client's experience and problems rather than your credentials and background.

2. Generic descriptions
"I provide a safe space for healing" appears on thousands of profiles. Be specific about your approach. You can also assume that most clients think therapists will be empathetic and understanding. Don’t waste too much space on this, talk about what else you add or show empathy in what you write!

3. Keyword stuffing
While keywords matter, forced or unnatural keyword usage will drive potential clients away. Place them where you can but do not over-do it.

4. Inconsistent information
Ensure your contact information, specialties, and approach match across all your online platforms. Having an instagram that says body image specialist but your psychology today is general, suggests a lack of true specialism.

5. Outdated information
Set a calendar reminder to review your profile quarterly, updating any changes to your practice.

Your Psychology Today Optimisation Checklist

Ready to optimise your own PT profile? Here's a quick checklist to get started:

1. Craft a headline that combines specialty + outcome

2. Update your photo to convey warmth and professionalism

3. Rewrite your "About" section using client centred language - thinking about stages of awareness and key words

4. Optimise your location information for local searches

5. Define your client focus areas with precision

6. Distribute keywords naturally throughout all sections

7. Schedule quarterly reviews and updates

Final Thoughts: Your Digital First Impression

Your Psychology Today profile is often the first impression potential clients have of you and your practice. By optimising it thoughtfully, you're not just improving your search rankings—you're ensuring that the right clients can find you at the moment they're ready for help.

The time investment is minimal compared to the potential return: a steady stream of ideal clients who already resonate with your approach before they even reach out.

Remember, in a sea of similar profiles, specificity and authenticity are your greatest differentiators.

Don't try to appeal to everyone—focus on connecting deeply with the clients you can help most.

Note: This is general advice and is to be taken with a pinch of salt! You do not need to niche down to a diagnosis. Perhaps you are a niche therapist, or perhaps your niche is a client group (e.g. postnatal mums but you see all diagnoses). Or, perhaps there aren’t many therapists that offer your specific therapy modality, or not many therapists in your location. All of these things would mean you do not need to necessarily niche to a diagnosis. The main point is to make sure you have a repeated key word that Google can pick up that speaks to the clients you want to attract. Take the advice above which is helpful, and disregard or adapt the bits that don’t necessarily apply to you!

Have questions about optimising your Psychology Today profile? Reply to this newsletter! I'd love to hear about your experience!

Join specialist Elsie Lawrence, who brings her unique expertise as both a therapist and marketing strategist, as she demonstrates how to grow your CBT practice with integrity intact.

In this workshop, Elsie cuts through the noise to deliver practical, ethical marketing approaches that actually work—no dancing required (unless you want to of course!).

What you'll discover:

• How to attract aligned clients without compromising professional standards

• Content strategies that establish your expertise without crossing ethical boundaries

• Ways to build an authentic online presence that doesn't feel like a performance

This workshop is for therapists who want sustainable practice growth without the constant pressure of content creation treadmills or algorithm-chasing tactics.

This workshop is available exclusively to Between Sessions paid subscribers. Unlock access today and discover how to market your practice in a way that feels aligned with your professional values.

About Elsie

Elsie Lawrence brings a unique blend of expertise as both a qualified psychotherapist and experienced marketing strategist. Born in England and now based in Wales, Elsie holds a BSc and MSc in Psychology along with a PGDip in Psychotherapy.

After spending 7 years in digital marketing while completing her therapy education, Elsie has built what she calls a "life-first business" that prioritises freedom, purpose, and joy—values she helps other therapists integrate into their practices.

She specialises in helping clinicians market their services authentically and effectively without compromising their professional integrity or personal wellbeing.

Rather than chasing empire-building or algorithm trends, Elsie's approach emphasises sustainable growth that aligns with therapists' core values and allows them to focus on what matters most: providing quality care while maintaining a fulfilling life outside their practice.

Find her on Instagram here.

Her website here.

Artificial intelligence (AI) tools have evolved significantly in recent years, offering therapists powerful ways to streamline administrative work, enhance marketing efforts, and even supplement clinical resources. In this article, we explore practical applications of AI that can help you grow your CBT practice while maintaining your focus on what matters most: helping your clients.

Streamline Your Admin: Create Templates and Communication and Stop Spending Hours on Admin Tasks

Client Communication Templates

AI excels at creating customisable templates for routine communications:

• Intake paperwork explanations

• Appointment reminders

• Homework instruction sheets and emails

These templates can maintain your voice while saving you valuable time. For example, you might create a template for explaining a homework task, which you can then quickly customise for each client's specific situation.

Clinical Documentation

While AI should never replace your clinical judgment in documentation, it can help streamline the process:

• It can create note frameworks that follow evidence-based CBT session structures

• Referral letter templates for different specialties and services

• Discharge letters templates and basic communication templates

But what about actually having to write notes? This is where we enter the realm of issues of confidentiality and ethics as AI would be directly involved with the client.

HeidiHealth is a GDPR compliant AI that listens in on sessions and writes summary notes and more. Whilst this is helpful, whether clients would be comfortable with this, and us as clinicians, is a different question altogether and one that requires deep thought and discussion.

Website Content and SEO: Staying Relevant and Discoverable

Regular Blog Updates

Consistently publishing relevant content on your website is one way to improve search engine visibility (AKA how likely you are to come up on Google when someone searches for your skillset) and demonstrates your expertise. However, many therapists struggle to find time for regular writing.

AI can help by:

• Generating content outlines based on CBT-related topics you want to cover

• Expanding bullet points into full-featured articles

• Suggesting relevant keywords to improve search-ability

• Refreshing outdated content with current research and approaches

For example, you might prompt an AI with: "Create an outline for a blog post about using CBT techniques for world politics related anxiety, incorporating the latest research." From there, you can refine the outline and ask the AI to draft sections, which you'll then review and personalise with your clinical voice and expertise.

Remember that AI-generated content should always be:

1. Reviewed for accuracy - it can often make things up!

2. Infused with your unique clinical perspective

3. Checked for ethical alignment with your professional standards

SEO Optimisation

Beyond creating content, AI can help optimise your website's visibility:

• Meta description generation that incorporates relevant keywords

• Title tag optimisation to improve click-through rates

• Content analysis to ensure readability and appropriate keyword density

Details of the SEO workshop are on our events page here:

Clinical Resources and Support

Worksheet Development

CBT, as we are sure you know, relies heavily on worksheets and handouts. AI can help you:

• Create customised thought records for specific presenting problems

• Develop specialised exposure hierarchies for various anxiety disorders

• Design behavioural activation worksheets tailored to client interests

For example, you have some general psycho-education worksheets about anxiety, but you want it to be tailored specifically for relationship anxiety. You may ask the AI ‘Read this worksheet (upload the worksheet), and keep it the same, other than changing all the examples from general anxiety to specific relationship anxiety related fears and examples’. Afterwards, you will be left with a psychoeducational guide that speaks directly to your client.

Ethical Considerations and Best Practices

While AI offers huge benefits for your practice, it's important to maintain appropriate boundaries:

Always maintain clinical judgment

AI should support—never replace—your professional expertise, supervision and clinical decision-making.

Ensure client confidentiality

Never input protected health information into public AI tools that don't have GPDR compliance. If you do wish to use GDPR compliant tools such as Heidi, it is worth exploring the ethics and nuances of this first with your accrediting body, as well as your clients.

Maintain transparency

Be honest with clients about how and where you use AI in your practice.

Review everything

Always review and modify AI-generated content before using it with clients or publishing it.

Getting Started: A Simple Implementation Plan

If you're new to using AI in your practice, start small and see what you feel comfortable with.

AI offers us the opportunity to reduce administrative burden, enhance our marketing efforts, and focus more of our energy on what matters most: providing exceptional care to our clients.

By thoughtfully incorporating AI into your practice management, you can create more time for direct client care while building a more visible and efficient practice.

The key is maintaining your clinical judgment and personal touch while leveraging these powerful tools to handle the routine tasks that often drain your time and energy.

Remember: AI is a tool in your therapeutic toolkit—not a replacement for your expertise, empathy, and clinical judgment. Use it wisely to enhance, rather than replace, the human connection that remains at the heart of effective therapy and always ensure you are not giving AI confidential and private information.

• Designated professional executor (likely another therapist)

• Client contact procedures

• Records management plan

• Access to essential information

• Referral network details

Why It's Essential:

• Ensures continuity of care

• Protects vulnerable clients

• Maintains ethical standards

• Fulfils professional body obligations

For paid subscribers: Access our example below.

EXAMPLE CLINICAL WILL

This document constitutes the clinical will of:

NAME (operating clinically as NAME IF DIFFERENT)

PHONE NUMBER

BUSINESS ADDRESS

EMAIL

This document sets out what will happen to my clinical practice in the event I suddenly become unable to practice, for example due to sudden illness or death.

Executor and Clinical Will Initiator: NAME OF INITIATOR

Clinic

All my clients details and upcoming appointments can be found on my clinical portal NAME AND LINK.

USERNAME AND PASSWORD IF NEEDED.

Please notify my clients of my death or incapacity. Please ask if they would like you to help them find a new therapist, and you can direct them to the CBT Register [OR ALTERNATIVE RELEVANT BODY]: https://babcp.com/CBTRegister/Search.

Insurance

Please cancel my insurance with INSURER.

Social media / website

Please delete my:

Website: NAME

Instagram: INSTAGRAM

Subscriptions

Please cancel my subscriptions to:

• ANY SUBSCRIPTIONS

Key Workshop Highlights

The workshop was designed to demystify the process of starting a private practice, addressing the most common fears and obstacles therapists face. We covered everything from the initial mindset shift to the nitty-gritty details of business setup, marketing, and client acquisition.

The 10 Essential Steps Covered:

1 Insurance

Professional liability insurance isn't just a recommendation—it's a critical shield for your therapy practice. Purchase professional indemnity insurance. Often your accrediting body may have recommended insurers that offer discounts. E.G. BABCP members can get a discount with Balens.

Key things to consider:

• Does your insurance allow for in person or remote work only?

• Can you see clients only in the UK or can they live abroad?

2 ICO Registration

• Register as a data controller here: https://ico.org.uk/for-organisations/data-protection-fee/register/

• Review your requirements under the data protection guidance

3 Check Your Body Requirements

Each regulator has different requirements for private practice - including supervision requirements, CPD requirements, clinical wills and more.

Key things to check:

• Supervision requirements

• Clinical Will policy

• Complaints procedures

• Risk requirements

If you are a member of the BABCP, they have private practice guidelines that summarise everything here.

4 Terms and Conditions

• Create your terms and conditions for clients - please consult a lawyer

• Kiku has a template in their clinical management software you can use for ideas and guidance

• The BABCP has an example contract in your account section if you are an accredited member

• We have a full populated example terms and conditions to help get you thinking here

5 Set Your Fee

We have a full in-depth post and guide on how to set and find the right fee for you. This includes marketing approaches, your level of experience and how to find the fee that matches. You can read it here.

Other helpful basic resources include:

• https://pocketsite.co.uk/therapist-fee-calculator/

• https://www.businessofcounselling.com/fee-calculator/

• https://www.joinheard.com/tools/fee-setting-calculator

6 GDPR Compliant Clinical Management and Notes System

A robust and GDPR-compliant clinical management system is not just a technological convenience—it's a critical safeguard for both therapists and clients, and often a legal and accrediting body requirement.

7 Secure Video-call System or Therapy Room

• If providing services online, you will need a secure videocall service. Secure videocall platforms include Zoom, Googlemeet CiscoWebex and more. Find a platform that works for you. You may need a paid subscription as free options my limit the time and amount of calls. Remember - you can tax expense this cost.

• If providing services face to face, you will need to seek out an appropriate therapy room.

8 Clients

Clinicians face a critical decision when choosing how to attract clients, each with distinct advantages and trade-offs.

Option 1: Direct to Client Approach

• Register with platforms such as Psychology Today and the Counselling Directory

• Can also create a Facebook Business profile or market on Instagram

• In the future: website, marketing, advertising, social media etc. but not necessary to start.

• Choice of who you want to work with and can specialise

• Discount Code for Counselling Directory: mIriKMq8

Option 2: Register with Insurers and/or Therapy Platforms

• Register with Insurers such as BUPA, AXA etc. or therapy platforms such as HelloSelf or Meela

• You can register to accept insurance clients on the private practice register. Remember to check you are ok with the differing fees, and only register with insurers where you agree to the fee.

• Platforms and insurers will either set your fee or take a percentage of your earnings

• Less marketing burden

The best approach often depends on individual factors like your specialisation, target demographic, time you can dedicate to marketing and promotion, financial goals, and comfort with marketing and business development. You can always start with one and switch, or do a mix of both.

9 Risk Management

In private practice we should not be taking on clients with risk due to limited support.

However, unexpected scenarios can of course occur.

Familiarise yourself with your accrediting bodies guidance and seek supervision as needed.

BABCP Guidance on Risk for Private Practitioners: Here

Other helpful resources:

• Private Practice Hub Guidance on Risk

• BACP Article on Risk

10 A Basic Website

It’s not an absolute necessity, but if you can get a basic website up it helps establish credibility and connect with potential clients. It acts a digital business card.

Expensive fancy websites with optimised SEO (google rankings) can come later.

To start with, a basic website is all that is needed.

Squarespace has an easy to use AI builder. You tell the AI what you need and it will create you a basic therapy website. We’d recommend making sure you include these pages:

• About Me

• Issues I Work With

• Contact

If this feels too much for you right now — don’t worry — it’s not absolutely necessary, but does help.

If you feel lost in building websites and technology, consult a professional who can help get you up and running easily!

+ Optional but recommended: Niching

As CBT therapists, we often hesitate to specialise beyond our core training. The idea of narrowing our focus to a specific client group can feel restrictive—even risky. Let's explore why it's not.

Consider this scenario: A potential client is looking at ten different CBT therapist websites, none with any specialisation. How do they choose? Without differentiation, their decision often defaults to price alone.This is precisely why niching is crucial for your practice's success. But how do you do it?

When a potential client lands on your website and thinks, "This therapist truly understands my specific challenges," they're not just more likely to book—they're willing to pay a premium for your specialised expertise.

You can read our guide on how to find your niche and charge a premium fee as a result here.

Other useful resources for your blooming private practice:

• Discovery Call Script

• Discovery Call Follow Up Email

• How to choose your website colours

• Check out our upcoming events including how to ethically market on Instagram and how to boost your google website ranking

A Call to Community: Spread the Knowledge

If you've found value in these insights, you're not just learning powerful information—you're holding a lifeline for fellow therapists struggling to navigate the complex world of private practice. Share this guide with:

• Your therapy school colleagues still finding their footing

• Clinicians feeling stuck

• Mental health professionals dreaming of professional independence

• Supervisees looking to understand their future career paths

By sharing these strategies, you're building a community of empowered therapists who can support, inspire, and elevate each other.

Every shared post, every forwarded email, every conversation about private practice is a step towards collective professional growth.

Together, we can demystify the process of starting a private practice, break down barriers, and create more opportunities for therapists to do the work they love on their own terms.

Questions about anything? Leave a comment and we will respond!

Picture two therapists: one charges £60 per session and needs 25 clients weekly to meet their income goals. The other charges £150 and requires just 10 clients. The second therapist isn't working less - they're investing more time in each client through preparation, reflection, and professional development. They have energy for complex cases, capacity for proper notes, and time for their own wellbeing. This isn't just about money - it's about sustainable, quality therapeutic care.

However, there's a trade-off.

The higher your fee, the more you'll need to invest in marketing and positioning. Clients paying premium rates expect premium service - not just in the therapy room, but in every interaction. You'll need a professional website, clear communication systems, and either lots of experience justifying the price or a clear specialism. You're not just selling therapy sessions; you're creating an experience that justifies the investment. This requires time, effort, and often financial investment in your professional presence.

Setting Your Therapy Fee: Where To Start

Before you look at market rates or calculate costs, ask yourself an honest question: What service can you realistically deliver right now?

If you're working full-time in the NHS, have young children, or other significant commitments, a premium service with extensive between-session support and preparation might not be feasible. Starting with a lower fee while you build your practice could be more sustainable.

However, if you have capacity to provide what is needed to justify a higher fee - you might be ready to position yourself at a higher fee point. Remember: premium fees mean premium service at every touchpoint.

Hold in mind you can always lower your fees — if you set a fee and aren’t seeing much interest you can always go down. It’s harder to bring your fees up once set.

Research Your Market

Look at:

• Local therapy rates

• Your experience level

• Specialist skills

• Local economic factors

• Online vs in-person offerings

Higher vs. Lower

• Higher price points need marketing, experience or a specialism, professional website and management systems. The cost should justify the whole experience.

• Lower price points need less marketing, less experience and do not necessarily need a specialism. A basic website and management system is fine.

The Reality Check

Many therapists undercharge initially due to:

• Imposter syndrome

• Fear of being too expensive

• Worry about filling spaces

• Comparison with NHS free accessibility

Remember: Your fee needs to sustain your practice and professional development. Hold in mind there are many unqualified people charging for therapy, less qualified and experienced than you.

Setting Your Initial Rate

A common approach:

• Calculate minimum needed for sustainability

• Research costs of therapists who provide a similar service to you

• Choose a fee that feels right

Our best tip: Use AI to help you calculate your costs and how many clients you need to see — use our helpful prompts!

AI can be fantastic at helping you calculate your costs and how many clients you need to see to make the salary you want. Use our prompts below to help.

ChatGPT / Claude.ai prompts:

PROMPT FOR IF YOU PLAN TO ONLY DO PRIVATE PRACTICE AND NOTHING ELSE:

I’m a therapist starting my private practice. Help me calculate how much I need to charge and how much I need to work. I aim to go fully in private practice and I would like to make somewhere between [amount you want to make] per year before tax. I’d like to generally take [X] weeks holiday per year. I also want to account for [X] weeks sickness. Taking into account UK tax amounts, how many clients per week would I need to see and at what cost? I don’t want to see more than [X] clients per week. Help me evaluate moving forward if this works for me. I [do/do not] have a specialism and I [do/do not] have time for marketing. General rates for CBT therapists range between £50 - £150, although £50 would be considered very low and 150 very high. Hold this into account when analysing a fee for me.

PROMPT FOR IF YOU PLAN TO PRIVATE PRACTICE ALONGSIDE NHS:

I’m a therapist starting my private practice and work also in the NHS. Help me calculate how much I need to charge and how much I need to work. I want to work in the NHS [x] days a week on Band [X][with/without HCAS] and I am at step [X] of the band. In my private practice I would like to make [X] per year before tax. I’d like to generally take [X] weeks holiday per year. I also want to account for [X] weeks sickness. Taking into account UK tax amounts and NHS pay bands, how many clients per week would I need to see and at what cost? I don’t want to see more than [X] clients per week. Help me evaluate moving forward if this works for me. I [do/do not] have a specialism and I [do/do not] have time for marketing. General rates for CBT therapists range between £50 - £150, although £50 would be considered very low and 150 very high. Hold this into account when analysing a fee for me.

Example:

I’m a therapist starting my private practice and work also in the NHS. Help me calculate how much I need to charge and how much I need to work. I want to work in the NHS 3 days a week on Band 7 with HCAS and I am at step 2 of the band. In my private practice I would like to make 15000 per year before tax. I’d like to generally take 4 weeks holiday per year. I also want to account for 3 weeks sickness. Taking into account UK tax amounts and NHS pay bands, how many clients per week would I need to see and at what cost? I don’t want to see more than 3 clients per week. Help me evaluate moving forward if this works for me.

This workshop is now available to ALL members - paid and free - due our new collaboration with Kiku. Feel free to invite friends and spread the word!

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Join our free workshop to learn the exact 10 things you need to start private practice - nothing more, nothing less.

No fluff, no fancy Instagram or Website, no 10 years of experience needed, just practical action points to get your practice up and running today.

In just 60 minutes, you'll learn:

• Essential setup requirements

• Must-have tools and systems (for both legal and ethical requirements)

• Referral pipelines you can use today to get clients

• Common pitfalls to avoid

30 minutes will be left for questions.

Skip the endless research. Get straight to what works.

PLUS: Exclusive offer for attendees! We've partnered with Kiku Practice Management Software, a made by therapists, for therapists, clinical management system, to offer Between Sessions members an exclusive discount on their software. Kiku helps you manage clients, notes, payment, terms and conditions, and admin efficiently from day one. Kiku makes private practice easy. Their exclusive discount will be released with the workshop, and then available to Between Sessions Members on an ongoing basis. Thank you Kiku!

Workshop Details:

Time: 19:30 GMT

Day: Thursday the 13th February

Link: https://meet.google.com/fhd-uonq-imm

The workshop will be recorded and uploaded on Between Sessions afterwards for people who cannot attend and for the rest of our members to enjoy.

You can also view the event on Linked in here: https://www.linkedin.com/events/freeworkshop-howtostartprivatep7291774987265294336/.

Dear [NAME]

Thank you for taking the time to explore your difficulties today. It was lovely to speak to you. Speaking about these things is a significant step, and that is worth acknowledging.

If you'd like to move forward with support, let me know. I think we definitely could work together to get to [CLIENT GOAL].

AIM: Polite intro to follow up, without sounding like a sales pitch.

Reflect

As discussed:
- WHAT YOU DISCUSSED RE SESSIONS/FEES

Do feel free to email me with any questions or alternatives for support.

AIM: Summarise clear next steps if they want to go ahead, so that it is clear and easy how they work with you.

End Cordially

Also please know, there is no pressure to respond to this email, but it is here if you need it.

Best wishes,

[THERAPIST NAME]

AIM: Many clients who enquire may not be able to access your service right now due to fees, work or other commitments. If you make sure that they do not feel awkward about not booking now, they’re more likely to come back when they can access.

Professional grade websites typically use 5 key colours:

1. Lightest (usually white/off-white) - For readability

2. Light (brand color) - For main sections

3. Bright (accent) - For calls-to-action

4. Dark (brand color) - For depth

5. Darkest (usually black/off-black) - For text

The biggest mistake therapists make?

Most therapists either:

• Default to template colours of website builders such as Wix or Sparespace or whatever their website designer suggests
  
  Problem: Misses opportunity to connect directly to clients and makes websites look generic.
  
  

• Choose personal favourite colours
  
  Problem: Forgets about client specific appeal.
  
  

• Pick trendy colours
  
  Problem: No strategic purpose.

How to choose colours strategically:

Consider Three Factors:

1. Your Clinical Approach: How can you reference this in colour?

   • CBT? Consider structured, clear colours

   • Humanistic? Warmer, inviting tones

   • Psychodynamic? Deep, thoughtful shades
     
     

2. Your Ideal Client: How can you target them through colour?

   • Professional adults? Sophisticated, clean palettes

   • Anxiety clients? Calming, soft tones

   • Youth? Energetic but not overwhelming colours

   • Perinatal? Gentle, nurturing shades
     
     

3. Your Brand Personality: How can you show this through colour?

   • Traditional practice? Classic, professional colours

   • Modern approach? Contemporary, fresh palettes

   • Holistic focus? Natural, organic tones

Example:

A website targeting younger adult females. CBT therapy with a modern approach. Colours chosen to suggest: forward thinking, structured, safe, modern and calming:

Resources To Help:

• Canva Color Palette Generator https://www.canva.com/colors/color-palettes/

• Color Psychology Guide: https://www.colorpsychology.org/
  

• ChatGPT or Claude.ai prompt:
  
  I'm creating a website for my [THERAPY PRACTICE - EXPLAIN WHAT YOU DO AND WHO YOU TARGET]. I need help deciding the colour scheme, using colour psychology. The colours need to appeal to my client, whilst conveying my values of [MY VALUES]. Every professional website follows this formula:
  

  The 5-Colour Framework:

  Every professional website typically uses 5 key colors: Lightest (usually white/off-white)
  For readability - Light (brand colour)
  For main sections Bright (accent)
  For calls-to-action Dark (brand colour)
  For depth Darkest (usually black/off-black) - For text.
  
  Please help me decide colours for a website that is for [MY THERAPY PRACTICE WHO TARGETS YOUR AUDIENCE].

PRO TIP: Remember, your website colours should feel like a warm handshake between your professional identity and your client's needs.

This is precisely why niching is crucial for your practice's success. But how do you do it?

When a potential client lands on your website and thinks, "This therapist truly understands my specific challenges," they're not just more likely to book—they're willing to pay a premium for your specialised expertise.

Your niche becomes your unique value proposition, eliminating the need for potential clients to continue their search elsewhere.

Whilst specialising might feel daunting, today's remote therapy landscape offers abundant opportunities to build a thriving practice within your chosen niche.

Remember: charging higher fees means you can maintain a comfortable income with fewer clients. Moreover, your specialisation opens doors to additional revenue streams through books, workshops, and other specialised offerings that leverage your expert status.

Whilst niching isn't mandatory, it's worth noting that the most effective marketing strategies in therapy practice consistently centre around specialised expertise. Your niche isn't just a marketing tactic—it's your pathway to becoming a recognised authority in your field.

Pro Tip: Think of niching as amplifying your impact rather than limiting your reach. When you speak directly to a specific group's needs, your message resonates more powerfully than a one-size-fits-all approach.

How to find your niche

1. Think about who you like to work with and where your skill space lies. Discuss with people who know your clinical work - friends, family, your supervisor, and think about where a good niche might be.

2. Utilise tools - ChatGPT can help you find your niche. You can use the free versions, but paid versions may give you better answers. Most therapists find the free versions are enough to get them thinking.

Enter this prompt into the AI:

I’m a [TYPE OF THERAPIST]. I’m building my private practice and trying to find my niche. My ideal client is struggling with: (insert client problem), they wish to address the problem by (insert treatment style/ approach) to achieve (outcome). Can you help me get specific so that I have a clear marketing approach. Please make sure I am talking to a specific client group, with a clear solution.

If you need help thinking about what your niche should be from scratch, use this prompt:

I’m a [TYPE OF THERAPIST]. I’m building my private practice and trying to find my niche. I generally enjoy working with clients experiencing [problems]. My skills lie within [skills]. I’m also unique in that [if you have a specific identity you think is relevant, put it here e.g. I’m a mother, I’m mixed race, I have lived experience etc - it’s not necessary, but just if wanted.]. Can you help me get specific so that I have a clear marketing approach. Please make sure I am talking to a specific client group, with a clear solution.

1. Contract Introduction

[Include a brief statement introducing the contract between therapist and client. Explain that this document outlines how you work and encourages clients to read through it carefully.]

2. Assessment

2.1 Initial Assessment Process

[Describe your assessment process, including what happens in first sessions and how you explore the client's issues.]

2.2 Mutual Fit

[Explain that assessment allows both parties to determine fit, and note your policy on referrals if you feel another practitioner would be more suitable.]

2.3 Client Concerns

[Include a statement encouraging clients to discuss any concerns about the therapy process and who they can complain to if needed.]

3. Regularity of Sessions

[Specify your session structure, including:

• Session duration

• Frequency of sessions

• How time slots are reserved

• Any evidence base for your session structure]

4. Cancellation Policy and Planned Breaks

4.1 Regular Booking Policy

[Detail your ongoing booking system and conditions for maintaining a regular slot.]

4.2 Cancellation Terms

[Specify:

• Required notice period for cancellations

• Payment requirements for late cancellations

• Policy on emergencies, illness, and other circumstances]

4.3 Planned Absences

[Explain how clients should notify you of planned absences and your policy on breaks in therapy.]

4.4 Ad Hoc Sessions

[Detail your policy on:

• One-off sessions

• Review sessions

• Flexibility for specific circumstances

• Limitations on ad hoc availability]

5. Contact Outside Sessions

[Specify:

• Preferred contact methods

• Response timeframes

• Emergency contact procedures

• Administrative contact details

• Policy on between-session communication]

6. Payment

6.1 Payment Methods

[Detail accepted payment methods and processing system.]

6.2 Payment Timing

[Specify when payment is required and consequences of non-payment.]

6.3 Missed Payment Policy

[Outline procedures for missed payments and slot retention.]

7. Therapist Absences

[Detail your policy on:

• Notice for planned absences

• Handling of emergency absences

• Payment policy during therapist absences]

8. Arrival and Late Attendance

[Specify:

• Expected arrival time

• Policy on lateness

• Cut-off time for sessions

• Procedure for no-shows]

9. Safety

[Include policies on:

• Substance use during sessions

• Risk management

• Emergency procedures

• Duty of care obligations]

10. Problems in Therapy

[Outline your approach to:

• Handling client dissatisfaction

• Feedback procedures

• Resolution of therapeutic issues]

11. Ending Therapy

[Detail:

• Process for termination

• Notice requirements

• Record keeping after termination

• Final session procedures]

12. Confidentiality

[Specify:

• Limits of confidentiality

• Legal obligations

• Data protection policies

• Information sharing procedures

• Supervision arrangements]

13. Extra Work

[Detail policies on:

• Additional documentation

• Report writing

• Professional letters

• Associated fees]

14. Insurance

[Include details of:

• Professional indemnity insurance

• Any other relevant insurance coverage]

15. Complaints

[Outline:

• Internal complaint procedures

• External complaint procedures

• Professional body contact details]

16. Social Media and Confidentiality Policy

Social Media Presence

[Detail your professional social media presence and its purpose.]

Confidentiality and Privacy

[Outline social media privacy policies and content sharing guidelines.]

Educational Content

[Explain your policy on sharing therapeutic concepts and maintaining anonymity.]

Communication Guidelines

[Specify appropriate channels for client communication.]

Social Media Boundaries

[Detail boundaries regarding social media interaction with clients.]

[Note: Each section should be customized to reflect your specific practice, professional requirements, and therapeutic approach while maintaining compliance with relevant professional bodies and legal requirements.]

Completed Example

Therapist to Client Terms & Conditions

1. Contract Introduction

1.1 The following is a contract between me, as your therapist, and you, for therapeutic work. It provides you with an understanding of how I work so you are fully informed. Please take some time to read through this.

2. Assessment

2.1 At the assessment (typically the first and possibly future sessions) we will explore the issues that you sought therapy for. During this consultation period we will attempt to get a clear understanding of matters which are important to you in order for me to formulate your difficulties and develop an appropriate therapeutic plan.

2.2 The assessment sessions allow you the chance to see if we can create a shared understanding of your difficulties in a manner which feels purposeful to you - you are not obliged to complete the assessment or embark on further sessions after the assessment period. As I have a duty of care, if I think that you would be better helped by seeing a therapist with a different modality or support, I may offer you the opportunity to be referred to another practitioner.

2.3 If you have any concerns about the process of therapy then I encourage you to discuss these with me.

3. Regularity of Sessions

3.1 Once you have agreed to therapy, I will reserve a weekly time slot (of 50 minutes) for you. This is so that I can set aside the same time for you each week for us to work on your difficulties and gain therapeutic momentum. Weekly sessions are in-line with the evidence base.

4. Cancellation Policy and Planned Breaks

4.1 As your sessions will take place on the same day and time each week, these times will be “reserved” on an ongoing basis. You can cancel any session provided you give 48 hours’ notice, however if regularly cancelling, you may lose your ongoing slot. If you forfeit your space, but wish to resume therapy, you will need to see if spaces are available, noting that there is no guarantee that a slot will be available.

4.2 Any cancellation within 48 hours, changes to the appointment time or non-attendance will be charged at the full fee. I understand life throws surprises, however, to ensure fairness, this cancellation policy applies to holidays, work commitments, illness and other emergencies.

4.3 Please discuss with me in session any future holidays or absences or if you predict an ending of therapy. Please advise me of any foreseeable difficulties in attending, if possible I may be able to accommodate your needs with an alternative slot or a break in therapy.

4.4 Ad hoc sessions are generally used to review your progress after a course of therapy. In some other cases, ad-hoc therapy sessions may be available depending on the circumstance, for example, if you are a shift worker and cannot attend weekly sessions at the same time. My flexibility is limited as my diary is typically full with regular same-time clients on a weekly basis. If you are unable to attend the same day and time every week or cannot attend weekly then please let me know from the outset and we can try to navigate this together. I cannot commit to providing regular ad-hoc sessions but will attempt to accommodate your needs if I can.

5. How to contact me outside of session time

5.1 I encourage you to discuss any concerns you have in your therapy session.

5.2 In the circumstances of canceling please XXXX. If you have any difficulties attending your appointment or need to reorganise please XXXX.

5.3 You are welcome to email me back regarding queries of homework and any other things that do not require an urgent response. I will attempt to respond to any concerns or questions within 48 hours’ unless I am on planned leave or sick.

5.4 You should not email myself or my assistant for concerns around risk or your safety as these emails are not regularly monitored and we are unable to offer urgent support. If you are in danger in any way, please contact emergency services (A&E), 999, your GP or the Samaritans and discuss this with me in our next session.

Payment

6.1 When making your first booking you will be sent a link to pay for your appointment. By entering your credit or debit card details you are authorising Kiku, via Stripe payments, to take payment on my behalf for this session.

6.2. Appointments must be paid ahead of time. If payment is not received by the time of the appointment, I will email you to update you that your appointment is canceled. I understand people forget and life gets in the way, however I do not have the admin capacity to be chasing payments.

6.3. If the above situation in 6.2 occurs, and we do not hear from you within the following 24hours, it will be assumed that you do not wish to continue therapy at this time and your appointment slot will be forfeited. You are more than welcome to get back in contact.

7. Therapist Absences

7.1 I will give you as much notice as possible of my holidays, and of any ad hoc absences which I try to keep to a minimum, for example, if I am teaching. You will not be charged for my absences.

8. Arrival and Late Attendance

8.1 Please arrive on the virtual link, prior to, or at the exact appointment time. I regret that I cannot make up time if you are late. If you do not attend after 10 minutes, I will assume you are not attending, and the appointment will be cancelled.

8.2 If I do not hear from you in the following 48 hours following a missed appointment, it will be assumed that you do not wish to continue therapy at this time and your appointment slot will be forfeited. You are more than welcome to get back in contact.

9. Safety

9.1 Please do not arrive under the influence of alcohol or non-prescribed drugs. If I have reason to believe that this may be the case, I will discuss this with you.

9.2 Concerns regarding your safety/the safety of others including myself may require me to inform other agencies - please refer to section 12, Confidentiality.

9.3 I do not offer emergency support as I cannot guarantee my availability to you. If you are in danger in any way, please contact emergency services (A&E), your GP or the Samaritans and discuss this with me in our next session.

10. Problems in therapy

10.1 I recognise that many people who struggle with social anxiety, may feel uncomfortable telling me that they are not finding therapy helpful or finding it is not working on what they want. I encourage you to discuss this with me. It is incredibly important for me to know if you are not getting what you want from therapy, and I will not take any concerns raised like this with offense. On the contrary, I would welcome these discussions!

10.2 Formal complaints can be made to my accrediting body via XXXXX.

11. Ending Therapy

11.1 If either you or I think it is time to end the therapy then a discussion should take place which would include how best to end the therapeutic relationship. If you do decide to terminate your therapy sessions, I will require as much notice as you find possible so we can work towards a healthy ending.

11.2 If for some reason I have to discontinue sessions, I will discuss this with you and discuss alternatives for support. I will remain responsible for your full records until such time as they require secure disposal (in accordance with the requirements of my professional body and prevailing legislation).

12. Confidentiality

12.1 All sessions are conditionally confidential. However, I am under legal obligation to:

• inform appropriate agencies if I perceive you are a danger to yourself or to others

• share information if required to do so under a court order or by law

• disclose information if required to do so for the prevention, detection or prosecution of a crime
  

12.2 By signing this agreement and/or continuing with the first therapy session you give permission for me to hold your assessment information and any other information provided in the course of our work together. I will maintain this in accordance with the principles of the Data Protection Act, 1998 (as amended), clinical governance audit standards, requirements of my professional body and any other relevant legislation.

12.3 By signing this agreement and/or continuing with the first therapy session you are also giving permission for Sophia Spencer to hold such information as is required to service our working arrangement, this includes but is not limited to data stored in paper form and/or electronically, processing your personal data including but not limited to contact details, bank details, accident forms; processing your sensitive data, including but not limited to, data in respect of your racial or ethnic origin and your physical and mental health; and to transfer your personal data and/or sensitive data outside the European Economic Area.

12.4 I am required to participate in supervision as part of my commitment to good practice and the duty of confidentiality extends to my supervisor/s. Any notes taken in supervision sessions are confidential and full names will not be used.

13. Extra Work Undertaken

13.1 If you want me to write any reports or letters on your behalf, my time in preparing such reports will be charged at my hourly rate. Please let me know in advance if you are seeking a professional letter of any kind or are seeking therapy as part of a legal claim.

14. Insurance

14.1 As an independent practitioner, I hold professional indemnity insurance.

15. Complaints

15.1 It is natural at times to experience feelings of frustration or dissatisfaction about the process of therapy; these should be discussed with me as described earlier (please refer to section 10.

16. Social Media and Confidentiality Policy

Social Media Presence

I maintain a professional presence on Instagram under the handle XXXXX for marketing, educational outreach, and sharing general information about CBT and mental health. This platform is used solely for professional marketing, outreach educational purposes.

Confidentiality and Privacy

Your privacy and confidentiality are of utmost importance. I commit to:

• Never sharing any personal details or information from our therapy sessions

• Never disclosing your identity or status as a client

• Maintaining strict confidentiality regarding all aspects of our therapeutic relationship

Educational Content and Social Media Posts

As part of my professional commitment to mental health education:

• I may reference therapeutic concepts, CBT techniques, or general themes that arise in clinical practice

• Any such content will be presented in a general, anonymised manner

• Specific details, identifying information, or personal circumstances will never be shared

• No content will be traceable to any individual client or session
  

Communication Guidelines

For your privacy and to maintain appropriate therapeutic boundaries:

• Please do not attempt to communicate with me via Instagram or other social media platforms

• Instagram messages are not regularly monitored and will likely be missed

• All clinical communication should be conducted through:

  • Our scheduled sessions

  • The designated contact methods provided at the start of therapy and in this contract in section 5.3.
    

Social Media Boundaries

To maintain professional boundaries and protect your confidentiality:

• I do not follow clients on social media platforms

• Liking or commenting on my social media posts is at your discretion, but please be aware this may compromise your own privacy

• If you choose to share or comment on my social media content, you do so at your own discretion
  

I understand that social media can blur professional boundaries. This policy aims to preserve the integrity of our therapeutic relationship while allowing me to share valuable mental health resources with the wider community. If you have any questions about these terms, please discuss them with me during our sessions!

Therapist To Client Terms & Conditions Template Example

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1. The purpose of this call is to establish what issues you are keen to work on. If I think at the end of the call that I can support you through these, I’ll share that with you and we can discuss how it would work.
   
   If I think I’m not the best person to help you, I’ll tell you and if I know someone who could help, I’ll point you that way.
   
   How does that sound?
   

2. I also just want you to know clear expectations regarding the length of the call and what we will cover. We’ll spend about 10-15 min on this call. We’ll discuss your current challenges, the impact and explore how therapy may look like. I understand you may not feel you’ve shared enough in that time for me to fully understand, but don’t worry too much. Those things come later in therapy when we can work on them therapeutically.
   
   Does that sound ok?
   

3. What motivated you to reach out for therapy?
   

   Main issues

4. How is this impacting you?
   
   Current coping?
   
   Relationships? Work?
   

5. If you were to fast forward a year from now, where would you like to be?
   
   Do you have a sense of what type of support you need?
   
   What specific goals would you like to achieve in therapy?
   

6. Reflect back summary: Ok so just to summarise to make sure I understand. Right now you are struggling with [issue], This is impacting you by [impact]. You want to be [goal], but what’s stopping you is [issue]. Is that right?
   
   If I’ve missed something or misunderstood, please let me know
   

7. Based on what you’ve shared I believe my approach to [problem] could be beneficial because….
   
   Explain
   
   Link to prev experience
   
   Any questions?
   

8. Confirm structure
   
   What process would involve, frequency, duration, fee
   
   Want to think about it or book in?
   

9. Follow up in 24hr
   
   Hi [name], it was good to talk to you yesterday. I’m just following up to see if you have any further thoughts or questions.
   
   If you don’t wish to proceed, no problem, do find some free resources of mine here which might be helpful: resources
   
   Best wishes

Discovery Call

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