A steady way to grow
Many therapists ask how to build a private practice that lasts, especially when they want something sustainable rather than rushed or driven by pressure. Reaching the recent milestone of my 100th podcast episode prompted me to reflect on what actually helps work endure over time, and much of it applies directly to how private practice grows.
If you’d prefer to listen rather than read, I explore this in more depth in the Good Enough Counsellors podcast.
If you would like to subscribe to the podcast, click here.
You don’t need to feel ready to build a private practice
One of the most common blocks therapists experience when building a private practice is waiting to feel confident.
In reality, confidence usually comes after you begin. Most therapists learn by doing, adjusting, and allowing themselves to be good enough rather than perfectly prepared. Starting before you feel ready is often part of building a sustainable private practice.
Small, consistent actions help private practice grow
Private practice is rarely built through one big moment or decision.
It grows through small, repeated actions over time:
- Updating a profile
- Having a conversation
- Sharing something useful
- Or letting people know you have space.
These steps may feel minor, but together they create momentum and trust.
Consistency matters more than intensity.
Visibility helps the right clients find you
Many therapists struggle with visibility because it can feel uncomfortable or self promoting.
But visibility is not about ego. It’s about helping people understand what you offer and how they can work with you. When clients and referrers can’t see you, they can’t choose you.
Clear communication supports ethical and sustainable practice.
The impact of your work goes further than you can see
One of the hardest parts of private practice is not always knowing whether what you’re doing is making a difference.
Impact is often invisible. A conversation, a session, or something you share may stay with someone long after you’ve forgotten it. Your work creates ripples, even when you don’t see the outcome.
This is part of what makes therapeutic work both meaningful but sometimes hard.
Building a legacy through everyday practice
A legacy doesn’t have to be loud or public.
Many therapists are quietly building a legacy in the lives of those they help. Through care, integrity, and consistency. Through turning up for clients and continuing to learn and reflect.
A private practice that lasts is often created by steady presence rather than dramatic change.
FAQ: building a private practice that lasts
How long does it take to build a private practice?
For most therapists, building a private practice takes time. It’s common for it to grow gradually over months or years rather than quickly. Small, consistent actions usually lead to more sustainable results than trying to rush the process.
Why do I feel stuck even though I’m “doing all the right things”?
Many therapists are visible in directories, have a website, or post occasionally, yet still feel stuck. This often isn’t about effort, but about clarity, confidence, and consistency. Support and reflection can help you see where small adjustments might make a difference.
Is it normal to doubt yourself in private practice?
Yes. Self doubt is extremely common, especially when you’re self employed and working in emotionally demanding roles. Doubt doesn’t mean you’re doing it wrong. It usually means you care.
Do I need to be on social media to build a private practice?
Not necessarily. There are many ways to build a private practice, including referrals, directories, networking, and community connections. The key is choosing approaches that feel manageable and aligned with you.
Want support with growing your practice steadily?
If you’re a counsellor in private practice and you want support to grow your work in a way that feels ethical, manageable, and sustainable, you might find Therapy Growth Group helpful.
It’s a membership for therapists who want to attract clients without pressure or overwhelm, focusing on small steps, encouragement, and practical guidance you can fit around real life.
You can find out more about Therapy Growth Group here.