361: The Anxiety Of Finding A Private Practice Niche

About a month ago, I shared that I’ve decided to go into private practice, in addition to keeping STC running and growing. There are three main reasons for this decision: I miss the therapy room, a clinical arm to my business is a wise move, and I’ll be able to more strategically diversify my income. I think this venture will offer new opportunities for the future that are beneficial in many ways, but, to be honest, this decision has brought me some anxiety, insomnia, and depression.

I’m addressing these issues with my wonderful therapist, and I’m doing all the things that we therapists tell our clients to do. My worries and fears are probably normal for someone who feels the pressure to be successful in multiple businesses and endeavors. In today’s solo session, I’m sharing my insights on finding my private practice niche. Join me for a closer look!

You’ll Learn: 

  • What is a niche, and how did I choose my niche for private practice? Who do I want to work with?
  • My top four insights on finding my private practice niche:
  • Niches are living and breathing things that evolve over time.
  • Family and friends will always recommend people outside your niche.
  • There is a relational component to marketing beyond your website.
  • Even though my niche focuses on tech and business founders, working within other branches of these niches will add diversity to my work. (These last two insights come from my friends, Raj Lulla and Ben Lueders, the founders of Fruitful Design.)


Interested in becoming part of our affiliate program? Learn more at


Want to launch your online course?

Please check out our free 7-Day Course Creator Starter Kit For Therapists: https://sellingthecouch.com/coursekit

Mentioned in this episode:


Thrizer can help private pay therapists transform out-of-network therapy into an in-network experience to help you attract and retain private pay clients! First, Thrizer can help you instantly verify your client's out-of-network benefits ahead of their first session using Thrizer's free Instant Benefits Calculator. Then, just by charging clients via Thrizer's payment platform, you can automatically submit claims for them and even let your clients just pay their co-insurance for sessions (similar to in-network copays) to help them afford therapy upfront and skip the reimbursement wait post-deductible. Thrizer covers the rest of your fees upfront and waits for reimbursement on their behalf! They also have a Superbill Uploads feature if you'd like to instead offer your clients a resource to manage their own superbills. They manage all claims end-to-end so you or your clients don't need to deal with any of the insurance stress. Please visit the Thrizer link below and enter the promo code “STC” and receive waived fees for your first $2500 in charges.

Learn More About Thrizer

About the Podcast

Show artwork for Selling the Couch
Selling the Couch
Impact + Income Beyond The Therapy Room

About your host

Profile picture for Melvin Varghese, PhD

Melvin Varghese, PhD

Hi. I'm Melvin. I'm a psychologist, girl dad, and online creator living in Philadelphia, PA.

In 2014, I began to think about how to use our therapist skillset in different realms besides clinical work (e.g., podcasting, consulting, online course creation, writing, etc).

This allows us to serve others on larger scales while diversifying our income beyond 1 to 1 work.

I make podcasts and videos about business, tech, productivity, and lessons I'm learning from becoming the CEO of a lean, mean 5 person 100% remote team (we're not really mean..it just rhymed =P).