How the right clients find your practice

Your ideal clients are already searching for someone like you. Here is where they look, what they type, and how to make sure they find you instead of the therapist down the street.

Updated February 202615 min read

Quick Answer

Clients find therapists through five channels: Google search (still #1 but shifting), therapy directories like Psychology Today (declining), AI search tools like ChatGPT (fastest growing), professional and personal referrals, and insurance portals. The mix is changing fast. Practices visible across multiple channels get more inquiries than those relying on a single source.

Why the right clients aren't finding you

Right now, someone in your city is typing "anxiety therapist near me" into Google. They are ready to book. They have the insurance or the budget. They need exactly what you specialize in. But they will never call you because they do not know you exist.

The issue is not your clinical skills. It is visibility. Graduate school taught you assessment, diagnosis, and treatment planning. Nobody taught you where clients search or how to show up in those searches.

The good news: this is not about becoming a salesperson or posting on Instagram every day. It is about understanding how clients actually look for a therapist and being present in those places. That is it.

Where clients look first (and what they need to see)

Quick Answer

Clients look for three things: someone who specializes in their specific issue, evidence that this person is credible (website, reviews, credentials), and an easy way to get in touch. Most clients check at least two sources before reaching out: typically a Google search or directory listing, then the therapist's website.

When a client hears your name from a friend, their next step is Googling you. When they find you on Psychology Today, they click through to your website. When ChatGPT recommends you, they check your site to verify. Every path leads back to your website.

At minimum, clients expect: a professional website, a Google Business Profile, and at least one directory listing. These three assets cover the main ways clients search for therapy.

Your website does not need to be complex. It needs to answer three questions clearly: Who do you help? What do you specialize in? How does a client get started? A clean site with those answers will outperform a flashy one that buries the information.

How clients use directories to find a therapist

Clients use directories the way you might use Yelp for a restaurant: they filter by location and specialty, then scan profiles quickly. Most clients spend under 30 seconds on a profile before deciding to click through or scroll past.

Psychology Today is still the most-used therapy directory, but competition has increased dramatically. Referrals from PT have dropped significantly for many therapists, with some reporting 77 to 94 percent fewer inquiries compared to two years ago. You should still list there, but relying on it as your only source is a risk.

What makes clients click your profile

  • Write in first person (clients want to hear your voice)
  • Lead with the problem they are searching for, not your credentials
  • Use the language your ideal client would use
  • Include a professional photo with a warm expression
  • List your fees upfront (transparency builds trust)
  • Link to your website (so they can learn more)

Beyond Psychology Today, list on GoodTherapy, TherapyDen, OpenCounseling, and your state association directory. Each listing increases the chances a client finds you and provides backlinks that help your website rank on Google.

What clients type into Google (and why your site does not show up)

Quick Answer

Clients search for specific terms: 'anxiety therapist near me,' 'EMDR therapy [city],' 'therapist who specializes in [issue].' These searches happen 550,000 times per month for 'therapist near me' alone. If your website does not include these terms in the right places, Google has no reason to show it to these clients.

A single new client is worth $3,000 to $10,000 in annual revenue. If your website brings in 2 to 3 new clients per month through organic search, the return far exceeds any marketing investment.

Unlike directories where you compete directly with 50 nearby therapists, SEO lets you rank for the specific issues and populations you serve. A client searching "couples therapist specializing in infidelity recovery in [your city]" is looking for exactly one type of therapist. That could be you.

Start with the basics: unique titles and descriptions on each page, heading tags used correctly, fast loading on mobile. Then create content that answers the questions your ideal clients are already asking. For a complete walkthrough, read our SEO for Therapists guide.

Why clients trust referrals (and how to earn more of them)

Quick Answer

Build relationships with professionals who serve the same population: psychiatrists, primary care physicians, school counselors, divorce attorneys, and other therapists with different specialties. Make it easy for them to refer by providing a one-page sheet with your name, specialties, and how to get in touch. Then stay in contact quarterly.

When a physician tells a patient "I know a therapist who specializes in exactly what you are dealing with," that client arrives with built-in trust. Referral relationships are the highest-trust way a client can find you.

Start with 5 to 10 professionals in your area. Send a brief introduction. Offer to meet for coffee. Make it clear what types of clients you serve best and what you do not treat (so they know when to send someone your way). Referral networks take time to build, but they compound over years.

Clients search for specialists, not generalists

When a parent is searching for help with their teenager's eating disorder, they do not type "therapist." They type "adolescent eating disorder therapist near me." They want someone who focuses on exactly that issue.

This is counterintuitive: therapists who narrow their focus attract more clients than generalists. Why? Because every channel rewards specificity. Google ranks specific pages over generic ones. AI recommends specialists over generalists. Clients choose the therapist whose profile speaks directly to their problem.

You do not need to turn away clients outside your niche. Just lead with your specialty in every place clients find you: website headline, directory profiles, Google Business Profile, and content. Specificity is how clients find the right therapist.

Write what your future clients are already searching for

Your future clients are Googling their symptoms before they Google you. "What is CBT and how does it work?" "How do I know if I need therapy for anxiety?" "What to expect in your first therapy session." These are questions people ask before they are ready to book.

When your website answers these questions, two things happen: Google starts showing your site to people searching for help, and those people see you as a credible expert before they ever reach out. Each article becomes a doorway for a future client.

2026 Practice Visibility Checklist

The 15-point checklist we use to audit where clients can find your practice. Covers Google, AI search, directories, and local SEO.

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Where to start (priority order)

You do not need to do everything at once. Start with the channels that reach clients who are already searching, then build from there.

Week 1: Be findable

  • Claim or verify your Google Business Profile
  • Optimize your Psychology Today headline and personal statement
  • Make sure your website answers: who you help, your specialty, how to start

Weeks 2 to 4: Build the foundation

  • Build or update your website with pages for each specialty
  • Set up online booking so clients can schedule directly
  • Create 2 to 3 directory listings (GoodTherapy, TherapyDen, state association)

Month 2 to 3: Earn trust signals

  • Ask 3 to 5 satisfied clients to leave a Google review
  • Write 3 articles answering questions your ideal clients search for
  • Send 10 referral introduction letters to local professionals

Month 3 to 6: Compound your visibility

  • Begin consistent SEO to rank for your specialty keywords
  • Expand directory listings to 15 or more
  • Optimize your site for AI search recommendations

Frequently asked questions

How do clients find a therapist?+
Clients find therapists through Google search (still #1), therapy directories like Psychology Today (declining), AI search tools like ChatGPT (fastest growing), referrals, and insurance portals. The mix is shifting fast. Building visibility across multiple channels protects your practice.
How do new therapists get their first clients?+
Start where clients already search: claim your Google Business Profile, optimize your Psychology Today listing, and tell your professional network you are taking clients. These are free and reach people actively looking for therapy.
How long does it take to build a full caseload?+
Most therapists take 6 to 18 months depending on niche, location, and online visibility. Those who invest in a real website and local SEO fill their caseload 40 to 60 percent faster.
Why am I not getting clients from Psychology Today?+
PT referrals have dropped significantly. Some therapists report 77 to 94 percent fewer inquiries. Causes include more profiles competing, platform companies managing bulk listings, and clients shifting to Google and AI search.
Does social media bring in therapy clients?+
Rarely as a primary channel. People ready to book a therapist search with intent on Google, directories, or AI. Social media builds credibility but works best as a supplement, not the main source.
How much should a therapist spend on marketing?+
Industry benchmarks suggest 5 to 15 percent of revenue. For a new practice: $200 to $500 per month initially. Highest-ROI investments: website ($2,497 one-time), SEO ($997 per month), directory listings ($30 to $300 per month).
How can clients find me through ChatGPT?+
AI search recommends practices with structured website content, clear specialization, FAQ sections, Google reviews, and consistent directory listings. Most therapists have not started doing this, which means first movers have an advantage.
Is it worth hiring someone for SEO?+
Worth it when your time is better spent seeing clients. At $150 per hour, spending 15 to 20 hours per month on DIY SEO costs you $2,250 to $3,000 in lost billable time. Choose a therapy-specific provider over a general agency.
What is the best alternative to Psychology Today?+
Build your own search visibility: website optimized for Google and AI, Google Business Profile with reviews, and listings across multiple directories. Clients find you directly instead of scrolling through hundreds of profiles.
How can I stand out from other therapists?+
Specialize. Clients searching for a specific issue want someone who focuses on that issue. Make your specialty visible everywhere: website headline, PT profile, GBP, directories. Specificity reduces competition.

Related guides

Find out where your clients are searching. And whether they can find you.

Get a free Practice Visibility Assessment: a personalized report with your scores across Google, AI search, directories, and local search. Includes specific findings and a prioritized action plan.

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