Anthony, It’s early June and still at 23 clients referred. The breakdown of my case load is as follows: 5 insurance clients (5 scheduled weekly). Eighteen Children’s Division referrals. Ten reliably keep their weekly or twice per month sessions. I created a flyer for an LGBTQ youth group I want to offer and posted it on Facebook. Problem is I need 25 “like” comments. I learned I have to create a Facebook profile to connect with the Facebook page. I haven’t received any new referrals in the past 2 weeks. Please e-mail me at [email] with your response. Thank you.

Dear Mary,

Thanks for your comment / question. You are experiencing a common problem that providers with only one or two major referral source experience—which is that client referrals can quickly (and unexpectedly) slow or stop completely.

I can comment briefly on your marketing strategy, but we really should have a longer conversation.

The idea to be on Facebook is a good one, but it’s also a long-term strategy—I would not expect you are going to get any clients from Facebook right away. About needing 25 “Likes”, that will give you a unique URL, but you should be able to create a page from day one that talks about your therapy group.

About the therapy group. In my experience, and in the experiences of the many counselors I have helped build caseloads, groups are much harder to form than finding individual counseling clients (you end up with 2 potential group members, and by the time you’ve found a 3rd, the first 2 have lost interest)—so if you are trying to build a full caseload, I would continue to look for one-on-one clients, not attempt to start a group. In my experience, groups are a good alternative when your client-base is bursting at the seems and you’re asking yourself the question, “how can I help all these clients with my limited time?”

I hope this helps! If we can find a time to talk by phone, I may be able to help you more. Also, I have an article coming out in this month’s Counseling Today magazine titled “40 strategies for building a full caseload” – I how you will read it, as it seems to be speaking exactly to your situation!


Anthony Centore

Anthony Centore

Anthony Centore Ph.D. is Founder and CEO at Thriveworks--a counseling practice, focused on premium client care, with 80+ locations across the USA. He is Private Practice Consultant for the American Counseling Association, columnist for Counseling Today magazine, and Author of How to Thrive in Counseling Private Practice. Anthony is a multistate Licensed Professional Counselor and has been quoted in national media sources including The Boston Globe, Chicago Tribune, and CBS Sunday Morning.

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