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Psychology

Are therapy referrals down? 3 possible explanations (with solutions)

September 16, 2025 by Ben Caldwell

A pen hovers over business charts. / Photo via Lukas via Pexels / Used under licenseAre fewer people seeking out therapy? Good nationwide data is hard to come by, but we have some signals. Online therapy provider BetterHelp reports a dwindling subscriber base, down about 20% from its peak two years ago, even as they continue to spend millions of dollars on advertising. And anecdotally, we’re hearing lots of individual therapists report that they’re struggling to bring in new clients over the last few months. 

If your practice has been struggling with fewer therapy referrals, here are three possible reasons for it – and solutions for each.

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Your late cancellation policy may be causing late cancellations

September 9, 2025September 9, 2025 by Ben Caldwell

Wrist watches. / Photo via Sarah Pflug via Burst / Used under licenseI’ve been reading and enjoying Blind Spots, a 2011 book about why people make choices that go against their own genuinely-held values. It’s a good read, full of insights that I hope to bring to my work in ethics and policy going forward. One unexpected nugget for therapists: Your late cancellation fee might actually be encouraging late cancellations.

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Value-based care in mental health: An explainer

February 7, 2025 by Ben Caldwell

Bills and receipts / Photo by Sarah Pflug via Burst / Used under licenseDiscussions about value-based care among therapists are often confusing and unproductive. In my experience, that seems to be because a lot of us simply don’t know what the term means. So it gets either dismissed as just a new term for things many of us already do (like measuring outcomes), or it gets framed as the boogeyman intent on destroying therapy as we know it. 

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Marketing therapy after disasters

January 13, 2025January 12, 2025 by Ben Caldwell

Nicole De Khors / Burst / Used under licenseIn response to mass shootings, wildfires, and other disasters, many therapists and counselors have sought to support impacted areas. One way they have done so is with free services. Marketing therapy after disasters can be difficult, though. Done well, it reinforces our roles as community caregivers. It shows off the best of who we are as professionals. With some common mistakes, it can instead come off as a tacky form of marketing, accidentally pushing people in need away from help. Here’s how to tastefully and effectively offer counseling and therapy services to those in need.

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ASPPB gives up on requiring Psychology licensing boards to use the EPPP Part 2

October 29, 2024 by Ben Caldwell

Boxing gloves / Photo by Sarah Pflug via Burst / Used under licenseLast week, the Association of State and Provincial Psychology Boards (ASPPB) announced that they are pausing plans to require member boards to use the EPPP Part 2 as a condition of Psychologist licensure. They had faced fierce resistance to the mandate, including a recent Federal Trade Commission complaint and a coalition of states looking at developing an alternative exam.

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📣 New Posts 📣

  • Are therapy referrals down? 3 possible explanations (with solutions) September 16, 2025
  • Your late cancellation policy may be causing late cancellations September 9, 2025
  • Prologue: A poem for new graduate students August 28, 2025
  • ASWB made two big promises about their social work exams. They haven’t kept either one August 21, 2025
  • ASWB misinformed examinees about changes to its social work exams May 19, 2025

Preparing for the 2025 California MFT Law & Ethics Exam

Preparing for the 2025 California MFT Law & Ethics Exam - front coverThe easiest way to get ready for California’s MFT Law & Ethics exam. This paperback includes a study guide and more than 100 practice test questions with rationales.

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  • Exam Prep
    • California LMFT Clinical Exam Prep
    • California LMFT Law & Ethics Exam Prep
    • California LPCC Law & Ethics Exam Prep
    • California LCSW Law & Ethics Exam Prep
  • CE Courses
    • California Law and Ethics 6-Hour for LMFTs, LPCCs, & LCSWs
    • California Law and Ethics for BBS Associates (AMFTs, APCCs, & ASWs) – 2025
    • Telehealth for California LMFTs, LPCCs, and LCSWs
    • Supervision of California BBS Associates
    • Supervision for Clinical Effectiveness
  • Books
    • Basics of California Law for LMFTs, LPCCs, and LCSWs (11th ed)
    • Preparing for the 2025 California MFT Law & Ethics Exam
    • Preparing for the 2025 California Clinical Social Work Law & Ethics Exam
    • Saving Psychotherapy
  • Resources
    • Think Like the Testâ„¢ Podcast
    • Exam Prep Articles
  • Blog
    • Blog home
    • Psychology
    • Professional Counseling
    • Family therapy
    • Clinical social work
    • Law and ethics
    • Education
    • Employment
    • Licensure
    • Public policy