Psychology Today Archives - Psychotherapy Notes

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

September 16, 2025 by Ben Caldwell

Are 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.

A therapist directory with the scale — and killer feature — to challenge Psychology Today

June 23, 2021June 23, 2021 by Ben Caldwell

A couple of years ago, I wrote about some smaller therapist directories who were trying to take on Psychology Today’s directory. Now, there’s a new therapist directory with the scale — and the killer feature — to challenge PT’s dominance.

These new therapist directories aim to beat Psychology Today

July 23, 2018 by Ben Caldwell

If you’re a therapist in private practice, you’re probably listed on Psychology Today. For better or worse, it’s the 800-pound gorilla of therapist directories: It gets a ton of traffic, which means its pages show up high in search results, which generate even more traffic.

Despite owning the market, the Psychology Today directory is not necessarily well-liked. Its user experience looks and feels dated. While advanced searches are possible, the main search page only allows searches by name and location. Therapists and clients alike sometimes grumble that the information therapists can share on their profiles is limited.

For a new generation of online therapist directories, the failure of Psychology Today to improve its product represents a tremendous opportunity.