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43. The Unsexy Work That Actually Fills a Therapy Caseload
Episode 4316th December 2025 • Marketing Therapy • Anna Walker
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As 2025 winds down, it’s natural to reflect on how your practice is doing—and where you want it to go in the year ahead. If you've found yourself tweaking your brand colors (again), posting to Instagram without real direction, or wondering if a new website design will finally bring in clients, this episode is for you.

I’m introducing a powerful new metaphor: your private practice is a vehicle, and your marketing is the engine. The brand colors and website design? That’s just the paint job. What really drives client inquiries, consults, and bookings is your client conversion engine. I’ll walk you through what that engine includes, how to know which part might be stalling your progress, and the kind of long-term maintenance that creates a predictable, sustainable flow of right-fit clients.

This isn't about doing more—it's about doing the right things in the right order. Let’s get under the hood and make sure your engine is ready for 2026.

Here’s what you’ll learn in this episode:

1️⃣ Why so many therapists stay stuck chasing “paint job” tasks—and what really needs your attention instead

2️⃣ The three essential components of a strong client conversion engine

3️⃣ What consistent, aligned visibility looks like in 2026—and how to fuel your marketing without burnout or busywork

Resources & Links Mentioned:

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Explore more marketing support for therapists: The Walker Strategy Co website

About Marketing Therapy

Marketing Therapy is the podcast where therapists learn how to market their private practices without burnout, self-doubt, or sleazy tactics. Hosted by Anna Walker—marketing coach, strategist, and founder of Walker Strategy Co—each episode brings you clear, grounded advice to help you attract the right-fit, full-fee clients and grow a practice you feel proud of.

Transcripts

Anna Walker:

Hey everyone.

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Welcome back to Marketing

Therapy, episode 43.

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We're nearing the end of the

year here, which is wild.

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I know they say as you get

older, years go faster.

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And so far I can confirm

that's exactly what happens.

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2025 has been the fastest year of my life.

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And it's also, of course, a natural

time for kind of reflection.

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Thinking about the year behind you,

thinking about the year ahead in this

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episode, I want to encourage you as

part of your year end practice here to

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look under the hood of your practice a

little bit and maybe start thinking about

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things just a little bit differently

s you take your practice into:

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Now there's a really common cycle

that I see and that I hear in the

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clinicians that I talk to and the

conversations I get to have with y'all.

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And it's things like, I

changed my brand colors again.

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Yeah, I probably should get on Instagram.

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Sometimes we'll ask a question in

our Facebook group, something like,

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what is one marketing activity

you're focused on this week?

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And oftentimes it centers around social

media and getting more consistent there.

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Or maybe I need a new website design.

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It's these questions and these thoughts

and these cycles of needing to do more.

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I wanna introduce you to a metaphor here

that these things, the brand colors, the

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time on Instagram, the website design,

these are the paint job of your practice.

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They are not the engine.

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So in this episode, I want you to

think about your practice as a vehicle.

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So your practice is a vehicle.

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Your marketing is the engine that

actually makes that vehicle go.

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The real issue for many clinicians,

those who feel like they need to be

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spending more time on Instagram or

are weighing whether or not they need

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a website redesign, isn't actually

their visibility, their time on social

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media, the aesthetics of their website.

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It is more often than not the engine

under the hood that is missing or has

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weak components that is leading to

the lack of results in their practice.

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And so many clinicians focus on the

paint job and for whatever reason,

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whether not knowing or not being

willing, they don't ever lift up

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the hood and check out the engine.

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So today I wanna walk you

through the client journey.

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If you've been in my world for a while,

you might be able to state the stages

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with me, the three major components of

your engine, how to fuel that engine,

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and then the maintenance of that engine.

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And again, this is a new way of

thinking about your practice.

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To equip you as you move into 2026.

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So first and foremost, we have to get

really, really clear on the progression,

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the journey that your engine is

designed to move people through.

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Okay?

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So this is what we call

the client journey.

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There are three phases

of the client journey.

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The first is unaware.

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Your client has no idea you exist yet.

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They've never heard your name,

they've never seen your website.

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All they know is that they have an issue,

a challenge that they need support with.

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Sometimes they don't even fully

understand their own problem

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yet, so they are unaware of you.

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The next stage they move

to is aware, hooray.

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They've found you.

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They found your content somewhere.

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They heard your name, they

saw your Psych Today profile.

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They landed on your website.

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They're starting to understand their

situation a little bit differently

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and see you as a possible match.

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But just because someone knows you

exist as a therapist, does not mean

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they're gonna become your client.

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Wouldn't that be nice?

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No.

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In order for them to become a

paying client of yours, they

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have to move to the final stage

of the client journey, which is.

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Sure that is where they are.

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Sure.

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You are the therapist that they've

been looking for and they decide

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to proceed to work with you.

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I want you to imagine unaware, aware,

and Sure in a linear line, and then

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we're gonna put booked at the end.

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So they are a secured, converted client.

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Getting a client booked is the

result of a well functioning engine.

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It is not a separate marketing stage.

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It's the result of this journey

doing what it's supposed to do.

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Why do therapists get stuck so much?

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I hear from so many clinicians how

clarifying this idea of the journey is

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how much sense it makes to them, and

yet so many of them get stuck on it.

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Why?

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Often because people are trying

to get clients, they're trying

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to jump them straight from

unaware all the way to booked.

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They're expecting their marketing

to just do that unaware to booked.

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And so they rely on these really

random bursts of visibility,

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which they expect to not just help

someone become aware of them, but

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also sure, and then convert them.

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They believe that their prettier

website is automatically gonna create

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more clients without understanding.

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The prettier website plays a

function in the journey, but it

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is not itself propelling people

through all of these stages.

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So your client conversion engine,

what we're talking about in this

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episode is the entire system that

moves people from not knowing you at

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all, all the way to choosing you and

booking with you with confidence.

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It's a system.

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It's not a random act.

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It's not a brand color.

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It's not a posting on

social media, it's a system.

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And the way that clinicians have been

taught marketing, which for many isn't at

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all, leads them to think that it is single

activities, single disparate activities,

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instead of activities made in sequence

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instead of activities made

in a thoughtful sequence.

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One after another in order to build

that engine that can run on its own.

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So your client conversion engine, that's

what's under the hood of your vehicle.

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Okay?

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There are three parts to your

client conversion engine that

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I want to teach you about.

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And as part of this, I want you

to be thinking what part of your

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engine, what component of these

three needs the most support?

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Where has your engine not been

running as well as it could?

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Okay, so be thinking about

that as we go through these.

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So the first part of your

client conversion engine is

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what we call confident identity.

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Confident identity is knowing what you

do, who you do it for, and why you are

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the right therapist for the right client.

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It is one thing to know

you're good at what you do.

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To know the types of clients you enjoy,

it is another to be grounded firmly in

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what you do, who you do it for, and why

you are the right therapist for them.

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It's a next level of

clarity and confidence.

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This is deep, deep clarity about

what you do, who you do it for, and

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why you're the right therapist for

some clients and not for others.

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And it's getting comfortable with that.

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It's embracing it, it's

letting that come through.

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When your confident identity is

strong, you know what to say.

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When people ask about your niche,

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you can confidently say

no to poor fit clients.

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Even when you've got a spot on

your caseload, you can say no if

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they're not the best fit for you.

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You stop wasting time wondering how you're

different from the anxiety therapist

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you share an office space with, or the

other person that serves women or the

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other expert in OCD because you know,

you bring something special to the table.

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Is that true of you right now?

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Do you know those things?

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Do you know what to say when

people ask about your niche?

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Can you confidently say

no to poor fit clients?

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Do you know what makes you different?

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Because there are more therapists

out there, there are more choices

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available to your clients than ever.

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Do you know?

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What sets you apart now, when your

confident identity is strong, when

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this component of your engine is not

functioning the way it needs to, you

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are constantly second guessing yourself.

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You're second guessing how you

show up, what you say, what

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you do, what you don't do.

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You're attracting poor fit inquiries.

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So people are coming to you,

but they are not the people that

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you are best equipped to serve.

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They're not the people that , fill

your cup and make you excited to

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come to work or you get no inquiries

and you sit around wondering why.

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When you're confident identity is weak,

you often spend more time doubting

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yourself than stepping into and

embracing the clinician you already are.

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This is a tough spot to be in and I

think it's a place more therapists find

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themselves in than might admit to it.

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Are you spending more time doubting

yourself than stepping into the

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incredible clinician You already are.

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You sitting here listening right

now, you have the ability to help

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your clients change their lives.

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That is no big deal, and there is

something you bring to the room that is

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special and that makes those right fit

clients say, I'm so glad I found you.

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Are you spending more time second

guessing yourself than stepping into that?

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I don't care how many years you've been in

practice, I don't care what you're trained

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in or what you say you specialize in.

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That is something, are you embracing that?

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So this first piece of your client

conversion engine, confident identity.

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It's like the ignition system.

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Like if this isn't strong, the

engine's not even gonna turn over.

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We gotta have this in

place for the rest to work.

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Okay, next up is confident presence.

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This is the second

component of your engine.

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This is how your marketing shows

up in the world and how effectively

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it invites clients into action.

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So this is how you present

yourself to the world.

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It is the part of the engine where

you're putting something out into the

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world that reflects the quality of

your work, not just checking a box,

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but that actually represents the depth

and the power of the work that you do.

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This includes your website, your

psych today profile, your marketing

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materials, your social media, however

you're putting yourself out there.

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When your confident presence is

strong, when this component is

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doing its job, people come to

your website and take action.

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They do what you ask them to do.

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They say things like, I read your website

and I knew you were the therapist for

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me, you probably experience less price

resistance because again, what you're

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putting out there reflects the quality

of your work and when what you put out

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there reflects the quality of your work.

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Your perceived value in the eyes of

your clients automatically goes up.

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It's not that you're a better

clinician, but the way that you are

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being perceived is different, and

therefore less price resistance.

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Often consults also feel easier

because your marketing has

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already pre-qualified people.

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Your marketing has already attracted

the right fit clients and blessed

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and released those who are not the

right fit, and what a beautiful thing.

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When your confident presence is

weak, you often have little traffic

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or traffic that doesn't convert.

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You have a website, but it

doesn't feel like that website

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is really doing anything.

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There's nothing to measure.

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Consults often feel misaligned.

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You get on a consult call and

they ask if you do couples therapy

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when nowhere on your website did

you talk about couples therapy?

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Nothing more frustrating than that, right?

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Or you're feeling like you have

to land the entire plane of

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your practice during every call.

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Every consult you feel this weight

of needing to communicate what it is

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that you do, who you're a good fit

for, what your approach is, really

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connect with the client like you're

having to do all of this on the call.

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And so every consult feels like this

massive undertaking as opposed to this

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extension of an understanding that people

already gained from your marketing.

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Can you see the difference there?

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So what's true of you right now, this

ident presence as you go into:

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Are people coming to your

website and taking action?

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Are they telling you.

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That it's resonating with them.

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I read your profile and I saw this on

social media, and are you having to talk

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about fees and justify them and bring

them down to a sliding scale over and

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over and over again more than you'd like?

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Do your consults feel clunky or do they

feel smooth because people are already

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showing up with an understanding of

what it is that you do and how you work?

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That will point you to whether or

not this confident presence component

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of your engine is doing its job.

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Your confident presence is

kind of like the engine block.

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I don't know if you're into vehicles.

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I'm not really, but I have learned

more than I care to know because my

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husband loves them, which is great

when the car needs an oil change.

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But the engine block is really

the structure that, in this

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metaphor, we can say, creates trust

and momentum in your practice.

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So check in with yourself.

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How is that confident presence doing?

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Is that a component that

needs your attention?

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And then finally, confident connection.

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That's the final component of your engine.

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Confident connection is consistent,

aligned, and genuine visibility that

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is fueling your results over time.

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It's where you are actively and

confidently putting yourself out there.

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So the presence is what exists for

people to consume, right, to run across,

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to land on confident Connection is you

putting that out there, making that

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available, helping people become aware.

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Okay.

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That unaware to aware

phase of the journey.

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Confident connection is the

ongoing part of marketing.

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It is the lifetime habit.

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As a business owner you must engage in.

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It is not a one-time push.

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It is not a check the box or

set it in, forget it situation.

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It is the ongoing engagement that

is required of today's therapist to

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attract right fit, full fee clients.

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And I only say that because I

have been observing that shift.

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Especially since the pandemic

toward the need to be regularly

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engaged with your marketing.

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When your confident connection is

strong, marketing feels like connection.

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Is marketing your practice always gonna

be your 100% favorite thing to do?

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I hope not.

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I hope that serving your clients and

doing therapy is what remains your

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number one favorite thing to do, but

it does feel like a natural element of.

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Business ownership.

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It feels like connection

with the right fit clients.

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It feels like an outpouring of what you

know you do well and who you do it with.

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That confident identity piece.

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When your confident connection is

strong, you also know what works and

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so you can trust that the effort you're

putting in is going to turn into results.

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It's not that hair on fire throwing

spaghetti at the wall hoping

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something sticks a situation.

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It's when I do A plus B, I usually get C,

and so I know that if I invest in A and

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B, I'll probably get what I need here.

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It's turning levers in your marketing as

opposed to always starting something new.

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When your confident connection is strong,

you also are taking consistent action

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in a way that doesn't deplete you.

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And I wanna be clear about that

marketing might not be your

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favorite thing in the world.

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It can be done in a way that doesn't

absolutely, positively drain you.

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That's the beautiful thing.

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You can choose not to be on

social media one little bit.

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You get to decide what this

looks like on an ongoing basis.

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It's just a matter of doing it, committing

to it, and recognizing that that is part

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of what it takes to be successful today.

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And when your confident connection

is strong, it feels aligned with

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what you are naturally good at.

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That's the cool thing.

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Your marketing can actually be

an extension of you, of you and

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your personality and your energy,

and how you prefer to show up.

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When your confident connection is weak,

and I wonder how many of you listening

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right now can resonate with this?

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Marketing feels like a grind.

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It feels like pulling teeth.

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It feels like something you gotta do.

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The number of times I've heard

the exact quote, I hate marketing.

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I mean, I wish I could calculate them

over the last six and a half years.

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Marketing feels like burnout

and dread and avoidance.

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And worst of all, you're probably still

doing it because you're a good clinician

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who wants to be successful, but you're

spinning your wheels, you're seeing

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minimal return, and it's discouraging.

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That can point you to the fact

that your confident connection

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might be the weak point.

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Confident connection is like

your fuel system, so it's

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what keeps the engine running.

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You and I both know that without

fuel, the car doesn't move, right?

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So this is what brings

fuel into the engine.

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We're not gonna go anywhere

without this piece.

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Now it's the fueling of the engine.

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Like I said, that is the ongoing

work of growing a private practice.

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So maybe you're sitting here and

you're realizing my confident

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identity is not where it needs to be.

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My confident presence is

not doing what it should.

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Once you have that client

conversion engine built.

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Then it comes time to fuel it.

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That's the ongoing work

of being a business owner.

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But I see a lot of clinicians falling

into what I'm calling a dopamine

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trap, and when I look at the most

successful therapist that I know.

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I got a voice message from a

friend of mine, client turned

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friend, who just raised her rates

to $400 a session, was terrified

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to do it, and is now doing great.

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Just booked an intensive at

her new rate, has had multiple

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inquiries since making the shift.

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You know, when I think of clinicians

like her, and I know a lot of them,

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they're doing a lot of unsexy work.

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Like if you ask them, what are you

doing day in and day out to grow

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your practice, it's not flashy.

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Right.

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It's not the paint job stuff, but

I see so many therapists chasing

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dopamine hits in their marketing.

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I think because they've told

themselves they hate it, and so

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they're seeking the things that feel

good, even for just a fleeting moment.

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I'm talking things like chasing

likes or comments or numbers of

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follows or rebranding or changing

the color of their buttons on

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their homepage for the sixth time.

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This feels like you're doing something.

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But it's not actually

turning into anything.

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Is it, these tasks feel good, but are

they moving clients along the journey?

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Are those things moving people from

unaware to aware or from aware to?

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Sure.

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Not really.

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And so as much as I would like to

present marketing as the super, super

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fun, amazing thing you get to do, and

obviously as someone who specializes

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in marketing, I do actually think

that, but much of what it takes to be

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successful right now is building that

solid engine and then committing to

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the work that maybe doesn't feel as

exciting, but that does fuel the engine.

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That does get you somewhere.

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Okay.

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What actually fuels an engine right now?

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What actually moves practices forward?

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Consistent visibility, not

constant, but consistent visibility.

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Recognizing in order for more

people to become unaware to

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aware, they got a know I exist.

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So taking action on a regular basis to

grow visibility and awareness regularly,

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reminding people who you help and how.

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Weaving that into conversation, not being

afraid to talk about the work that you do.

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Putting yourself out there, staying

present in your chosen marketing channels.

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Like I said earlier, you get to choose.

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This is not a one size fits all.

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Must follow this plan situation.

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Your chosen channel might be Google.

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So you stay committed, you pour in

budget, you optimize, you get results.

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Your chosen channel might be blogging.

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Your chosen channel might be speaking

or podcasting or social media or

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networking, but you choose a channel or

two and then you stay committed to it.

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You don't jump between.

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You stay present, you stay committed.

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You recognize, again, if I'm

gonna create that A plus B equals

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C situation, I've gotta lock in.

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Again, not as flashy, not

as sexy actually works.

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Sharing the same message in multiple ways.

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You are gonna feel like in your

marketing, you're saying the same

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thing over and over and over again.

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Guess what?

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That's a good thing.

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Repetition is needed.

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I mean, if you've been around in my world

for a while, how many times have you

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heard me talk about the client journey?

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Because it bears repeating it's useful.

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And reinforcement in your marketing

actually is the thing that builds trust.

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So it's being willing to say

the same thing in multiple ways

369

:

over time, over and over, and

building that awareness steadily.

370

:

Not in these bursts.

371

:

These, oh, I'm feeling good this

week, so I'm gonna focus on this.

372

:

And then completely ghosting your

marketing for the next three.

373

:

Taking consistent action.

374

:

Because the thing is, and I've

seen this happen, unfortunately,

375

:

you can build a perfect engine.

376

:

You can check all the boxes.

377

:

You can have the confident identity

you can have the confident presence.

378

:

You can even have the confident

connection, the ability

379

:

to put yourself out there.

380

:

But if you're never actually

fueling it, it's not going anywhere.

381

:

It's like the pretty website.

382

:

You invested thousands of dollars in

that get zero traffic and zero results.

383

:

Remember, fueling doesn't require being

on all the time, but it does require

384

:

being findable and visible and consistent.

385

:

So I really here wanna normalize

long game thinking in your practice.

386

:

We are headed into 2026.

387

:

An entire year is

stretching out ahead of us.

388

:

I want to encourage you to think

about the long game maintenance.

389

:

Of this engine.

390

:

That is what creates predictability,

maintenance of your fueling process.

391

:

That's what creates predictability.

392

:

Keep track of where your

inquiries come from.

393

:

We recently talked about using that data.

394

:

I'll link it in the show notes.

395

:

Keep track of where those

people are finding you.

396

:

Adjust your specialties based on demand.

397

:

Look at trends.

398

:

Pay attention to what's working.

399

:

Take regular action and build, but allows

you to show up consistently because like

400

:

I said, the most successful therapists

aren't doing the flashy stuff right now.

401

:

They're doing the maintenance.

402

:

They're just keeping the engine running.

403

:

Not flashy, but holy

cow, is it productive?

404

:

When I see practices struggling, when

I get on phone calls with clinicians

405

:

who are deeply discouraged, I so

understand them and I see that

406

:

the, it's not a lack of brilliance.

407

:

It's not a lack of ability.

408

:

It's not even a lack of interest.

409

:

It's just a lack of this maintenance.

410

:

It's a lack of building the engine and

then making sure that it's running well.

411

:

Something in that system is broken.

412

:

And if we can identify

what is broken, guess what?

413

:

It can start to run and as someone who

again talks to hundreds of therapists per

414

:

year in a one-on-one setting, I know that

this can feel like an oversimplification

415

:

that you're sitting here saying,

well, yeah, Anna, but what about this

416

:

or, I'm different because of this.

417

:

And really like when I look at.

418

:

The hundreds, thousands now of clinicians

that we've supported the breakdown, the

419

:

challenge, it's somewhere in this system.

420

:

If we can troubleshoot, we can fix.

421

:

When your client conversion engine

and this system is strong, that's

422

:

when you get those easier consults.

423

:

Not feeling like you gotta land the

plane, but getting on the phone with

424

:

people who are literally ready to

book their first appointment with you.

425

:

Who already know you're the therapist.

426

:

They've been looking for

better fit referrals.

427

:

That's one of my favorite wins

to hear from our Confident Copy

428

:

students and our done for you clients

is not necessarily more clients,

429

:

although I love that volume in and

of itself is not always great, right?

430

:

We want volume from people that

are actually right for them.

431

:

So to get on phone calls, to get emails

from people who make you excited to do

432

:

your work, like that's the best feeling.

433

:

Predictability in your

inquiries and in your marketing.

434

:

Again, treating marketing like

levers, you can pull right dials.

435

:

You can dial up and down because

you know that they're going to work.

436

:

That's what creates true safety and

sustainability that allows you to

437

:

rest in the business that you've

built and enjoy the rest of the

438

:

life that it's allowing for you.

439

:

Confidence around your fees,

especially that confident identity

440

:

piece, that first component of your

engine man, when you know that.

441

:

Yeah, you charge what you're worth

and you stand firm in it, and then

442

:

that confidence grows as your presence

grows and your connection grows.

443

:

That freedom to say no that I

mentioned, I heard from a clinician

444

:

who said, I can't believe.

445

:

I used to feel like I had to

say yes to everyone, like how

446

:

liberating it's been to say, I don't

think I'm the best fit for you.

447

:

Here are some referrals, so liberating.

448

:

A marketing system, right?

449

:

A website that works for you, that

doesn't just sit there and you wonder

450

:

if it's working, but there are actual

tangible results that are coming from

451

:

that website and from that marketing.

452

:

You're not just wondering.

453

:

I hope you can see here that

when your engine is working.

454

:

Everything else about your

marketing becomes easier.

455

:

The visibility, the consults,

the pricing, the boundaries

456

:

you hold, the long-term growth.

457

:

If the engine's functioning,

we can build on that.

458

:

So I'm curious, as you sit here and

you're ending:

459

:

ending 2025 as this being your

first year in private practice.

460

:

If so, congratulations.

461

:

Maybe you're preparing to

launch, maybe 20, 26 is the year.

462

:

Maybe you're 10 years in and

you're ready to take it up a notch.

463

:

What's showing up for you here?

464

:

What part of your engine needs support?

465

:

Where on the client journey?

466

:

Unaware, aware?

467

:

Sure.

468

:

All the way to booked.

469

:

Where do you need to be

giving it some attention.

470

:

What is your marketing

not doing for you yet?

471

:

And how can we diagnose the issue?

472

:

If you're realizing that it's that client

conversion engine, it's that core system

473

:

under the hood that needs some support.

474

:

That's exactly what we build in

Confident Copy, the confident

475

:

identity, the confident presence,

the confident connection, what

476

:

you do next in your marketing.

477

:

That's where we help clinicians

build this end to end.

478

:

Everything comes together in

confident copy, in a repeatable

479

:

system that you learn, that you

get to get your hands dirty with,

480

:

but that you don't do by yourself.

481

:

Confident copy comes with live coaching

and feedback and a proven system.

482

:

The truest up-to-date strategies

I can give you right now for what

483

:

I'm seeing work in this market.

484

:

Confident Copy has been around for

over four years and the curriculum has

485

:

evolved as all good programs should, but

it has changed with the market because.

486

:

Marketing four years ago in

:

487

:

And so it's the program where you know

that you're getting access to exactly

488

:

what's working today, and then real

time support and community and feedback

489

:

to help you implement it in your own

specific niche, in your own specific area,

490

:

in your own specific stage of practice

if you want for:

491

:

that feels grounded and predictable.

492

:

This is the container

to build that engine.

493

:

Now twice every year I reopen

confident copy at a reduced price and

494

:

with some incredible extra bonuses.

495

:

We always do one in January

to kick off the new year.

496

:

So that means that our next

one is coming next month.

497

:

And this podcast episode is

literally the first place that you.

498

:

Are hearing about our wait list.

499

:

So if you are someone who knows you're

an action taker, who knows you wanna

500

:

make 2026 the year that you hit your

goals for your practice, whether you

501

:

are just launching a year in or 10

years in, go head over to the wait

502

:

list walker strategy code.com/waitlist.

503

:

By doing so, you secure early access to

all of the bonuses and the curriculum

504

:

as well as an extra discount on top

of what we're offering publicly.

505

:

The way that I have seen

Confident Copy transform people's

506

:

practices this year has been wild.

507

:

And again, we're in a different market

, and:

508

:

But what's happening today and what's

needed today is different than it's

509

:

ever been, and in Confident Copy.

510

:

It is my absolute joy to equip you

with that and to watch as you put

511

:

it into action, and as you start to

build a system that actually works

512

:

for you, not just now, not just next

year, but through the life of your

513

:

practice, that's what I want for you.

514

:

So like I said, if you're interested,

if you know you're an action taker,

515

:

head over and join the wait list.

516

:

There is no obligation, but

it does secure you that early

517

:

access and the extra discount.

518

:

No reason not to join walker

strategy co.com/waitlist.

519

:

All right, y'all have a wonderful week.

520

:

I hope this one was helpful for you

and I'll see you in our next episode.

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