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What Dr. John Spencer Ellis Tells Mental Health Professionals Who Can't Fill Their Caseloads

When therapists contact John Spencer Ellis about building their practice, they often share the same frustration. "I'm a good clinician. I have availability. People need mental health support more than ever. Why aren't clients finding me?" John's answer isn't what most expect. It's Not About Marketing Harder The instinct is to do more. Post more on social media. Update the Psychology Today profile again. Maybe try ads. John redirects this energy. The issue isn't effort—it's visibility in the places clients actually search. Over half of prospective clients under 50 now ask AI for therapist recommendations. They ask ChatGPT or Gemini, receive three to five names, and contact those providers. Everyone else is invisible to them. When John asks therapists if they've checked whether AI recommends them, most have never thought to look. When they do, they discover they're not mentioned. That single gap explains much of their empty availabilit...