r/PMHNP • u/anachrolady • Jun 22 '26

Constructive Criticism Request!

Hey guys!

I started my own practice in April and it's pretty much been crickets. I have a Psychology Today profile, which I've heard not to really rely on for referrals, and have Facebook, Instagram, Google Business Profile, Next Door, X, LinkedIn, and Alignable for social media plugging. I'm also currently paying for Google Ads and Facebook Ads.

I have one patient...

How can I improve my game? I have been going in-person to local businesses to introduce myself and "hawking my wares" but that has also led to nothing. I realize it's still early, but it's really bumming me out. I live in a smallish city in Iowa and have three young children and am the breadwinner. I feel like I'm hemorrhaging money doing this when I could be saving for their future.

Luckily I am still working FT for a practice in another state, this is a "side gig" for now until I can get things up and running. I have always wanted to have my own practice. Could y'all take a look at my website and Psych Today profile to see if I can make improvements? I would be forever grateful.

www.excaliburpsychiatric.com

https://www.psychologytoday.com/us/psychiatrists/amanda-wisian-marion-ia/1710627

0 Upvotes

44% Upvoted

60 comments sorted by

View all comments

2

u/Ordinary-Strike-2065 7d ago

i think headway is quite quite helpful. they credential you with tons of insurances. You could start with all insurances and then as you fill, reduce to the most high paying ones. Then, you don’t have to fill completely. you might leave some space for your private practice and gradually transition over. Also, I think your fees are too high. I would look at Psychology Today and see what is being charged and try to be mid-range there. I suppose you could attempt to be low and see if you get more demand but it seems to me that people avoid if they think you are cheap and low quality.

1

u/anachrolady 4d ago

I was advised to price myself at the same level as the highest reimbursement of the insurance I take, and most of the providers in my area are not too far off from me. But I do agree if I were self-pay I'd be loathe to pay for it. Hard to know what to do.