DJ Burr DJ Burr

The Comparison Trap

Somebody says they filled their private pay practice in six weeks and you feel behind. Before you compare, ask twenty questions about where they practice, who they already knew, and what "full" even means to them. An empty calendar is information about visibility. It is not a verdict on your worth. Here's how to trade comparison for insight.

I've been having the same conversation a lot lately.

A therapist sits down with me, and somewhere in the first ten minutes they say some version of: "I see what you've built. I see what she built. I'm nowhere close, so what's wrong with me?"

Nothing is wrong with you. You walked into a trap, and I want to name it because I've been in it too.

The trap works like this. You look at someone's results, you look at your own, and you turn the gap into a verdict about your worth. Not a data point. A verdict. And once your value as a clinician and a person is riding on somebody else's calendar, you can't think clearly anymore. You either freeze or you start copying moves that were never built for you.

The six-week success story

Here's the one that gets people the most.

Somebody posts in the group: "I went private pay six weeks ago and I'm already full." Cheers, congratulations, and then twenty people quietly close the app feeling like garbage.

I'm happy for that person. I mean it. But I also want to ask twenty questions before I let anyone compare themselves to that post.

Where do they practice? A metro area with a two-month wait for therapy is a different market than a rural county with three clinicians.

Who did they already know? Some people go private pay after ten years in a hospital system. They have a phone full of referral sources before day one. Six weeks to full is not six weeks. It's ten years and six weeks.

What was their marketing? Were they already visible, already speaking, already on a podcast, already the person people think of for a certain kind of client? Or did they start from zero?

What's their niche? A tight, specific niche fills faster. Somebody who treats one thing for one population can fill in a way that a generalist never will.

What does "full" even mean to them? Twelve clients a week is full for some people. Twenty-five is full for others. Same word, completely different practice.

Were they carrying insurance clients over? Did they have a partner covering household income? Did they have savings? Did they take a pay cut to get full fast?

None of this is in the post. The post is the highlight. You're comparing your whole messy middle to somebody's highlight, and that's a rigged game.

Two coffee shops

Think about two coffee shops across the street from each other.

One has a line down the block every morning. The other one is quiet. Same street, same foot traffic, same city.

Nobody looks at that and says the quiet shop owner is a bad person who doesn't deserve to make coffee. We know it's more complicated than that. Maybe one has better signage. Maybe one opened first and built a habit in the neighborhood. Maybe one owner knows everybody from years at the farmer's market. Maybe one has a brand people recognize from Instagram. Maybe the quiet one is actually better coffee and hasn't figured out how to tell anyone yet.

Visibility. Brand recognition. Timing. Relationships. Location. Messaging. Any one of those can explain the line.

Your practice is the coffee shop. The empty calendar is information about visibility and strategy. It is not information about whether you're a good therapist or a valuable human being. Those are separate questions, and the trap makes you collapse them into one.

What comparison actually costs you

I want to be practical about this because comparison feels like it's motivating you, and it isn't.

When you compare, you make decisions from scarcity. You cut your rate because somebody else charges less. You add three modalities to your website because the full person lists them. You change your niche for the fourth time this year because somebody in a different state is killing it with a niche that has nothing to do with your training or your people.

You end up building somebody else's practice, badly, in your market, with your face on it.

And the frustration you feel doing that? That's your signal. That's your body telling you you're forcing something that isn't yours.

Get insight, not comparison

Here's what I tell people, and it's the part I actually care about.

Surround yourself with people who are doing well. Don't run from them. Don't mute them. Don't sit in the corner making assumptions about why it worked for them and not for you.

Ask them.

Comparison is passive. You look, you assume, you conclude, you feel bad. Insight is active. You look, you get curious, you ask, you learn, and then you decide what applies to you.

Most people who are doing well are happy to talk about how they got there. They're usually flattered anyone asked. The ones who won't tell you are telling you something too.

When you ask, you find out that the person who filled in six weeks spent two years building relationships first. You find out the person with the beautiful website had a friend design it for free. You find out the person who seems effortless has a spreadsheet and a Tuesday routine they've kept for four years. You find out it's work, and specific work, and work you can actually do.

That's the shift. When you compare, other people's success is evidence against you. When you ask, other people's success becomes a map.

Where you are is where you are

The only honest comparison is you against you.

Where are you compared to six months ago? Do you have a niche statement you didn't have? A website that says something? Two referral conversations that actually happened? A rate you can say out loud without flinching?

That's your progress. That's the only line that matters.

The person who's full will still be full whether or not you feel bad about it. Your feeling bad doesn't change their calendar, and it doesn't fill yours. What fills yours is the boring, specific, unglamorous work of getting visible to the right people, over and over, for longer than feels reasonable.

So go find the people doing well. Buy them coffee. Ask the real questions. Take what fits, leave what doesn't, and build the thing that's actually yours.

I am here if you need me.

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Why Raising Your Rates Can Bring More Clients

Y’all know I am all about asking for what you need. And when I work with coaching clients who get clear on their numbers and raise their rates, something interesting tends to happen. Their caseload grows. Not always immediately, but consistently enough that I could not keep ignoring it. It made me want to understand the psychology behind it. So I did a deep dive.

Before a potential client reads a single word of your bio, your rate has already told them something. When people cannot easily evaluate quality on their own, they use price as a proxy. Therapy is exactly that kind of market. Someone scrolling a directory or landing on your website has almost no way to assess your actual skill. What they can see is your rate. A below-market rate communicates something, and it is usually not what you intend.

Charge what you need. Let your rate do the work it is designed to do.

Y’all know I am all about asking for what you need. And when I work with coaching clients who get clear on their numbers and raise their rates, something interesting tends to happen. Their caseload grows. Not always immediately, but consistently enough that I could not keep ignoring it. It made me want to understand the psychology behind it. So I did a deep dive.

Here is what I found.

Before a potential client reads a single word of your bio, your rate has already told them something. When people cannot easily evaluate quality on their own, they use price as a proxy. Therapy is exactly that kind of market. Someone scrolling a directory or landing on your website has almost no way to assess your actual skill. What they can see is your rate. A below-market rate communicates something, and it is usually not what you intend.

Then there is what happens once a client commits financially. When people make a real investment in something, they show up differently. They reschedule instead of canceling. They do the homework. They stay when it gets hard. Researchers at Stanford and MIT actually demonstrated that people who paid more for the exact same product got measurably better results from it. Same thing, different price, different outcome. The expectation that something is worth more changes how people experience it. That has real implications for our work.

And then there is the piece I think gets missed most often. When you raise your rate, you change who finds you. The person who chooses you at a sustainable rate has already decided this is a priority. They are not shopping for the most affordable option. That internal readiness matters enormously for how the work actually goes.

I also want to be honest about what this does not mean. Higher rates exclude people. That is real. But the research on sliding scale fees does not actually show that lower fees produce better engagement or better outcomes, which surprises a lot of therapists when they hear it. Excluding people is a systemic problem that your individual rate cannot fix. You can be intentional about building reduced-rate capacity into your practice without making your standard rate the solution to something much bigger than you.

Charge what you need. Let your rate do the work it is designed to do.

The rate calculator at privatepaypractitioners.com will show you what that number actually is. Free. Five minutes.

Further reading:

Shiv, Carmon & Ariely — Placebo Effects of Marketing Actions: https://ssrn.com/abstract=707541

Waber, Shiv, Carmon & Ariely — Commercial Features of Placebo and Therapeutic Efficacy (JAMA, 2008): https://doi.org/10.1001/jama.299.9.1016

Paying for Psychotherapy: Reframing an Antiquated Perspective — Society for the Advancement of Psychotherapy: https://www.societyforpsychotherapy.org/paying-for-psychotherapy-reframing-an-antiquated-perspective

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