Facebook and Instagram ads for therapy practices, run by people who run one.

You tend the people. We grow the practice.

Caseload Starter is for solo clinicians and group practices of up to 10 with open hours to fill. We build it in your own Meta ad account, write and design about 30 ad variants, screen inquiries with a short quiz, and send you an honest written report every two weeks.

Free audit: 45 minutes on Google Meet. You keep the written scorecard either way.

  • Price on the page
  • Your ad account, your card
  • 90 days, then month to month
What one new-client inquiry cost A virtual mental-health practice we operate
Before the rebuild
about $13
On the winning ads after the rebuild, June to July 2026
$5 to $8
Best single state
$7.10at a 2.2% click-through rate

These are results from one practice that we operate ourselves. Your market, fees, and budget are different, so your results will differ. We do not guarantee outcomes. See all the numbers

The empty chair is a marketing problem, not a you problem.

You trained to care for people, not to run ad accounts. So the business side gets whatever is left at the end of a long day of sessions.

Caseload Starter takes the part you did not train for: reaching the right people on Facebook and Instagram, screening them before they reach your calendar, and showing you what every inquiry cost.

  • Psychology Today and referrals got you started. Lately they have leveled off.
  • You have open hours most weeks, and you can feel what each one costs.
  • Inquiries arrive while you are in session, and by the time you call back, some have booked somewhere else.
  • You tried boosting posts, or paid an agency that did not understand therapy, and could not tell what the money did.

Built inside a real practice. Proven on a real caseload. Still running today.

Every number in this section comes from a virtual mental-health practice we operate. We built this system there first, and we still run it.

About $240Kto$3M

Annual revenue run rate at the practice we operate, from about $20,000 a month to about $250,000 a month. This is total practice revenue, not revenue from ads alone.

  1. Before the rebuild

    about $13

    What one new-client inquiry cost from its ads.

  2. What we changed

    30 ad variants

    Champion and challenger testing, and a quiz that screens inquiries before they reach a clinician's calendar.

  3. After, June to July 2026

    $5 to $8

    Cost per inquiry on the winning ads. Best single state: $7.10 at a 2.2% click-through rate.

$33 to $1

About $33 in client revenue for every $1 spent on ads, lifetime.

about $9,000

Roughly what one new weekly client is worth over an average stay.

These are results from one practice that we operate ourselves. Your market, fees, and budget are different, so your results will differ. We do not guarantee outcomes.

Caseload Starter: what you get, and what it costs.

For solo clinicians and group practices of 1 to 10 clinicians with open hours to fill.

What is included

  • Strategy for your market. Who to reach, where, and what to say.
  • A build inside your own Meta ad account. Your account, your card, your data. We work through partner access.
  • About 30 ad variants, written and designed for you. Tested against each other and refreshed as they tire.
  • A screening quiz. It qualifies inquiries before they reach your calendar.
  • Tracking. So spend, inquiries, and cost per inquiry are counted, not guessed.
  • Ongoing optimization. Budget moves to the ads that work, and tired ads are replaced.
  • An honest written report every two weeks. Spend, inquiries, cost per inquiry, and what we are changing.

What it costs

At $50 a day, for example:

Goes to Meta, not to us

~$1,500/mo

Your ad budget, on your own card.

Goes to us

$750/mo

Flat management fee.

Flat fee, fixed in writing. It changes only if you change your budget in writing.

At $30 a day
$500 a month
At $50 a day
$750 a month
Monthly minimum
$500
One-time setup
$2,000

Founding practices: 50% off setup, in exchange for a case study.

How it works

Your first written report arrives about four to five weeks after you give us access. Every date here says about, because Meta's review, account access, and your own schedule all move them. We do not promise dates or a number of inquiries.

  1. First

    Free ads audit

    45 minutes on Google Meet. We look at your practice and your market and tell you plainly whether ads make sense right now. You keep the written scorecard either way.

  2. If it is a fit

    Agreement and BAA

    We send both after the audit. Nothing is built until both are signed.

  3. Day 0

    Access

    You add us as a partner on your Meta business account. You keep ownership of everything.

  4. About weeks 1 and 2

    Build

    Strategy for your market, about 30 ad variants, the screening quiz, and tracking.

  5. About 2 to 3 weeks after access

    Ads go live

    Once Meta has reviewed them. The first weeks are for testing, while Meta learns and the variants compete.

  6. About 2 weeks after launch

    First written report

    Spend, inquiries, cost per inquiry, and what we are changing. Then a new report every two weeks.

Is Meta right for you?

Not for every practice. We would rather tell you on the audit than take a fee that cannot pay off.

It usually fits when

  • You have open hours to fill and room to start new clients soon.
  • Someone can answer a new inquiry the same day.
  • You can keep at least $30 a day behind ads (where Caseload Starter starts) through the 90-day start.
  • You know who you want to see more of, such as adults online in your state or couples near your office.

Skip it, for now, when

  • Your calendar is full or close to it. Ads would only build a waitlist.
  • No one can reply to new inquiries the same day. A slow reply loses people who were ready to start.
  • Your ad budget is under $30 a day, where Caseload Starter starts. Under about $20 a day, your directory profile and referrals are a better use of the money.
  • Your main service is crisis care or substance-use treatment. Those need different channels and rules than a Facebook ad, and we do not run them.

Want the long version? Read Facebook ads for therapists: what they cost, what works, and when to skip them.

Aaron Riviere, founder of Rhiza Practice Growth

The person who runs your ads has run a practice's front office.

Rhiza was founded by Aaron Riviere, COO of a virtual mental-health practice, formerly AI-powered operations at Google, Microsoft, and BMW. He built this ads system for the practice he helps run: about 30 ad variants, champion and challenger testing, and a quiz that screens inquiries before they reach a clinician's calendar.

When you work with Rhiza, you get the same system, built in your own accounts, with the numbers in writing every two weeks. We did not theorize this system. We live in it.

Starting is safe. We built it that way on purpose.

You own everything

The ad account, the creative, the quiz, and the data are yours. We work through partner access, never ownership.

A BAA before any work

BAA signed before work begins. Health-ad privacy rules are built into every campaign, and we will show you exactly what data goes where.

A flat fee, in writing

It changes only if you change your budget in writing. Your ad spend goes straight to Meta on your own card.

90 days, then month to month

A 90-day start, then month to month. If you leave, you take everything with you.

An honest audit first

The audit is free. If ads are not right for your practice, we will tell you on the audit.

No outcome guarantees

Nobody controls how many people in your area reach out, so we do not promise it. You see what happened, in writing, every two weeks.

Questions practice owners ask

Something else on your mind? Email [email protected] or bring it to the audit.

What does it cost, and what is the minimum ad budget?

There are two separate amounts. Your ad budget goes straight to Meta on your own card. Our management fee is a flat monthly fee, agreed in writing and set from the daily budget you choose: $500 a month at $30 a day, $750 a month at $50 a day. The fee minimum is $500 a month, and budgets start at $30 a day (about $900 a month to Meta). Setup is a one-time $2,000, and founding practices get 50% off setup in exchange for a case study. Case studies use practice-level numbers only, never client information, and name your practice only with your written permission. See your price for any budget.

Why a monthly fee instead of a one-time build?

Because ads wear out. As the same people see the same ad, fewer of them respond, so someone has to keep writing new variants, test them against the current winner, and move budget to what works. That ongoing work, plus an honest written report every two weeks, is what the monthly fee pays for. Everything is built in your own account, so if you ever want to run it yourself, it is already yours.

Is this fee-splitting?

No. You pay a flat management fee for advertising work, fixed in writing in advance. It is never paid per client or per referral, and it is never a share of what you collect. It does not change with how many people book; it changes only if you change your ad budget in writing. Rules vary by state, so your attorney is welcome to review the agreement before you sign.

How fast will ads be running?

We plan for ads to go live about two to three weeks after you give us access to your Meta business account, once Meta has reviewed them. Your first written report comes about two weeks after launch. The first weeks are for testing, while Meta learns and the variants compete, so we do not promise a number of inquiries by any date.

Does this work if I take insurance, or only for private pay?

Ads can work for private-pay and in-network practices. What matters is the math: what a new client is worth to you, and what an inquiry costs in your area. We look at your fees and the plans you take on the audit, and if the numbers do not work, we will tell you.

How do Meta's health-ad rules work, and what data goes where?

Meta does not allow ads that assert or imply someone's physical or mental health. So our ads describe your service, such as therapy for anxiety online in your state, and never ask the viewer about a condition. Meta can also limit what health businesses track and optimize for, and we build each campaign inside those limits. On privacy: BAA signed before work begins. Health-ad privacy rules are built into every campaign, and we will show you exactly what data goes where.

What do I have to do?

Give us partner access to your Meta business account and put the ad budget on your own card. Tell us who you want to see more of and which hours are open. Look over the ads before they go live, because they run in your name. Answer new inquiries the same day, because a fast reply is where an inquiry becomes a first session. Then read the report every two weeks. You do not need to write, design, or post anything.

Can I pause or leave?

The first 90 days are the start term, set out in the agreement before you sign. After that, it is month to month, and you can leave with everything, because it was always yours: the ad account, the creative, the quiz, and the data. The ad spend runs on your card in your account, so it can be paused when your calendar fills. Any change to the fee, including during a pause, is agreed in writing.

How is this different from Psychology Today and other directories?

A directory lists you next to many other therapists, and people choose from the list. Ads reach people in your area who are not searching a directory yet, in your own words, and the screening quiz checks fit before an inquiry reaches your calendar. The two work well together: keep your directory profile current, because people who see an ad may look you up before they reach out.

Start with a free ads audit.

45 minutes on Google Meet. We tell you plainly whether ads fit your practice right now, and you keep the written scorecard either way.

Not ready to talk? Get a free one-page scorecard of where your practice is losing inquiries. No call needed.