The niches that are
actually working right now.
A free performance report for therapists — based on real Google Ads data across 770+ therapy campaigns, not opinions or vibes.
Know which niches fill caseloads fast. Know which ones keep you buried on page 14 of Psychology Today.
ABOUT THE AUTHOR
👋🏼 Hi, I’m Jamie.
I spent 9 years at Google before deciding corporate couldn't give me the impact I wanted.
Now I help private-practice therapists succeed online — stay off insurance panels, keep control away from VC-backed platforms, and build practices that are actually full.
This guide pulls from the Google Ads campaigns I personally manage. I'm looking at patterns across 770+ therapy ad groups — across specialties, geographies, budgets, practice types, and seniority levels.
No niche can be guaranteed to work every time.
But this is what I've repeatedly seen bring inquiries, find white space, and fill caseloads faster.
—
—
—
WHAT MOST NICHE ADVICE SOUNDS LIKE:
"Just pick what you love."
"Speak to your dream client."
"Choose a niche that lights you up."
All fine. We don’t want you dreading session.
And a great niche also has market demand — while not being so narrow that no one's searching for it.
That's what my guide is for.
THE PROBLEM
What is your client is actually searching
The average client is not sitting around thinking:
"I would just love a therapist who works from an integrative, trauma-informed, relational, attachment-based lens."
They’re thinking:
"Why do I keep picking emotionally unavailable people?"
"Why can’t I sleep?"
"Why am I behind my friends?"
Why do I look successful but feel like I'm falling apart?"
INSIDE THE GUIDE
63 niches, grouped by real performance data
Based on patterns across 770+ ad groups.
These aren't opinions. They're what the data shows, repeatedly.
Includes these therapy niches:
ACT, Adult ADHD, Adult autism diagnosis, Anger management, Anxiety, Anxiety therapy for specific groups, AAPI / Asian therapy, Attachment, BIPOC therapy, Body image therapy, Borderline personality disorder, Burnout, Career-based therapy for lawyers, doctors, writers, CBT, Child and teen ADHD, Child therapy, Chronic illness, Complex trauma, Couples therapy, DBT, Depression therapy, Dating therapy, Eating disorders, EMDR, Family therapy, Gay men’s therapy, Grief and loss therapy, High achievers, Hypnotherapy, Hypnosis for smoking, Individual therapy, Infidelity therapy, Intensive outpatient, Ketamine assisted psychotherapy, Life transitions, marriage counseling, Men’s therapy, OCD, Open relationships, Pain reprocessing therapy, PCIT, Perfectionism, Perinatal therapy, Play therapy, Postpartum therapy, Pregnancy loss, Premarital counseling, Queer and LGBTQ+ affirming therapy, Relationship therapy for individuals, Religious trauma, Social anxiety, Somatic therapy, South Asian therapy, Substance abuse, Teen therapy, Therapy for African American clients, Therapy for athletes , Therapy for insomnia or CBT-I, Therapy for trans clients, Therapy for women, Toxic mothers , Trauma, Young adults
The full guide includes which group each modality falls under.
Getting Started Is Quick
-
1. Contact Me
Reach out to schedule a free 15-minute consultation.
-
2. Brief Consultation
We’ll talk about what’s going on and whether we’re a good fit.
-
3. First Session
We’ll get to the root of the issue and start building tools that bring relief.
Performance tiers for 63+ niches
Every niche put into one of three buckets: consistently tough, working for some, or working for most. With an explanation of why.
WHAT YOU GET
Not vague. Not cutesy. Just what works.
The top 5 best bets
The niches Jamie sees filling caseloads fastest across markets right now- pulled directly from campaign data.