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534. The Referral Recession

Published 9 months, 3 weeks ago
Description

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In this solo episode, I dive into what I’ve started calling the “referral recession” – the noticeable dip in testing referrals many practices have seen since 2024. I unpack national data from the APA and NASP, explain why these shifts are happening, and share both short- and long-term strategies for navigating slower seasons. From economic trends and insurance challenges to AI-driven search changes, I walk through what’s really going on beneath the surface – and how to respond without panic.

Main Topics

  • 00:00–02:20 Overview of the referral slowdown and APA data showing a 14% average decline in inquiries
  • 02:21–04:48 National data on testing-specific declines (18–20%) and Google search trends
  • 04:49–07:10 Five contributing factors: economic compression, school stabilization, market saturation, referral fatigue, and AI-driven search changes
  • 07:11–09:38 What not to do: panic discounting, bad ads, or over-diversifying services
  • 09:39–14:28 Short-term tactics: re-engage referral sources, simplify intake, optimize Google profile, use downtime strategically
  • 14:29–19:00 Long-term strategies: relationship marketing, content creation, list-building, leveraging past clients, and SEO foundations
  • 19:01–21:24 Building a sustainable marketing engine through consistent visibility and credibility
  • 21:25–23:23 Mindset shift: using slower seasons to strengthen systems, automate workflows, and prepare for future growth
  • 23:24–End Referrals are cyclical—consistency, connection, and clarity will outlast the slowdown

Cool Things Mentioned

Featured Resources

I am honored to partner with two AMAZING companies to help improve your testing practice!

PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com.

TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps

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