Challenges of a Massage Private Practice

When I finished massage school, back in the early 2000’s, my classmates and I shared a lot of enthusiasm to graduate, start working, and build a successful practice. Similarly, today, a lot of people graduate hoping to build a private practice—for many obvious reasons. Let’s compare the realities of the pros and cons of private practice. On the plus side:

  • Individuality: Private practice allows you to create a space that’s a perfect reflection of who you are. You can decorate in your style, or use your favorite essential oils.
  • Control: You can control your schedule, your appointments, even whom you do or do not take on as a client.
  • Finances: Simply put, you get to keep all the money, without having to share a cut of it with an employer.

These are all tempting reasons to start your own private practice. What people tend to forget about are the more difficult aspects of building your own private practice—the reasons why about 80% of therapists eventually end up working for someone else:

  • Extra work: When you’re working in private practice, typically you need to add an average of one hour of other work for every hour of massage in order to take care of accounting, maintenance, and other aspects of managing your business. This means that your twenty clients add an additional twenty hours of work per week. Instead of earning that $60, $80 or $100 per hour, you are likely earning half of that.
  • Isolation: Private practice can be lonely. When a wonderfully skilled, experienced therapist applies at Dreamclinic, they frequently say they want to be a part of a larger community. They want to exchange skills and interact with peers. “It’s amazing how the solitude can eat away at you,” they say.
  • Marketing: Promoting a business is not easy. If it were, everybody would start their own business. Initially, many practitioners expect every friend and family member to become a client of theirs. Six months later, they realize that that’s translated into approximately three appointments and that they need to turn to advertising and other forms of marketing to build their clientele, which can be tough between the competition and the additional skills needed to do it well.

While you should follow your bliss and listen to your heart, make sure you head into your private practice with your eyes wide open. Also, realize that if you find it challenging to be on your own, whether that’s from not getting enough clients or struggling to find enough free time outside of your private practice, don’t feel bad. This is a common challenge that others deal with as well, some of whom find ways around it and some of whom end up choosing to work for a good employer.

3 thoughts on “Challenges of a Massage Private Practice

  1. Christian

    Another fallacy is that you are not competing with other practitioners! Heard that nonsense in massage school. In truth, in the eyes of a prospective client who believes they need something and someone to help them get healthier, or healthy again, comparative shopping is a primary facet of their search for relief. Client’s are comparing us to other practitioners; regardless of the modality (osteopath, PT, LMP) and using someone’s work they’ve received as the standard.
    So yup! We are in competition with one another, but not to win money or bragging rights. Rather, we strive to be the one that sets the standard that others are measured by.

  2. Joe

    That was a realistic article I enjoyed reading. I am a CMT CA. and it is hard to start you own business and create traffic while doing massages and the paperwork that goes along with running a business.


  3. Kristin

    Terrible article! I have my own practice and there’s no way the time is matched one for one with extra work. That’s just not true! It’s all about the same with the exception of billing which takes about two extra hours a week. I would recommend renting in a group setting initially. For example a full service spa or salon where there are other services attracting clients. It’s not for everyone, but the benefits out weigh the difficulties in the end and it is much more rewarding to do your own thing.


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