You tend the people. We grow the practice.

Rhiza (ree-zah), Greek for root. A practice the world sees is only the part above ground. We build the system underneath private mental-health practices: the ads that bring the right people in, the follow-up that answers every inquiry, and the reputation that compounds quietly over time.

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

You trained to care for people, not to run ad accounts. So inquiries arrive while you are in session, sit in a voicemail box overnight, and quietly book with whoever answered first.

Psychology Today and word of mouth got you here. They plateau. The practices that keep growing have a system underneath, and almost none can build it alone.

Fill the caseload

Qualified client inquiries, on demand, from ads and funnels built for how people actually look for a therapist.

Run the front office

Every inquiry answered, followed up, and booked, automatically, so no one who reached out ever slips away.

Grow the brand

Reviews, search, and content that compound, so the practice gets found first and trusted first.

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

A multi-clinician virtual mental-health practice we operate, serving clients in two states. We built this machine for ourselves first. These are its real numbers.

June 2026
$13

What one client inquiry cost the practice before we rebuilt its system.

What we did
30 variants

A new creative system: thirty ad variants, champion and challenger testing, fatigue rotation, and a quiz that screens inquiries before the calendar.

July 2026
$5 to $8

Cost per inquiry on the winning creatives. Best state: $7.10 at 2.2% click-through.

$7.10to generate a client inquiry. ~$9,000what one new weekly client is worth over an average stay. That is the whole argument.
0 → 77 organic clicks, first indexed week 5.0 stars public Google rating, home state 89.6 → 100 site health score, all 39 pages
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, who built this exact machine for the practice he helps run, after years building AI-powered operations at Google, Microsoft, and BMW. We did not theorize this system. We live in it.

These are honest numbers from one real practice, stated plainly. Anyone promising you guaranteed outcomes in this industry is lying to you. On your audit, ask to see the exact scorecard and weekly report our own practice runs on. We show receipts, not promises.

The price is the price.

Most agencies quote a number and hope you never ask what is inside it. We price the opposite way: answer one question, how much you can put behind ads each day, and the calculator shows your management fee and your ad budget as two separate, visible things.

Start online the same day, no call required. Prefer to talk it through first? The audit is free either way.

Open the calculator
At $50 a day, for example:
Goes to Meta, not to us
~$1,500/mo
Goes to us
$750/mo

Your card, your ad account, your budget, visible at all times. Our fee is set from the budget you approve and changes only when you change it in writing.

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

Your accounts stay yoursAd accounts, data, reviews. We hold partner access, never ownership.
HIPAA-safe from day oneBAA signed before work begins. No PHI to ad platforms, ever.
Month to monthA 90-day start, then month to month. Leave with everything.
No outcome guaranteesWe show receipts, not promises. Anyone promising outcomes in this industry is lying to you.

Start with the only question that matters.

How much can you put behind ads each day? Slide to your number and see the whole price. Thirty seconds.