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.

$13 → $5 to $8
Cost per client inquiry on the winning creativesJune to July 2026
$7.10
Best single-state cost per inquiry, at 2.2% click-throughJuly 2026
0 → 77 clicks
Organic search, first indexed week, from a standing start1,182 impressions, July 2026
89.6 → 100
Site search health score, across all 39 pagessix weeks, June to July 2026
5.0 stars
Public Google rating in the practice's home stateas of July 2026
Aaron Riviere, founder of Rhiza Practice Growth

The operator, not an agency.

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.

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.