Can Small Private Practices Survive the Rise of DTC Wellness?

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With 22 years of experience, I help clinicians, like you, elevate your practice by combining clinical excellence with strategic business solutions. My passion? Empowering you to deliver top-tier care while running a business you’re absolutely in love with!

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It feels like every week another direct-to-consumer wellness brand launches with glossy ads and venture capital backing. They promise convenience, quick results, and “wellness in a box.” From GLP-1 prescriptions to subscription skincare to at-home hormone kits, the consumer is told: you don’t need a clinic — you just need us.

For small, clinician-owned practices, the question is real and urgent: how do you compete with the noise of DTC wellness?

What DTC Gets Right — and What They Miss

DTC brands are brilliant at a few things. They know how to sell desire. They’ve perfected lifestyle marketing. They package products in a way that feels easy, modern, and accessible. And with VC money, they can outspend any private practice on ads.

But here’s what they can’t do:

  • They can’t go deep. DTC thrives on scale and standardization. Clinicians thrive on personalization and nuance.
  • They can’t build trust. A subscription app isn’t a relationship. Patients churn because there’s no continuity of care.
  • They can’t integrate. They sell a sliver — a supplement, a peptide, a skin product — without connecting it to the broader ecosystem of hormones, gut, stress, or aging.

DTC is loud. But it’s shallow.

The Clinician Advantage

Private practices will survive — not by trying to out-market or undercut DTC, but by leaning into what makes them different.

  1. Depth. You can connect the dots between symptoms, labs, and outcomes. DTC can’t.
  2. Continuity. You can build sticky memberships and longitudinal care models. DTC can’t.
  3. Trust. You can sell both aspiration and accountability. DTC sells the dream, but you deliver transformation.
  4. Identity. You can build belonging through your story, your brand voice, your community. DTC sells products. You sell relationship.

The Business Shift

To survive, clinicians need to stop playing the wrong game. Stop selling visits. Stop being a generic service provider. Instead:

  • Package care around outcomes patients want (glow, balance, energy, longevity).
  • Build membership and retention into your model.
  • Curate products, labs, and supplements inside your programs so patients trust you as the source.
  • Market with psychology, not just information.

Why Patients Still Need You

DTC wellness brands will keep multiplying. They’ll keep packaging the aesthetic of health into sleek subscriptions. But health isn’t shallow. Hormones don’t exist in silos. Longevity isn’t sold in a box.

Patients will always crave something DTC can’t deliver: trust, personalization, and a relationship with someone who sees them fully.

That’s the lane for small, clinician-owned practices. Not trying to outspend DTC, but to out-humanize it. To build deeper, stickier, more credible care models that no algorithm or subscription brand can replicate.

The future of wellness won’t belong to whoever shouts the loudest. It will belong to those who go deepest.

posted by

Carmen Stansberry

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