When I started in private practice, I thought that it was just a matter of getting myself on a directory listing, and waiting for people to call. I discovered there was much, much more to it than that! Building up my practice has been a steep learning curve, which I offer an insight into, in my article "trial by fire" on Linkedin.
We generally see change as a problem to be solved. So if I have a problem with anxiety, my solution might be to take up relaxation classes, and try to make myself less anxious. When people come to see me, one of the things that often emerges is the reason they have come, is not because they haven't tried to change. Their story is one of trying very hard to change, and finding that for some reason they are unable to.