Enquirer Consulting Group

Reachable Buyer Map

Prepared for Melissa Worley · Worley Behavioral Health · September 2026
Here is the map Keira promised. You said volume is not the problem and fit is, so this page maps referral fit in both directions: the groups positioned to send you the clients you actually want, and the ones you would be glad to send clients to. Where each sits, who inside it holds the referral, and roughly how many exist. It maps the market around your practice, not your practice itself, and there is nothing to buy at the end of it.
Who could be sending you the right clients
Seven groups whose own work produces adults who match your scope, ordered by how well the fit holds rather than by how many of them there are.
Adult ADHD and autism assessment practices
The practices that produce your exact client and then have nowhere to send them. An adult told at thirty five that they are autistic or ADHD leaves with a report, a recommendations page and no therapist. Your own site names that moment: masking, sensory load, burnout, and years of adapting without knowing the cost. The referral also arrives pre-sorted, because the assessment has already done the explaining that a cold inquiry cannot.
Who holds it: the testing psychologist who writes the recommendations section, since that is where a named therapist either appears or does not. Under them, the testing coordinator who fields the who do I see now call after the feedback session.
The exchange: constant in both directions. A counseling license does not cover formal evaluation, and a testing practice values a referral that arrives with a clear question attached, because vague ones waste testing hours.
1,500 to 1,900
licensed psychologists across Dallas, Tarrant, Collin and Denton counties, plus about 500 practice organizations. Around 150 are neuropsychologists. Nothing public marks which of them test adults.
Psychiatric prescribers with no therapist in the building
Medication practices carry a permanent therapy gap. They see the adult ADHD, PTSD, anxiety and depression caseload every week, they are expected to document a therapy recommendation, and most have nobody on site to take it. You close that on three axes at once: you are in network with several commercial plans, so the handoff survives the front desk, you are EMDR trained for the PTSD half, and you are neurodiversity affirming for the adult ADHD and autism half that now fills a modern nurse practitioner panel.
Who holds it: the prescriber holds the clinical trust, the intake or referral coordinator holds the routing. Above two prescribers it is always the coordinator who keeps the therapist list and does the sending. In a solo practice it is the medical assistant who books the follow ups.
The exchange: the strongest two-way lane here. A medication evaluation is the most common referral any therapist makes, and prescribers who receive therapy-engaged clients reciprocate quickly.
2,000 to 2,500
psychiatrists and psychiatric nurse practitioners across the four counties, plus roughly 700 to 900 practice organizations. Nurse practitioners are the larger half. No public source says which already employ a therapist, and those are the wrong target.
First responder and public safety behavioral health
Your least contested lane, and it rests on public record rather than positioning. You worked as a firefighter and a health specialist before this, and you carry a first responder informed designation. Fire, police, EMS and dispatch screen clinicians on whether they have been inside the culture, not on modality lists, and EMDR is the therapy this population asks for by name. Veterans sit inside the same peer networks and move through the same introductions.
Who holds it: the department peer support coordinator and the chaplain where there is one, because between them they keep the short list that actually gets used. Union and association locals hold a parallel list the department does not control, and it is often the more trusted one. Anything contracted runs through a city or county wellness manager.
The exchange: asymmetric, and worth saying plainly. You cannot refer back to a fire department. What you can offer is a step-up route when weekly outpatient is not enough, and availability the department can name to its people.
No public count
no honest public number for this one; it is built by name, not bought. Nothing records which departments run a peer support or behavioral health program, and police, EMS and dispatch are not listed together anywhere.
Peer therapists and group practices
Therapist to therapist is the largest real source of therapy referrals and the one most sensitive to fit, which is the exact axis you asked about. Three separate gaps feed you. Group practices with waitlists overflow and want a specific person to name. Clinicians who do not do EMDR hit a trauma case they cannot take further. Child and adolescent practices age clients out at eighteen, and separately meet the parents. Your scope is narrow enough to be recognizable, and recognizability is what makes a referral stick.
Who holds it: in a group practice the clinical director and, separately, the intake coordinator who runs the waitlist and does the actual routing. In a solo practice the clinician alone. Consultation groups and peer circles are where the trust forms before any referral is made.
The exchange: the most reciprocal segment on this page and the cheapest to build. You see adults in Texas, so every inquiry involving a child, an adolescent or a client outside the state is a referral you have to place anyway.
Roughly 14,000
licensed counselors, clinical social workers and marriage and family therapists across the four counties, inside about 2,000 group practices. The size of that number is itself the finding.
Programs at the point of discharge
Discharge planners have a hard problem you happen to solve. They need an outpatient therapist who can see the person inside one to two weeks, who takes their plan, and who can hold trauma work rather than maintenance. Weekday afternoon and evening availability and a commercial panel are what a planner screens on before anything clinical is discussed. For trauma discharges specifically, EMDR is a continuity requirement rather than a preference.
Who holds it: the unit discharge planner or case manager for the single handoff, the aftercare or transition coordinator for the recurring one, and the clinical director who decides who goes on the list at all. The list is the asset, and getting onto it is one act that pays repeatedly.
The exchange: clinically required both ways, since knowing named programs is what makes a step-up safe rather than a search result. Clinical relationships only: where a program treats substance use, federal law restricts anything of value attached to a referral in either direction.
About 175
listed treatment programs across the four counties, of which about 40 offer partial hospitalization or day treatment. Settings are self reported, and mental health intensive outpatient capacity does not surface in any public listing.
Pediatric and school neurodevelopmental services, where the referral is the parent
You see adults, so the child is never your client. The parent is. When a child is assessed for autism or ADHD, a large share of parents recognize themselves in the criteria, and that recognition is one of the most common routes to adult diagnosis. The professionals sitting with that parent at that moment are pediatric assessment practices, pediatric occupational therapy and speech clinics, and school special education teams in placement meetings. None of them have an adult therapist to offer, because their whole orientation is the child.
Who holds it: in pediatric practices, the evaluating clinician plus the parent-facing intake coordinator. In schools, the campus special education coordinator or educational diagnostician and the district special education director. Parent advocacy groups attached to these services often carry more referral weight than the institution does.
The exchange: excellent and underused. Your adult clients have children who need assessment, occupational therapy, speech services or school advocacy, and none of those children are yours to serve.
Roughly 220
developmental pediatrics, child psychiatry and child psychology clinicians across the four counties, a genuinely small group, alongside about 100 school districts and charter operators running roughly 1,900 campuses. Pediatric occupational therapy adds about 310 more.
Campus counseling centers and disability services offices
Campus centers cap sessions, run waitlists through the semester and refer out anyone needing ongoing or trauma-focused work. That is structural rather than occasional. Students are adults, and the presenting cluster on campus is identity, anxiety, trauma and neurodivergence. The metroplex skews commuter, so many students stay on a family commercial plan. The adjacent office matters as much as the center: disability services is where a newly diagnosed or newly registered student is sitting, and it refers out because it does not provide therapy.
Who holds it: the referral coordinator or case manager inside the counseling center, which at larger centers is a named role whose whole job is the community referral list, with the clinical director deciding who goes on it. In disability services, the director or the access coordinator who meets students at registration.
The exchange: real but asymmetric. You can route students back to accommodations and campus supports and pace work around terms. The volume runs toward you.
About 50
degree-granting colleges and universities across the four counties, inside about 90 institutions in total. The subset running a staffed counseling center with a referral list is smaller and is published nowhere.
Who you would want on speed dial
Seven groups on the other side of the exchange: the places a client goes when the work is real but it is not yours. Sending first is what opens most of the lanes above.
EMDR consultants and certification-level clinicians
EMDR is the one modality your own site names, and the rungs above training are where complex, dissociative and structurally hard presentations get placed. This is the only group on the page where referral fit and your own professional development are the same relationship, which makes it the easiest here to open.
Who holds it: the consultant personally. No intake team, no gatekeeper, no waitlist mechanism. It is a direct approach to a named clinician, and it is normally paid consultation rather than a favor.
The exchange: the cleanest loop available to a solo practice. Consultants hand overflow and out-of-scope clients down to clinicians whose work they have watched, so it runs on demonstrated judgment rather than referral volume.
No public count
no honest public number for this one; it is built by name, not bought. The profession's own directory carries certification and consultant status but publishes no totals and no public query.
Eating disorder and ARFID specialty care
Body image sits on your issue list and eating disorders do not, so this is work to place rather than treat. ARFID concentrates in autistic adults, which is exactly the population your site names, so the presentations most likely to walk in are the ones your scope does not claim. Restriction driven by sensory aversion and interoception is a different clinical problem from restriction driven by body image, and placing it with someone who knows the difference is the whole point of referral fit.
Who holds it: outpatient specialists are mostly solo or small group and hold the relationship personally. At program level it is a clinical outreach or admissions director, often covering a whole region.
The exchange: partial, and worth being honest about. Programs are net referral seekers and will take your call readily. What comes back is step-down clients after discharge rather than new intakes.
No public count
no honest public number for this one; it is built by name, not bought. No public provider category exists for eating disorder or ARFID care at any level.
Dietitians working with neurodivergent adults
Adult ADHD and autism carry well documented eating pattern problems: interoception, executive function around shopping and meals, sensory food aversion, and forgetting to eat during burnout. Your site names neurodivergence and the exhaustion underneath it. That is nutrition work rather than counseling work, and a solo practice has no dietitian in it.
Who holds it: the dietitian directly. This niche is almost entirely solo or two person, so there is no intake layer and no coordinator to convince.
The exchange: high and under served. A dietitian in this niche meets trauma, ADHD and autistic burnout constantly and cannot treat any of it, so they refer out more than they receive.
1,400 to 1,500
registered dietitians across the four counties, plus about 155 practice organizations. Nothing public marks which of them work with neurodivergent adults, so the count sizes the pool and not the list.
Adult sensory and executive function occupational therapy
Sensory regulation, environmental modification and the executive function of daily living are occupational therapy work rather than counseling work, and the adults who need it are the ones your site describes. It is also the referral your clients are least likely to find alone, because adult sensory practice is invisible next to pediatric and physical rehabilitation.
Who holds it: the therapist or the small clinic owner. Adult sensory work sits in cash-pay solo practices and a handful of neurological rehabilitation clinics, so access is direct with nobody in between.
The exchange: strong in principle, small in supply. These therapists under refer because they do not know who does trauma and identity work with neurodivergent adults. Being the named therapist for two or three of them is achievable inside a quarter.
2,300 to 2,600
occupational therapists across the four counties, overwhelmingly pediatric, hand and physical rehabilitation. The adult sensory subset is a handful of people and cannot be sized from anything public.
Skills groups and structured group programs
Dialectical behavior therapy appears on your treatment list, which in a solo practice means informed individual work rather than a program. The full model is four parts: individual therapy, a skills group, phone coaching and a consultation team. None of that is available from one clinician, so a client who needs the skills layer, or more structure between sessions than weekly therapy gives, has to go somewhere that runs it.
Who holds it: the program director, or the skills coordinator who manages cohort start dates. Because groups run in cohorts the constraint is timing rather than access, so knowing the next start date is what makes a referral land.
The exchange: better than it looks. Many full-model programs require an outside individual therapist as a condition of joining the group, which makes you the missing half of their admission rather than a competitor for the client.
No public count
no honest public number for this one; it is built by name, not bought. Group programs are not a registered category, and full-model programs are indistinguishable from informed groups in any public data.
Marriage and family therapists, for the teenager and the whole family
You take adults, individuals and couples, and you list family conflict, parenting, divorce and peer relationships among the issues you work with. So a client's teenager, a whole family session, or a case that turns out to be systemic rather than individual sits outside what you offer even though the presenting adult is yours. The rest of that family needs somewhere to go, and right now it goes wherever they find.
Who holds it: the therapist directly in solo practice, or the intake coordinator in a group. Supervisors are worth approaching first, because they route work to a whole team of associates.
The exchange: two way and even. These clinicians meet individual trauma histories and EMDR-appropriate cases inside family work and have to place them somewhere. You already do couples work, so the split has to be agreed out loud: who holds the system, who holds the individual trauma.
800 to 850
marriage and family therapists across the four counties, plus about 120 practice organizations.
Adult primary care, for the medical workup
Trauma, ADHD and burnout presentations need medical causes ruled out: thyroid, sleep, iron, medication effects, perimenopause presenting as anxiety and brain fog. Primary care is also the practical prescribing route when psychiatry has a waitlist, since most first-line prescriptions start there. This one runs genuinely both ways, and it is the slowest lane on the page.
Who holds it: the referral coordinator, a distinct job in any practice of size, with the practice manager above them. In system-owned clinics an internal pathway usually outranks a personal relationship, which makes independent practices the better target.
The exchange: balanced but slow. Primary care has nowhere to send the therapy half of what it prescribes for, and you need a workup route. Expect months here while the smaller segments take weeks.
5,400 to 6,500
family medicine and internal medicine physicians across the four counties, plus about 2,500 practice organizations. Too large to work whole: it is sliced by neighborhood or by practice, never approached as a market.

Where the openings are

1
The relationship is with a role, not a logo. Every group on this page routes referrals through one named job: the testing coordinator, the intake coordinator, the discharge planner, the peer support coordinator, the campus case manager. They keep the list, and the list is what a referral actually runs on. Reaching that one role beats reaching the organization it sits in, and it is the difference between an approach that takes an afternoon and one that takes a quarter.
2
Reciprocity is the lever, and it runs send first. A solo adult practice licensed in one state has to place referrals constantly: the child, the teenager, the family, the eating disorder, the client who needs medication or a formal evaluation. Those referrals are going somewhere already. Choosing where, deliberately, is how the return direction starts, and it costs nothing you are not already spending.
3
Testing and prescribing are the fastest two-way fits. An assessment report ends in a therapy recommendation with nowhere specific to send it. A medication practice has no therapist in the building and is expected to document one. Both gaps are structural rather than personal, both are filled by one named clinician, and in both cases the exchange starts the moment you send the first client the other way.
4
Schools, campuses and primary care are slow and durable. These are the segments that keep a written list and change it rarely, which punishes a first approach and then rewards a name already on the page. Expect months rather than weeks, expect a coordinator rather than a clinician, and expect the referrals to keep arriving long after the effort stops.
Built from public registries and professional directories, with the treatment program, school and campus figures pulled in September 2026 and the clinician figures current to July 2026. Counts are banded deliberately and cover Dallas, Tarrant, Collin and Denton counties unless stated otherwise. Organization figures count registered sites, so a group with several locations appears more than once, and segments with no credible public number say so rather than showing one.
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