The business of private practice requires navigating ethical professionalism alongside personal needs and values. Advertising, marketing, self-promotion, and the setting/collecting of fees can pose angst by challenging the altruistic values that likely influenced the choice of psychotherapy as a profession. In addition, the majority of marketing in today’s society is through the use of social media (SM), itself a vehicle of information that poses risk to ethical principles affecting therapist and patient. Outside of SM, more traditional methods of growing a psychotherapy practice such as advertisements in printed materials, personal visits to community professionals to increase referrals, and speaking engagements still involve a level of self-promotion that may bring discomfort to the therapist. Further, the exchange of money impacts the client–psychotherapist relationship; with this in mind, direct communication about fees may be a difficult conversation for clinicians to initiate. This chapter reviews position statements by professional associations and highlights gray areas for values-based consideration.