Cash Pay
The full charge for a 50-minute session is $150. This is already relatively affordable compared to other cash pay services, but it is set specifically to be able to offset the costs of providing sliding scale rates. In other words, this rate helps me be able to offer therapy to those who would otherwise be unable to access my services.
Sliding Scale
I understand the full cost may not be accessible for everyone. So I offer a limited number of reduced-rate openings (ranging from $50-100/session depending on ability) for individuals who report they are on governmental assistance programs (such as SNAP/Food Stamps, TANF, SSDI/SSI, Medicaid, etc.). The sliding scale is offered based on availability, client report, and the honor system, not any rigid authentication process. I trust my clients to tell me what they need without needing to "prove" it, so I hope you will trust me with an honest assessment of your situation.
Why do you not take insurance?
To put it briefly: I have tried, and it was not a good option for my circumstances as a therapist or business owner. I understand that many people are unable to pay even the lowest end of my sliding scale on a regular basis. However, my rates still have to keep the lights on so I can see anybody.
The cost per session also has to factor in the amount of time I spend outside of our sessions. This includes preparing for sessions, documenting progress, and writing letters (such as for ESAs or Gender Affirming Care) for clients.
If you do have health insurance, I am happy to supply a superbill, which may help you get reimbursed by your insurance company. Otherwise, websites like PsychologyToday or your insurance member portal may be able to help you find someone who does take your insurance.
For those specifically looking for gender-affirming therapists, there is a resource guide put together by the Gender Health and Community Network that may provide some leads.
