Why Is Therapy So Expensive?
If you’ve ever looked into therapy and thought, “Wow, that’s expensive,” you’re not alone. Many people feel surprised — or even discouraged — when they find out what my fees are.
It’s a fair question: why is therapy so expensive?
The truth is, therapy isn’t just about “paying for an hour of talking.” There’s much more happening behind the scenes that most clients never see. Let’s break down why therapy costs what it does, and why it can be one of the most valuable investments you’ll ever make in yourself.
The Hidden Costs of Therapy
When you pay for a session, you’re not just covering the time you spend in the room (or on Zoom) with your therapist. You’re also supporting:
Education & Training: Therapists complete years of graduate school, internships, and supervised clinical hours before they’re even licensed. Many also pursue additional certifications to serve clients better.
Licensing & Fees: Therapists maintain state licenses, which require renewal fees, continuing education credits, and strict compliance with ethics boards.
Insurance & Liability: Malpractice insurance is non-negotiable for client safety, and it adds to overhead costs.
Administrative Work: Writing progress notes, planning sessions, consulting with supervisors/colleagues, and handling billing — these all happen outside the 50-minute session. This is all unpaid labor.
Ongoing Learning & Support: Most therapists invest in supervision, workshops, and therapy for themselves to stay grounded and effective in their work.
In a sense, you’re really getting what you pay for—that’s not to say that you can’t find good therapy that’s cheaper (or that that high-fee therapy is better quality). However, in order to keep providing effective, quality treatment, therapists invest a lot of time and finances into doing our jobs.
Furthermore, unnlike a haircut or a fitness class, therapy is relational. You’re not paying for a one-time transaction — you’re investing in a safe, consistent space where healing and growth happen over time.
A therapist can’t double-book, rush, or “speed up” sessions without compromising your care. Each client receives full presence, attention, and preparation. That means the caseload is intentionally smaller, which also affects cost. This is the primary reason why I only accept limited insurance.
But What About Accessibility?
It’s true — therapy is an investment, and not everyone can afford weekly sessions at full fee. That’s why many therapists offer:
Sliding scale options based on income. I provide a few low-fee slots with with my interns, whom I supervise during the academic here. You can sign up for the interest list here.
Group therapy or workshops, which are often more affordable.
Coaching services, which may provide similar support outside of insurance restrictions. You can learn more about my coaching services here.
While the cost of therapy can feel high, the return on investment often lasts a lifetime. You get to learn healthier coping and communication skills, heal past wounds, which in turn helps you to have better relationships with yourself and others.
In many ways, therapy is not just an expense — it’s a foundation for mental, emotional, and even physical well-being. If affordability is holding you back, it’s always worth asking your therapist about options. You deserve support.
If you’re curious about beginning therapy or want to explore options that feel sustainable for you, call or complete a new client inquiry form o learn more about working together.
