Tag Archives: Barriers to Therapy

Ask a Therapist: Why Is Therapy So Expensive? 

And Is COVID Situated to Make That Scenario Even Worse?

by Liz Covey, LMHC


Nearly every day, therapists in private practice steel themselves for the inevitable: an email inbox that overflows with new patient requests from people who have been desperately looking for long weeks or months for an opening to begin to work on psychological issues or problems that are either long-standing or pandemic-related, or more commonly, both. Clients seeking to use their health insurance for therapy are likely to find themselves in a deadlock these days thanks to staffing shortages. If a potential client uses the state Medicaid program, Apple Health/Molina, the chance of finding an opening is even slimmer, since the amount of red tape plus lower pay mean even fewer therapists are available to these patients.

And if no one is available in-network, prospective clients will likely find themselves on the open market for therapy and can be startled by the price tag. Private pay therapy in Seattle in 2022 can cost between $100–$250 per session. Many therapists offer sliding fee scales, meaning that they reserve spots for lower-fee work, but these are limited so they can be even harder to find.

This has many today asking:  Why does therapy cost so much? Let’s consider some of the factors that contribute to this high fee:

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