pay-what-you-can: maintaining a sustainable practice + honoring accessibility
55-minute individual sessions: $100–$200
I believe therapy should be accessible. In order to keep doing this work, my practice also needs to be sustainable. My sliding scale makes room for different financial circumstances: people with more financial flexibility pay more, helping me continue offering reduced rates to people who need them.
You choose your rate within the range. No income verification, application, or justification required. I do ask that you consider your overall financial resources when choosing.
How do I choose my rate?
Start by considering whether you can sustainably pay toward the upper end. If that would put too much strain on your finances, use the guide below to find a rate that fits.
$175–$200 · Greater financial flexibility
Your essential expenses are comfortably covered, and you generally have money available for savings and discretionary spending. Paying at this level would fit into your budget without financial strain. Choosing the upper end helps sustain the practice and its reduced-rate options for clients who need them.
$125–$174 · Some financial flexibility
You can generally cover your essential expenses, but there isn’t a lot left over. You may be managing debt, building savings, or dealing with inconsistent income. A higher fee would stretch your budget, but you can sustainably pay above the minimum.
$100–$124 · Limited financial flexibility
Your budget leaves little room after necessities, or you sometimes struggle to cover them. Debt, healthcare costs, caregiving responsibilities, or unstable income may significantly limit what you can afford. This part of the scale is here to make therapy more accessible to you.
Look at the whole picture.
Income alone doesn’t tell us what someone can afford. Consider essential expenses, dependents, debt payments, savings, and financial support you can reliably access.
These descriptions are guideposts, not a checklist. Having debt doesn’t automatically mean the lowest rate fits; having savings doesn’t automatically mean the highest rate does.
Choose an amount you can maintain at the frequency we plan to meet (when starting therapy, that’s usually about 2-4 times a month). You don’t need to jeopardize necessities or take on debt to pay a higher rate. If the lower end is what makes therapy possible, please use it.
A few practical details:
You receive the same care and session length at every rate. Your chosen rate stays in place unless/until you request a change, either in writing (via text or email), or verbally when we meet (to be applied at the subsequent session). Please note changes must be requested at least 24 hours before your next session. If your circumstances change, we can always revisit it.
I’m a private-pay therapist and don’t partner with insurance companies. I can provide a superbill for possible out-of-network reimbursement, depending on your plan.
This guide is informed by Alexis J. Cunningfolk’s Green Bottle sliding-scale framework.

