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Sliding Scale, 2024

1-3 Family Members
4+ Family Members
Telehealth 30 Mins*
Telehealth 45 Mins*
Telehealth or Eutierria Therapy 60 Mins**
Eutierria Therapy 90 Mins**
$35,000 - $60,000
$45,000 - $70,000
$60,000 - $85,000
$70,000 - $95,000
$85,000 - $110,000
$95,000 - $120,000

*I offer 30 and 45 minute sessions for adolescents, who sometimes process and focus better in shorter chunks. For adults, I prefer to stick with at least 60 minute sessions as my therapeutic approach is more effective when we are able to slow down.

**For clients who are local to my area, I provide outdoor Eutierria Therapy sessions with options for 60 or 90 minute sessions. However, for outdoor sessions, 90 minutes is preferred, again, because my approach is more effective when we are able to slow down. 

Rates and Sliding Scale, 2023

I don't require proof of income. I trust you to evaluate your financial situation and inform me of what you can afford during our initial meeting. Should there be a notable change in your financial status as we progress, feel free to discuss it with me so we can adjust the fee accordingly. Please keep in mind that I have limited availability for each payment rate. If you select an amount below your income level, it will reduce the amount of slots I have for others who are of that income range. I understand that income doesn't fully capture one's financial situation, which can often be complex. If you believe your circumstances warrant a different fee level, either higher or lower, please consider this. The examples provided below might be useful if the standard guidelines don't fully apply to your situation.

Consider paying less on the scale if you:

  • Are supporting children or have other dependents

  • Have significant debt

  • Have ongoing medical expenses not covered by insurance

  • Receive public assistance

  • Have immigration-related expenses

  • Care for an elder with limited financial support

  • Are an unpaid community organizer

  • Find the amount indicated by the grid creates hardship rather than sacrifice (for more on what this means, see the Sacrifice vs. Hardship section)

Consider paying more on the scale if you:

  • Own your own home

  • Have investments, retirement accounts, or inherited money

  • Travel recreationally

  • Have access to family money and resources

  • Work part time by choice or could do so if you wanted to

  • Have a relatively high degree of earning power due to level of education (or gender and racial privilege, class background, etc.) Even if you are not currently exercising your earning power, recognize this as a choice.

  • Find the amount indicated by the grid creates no sense of either hardship or sacrifice (for more on these ideas, see the Sacrifice vs. Hardship section)

I understand that many of you have the option to work with a therapist who accepts your insurance. I deeply value your commitment to therapy (and to your personal development) and am dedicated to ensuring that your investment yields substantial benefits in terms of personal growth and transformation. If at any stage I believe that your therapy objectives are not within the scope of my expertise (due to either a lack of specialized training/skills in your specific issues, or because achieving your goals might necessitate more sessions than what your budget allows for private payment), I am committed to guiding you towards suitable community resources or another therapist who is better equipped to fulfill your requirements.

Sacrifice vs. Hardship (with thanks to Worts and Cunning Apothecary for so generously sharing their words and giving permission for them to be re-printed)

“If paying for a class, product, or service would be difficult, but not detrimental, it qualifies as a sacrifice. You might have to cut back on other spending in your life (such as going out to dinner, buying coffee, or a new outfit), but this will not have a long term harmful impact on your life. It is a sacred sacrifice in order to pursue something you are called to do. If, however, paying for a class, product, or service would lead to a harmful impact on your life, such as not being able to put food on the table, pay rent, or pay for your transportation to get to work, then you are dealing with hardship. Folks coming from a space of hardship typically qualify for the lower end of the sliding scale. I find the idea of sacrifice versus hardship to be a very useful nuance when talking about class and access because it recognizes and respects that paying for something might still be a challenge even if it is just a short-term one, while giving appropriate space for those who are dealing with financial hardship.”

Why Sliding Scale? 

  • The reason for implementing a sliding scale is rooted in the recognition of the significant disparities in wealth and opportunity that exist in our society, disparities that continue to grow. This approach acknowledges the reality that not everyone is born with equal access to resources and opportunities. It also takes into account the fact that our society tends to assign financial value to certain professions in a manner that doesn't always reflect their true worth.

  • By encouraging those who have the means to contribute more, I am able to extend therapeutic services to individuals with limited resources, while also maintaining my own financial stability

Why Not Insurance?

  • Opting out of insurance is a decision based on its inherent limitations. Insurance mandates a diagnosis and a specific treatment plan. This often leads to restrictions imposed by insurance companies on the number and duration of sessions, as well as the types of 'treatment' deemed acceptable. These restrictions are frequently more about cost efficiency than providing genuinely supportive care. By not relying on insurance, we gain the flexibility to tailor our approach to your unique needs and what genuinely benefits you.

  • The insurance framework operates on the assumption that clients are 'mentally ill' and require a 'diagnosis' to receive 'treatment'. My perspective is that the challenges of being human are universal, and our current societal structures often amplify these challenges. Everyone could benefit from additional support.

  • Furthermore, much of the mental health research and theory in the United States is grounded in a perspective that predominantly reflects white and male experiences. Insurance, being part of this system, carries inherent biases—often unintentional, but nonetheless impactful. While I respect the ethical standards of my profession and value the progressive elements of my training, I also advocate for exploring alternative methods to foster emotional well-being, methods that step away from these biased and oppressive systems.

Why is therapy so expensive, even at the lowest end of the sliding scale?

  • The cost of therapy, even at the lower end of the sliding scale, reflects the numerous expenses associated with being a self-employed therapist. My session fees are not just for the time spent in therapy; they also cover ongoing training, health insurance, provisions for vacation and sick leave, licensing fees, supervision costs, continuing education, and many other operational expenses. These rates are carefully calculated to sustain my livelihood and ensure that I can take care of myself, which in turn allows me to be as effective as possible in my professional role.

  • I am dedicated to making therapeutic support more accessible. I am constantly seeking and engaging in collaborations and creative partnerships to increase the availability and affordability of support. 

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