In the USA, the No Surprises Act, which is part of the Consolidated Appropriations Act of 2021, is designed to protect clients from receiving unexpected medical bills. The Good Faith Estimate provision of the No Surprises Act is designed to give clients an estimate of how much they’ll be charged for the healthcare services they’ll be receiving, prior to their appointment.

Any person who is not using, or does not have in-network insurance benefits, must receive a Good Faith Estimate (GFE) of how much services are expected to cost and how long they are likely to last. These regulations were designed to prevent surprise billing in hospital emergency departments and inpatient hospital settings, but they impact all providers (even if it doesn't make much sense in my line of work!). As mentioned on the 'My Approach' page, I charge $180 per session; nothing more, nothing less, and you will be charged that figure each time we see each other. However, with therapy, it is really hard to estimate how long treatment may last and thereby, how much money you will spend overall. The timeline depends entirely on the issues you want to address, your personal history (e.g. previous trauma, abuse etc.) and even your own preferences. Indeed, the number of sessions may vary but they usually take place once a week over several months (perhaps 6-10 months), after which people tend to see me at less frequent intervals, usually, every other week in the first instance. Often (but not always), clients may see me once every 4-6 weeks after 10 months of weekly or bi-weekly therapy until they feel ready to stop. These are just typical examples to give you an idea of how much therapy may cost you. However, it's important to remember that some of my clients may only see me for 5-6 sessions for psychoeducation while others may see me for 18-20 sessions regularly, then stop, because it's appropriate to them and their situation. Some even benefit from ongoing therapy that matches the long-term nature of their condition. It all depends on what your needs and preferences are.