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Common Questions about Counseling and Coaching Fees


  1. What does therapy cost? My counseling fee is a flat rate for a 45 minute session. I do not accept insurance but can provide you with a receipt that you can submit to your insurance.
  2. Depending on your plan and based on your out of network insurance benefits, you may receive up to 80%, 70% or 60% fee reimbursement.
  3. Payment is accepted in cash or check, due at the time of each visit.
  4. How frequent will our counseling sessions be? Therapy sessions are most effective if they are weekly at first and then can move to bi-weekly. Depending on the crisis or situation, multiple sessions in a week may be necessary.
  5. How long will it take until things get better for me/us? Each client is different, and it’s impossible to predict exactly how long therapy or couples counseling will take for you specifically. However, on average, I work with most clients for about 15 sessions.
  6. Why don’t you accept insurance? I DO NOT accept health insurance because: insurance companies operate on a medical model, requiring me to diagnose every client I see with a mental disorder. The diagnosis and our work together becomes part of your medical records. Many plans require a therapist to substantiate that the mental disorder persists every few sessions, and the insurance company dictates the process and length of treatment. Time spent billing and substantiating psychological treatment is extensive and costly.
  7. To apply for reimbursement, you may have to ask your insurance carrier the following questions:
    • Do I have mental health or couples counseling benefits?
    • What are your out-of-network provider requirements? Rules on out-of-network provider reimbursements differ with each plan. Many of my clients advocate and submit for reimbursement based on my Asperger/Autism/ADHD and couples specialty, and cultural reasons.
    • What is my deductible, and has it been met?
    • How many sessions per calendar year does my plan cover?
    • How much do you pay for an out-of-net provider?
    • Is there a limitation on how much you will pay per session?
    • If you have an HMO, is authorization required by primary physician?

Coaching Fees

For those who cannot see me in person, those who live outside Massachusetts or outside the US, I offer individual or couples coaching sessions via phone or video conferencing (Skype, Google Hangout, or Facetime.)

Coaching typically starts with a 30-minute free consultation to learn more about your situation, and to see what your partner and/or you are looking for. Then, if we decide to work together, you sign up for a 5-session package. Through a lot of experience, I’ve found that a few intensive coaching sessions provide the momentum to implement solutions and make changes. Each session is 45-minutes long.

PLEASE NOTE: coaching fees are not covered by health insurance plans and I cannot provide receipts for insurance reimbursements.

If you’re ready for coaching, please send me an email at and give me some good times for you to set up an initial consult.


Thank you for contacting me.

I will aim to respond as soon as possible.