There are different schools of thought about whether or not to publish fees on the web, outside a conversation. Since counseling is about dealing with what's real, I prefer to be upfront about it.  My customary fee is one hundred and fifty dollars per 50-minute hour. This is standard among therapists of my license and years of experience in San Francisco.

I do not take insurance.  Why? In order to authorize treatment, insurance programs will require that I diagnose you with a mental health disorder and that I make regular reports to them about you; all this will remain on your lifetime medical record.

 

I prefer a more reliably confidential way of working. In this day and age, the privacy of electronic records is not guaranteed. Importantly, too, in my view, a problem ≠ a mental illness.
 

But if your provider reimburses you for "out of network" services, I am happy to provide documentation.