Why is therapy so expensive ?

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:say they see 7 patients a day

$250x 7 =$1,750.00 x 4 =$7,000.00 x 52 =$364,000.00

And pay office expenses. It's not that much.


This would be a very heavy load and not done 5 days a week.


So they make less. That's why they charge $250/hour. It's a middle class living. It's a good living, but they aren't making a ton.


That’s in no way middle class.


Around here it absolutely is.
Anonymous
Anonymous wrote:
Anonymous wrote:Cost going from $250 a session to $300 a session in dc. I need to switch therapists for my teen daughter. Is Virginia cheaper? Is this normal cost for a teen?


In person cost per 45 min session


We’re do you live? We’ve paid crazy rates too. I received a referral at a hospital in Montgomery County. They are fantastic and $100/hr.

More money is not always better. You want someone fresh, starting out. Someone who’s been a social worker in mental health facilities or a hospital that have a fresher outlook and more connections.

Go to your local crisis center or hospital and get referrals.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:say they see 7 patients a day

$250x 7 =$1,750.00 x 4 =$7,000.00 x 52 =$364,000.00

And pay office expenses. It's not that much.


This would be a very heavy load and not done 5 days a week.


So they make less. That's why they charge $250/hour. It's a middle class living. It's a good living, but they aren't making a ton.


That’s in no way middle class.


Around here it absolutely is.


It absolutely is NOT.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:say they see 7 patients a day

$250x 7 =$1,750.00 x 4 =$7,000.00 x 52 =$364,000.00

And pay office expenses. It's not that much.


This would be a very heavy load and not done 5 days a week.


So they make less. That's why they charge $250/hour. It's a middle class living. It's a good living, but they aren't making a ton.


That’s in no way middle class.


Around here it absolutely is.


It absolutely is NOT.


yes it is , to be row now its 760k in virginia, 740k in MD and 1.2m in DC, nationally ts 787k SO that mean less than that its middle class
https://www.axios.com/local/washington-dc/2024/09/24/dc-virginia-maryland-1-percent-how-much-income-2024
Anonymous
To be fair though…the math on the per session to income is pretty loose. They’re likely not making $375k

$300 hourly is expensive out of pocket but not wildly expensive for an established provider. I’d check on your benefits and see if your insurance will reimburse you directly for any part of it.
Anonymous
Does anyone have any online therapy they could recommend?
Anonymous
It may depend on the issues too. Have there been emergencies? Hospitalizations? Suicide threats? After hours calls? If there is more potential liability and after hours work, sometimes they charge more even though they charge for phone calls and emergency sessions.
Anonymous
No one complains when doctors charge the same price for 15 minutes of their time.

Most of the specialists charging $250 have masters degrees. And no pretend "education" masters degrees, legit masters degrees from real schools.

People complain because they think women should do this work for charity wages.
Anonymous
Because they have professional expertise
Anonymous
Anonymous wrote:To be fair though…the math on the per session to income is pretty loose. They’re likely not making $375k

$300 hourly is expensive out of pocket but not wildly expensive for an established provider. I’d check on your benefits and see if your insurance will reimburse you directly for any part of it.


Our experience is that is wildly expensive. The last time one of our kids got therapy was probably 2022 or 2023, so unless it has skyrocketed since then, I would call that wildly expensive. We also found price didn't always tell you how good the person was. Shop around and try a few. Get on waitlists for the less expensive to give them a try.
Anonymous
Anonymous wrote:
Anonymous wrote:To be fair though…the math on the per session to income is pretty loose. They’re likely not making $375k

$300 hourly is expensive out of pocket but not wildly expensive for an established provider. I’d check on your benefits and see if your insurance will reimburse you directly for any part of it.


Our experience is that is wildly expensive. The last time one of our kids got therapy was probably 2022 or 2023, so unless it has skyrocketed since then, I would call that wildly expensive. We also found price didn't always tell you how good the person was. Shop around and try a few. Get on waitlists for the less expensive to give them a try.


It’s astonishing to me that we want to bargain shop for doctors. They deserve pay commensurate to their training. As likely you expect for your own salary.
Anonymous
Anonymous wrote:No one complains when doctors charge the same price for 15 minutes of their time.

Most of the specialists charging $250 have masters degrees. And no pretend "education" masters degrees, legit masters degrees from real schools.

People complain because they think women should do this work for charity wages.


100%

The insurance companies are where this should be managed. If they would pay any benefits towards mental health reimbursement it would make such a difference in being able to afford therapy. Docs aren’t trying to price folks out.
Anonymous
I feel like we paid $175 and that was 5-6 years ago? Has it honestly up that much?

Anonymous
Anonymous wrote:
Anonymous wrote:No one complains when doctors charge the same price for 15 minutes of their time.

Most of the specialists charging $250 have masters degrees. And no pretend "education" masters degrees, legit masters degrees from real schools.

People complain because they think women should do this work for charity wages.


100%

The insurance companies are where this should be managed. If they would pay any benefits towards mental health reimbursement it would make such a difference in being able to afford therapy. Docs aren’t trying to price folks out.


I was going to say this too. The question should be why reimbursement is so low.
Anonymous
Do you not have any in-network providers? I could never pay that out weekly, so we have to depend on people who are in the network. Many are just starting out, but we have had some great success with younger therapists connecting better with our son. I also use an in network therapist for myself.
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