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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Yes, OP, it’s a big problem in the dc area. I hear friends in other parts of the country don’t have this issue. The therapists there take insurance. [/quote]

Insurance companies are assaulting therapists and here even if a therapist sees 40 clients a week —which isn’t possible to do well in my opinion—they are not making enough to live off.  [/quote]

Assaulting financially.

I charge more than $250 so that I can be fully present to my clients who mostly have ptsd and not be frustrated by trying to get insurance reimbursements and filing papers.  I also charge this so that I am not so burnt out and I can live fairly comfortably.   My caseload is smaller and my clients get better.  My focus is trauma and my certification and 18 years of experience is DBT.

I have a client who was being treated for bipolar by their psychiatrist for a decade.  Because I’m fully present and listening to what clients are saying and not saying and because I have the space to reflect on them and to consider what makes sense and what doesn’t —I saw that this person doesn’t have a mood disorder but they are having emotional issues, past suicide attempts and troubled work performance bc they have/had untreated ADD.

I and the client reached out to the psychiatrist and they are doing remarkably better on a stimulant —than ever.  If I were taking insurance and seeing more individuals this person likely would never have determined the issue and been able to address it.  Her self esteem and confidence and reduced anxiety is a joy to witness 
[/quote]

It’s unfortunate that you have to be rich in the dc area to get mental health care.[/quote]

My clients aren’t rich and neither am I.  It’s about prioritizing. [/quote]

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