What Couples Therapy Actually Costs Here
Updated: 2 days ago
You’re trying to find out what this costs, and every page you’ve opened has given you a range, an “it depends,” and a button.
Here’s the number.
$180 per session
Sessions run 100 to 110 minutes.
That works out to about $100 an hour.
One session here runs roughly twice as long as the standard fifty-minute hour. So when you’re comparing, compare it against two sessions somewhere else, not one. That’s the honest comparison.
Why the Sessions Are That Long
Because fifty minutes is enough time to get into something and not enough time to get out of it.
The useful part of a couples session usually starts around the forty-minute mark — after the week’s events are out of the way, after the first version of the argument has been performed, when what’s actually going on finally surfaces. In a standard session that’s about when you’d be putting your coats on.
Then you’d take it home unfinished, have a bad night, and come back in seven days to start over.
The longer format means we get past the reporting and into the thing, and we close it before you leave. That’s the whole reason for it.
I Don’t Take Insurance
Two reasons, and neither is about money.
Privacy. To bill insurance, I have to give somebody a diagnosis. A real one, a billable one, attached to a name. That diagnosis goes into a permanent record you don’t control, and the company holding it can ask me for my notes to justify what they’re paying for.
Freedom to do the work. When an insurer is paying, an insurer decides — how many sessions you get, what counts as progress, when you’re finished. Someone who has never met you, reading a form, deciding whether you’re done. I’d rather answer to the couple in front of me than to a utilization reviewer with a quota.
Private pay keeps the room between us.
How Many Sessions
Most couples end up somewhere around twenty.
But I’m not going to give you a number and pretend it’s a plan. How long this takes depends on how long the pattern has been running, what’s happened inside it, whether both of you are actually in the room, and a handful of things I can’t know before I’ve met you.
There are a lot of factors, and some of them only come into view once we’ve started.
Book a session and we’ll both know more.
Bottom Line
$180. 100 to 110 minutes. About $100 an hour.
That’s the whole fee conversation, and now you can go back to deciding the thing that actually matters, which is whether you want to do this at all.
If you have been using a chatbot instead of booking, I wrote about what AI gets wrong about couples therapy.
What you are paying for is described in what getting unstuck actually looks like.
Shira Hearn, LMFT
Radical Relationship Transformation
Call or text 417-768-9089
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If you are ready to get started, Schedule a Couples Therapy Appointment.
Call or text me at 417-768-9089, or email me at shira@radicalrelationshiptransformation.com.
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