What Couples Therapy Costs Here—and What a Session Includes
Updated: Oct 6
Couples therapy at Radical Relationship Transformation costs $250 for a 90-minute double session for the couple. Both partners attend in person at my Webb City office near Joplin. The practice is self-pay; I do not bill insurance or offer online sessions.
Current standard appointment details — updated October 6, 2026. Earlier fee or session-length references describe an older offer; use the details on this page when planning an appointment.
That is the fee for this practice, not a claim about what every therapist in Joplin charges. If you are comparing options, ask each provider directly about their current fee and appointment format.
What the appointment includes
You are booking couples therapy with me, Shira Hearn, LMFT. Couples are my whole practice, and I use Emotionally Focused Therapy.
We work with what happens between you: the argument that keeps coming back, the silence afterward, the feeling of being far apart, or the injury you are trying to address. The actual concerns you bring matter alongside the pattern that develops when you try to discuss them.
Both partners attend. This is an in-person couples appointment, not an individual session on your partner's behalf.
Why I use 90-minute sessions
The longer format gives us room to hear from both of you and spend time with what begins to emerge in the conversation. It is the format I offer for couples work.
It does not mean every difficult issue will be resolved before you leave. Nor does it establish that two shorter appointments elsewhere would produce the same experience. Session length, approach, clinical fit, and your goals all matter when comparing services.
If you are new to therapy, the first-session guide explains why the introduction may feel less organized than later appointments.
What self-pay means here
You pay the practice directly; I do not bill insurance. Plan around the stated fee rather than assuming that a health plan will reimburse it.
If you have questions about payment arrangements or administrative details, ask me before booking. If you want to understand your own insurance benefits, ask your insurer directly. The service described here is self-pay.
How much should we budget in total?
There is no responsible way to give your total treatment cost before understanding your situation and agreeing on a plan.
For illustration only, four appointments at the current fee would cost $1,000. Eight would cost $2,000. Those are arithmetic examples, not packages, a treatment recommendation, or a prediction of how many appointments you will need.
The useful questions are: How often are we planning to meet? What are we trying to change? When will we review whether the work is helping? What can we realistically sustain?
You can raise budget concerns directly. Money is part of making a workable plan; it does not need to be an awkward conversation you postpone until you are already stretched.
What to compare when choosing a therapist
Ask about the fee, length of each appointment, location, attendance expectations, relevant couples training, and approach. Confirm availability and cancellation terms with the provider before booking.
A lower fee may be important for your budget. A longer session may fit what you want from the work. Neither detail alone tells you which clinician is right for the two of you.
The guide to choosing a couples therapist offers questions that go beyond the price.
How to ask about an appointment
You do not need to write your whole relationship history in an inquiry. A brief question about availability or whether the format fits is enough.
The current format is simple: $250, 90 minutes, in person in Webb City, both partners present, self-pay.
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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.
