Why We Choose Not to Work Directly with Insurance

One of the most common questions we receive is whether we accept insurance.

The short answer is no—we are an out-of-network practice.

We understand that therapy is a meaningful investment, and we did not make this decision lightly. In fact, it was one of the most difficult decisions we've made as a practice. Ultimately, however, we chose a path that allows us to provide the highest quality care while protecting both our clients and our clinicians.

Protecting Your Privacy

Many people are surprised to learn that using insurance for mental health treatment requires a mental health diagnosis to be submitted to an insurance company.

Depending on the plan and circumstances, additional information may be requested to justify treatment, including treatment plans, symptom descriptions, progress notes, or documentation supporting medical necessity.

While insurance serves an important role in healthcare, we believe that therapy works best when clients can speak openly and honestly without concern about how their personal information may be reviewed, stored, or utilized by third parties.

For some clients, particularly professionals, business owners, healthcare providers, executives, public-facing individuals, and those navigating deeply personal experiences, this level of privacy matters.

Your Treatment Should Be Driven by Your Needs

Insurance companies determine what services they will cover, how often they will cover them, how long treatment should continue, and whether treatment is considered medically necessary.

Healing, however, rarely follows an insurance company's timeline.

Some clients benefit from longer sessions. Others may benefit from EMDR intensives, relationship-focused work, nervous system regulation support, or approaches that don't fit neatly into an insurance model.

Our goal is to create treatment plans based on clinical expertise and your individual needs—not on what a third-party payer will approve.

By remaining independent from insurance networks, we can offer customized care that is flexible, responsive, and designed around your goals.

Supporting Sustainable, High-Quality Care

Many people assume that when a therapist accepts insurance, the insurance company pays the therapist's full fee.

In reality, insurance companies determine reimbursement rates, often at levels that do not reflect the extensive training, continuing education, consultation, administrative work, and clinical expertise required to provide specialized treatment.

For practices that focus on advanced trauma treatment, EMDR, relationship therapy, intensive treatment formats, and highly individualized care, these reimbursement structures can make it difficult to sustain the level of service clients deserve.

We believe exceptional care requires time, attention, training, and resources. Maintaining a private-pay model allows us to invest in ongoing education, advanced clinical training, supervision, consultation, and the systems necessary to provide excellent care.

We Believe the System Needs to Change

Choosing not to contract with insurance companies does not mean we believe the current system is working.

In fact, we believe mental health care should be more accessible, not less.

As clinicians, many of us have witnessed firsthand the challenges created by low reimbursement rates, administrative burdens, treatment restrictions, and policies that can interfere with client care. We actively support efforts aimed at improving mental health access and creating meaningful reform within the insurance system.

We hope for a future in which therapists are fairly compensated, clients have greater access to care, and treatment decisions are made by clinicians and clients—not corporations.

Is Private-Pay Therapy Worth It?

Only you can answer that question.

For many of our clients, therapy is not simply about symptom reduction. It is an investment in their relationships, emotional wellbeing, personal growth, leadership, health, family, and quality of life.

Our commitment is to provide thoughtful, individualized, evidence-based care that honors the complexity of your experiences and supports meaningful, lasting change.

If that approach resonates with you, we would be honored to be part of your journey.