
I had a conversation recently that reminded me how often therapy fees cause confusion, especially regarding the difference between individual, couples, and family sessions. If you’ve ever wondered why the cost isn’t the same across the board, you’re not alone. Let’s talk about why those fees vary and why it matters to be upfront about them.
Couples and Family Therapy Take More Time—and Energy
Couples and family therapy involve multiple people, layered relationships, and deeper dynamics. It’s not just about listening to one story; it’s about holding space for several at one time. That requires more planning, more skill, and often more time than a standard individual session.
Because of that, the fee for couples or family therapy is typically higher. It’s not about charging more just to charge more. It’s about honoring the added responsibility and depth of the work.
Why Being Clear About Therapy Fees Matters
When fees aren’t clearly explained upfront, it can catch people off guard. And let’s be honest—money surprises rarely ever feel good. Here’s why clarity helps:
- It builds trust: You’re telling people what to expect and honoring their time and resources.
- It avoids awkward moments: No one wants to talk about surprise fees during a vulnerable conversation.
- It supports better decisions: Knowing the cost allows folks to make thoughtful, informed choices about what kind of support they want.

How I Handle Fee Conversations
I’ve learned to talk about this early on—not in an uncaring way, but in a human way. I let folks know that couples and family sessions are priced differently because the process is different. When people hear the reasoning, they usually appreciate the clarity.
The goal is never to overwhelm someone—it’s to create a space where they feel respected and informed.
“For which of you, desiring to build a tower, does not first sit down and count the cost?” – Luke 14:28
A Note for Fellow Therapists
If you’re in practice, take a moment to check how and where you explain your fees. Are they easy to find? Do you explain why the rates differ by session type?
A simple update on your website, intake forms, or first call script can go a long way in building transparency and trust.
In Summary
Therapy is a sacred space. Whether it’s one-on-one or involves the whole family, that space deserves honesty. Being upfront about therapy fees doesn’t reduce the care to a transaction—it builds trust.”
If you’ve got questions about how therapy fees work, or if you’re a therapist refining how you talk about them, I’d love to hear from you. Drop a comment or message me. If you’re a therapist looking for helpful tools to support your practice, feel free to check out a few of the resources I’ve gathered here. You can also follow me on Instagram.
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