Pay What You CanTherapy | Therapeutic Experience

Pay What You Can Sessions

We believe that quality mental health care should be accessible, regardless of financial circumstances. That's why we offer a limited number of Pay What You Can therapy slots for individuals who may not be able to afford our standard session rates.

Clients can apply for a fee that fits their budget, ranging from $30 to $85 per session. Our Pay What You Can Program provides long-term access to affordable mental health care, allowing clients to focus on healing and personal growth without the added burden of financial stress.

While the program is intended to provide ongoing support, session fees may be reviewed and adjusted periodically. In some cases, fees may increase over time based on individual financial circumstances, program changes, or the need to maintain long-term sustainability. We will communicate any proposed adjustments in advance and consider each client's financial situation and ability to pay. Our goal is to reduce financial barriers so that more people can access the support they deserve.

The Pay What You Can Program makes therapy more attainable while ensuring every client receives the same high-quality, compassionate care. Because availability is limited, we offer these reduced-fee appointments on a first-come, first-served basis, and they may require a brief eligibility conversation.

We are committed to long-term care. We recognize that meaningful therapeutic progress takes time, and financial limitations should not prevent individuals from receiving consistent mental health support. Unlike short-term financial assistance programs, our Pay What You Can Program offers an ongoing, affordable pathway to therapy.

As clients continue in the program, we may periodically review their financial circumstances and session fees to ensure the program remains equitable and sustainable. These reviews do not automatically increase, and we will approach any adjustments with transparency, compassion, and consideration for each client's needs. We understand that financial situations can change, and we're committed to working collaboratively with clients to support continuity of care whenever possible.

If cost has prevented you from starting therapy, please reach out to see whether one of our Pay What You Can openings is available. Your financial circumstances shouldn't limit your access to care, and we're here to help make meaningful, lasting support possible.

Pay What You Can Program — Client Request Form

Therapeutic Experience Therapy and Counseling Services Our Pay What You Can Program makes quality mental health care more financially accessible.

We understand that financial circumstances vary, and we don't want cost alone to keep someone from seeking support. This program requires a weekly therapy commitment. The benefit of this is that you get to build a connection of trust with your therapist, and research shows that the frequency and consistency lead to accelerated relief in symptoms of anxiety and depression.

Please complete this form to help us determine an affordable and sustainable session fee. Submission of this form does not guarantee enrollment, as reduced-fee appointments are based on clinician availability and program capacity.

Please do not use this form for emergencies, urgent clinical concerns, or confidential clinical information.

CONTACT INFORMATION

First name

Last name

Phone Number

Do you prefer to be contacted through email or phone?

Are you seeking individual, couples, or group therapy?

Are you seeking Telehealth or In-Person therapy?

What is your availability for weekly sessions?

Pay What You Can

What amount between $30 and $85 can you reasonably afford to pay per therapy session at this time?

Financial Circumstances

You are welcome to provide additional information about your financial circumstances. Please do not include bank account numbers, Social Security numbers, tax documents, or other sensitive financial information.

I understand that the Pay What You Can Program is based on availability and that submitting this form does not guarantee acceptance.

I understand that my approved session fee may be reviewed periodically to determine whether the arrangement continues to meet my needs and the program's availability.

I agree to notify Therapeutic Experience Therapy and Counseling Services if my financial circumstances significantly change and I can contribute a higher amount toward my sessions.

I understand that the practice's cancellation and missed-appointment policies still apply to clients participating in the Pay What You Can Program.

I understand that participation in this program will not affect the quality, confidentiality, dignity, or clinical standard of the care I receive.

I understand that the Pay What You Can Program can not be used in conjunction with or in place of Aetna health insurance plans, as we are in-network Aetna providers.

Client Acknowledgment

By submitting this form, I confirm that the information I have provided is accurate to the best of my knowledge and that the amount I selected represents what I can reasonably afford at this time.

Electronic Acknowledgment: I have read and agree to the statements above.