oh seventy-eight, im sorry you are dealing with this. it certainly doesnt help in dealing with the main issues you are attending therapy for in the first place. insurance companies do suck. from what ive gathered from skimming your thread is that your T really wants to accomodate you so you can keep coming but she sounds confused on the way to go about it. i dont think she realizes how much turmoil its causing you. to her, she knows that you guys have talked and she said she would do the SCA and then she'd do a sliding scale and in her mind i think that she is thinking you know either way that you are going to continue its just a matter of which route. im hvaing trouble keeping it straight but....would you be paying more doing the SCA?