I agree to pay for a certain number of sessions--one. I make one appointment at a time and am very reliable about showing up for that appointment. If I cancel within 24 hours, I have to pay--I find this a reasonable policy. I would never commit to pay for more than one appointment, though. For a therapist to suggest such a thing takes some balls, IMO. When I see any health care provider, I do not agree to see them at least a certain number of times a year. I only see them if I need to, if I need help with my health. I recently saw my primary care provider for the first time in over a year. She didn't complain I hadn't seen her frequently enough so she was short of money. She was happy I was healthy and hadn't needed to see her. A T should be the same way. They should not expect you to come weekly, or commit to a certain number of sessions, and hold you to that as if it is some kind of contract. They should want you to come as frequently as you need it. If you are in a place in your life where you only need to go every other week, you shouldn't get charged for the other weeks. That's absurd. JMO. I am with stopdog on this--there are plenty of fish in the sea if a T has outrageous policies.