Like you, I don't want my family to know. It's been 16 months and so far so good. If you can't go through insurance, could you consider finding a T that offers sliding scale and paying out of pocket? I did that for about a year. Once I switched to insurance, I receive insurance letters in the mail very often. At first, it was every week, but now they send one about every three sessions. So, it will probably be hard for you to intercept all of the letters.