My T was doing well. Her and her husband are another Ts. In this area houses are cheap. A house might sell for about $40,000. Not everyone has a mortgage. Her brother lives upstairs and the downstairs she made into 4 rooms for therapy. She has her own and rents out the other three rooms to Ts. Some Ts share a room and divide the cost. According to her she doesn't charge much for the rental of the rooms. I know she used to receive from my insurance $86.50 and then I gave her a $15 copay. She only takes the fest insurance which are about three otherwise you have to pay her and then submit it to your insurance. Her sliding scale isn't low. She's the cheapest around this area. I've seen t's that charge $150 and hour. Their sliding scale starts at $100. The alternative is to go to community counseling where therapy there is subpar with a big waiting list. My T lives in a wealthy area and has three cars of which one is a luxury car. The other T she rents out to also does well. He was my kids T. In this area if your a T and have your own private practice and have the setup the way they do in that practice then the fees are minimal. There's no staff to pay either. They do their own work and filing. Although I could see it not being as productive in the city where the fees are higher.