This is a very American issue imo. Because when I read that some people on this forum pay their therapist 200 dollars for an hour, it makes me want to scream. These kinds of insane amounts of money would be considered grossly unethical in Europe since most people here pay for their therapy out of pocket (unless you go to a public hospital). Therapy is not reimbursed in my country so a therapist demanding the equivalent of 150-200 dollars per session would just end up with no clients at all. So yes I do believe that American therapists are as a whole greedy and overcharge. The majority of therapists where I live ask for 50 euros per session (59 dollars), not more than that. Nobody would show up if they asked for more.