Some mental health (behavioral health) insurance benefit management companies require a therapist to present a treatment plan to them, in order for the therapist to get paid through the client's insurance. The therapist is expected to adhere to the written treatment plan, as submitted, or send in a revised plan and the reasoning for a revision.

This may or may not be going on with your insurance provider/manager.

Either way, it makes sense that if you present with few issues, the treatment intensity and frequency is usually less.

I think this initial plan can be revised, as so often the presenting issues are not the deeper issues a client eventually discloses, much later on within a therapeutic relationship.

I am also reasonably sure, if you are not in agreement with your therapist on this, you and he can discuss this and come up with a new plan.

You usually come across as very "together" here.
At the same time, you have a lot of responsibility on your shoulders!
I admire your courage (to take on so much and to believe in yourself enough to "go for it"). I also admire your devotion to your wife and your children.

Let's face it, you're pretty near "perfect!"

I hope you get a lot out of your therapeutic relationship with your therapist.


WC