A few times over the years t has told me not to pay her. When I told her she deserved to be paid, she told me she got to decide that not me. One time was when . I took extra sleeping pills and had an emergency session. She didn't want me to pay her nor was she going to submit anything to my insurance company as she didn't want them to know anything about the appointment. The other times there are some financial issues. I told her I could afford my copay but again she refused to let me pay. I accepted but felt a little guilty.