I pay out of pocket. My t's rate is currently $120 but she still charges me $100 since I'm paying out of pocket.
When does therapy stop? I think there's probably as many answers for that as there are people in therapy. For me, since t and I have gone to an as-needed basis recently, I don't think I will ever stop. I've been seeing her for 6+ years and done some really amazing work.
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