Around here, what is hard to find at times is a good pdoc that contracts with insurance. I get it; they don't want to be bound by the rules of insurance, but it seems rather arrogant and a bit elitist to say "I'm so good that people will come to me and pay out of pocket" and I'm above having to deal with clients who really need to use their insurance for services. The one really good pdoc (and he really is excellent in ability) in town is that way. We ended up traveling into the city for our pdocs (who were also excellent, just inconvenient). Finding a therapist in town that takes insurance isn't really a big problem; there are a fair number. But many don't, and since they aren't, technically, medical providers, I sort of understand their choice not to do so more than a pdoc who IS a medical provider.