I met "fru fru" T

I don't at all. But the formulary of t's covered by my insurance either shy away from working with bpd and eating disorders, they aren't accepting new clients or we are not a good personality match.

So far it's mostly they'd rather not see me. Only one that I had an extreme clash with (unfortunate bc she had lots of availability.) But I just didn't like her.

The one I have now is okay, she gets me enough that I don't have to worry about offending her- but she has no availability. I don't even always get a weekly session from her, much less the twice a week I need. I thought I could cope with it but I can't, it's not enough.

I was wanting to continue seeing Dee (insurance t) roughly once a week (having to skip here and there) and see Dr. R (private pay) T every other week to supplement, and since she is an eating disorders T she can focus more on that aspect (skillfully) instead of the other random daily issues insurance t helps me with.



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I'm not sure about scheduling issues and payment issues unique to your situation, but over the course of my career I've had many patients tell me they can't afford every week. And then I ask what they can afford without breaking the bank. Then we come to an agreement. Don't be afraid to ask.

If you can't afford this T (I know I wouldn't be able to pay this much), it may be worth trying someone who you may not like too much but can work with you and your issues. I don't mean someone who is a jerk, just someone you may not be crazy about personality wise but can tolerate. If you don't have the money you don't have it, so you may have to go with whatever is feasible.

Have you tried asking this T if they offer a "sliding scale fee"?
Many have a portion of their caseload that can't afford T but need T nonetheless. If they don't do a sliding scale they will likely know someone else that does. They do really care; just ask.

I am not sure why private t is supposedly better than the one that takes insurance . I have been seeing same gyn for many years (have gyn issues). He saw me when i
had no insurance and when I bought private insurance and when I have employer provided insurance. The way he treats me does not change. And I know he sees people on welfare with state insurances. I am sure quality of his work doesn't change.

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Because she has extensive experience SPECIFICALLY in my issues, is not afraid of my issues, and gets my personality.

The T's I have encountered that accept my insurance do not get reimbursed enough to make putting up with borderline personality and bulimia worth the trouble I represent, so they would rather not.

The only one I found that didn't mind, we clashed terribly and she dealt with trauma not bpd and eating disorders.

The bad T I just left after three years absolutely treated me differently than her cash pay clients, telling me they paid her full fee, talked in session and didn't contact her between sessions, unlike me who needed constant reassurance and between session contact and she didn't get paid enough to deal with it.

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Does this T know you can't afford her even with her discount? If not, I would just go back to her and say thar after going over the figures, you can't afford her reduced rate. Ask her if there is anything else she can do. A lot of Ts will base the fee off of income, so maybe she will consider it as well. If that isn't an option and you can't make up the money some other way, maybe she can make a suggestion or refer you to someone else.