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#26
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I don’t think it’s anything to do with them being greedy or having one heck of a nerve. I provide education and service online and I don’t believe it’s the same as face to face but I’d be hurt if people said I have a nerve to get the same paycheck. I do my best with what’s I am supposed to do under the circumstances. I don’t put any less of me into my work than face to face. Why would people be paid less? Those of us who are forced to work online didn’t create pandemics and dont wotk any less than we normally would and we still have to eat and pay bills just like everyone else. Do you pay for your sessions out of pocket or insurance covers some/all of it? |
![]() *Beth*, Rive.
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#27
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They absolutely should not be charging the same price. It is not a matter of a healthy relationship - there is nothing healthy about a relationship where you pay someone to sit there. They are actors - it is not real. And I never found talking something out with a therapist to be useful and usually it was harmful. Therapists are opportunistic and they get away with charging what clients will pay them. Tele-appointments are not hard. They do not involve overhead. But in a market set up - they can and will charge clients whatever they can get out of them. The client's only recourse is to find a different therapist or a different and more healthy and cheaper activity. I found yoga, qi gong, and meditation all to be more useful and free.
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Please NO @ Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich Pain is inevitable. Suffering is optional. |
#28
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#29
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#30
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I think some verbiage rubbed me the wrong way. My point was that sometimes people forget that therapists are people like me and you and have to pay bills. Therapist sitting in front of the screen (not by his choice, and they hate it just as much as clients) or sitting in a chair face to face have to eat just the same. We having to work online “have a nerve” to pay bills just the same, my bills aren’t less because of pandemics but somehow I have to get paid less because I sit in front of computer all day not by choice (I am not a t but the idea stands) |
![]() ArtleyWilkins, LonesomeTonight, ScarletPimpernel, susannahsays
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#31
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My therapist said they would waive the fee if insurance won’t cover sessions. This place is so professional it borders on ridiculous sometimes. You just can’t seem to get close to anyone. Everyone is so “business.” like.
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"Good morning starshine.... the earth says hello"- Willy Wonka |
#32
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I don't know where you're getting the idea that overhead expenses don't exist for teletherapy. All of the same expenses apply, and if the therapist chooses to use a platform that's actually HIPAA compliant, teletherapy is an additional expense.
If people want to make the argument that teletherapy isn't the same as in person and shouldn't be charged the same, fine. But claiming teletherapy does not involve overhead is bogus reasoning for reducing fees.
__________________
Life is hard. Then you die. Then they throw dirt in your face. -David Gerrold |
![]() divine1966, LonesomeTonight
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#33
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Agreed. My T is still paying for his office space (and usually has the telehealth sessions from there), plus things like malpractice insurance, presumably his own/family's health insurance, his own mortgage, etc. And yes, it is an additional charge to get HIPAA-compliant software, like you mentioned. |
![]() divine1966
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#34
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![]() divine1966, LonesomeTonight, nottrustin
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#35
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My T appears to be working harder in order to be able to adjust and learn how to to better provide therapy. She has been taking regular classes so she is providing the best possible care dueing a time that many clients are really struggling
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![]() divine1966, LonesomeTonight
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#36
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It depends on the therapist and their set up. The ones I know socially are saving money - not spending more money. If the one you hire is spending more money -then they can have at it. But it is not necessary and hipaa does not require it.
__________________
Please NO @ Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich Pain is inevitable. Suffering is optional. |
#37
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HIPAA does require it. I don't know of any free video chat services that are HIPAA compliant. As I understand it, HHS has said that during this time, they will be lenient on the matter. But that doesn't mean things like Skype and Zoom are HIPAA compliant or that it's best practice to use them for teletherapy.
I suppose therapists might save money if they fire their receptionist (if they have one) and don't go into their office by saving on gas. The one I see has not laid off her receptionist and she does teletherapy from her office because that's where all the files are. I would not want her bringing those home and the receptionist likely needs them to do billing anyway. The expense of leasing an office also doesn't vanish even if the space isn't being used at the moment. The only plausible expense that could be done away with on a temporary basis is internet - and that's only if there isn't a contract in place and assuming there are no servers on site that must remain accessible remotely.
__________________
Life is hard. Then you die. Then they throw dirt in your face. -David Gerrold |
![]() divine1966, LonesomeTonight
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#38
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Like I said - it depends on their set up and there are a number of ways for them to make more money now than before and to reduce their expenses. If you don't mind what you pay them - then I suppose all is good.
__________________
Please NO @ Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich Pain is inevitable. Suffering is optional. |
#39
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Software absolutely must be HIPPA compliant, which requires using professional package. Just because therapy is now online or over the phone, it doesn’t mean therapists aren’t bound by rules and regulations all of a sudden amd just sitting there chilling.
I understand many people had bad experiences in therapy and hate therapists (many for a reason) but let’s not become so blinded by dislike of therapists that we stop using common sense. As about cost of therapy...If one uses insurance, they should call their insurance and inquire what’s happening. Many insurance plans are either covering therapy in full during covid or allowing certain discounts. If state pays for your therapy, then you don’t have to worry about cost. If you are paying out of pocket and therapy is too expensive, then fire your therapist and look for a cheaper one. We are free to hire and fire our therapists. And they are free to charge what they think they need to charge |
![]() ArtleyWilkins
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#40
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For me it isn't about who's working harder vs taking it easier because it's irrelevant either way. And while it may feel differently, that doesn't necessarily mean it's lesser. There are, however, class action lawsuits forming against Universities for tuition reimbursement due to classes shifting to on-line. So obviously there are students/parents who feel they're not getting the value they've paid for. But I don't know anyone working in any profession that has shifted to on-line that is paid more or less, nor who charges more or less. The educators I know are paid the same salary as before. My accountant charges the same. My NP with whom I had a Televisit through the medical network is paid the same, and my insurance reimburses the same as an office visit. I don't see why therapists should be an exception either way.
That said, my T is in solo private practice. She decided for whatever reason to not do TeleHealth. She opted for phone sessions only which she sometimes conducts from home and sometimes from her office. Sessions are scheduled for the full time, but I do not believe insurance reimburses her because she's not using their platform. She's chosen to not charge clients for these calls. Whether or not that will continue, I can't say, especially if distancing remains necessary for an extended time. I'm fine with the phone calls, but if I weren't, I'd take a break, charge or no charge. |
![]() ArtleyWilkins, divine1966, LonesomeTonight
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#41
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Believe what you want - the ones I know are working less and making more money and have fewer expenses by their own admission. It is how a lot of them operate in my area. Hire them or don't but hipaa etc is not what is costing any therapist money or keeping the experience the same for clients. They already did not deserve to get paid and now even less. It is like some giant welfare scheme for people who couldn't do anything else so they became therapists. I suppose it keeps them off the streets and gives clients something to do.
We will all just have to disagree (as usual).
__________________
Please NO @ Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich Pain is inevitable. Suffering is optional. |
#42
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Some of PC participants are therapists or in school to become therapists
So they only became therapists because they can’t do anything else and they don’t deserve to get paid at all. It keeps them off the streets though ![]() That’s nice |
![]() ArtleyWilkins, daisydid, LonesomeTonight
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#43
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![]() divine1966
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#44
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I get paid the same for being at home. Even with less expenses . I'm not a T though
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![]() divine1966
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