As therapists, we care deeply about making mental health support accessible. That’s why we’ve chosen to accept insurance for individual therapy sessions. It helps reduce financial barriers and allows more people to get the support they need when they need it most.
However, you may notice that we don’t accept insurance for couples or family therapy. This isn’t about valuing one form of therapy over another. It’s about how insurance companies define and reimburse mental health care.
Insurance plans typically require that services be “medically necessary,” which means they must treat a diagnosable mental health condition in accordance to a medical model of health care. In individual therapy, we can work within that framework. But in couples and family therapy, the focus is usually on relational dynamics, communication, and emotional connection—not on treating one person’s mental health diagnosis. As a result, insurance companies often view these sessions as "not medically necessary." They either don't reimburse for them or they reimburse in ways that compromise the integrity of the work.
In our experience, doing deep, transformative relationship work requires freedom. Freedom from diagnostic labels, freedom from insurance limitations, freedom from a medical model of therapy that doesn't fit couple or family work, and freedom to structure the work in a way that truly serves you. That’s why we’ve chosen to keep couples and family therapy outside the insurance system.
If you have questions, or would like to discuss this further, please reach out.