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Marriage Counseling and Couple Therapy

Individual Therapy

Woman Being Free

Fees & Insurance Policy

Fees for professional services

Dr. Canfield's fee is $300 per hour for marriage and couple counseling, and individual consultation or psychotherapy.  Dr. Canfield maintains a "direct pay" practice and does not accept insurance.  Full payment for professional services is required at the time of each office visit (cash, personal check, Zelle bank fund transfer, and major credit cards are accepted).  Although insurance is not accepted in lieu of full payment, upon request we can provide a "summary statement of services" (please carefully read the insurance reimbursement advisory below

Estimating the cost of counseling
In estimating the overall cost of counseling, it is important to consider not only the hourly fee but the frequency of therapy sessions (bi-weekly or monthly) and estimated length of therapy.. Although some forms of counseling and psychotherapy involve weekly sessions over a lengthy course of treatment, we have found that in most situations this is not necessary.  While each client and their needs are unique, we also believe that in most instances therapy should be a relatively "short-term" process - typically three to six months duration or less, often with periodic follow-up sessions.

Our approach to couples therapy utilizes "out-of-session" assignments and activities to facilitate changes and new interactions.  As such, therapy appointments are often scheduled with several weeks between meetings.  Current clinical research on the outcome effectiveness of various approaches to counseling and therapy indicate that, for most client concerns, the systemic/cognitive-behavioral therapy models we utilize are often more effective than longer-term approaches - but at a significantly lower overall cost.

Each couple and each person are unique and multiple factors must be considered.  Some couples may only require one consultation session, while the needs of other couples or individuals may require a longer period of work.  Based on your particular needs and circumstances, the anticipated length and overall estimated cost of counseling can be discussed at the initial consultation session or in the early stages of therapy.

Insurance Reimbursement Advisory

In order to receive reimbursement from your health insurance company for therapy services, you must be diagnosed with a mental disorder. This diagnostic label will be retained in your insurance company's data base and will become part of your permanent medical record. 

It is important to be aware that such a diagnostic label may have negative consequences in the future - including increased health insurance premiums, limits or denial of life insurance coverage, ineligibility for certain jobs and security clearances, child custody considerations, and the purchase or possession of firearms in some States.   

Marriage Counseling and Relationship Therapy

We believe that the vast majority of relationship, personal, and life adjustment issues for which people seek help do not warrant a mental disorder diagnostic label.  This belief informs our treatment philosophy which emphasizes  "wellness" and "problem amelioration" rather than "pathology".  This perspective underlies our decision to operate as a "direct pay" practice. This approach ensures the highest level of client privacy, confidentiality, and ethical practice. Our client records are retained internally and are not entered into any type of computer data base or disclosed to any third party without the express written permission of all adult clients who have participated in  counseling or therapy. 

Relationship Therapy and Co-Occurring Mental Disorders

In addition to marriage counseling and relationship therapy, for individuals seeking concurrent treatment for a mental disorder (depression, anxiety, obsessive compulsive behaviors, substance abuse, etc.), we are able to provide an appropriate diagnosis and provide a summary statement of services provided.  

Although we do not accept insurance in lieu of payment at the time of each office visit, some clinical services which warrant a mental disorder diagnosis may be reimbursable by your health insurance provider..  Insurance companies vary greatly regarding regarding the extend of coverage for relationship issues, substance abuse treatment, and other mental health services.  You may wish to check the extent of your coverage with your insurance company by asking the following questions:

  • To what extent does my benefit cover the professional services of a licensed psychologist, licensed professional counselor, or a licensed marriage and family therapist?
  • Does my insurance benefit include marriage counseling or relationship therapy?
  • What is my deductible and has it been met?
  • How many sessions per year does my insurance policy cover?
  • What is the coverage amount per therapy session?
  • Is referral or pre-approval required from my primary care physician?

Contact Us
Questions? Please contact us for further information.


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