Lucy P. Dickinson
Photo by Lucy P. Dickinson


Fees for therapy are between $160-200 depending on the service

Reduced fee available

Reduced Fee Offer: I am a member of Open Path Collective, a non-profit which offers affordable sessions between $40-$80 to clients who are underinsured or cannot afford market rate therapy. I reserve some of my practice for this offer, and you can register at:



Therapy can be a significant investment and commitment. I understand and respect that you need to be comfortable with that in order to commit to the work that you want to do. Many people feel that working on relationships with important loved ones can be well worth the commitment. After getting to know you and your needs, I can give you a general idea of what I recommend, but often we cannot estimate how many sessions you may need, until we are well into the work. Generally I prefer to work with people only as long as the process is beneficial towards their goals, and usually I work with people weekly or every two weeks in order to solidify gains that are made.

I accept co-pays or full payments for services by cash, personal check, credit cards or HSA accounts. For credit card payments, I input the information needed into my secure client portal associated with my practice management software (Simple Practice), and if you approve, auto pay may be used for ease of payment. Invoices, statements and superbills are sent to you through that secure system. I collect payment at the time of service, unless we agree otherwise.

Insurance Reimbursement
I am considered an “out-of-network provider,” and most insurance plans will offer some reimbursement for individual and/or family therapy (usually 50-90%), if the treatment is determined to be “medically necessary” to treat the condition or diagnosis of one person. In this case, if you wish to seek reimbursement, I collect the full fee at the time of service, and can provide you with a receipt (“superbill”) for the session and you can forward that to your insurance company so that they can reimburse you.

Couple Therapy Commitment
With couple therapy, I generally suggest at least a 6 month commitment to start to work towards relationship goals, with typical movement through all phases of the approach taking at least 12 months. It is your choice whether to continue at any time. This time frame allows both partners to feel secure enough to engage in the step by step process. I am positive about relationships, and think that couples can work to re-connect and to heal, if that is what they want to do. Even if they do not stay together, full engagement in couples therapy may help people bring new insights, knowledge and openness about themselves and others to other relationships in their lives. Of course, the outcome cannot be predicted or promised, though outcome studies have shown that with Emotionally Focused Couple Therapy approximately 90% of couples show significant improvement and 70-75% of couples move from distress to recovery.

Couple Therapy and Insurance

In couple therapy, the couple is the “client”. For my practice and in my approach, I have determined that couple therapy is not an insurance-reimbursable service, though I do hope that insurance may find a way to eventually cover relational or family work when more than one person is the “client.” Insurance is currently set up for individual treatment for one person with a diagnosis, and that person’s diagnosis and treatment plan to treat that issue dictates how treatment is performed. This is not compatible with how I practice using Emotionally Focused Therapy.  Consequently, I do not use insurance CPT codes for couple therapy, nor do I provide a superbill for couples therapy or discernment counseling.

Good Faith Estimate Notice:  A good faith estimate is available upon scheduling, or upon request.

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