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Trauma & Attachment Therapy (TAT100)

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Certificate Program in Autism Across the Lifespan: Adult and Child Emphasis (ASD_CERT17CEU)

Supervision for New Jersey Social Workers (SNJSW21)

TeleMental Health and Digital Ethics (TELE_CERT21)

EMDR Training (EMDR100)

Supervision for New Jersey Social Workers (SNJ_SW21)

Trauma and Attachment Certificate Program (TACERT_18)

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Certificate Program in Boundaries in Psychotherapy (57 CEU) Online (BOUND_CERT57CEU)

Certificate Program in Boundaries in Psychotherapy (61 CEU) Online (BOUND_CERT61CEU)

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Certificate Program in Cinema Therapy (14CE) Online (CERT_CT)

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Certificate Program in Jungian Psychotherapy (33CE) Online (JUNG33CERT)

Certificate Program in Jungian Psychotherapy (33CEU) Online (JUNG33aCERT)

Certificate Program in TeleMental Health and Digital Ethics (26bCEU) Online (TELE_CERT26b)

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Certificate Program in TeleMental Health and Digital Ethics (24CEU) Online (TELE_CERT24)

Certificate Program in TeleMental Health and Digital Ethics (28CE) Online (TELE_CERT28)

Certificate Program in Trauma & PTSD (30CE) Online (PTSD_CERT30)

Certificate Program in Trauma, PTSD and Traumatic Brain Injury (36CE) Online (PTSD_CERT36)

Certificate Program in Trauma, PTSD and Traumatic Brain Injury (66CE) Online (PTSD_CERT66)

Fulfills Requirement: Professional Ethics for all professions. Check with your state board if you have questions.


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This is an intermediate level review of the ethical, clinical and management complexities of fees in psychotherapy and counseling. Money, like time and sex, are the most focused upon concepts in our culture. Most people agree that we can know a person by simply learning about their attitude and practices regarding money, time and sex. Freud observed more than half a century ago, money is even a bigger taboo than sex. This statement rings even more true now, at the beginning of the 21st century. The relationships to money and time have been closely linked to people&#8217;s construction of meaning. Most therapists have very poor attitudes towards money. They primarily ignore the topic both in themselves and too often with their clients, especially with clients who are more financially successful then they are. Many therapists believe in the notion that care and profit are inherently incompatible. Along the same lines, therapists have been equated with prostitutes as both are paid to provide love. The obvious fact that therapists chose to go to graduate school to study psychology or counseling rather than business administration, law or economy seems to be indicative of the inclination and motivation of most psychotherapists. As a result, setting, charging and collecting fees in psychotherapy becomes a burdensome chore for many psychotherapists, which is often not handled well clinically and ethically.
This course consists of six sections, comprised of fifteen articles and two audios with transcripts. The first section includes an introductory audio, which discusses the meaning of money in our culture and identifies ways of charging clients. The second article, &#8220;A Century of Fees,&#8221; discusses therapists&#8217; attitudes towards fees. The second set of articles discusses the complexities of handling fees issues in psychotherapy and psychoanalysis. It also explores the complexities that managed care systems have introduced in regard to fees and &#8216;cheap&#8217; drug solutions. The third set reviews gender differences in attitudes towards money as it applies to clients and potentially to therapists. It also provides an extensive review of the history and practice of bartering in therapy. The fourth set explores the most common forms of insurance fraud and ways to avoid them. It also explains the complications that may arise from using collection agencies. The next set details different billing options and identifies some of the HIPAA guidelines relevant to billing, reviews the section of major professional associations codes of ethics on fees and billing, and reviews an update on California law on fees in psychotherapy. It also provides samples of the sections relevant to fees for the Office Policies form, a few questions to help therapists better understand their relationship to money, and a bibliography on the topic. Finally, the last section provides guidelines and gives a detailed summary of fees in therapy. Additional resources and references are provided for further study, but they are not part of the course.
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Fees In Psychotherapy and Counseling: Clinical, Ethical and Management Considerations

Ofer Zur, Ph.D.

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Fees In Psychotherapy and Counseling: Clinical, Ethical and Management Considerations (FT103)

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