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Fees & insurance

Every number we charge, on the page, before you call.

Money is the question people are most embarrassed to ask and most likely to leave over. So it is answered here in figures rather than in a phrase about investing in yourself. Nothing on this page requires a phone call to find out.

Freefirst 20-minute consultation, always
18reduced-fee places held across the practice
0charges you will not have seen here first

How are you paying?

What you pay us, per session, with no insurance involved. Card, bank transfer or HSA/FSA. Billed the day after the session.

First consultation

20 minutes, phone or video, with the clinician you are considering

No card taken, no obligation to book anything after it.

Free

Individual therapy

50 minutes, weekly or fortnightly

The standard rate for a fully licensed clinician.

$180

Individual therapy, associate

50 minutes with a clinician working under supervision

Same rooms, same supervision structure, lower rate.

$120

Couples or family

60 minutes, both or all parties present

Longer session, two people's history to hold.

$210

Group session

60–120 minutes depending on the group, billed by the term

Per session. The exact figure is on each group's page.

$55–$75

Saturday drop-in

60 minutes of taught grounding skills, no booking

Paid on the day, and free to anyone on the sliding scale.

$25

Letters and reports

Written work requested by you or by a third party

Quoted before it is written, never charged as a surprise.

$95

There is no intake fee, no assessment fee, no annual charge and no card on file. If a session runs long because something has come up, it is still one session.

Where we stand with the major plans

In network means we bill the plan directly and you pay a copay. Out of network means you pay us and we give you a superbill to claim back — most plans reimburse between 40% and 70% of it. We will tell you which of those applies to you before you commit to anything.

We are not an Oregon Health Plan provider and we would rather say so here than after you have filled in a form. If OHP is your cover, call Multnomah County's behavioural health line — they will get you further than we can.

  • Regence BlueCross BlueShieldIn network
  • PacificSourceIn network
  • Providence Health PlanIn network
  • Moda HealthIn network
  • AetnaOut of network
  • CignaOut of network
  • Oregon Health Plan / MedicaidNot accepted

The sliding scale

Eighteen reduced-fee places, with the bands written down.

A sliding scale that exists only in a sentence saying "talk to us about fees" is not a sliding scale. Ours is a fixed number of places at fixed rates, reviewed at the start of each term. You self-declare your band — we do not ask for payslips, tax returns or any proof, because means-testing people in distress is its own small cruelty.

AUnder $35,000$454 of 6 open
B$35,000 – $55,000$702 of 6 open
C$55,000 – $75,000$1055 of 6 open
FullAbove $75,000$180No cap
  • Asking for a reduced place does not move you down the waitlist and is not recorded in your clinical notes.
  • Groups and the Saturday drop-in are included — a scale place covers both.
  • If all the places in your band are taken we will tell you the honest wait rather than putting you on the full fee quietly.
  • Nobody is asked to leave the scale because they have been on it a long time.
I picked Thornfield over two other practices for a boring reason: the sliding scale was on the website, in numbers, with how many places were left. Everywhere else wanted me to ring up and ask what I could afford.
Group member, Belmont Street

Quoted with permission. This is about how someone chose a practice, not about how their therapy turned out — we do not publish outcome claims.

The rest of the money questions

More than 48 hours' notice and there is no charge. Inside 48 hours it is the full session fee, because the hour cannot be given to anyone else at that notice. We waive it once a year for everybody without being asked.

No. You are invoiced the day after each session and you pay it. Nothing is charged automatically and nothing renews.

Rates are reviewed each January and any change is announced eight weeks beforehand. If you are on the sliding scale, your rate is held for the term you are in.

Often. Send us the scheme name and we will tell you within a day whether we can invoice them directly, and how many sessions the scheme actually covers before you start.

It is an itemised receipt with the codes your insurer needs to reimburse you for out-of-network care. We issue one monthly, automatically, without you having to ask.

Tell your clinician. Sessions have never been stopped here over an unpaid invoice, and a payment plan is an ordinary conversation rather than an escalation.

Still not sure what this would cost you?

Send us your plan name and we will check your actual copay and deductible position before you book anything. It takes us a day and costs you nothing.