Payment and fees

Psychotherapy can be expensive but it's an investment in your future and, with a good therapist, a finite expense. We understand that paying hundreds of dollars can seem quite a bit, but there are ways we can reduce that burden. First, therapy is, and should be, a time-limited experience. It's about building skills that last. Many of the best treatments for most mental health disorders should only last 6 months to a year. Tops. While every individual course of treatment is different and many things come up that may lengthen the amount of time you might spend in treatment, you can look forward to a life largely without symptoms and with the skills to manage those remaining symptoms relatively quickly. After a course of treatment at Durham DBT, you'll be able to manage your life much more skillfully so that you don't need us to help.

Second, therapy can be relatively affordable. While we are not allowed, according to insurance regulations1, to provide a sliding fee-scale, many health insurance policies allow for mental health benefits. We are in-network with the Duke Student Health Plan. We will file sessions for you and all you'll be responsible for is your co-pay.

For those of you with different insurance coverage, all forms you need to file to be reimbursed from your insurance company will be provided upon request. It is up to you to file for these out-of-network benefits but most clients find it to be a relatively painless and quick process once it is underway.

Those of you without mental health benefits or paying out of pocket, fees for service are:

  • $200 for initial 60-minute evaluation/consultation (standard for individuals)

  • $250 for initial 90-minute evaluation/consultation (standard for families/couples)

  • $160 for individual sessions

  • $60 for group sessions

All fees are due at the time of service.

  1. For guidance from the American Psychological Association regarding sliding fee scales, see this document