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Package Rates for Multiple Therapy Sessions

You might be wondering if I offer discounted packages for multiple therapy sessions, perhaps 10 or 20 sessions at a reduced rate. As a Seattle therapist, I've chosen not to offer package deals, and I want to explain why this actually benefits you and supports better therapeutic outcomes. Let's explore therapy packages and why pay-as-you-go often serves clients better. Information on my fees can be found here.

Why Some Therapists Offer Packages

The Package Model

Common package structures include:

  • Buy 10 sessions, get 10% off

  • Purchase 20 sessions for bulk discount

  • Monthly unlimited packages

  • Intensive retreat pricing

  • Annual membership models

Business Motivations

For the Therapist:

  • Guaranteed income

  • Reduced administrative work

  • Client commitment secured

  • Cash flow predictability

  • Marketing appeal

Marketed Benefits:

  • Cost savings

  • Commitment device

  • Simplified billing

  • VIP feeling

  • Advance planning

Why I Don't Offer Packages

Therapeutic Concerns

Artificial Commitment Packages can create:

  • Pressure to attend when not ready

  • Guilt about unused sessions

  • Financial obligation overriding clinical needs

  • Stuck feeling if not good fit

  • Barrier to ending appropriately

Power Dynamics Prepayment affects relationship:

  • Harder to address concerns

  • May continue despite poor fit

  • Financial investment clouds judgment

  • Termination complicated

  • Boundary complications

Treatment Flexibility Therapy needs change:

  • Progress varies individually

  • Life circumstances shift

  • Frequency needs fluctuate

  • Different phases require different pacing

  • Rigid packages don't accommodate

Ethical Considerations

Client Autonomy Pay-per-session preserves:

  • Freedom to leave anytime

  • No financial penalty

  • Genuine choice each week

  • Empowered decision-making

  • True consent ongoing

Avoiding Exploitation Packages can inadvertently:

  • Exploit vulnerability

  • Pressure during difficult times

  • Take advantage of hope

  • Create dependency

  • Prioritize business over care

Practical Issues

Refund Complications What happens with:

  • Moving away

  • Job loss

  • Insurance changes

  • Therapist availability

  • Health issues

Treatment Planning Effective therapy requires:

  • Organic progression

  • Responsive adjustments

  • Unknown timeline

  • Flexible approaches

  • Natural endings

Benefits of Session-by-Session Payment

For You

Complete Freedom

  • Attend because you choose to

  • No sunk cost pressure

  • Leave when ready

  • Adjust frequency easily

  • True therapeutic consent

Financial Flexibility

  • Budget week by week

  • No large upfront cost

  • Pause when needed

  • Match life circumstances

  • No unused sessions

Honest Feedback Easier to:

  • Address concerns

  • Request changes

  • Evaluate progress

  • Consider alternatives

  • End appropriately

For Our Work

Genuine Engagement Each session represents:

  • Active choice

  • Current commitment

  • Present-moment decision

  • Authentic participation

  • Mutual investment

Responsive Treatment We can:

  • Adjust frequency

  • Take breaks

  • Intensify when needed

  • Space out sessions

  • End naturally

Clear Boundaries

  • Professional relationship maintained

  • No financial entanglement

  • Clean therapeutic frame

  • Ethical clarity

  • Mutual respect

Common Package Concerns

"But I'd Save Money"

Consider Total Cost:

  • Only save if using all sessions

  • May attend unnecessarily

  • Could prolong therapy

  • Hidden costs of commitment

  • Flexibility has value

Alternative Savings:

  • Use HSA/FSA (instant 20-30% savings)

  • Submit insurance claims

  • Time therapy strategically

  • Focus on efficient treatment

  • Value over volume

"It Would Make Me Commit"

Healthier Commitment Comes From:

  • Seeing progress

  • Feeling supported

  • Trusting the process

  • Valuing the work

  • Internal motivation

External Pressure Problems:

  • Resentment builds

  • Compliance vs. engagement

  • Misses therapeutic point

  • Creates resistance

  • Undermines autonomy

"I Like Planning Ahead"

You Still Can:

  • Schedule multiple sessions

  • Maintain consistent time

  • Plan around life events

  • Create routine

  • Without financial lock-in

Educational Programs

Different from Therapy:

  • Skills-based groups

  • Psychoeducational series

  • Workshop formats

  • Curriculum-based

  • Not processing personal material

My Approach to Consistency

Supporting Regular Attendance

Without packages, I encourage consistency through:

  • Same day/time slots

  • Therapeutic relationship

  • Progress tracking

  • Between-session support

  • Investment in outcomes

Natural Commitment

Clients continue because:

  • They see value

  • Feel supported

  • Make progress

  • Trust the process

  • Choose healing

This organic commitment is more powerful than financial obligation.

Financial Planning Without Packages

Budget Strategies

Weekly Planning:

  • Set aside therapy funds

  • Automatic transfer

  • Therapy "bill pay"

  • Consistent allocation

  • No surprises

Using Benefits:

  • Maximize insurance

  • HSA/FSA planning

  • Employer benefits

  • Tax advantages

  • Multiple resources

Value Perspective

Consider:

  • Quality over quantity

  • Efficiency matters

  • Right fit crucial

  • Flexibility valuable

  • Outcomes focused

Real-World Scenarios

Scenario 1: Job Loss

With Package:

  • 15 prepaid sessions remaining

  • No refund policy

  • Adds financial stress

  • Must continue or lose money

Pay-Per-Session:

  • Pause immediately

  • No financial obligation

  • Return when stable

  • No guilt or pressure

Scenario 2: Rapid Progress

With Package:

  • 10 sessions left

  • Goals already met

  • Feel obligated to continue

  • Artificial dependency

Pay-Per-Session:

  • Celebrate success

  • End when ready

  • Natural termination

  • Clean completion

Scenario 3: Poor Fit

With Package:

  • Realized after 3 sessions

  • 17 prepaid remaining

  • Difficult conversation

  • Financial loss

Pay-Per-Session:

  • Address concerns freely

  • Transition easily

  • No financial complication

  • Client empowerment

The Therapeutic Frame

Why Structure Matters

Clear boundaries support:

  • Professional relationship

  • Therapeutic safety

  • Ethical practice

  • Client autonomy

  • Effective treatment

Session-by-Session Supports This

Through:

  • Ongoing consent

  • Active participation

  • Clear agreements

  • Mutual respect

  • Professional ethics

Making Therapy Affordable

Without Packages

I support affordability through:

  • Insurance super bills

  • HSA/FSA acceptance

  • Clear fee structure

  • Efficient treatment

  • Transparent costs

Focus on Value

Rather than volume discounts:

  • Specialized expertise

  • Integrated approaches

  • Efficient treatment

  • Lasting results

  • True healing

Your Autonomy Matters

The freedom to choose, session by session, is itself therapeutic. It:

  • Empowers you

  • Respects your judgment

  • Honors your process

  • Maintains dignity

  • Supports genuine healing

Questions to Consider

When evaluating packages elsewhere:

  1. What if I need to stop?

  2. Is there a refund policy?

  3. What about therapist availability?

  4. Can frequency be adjusted?

  5. Why do I want to prepay?

My Commitment

By maintaining session-by-session payment:

  • Your freedom protected

  • Our work stays clean

  • Progress drives attendance

  • Natural flow honored

  • Ethical clarity maintained

This structure has served my clients well for 15+ years.

Next Steps

If you're ready to begin therapy with the freedom of choice each session:

  • No packages to evaluate

  • No pressure to commit

  • Start when ready

  • Continue by choice

  • End when appropriate

Dr. Elissa Hurand PhD - Compassionate Seattle Therapist



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