Therapy is a valuable investment in mental and emotional well-being, and understandably, people sometimes wonder what goes into the cost of a session and why is therapy so expensive. While therapy fees may seem high at first glance, they reflect much more than just the time spent in the therapy room. Behind every session is a commitment to professional development, ethical practice, and the resources needed to offer safe, effective, and compassionate support.
1. Ongoing Training and Professional Development
To provide the best possible care, therapists continually update their skills and knowledge. This includes:
- Relevant and up-to-date training in emerging research, new therapeutic techniques, and specialist interventions.
- Specialist EMDRtraining to refine expertise in trauma treatment and ensure clients receive the most effective support.
- Workshops, conferences, and courses that keep practice informed by the latest psychological findings.
2. Clinical Supervision and EMDR Consultation
Therapists engage in regular clinical supervision, which provides guidance and oversight to ensure the highest standards of care. Depending on the complexity of a client’s needs, supervision requirements may increase. EMDR therapists also participate in ongoing EMDR consultation to maintain accreditation and deliver high-quality trauma therapy. EMDR consultation sessions are usually charged at around £120 per hour.
3. Reflection, Planning, and Clinical Note-Writing
A significant part of a therapist’s work happens outside of the session. Between sessions, therapists spend time:
- Reflecting on the session to ensure they provide the most appropriate support moving forward.
- Writing and reviewing clinical notes to track progress and maintain a structured approach to therapy.
- Planning future sessions to tailor interventions to each client’s needs and therapeutic goals.
4. Professional Memberships and Ethical Assurance
To ensure ethical, accountable, and high-quality practice, therapists pay to maintain membership with professional bodies such as:
These memberships require therapists to adhere to strict ethical guidelines, engage in continued professional development, and uphold best practices in client care.
5. Business Costs: More Than Just the Therapy Room
Running a therapy practice involves various operational costs, including:
- Tax and National Insurance Contributions – Self-employed therapists must account for these financial obligations.
- Room hire – For in-person sessions, renting a comfortable and private space is essential.
- Indemnity insurance – Protects both therapist and client by ensuring professional liability coverage.
- Advertising and website maintenance – A professional online presence allows clients to access information about therapy services easily.
- Admin and client communication – Time is dedicated to responding to enquiries, managing bookings, and maintaining records to ensure smooth and professional service.
6. The Value of Therapy
Therapy is more than just a conversation—it is a structured, professional service underpinned by years of training, experience, and ongoing development. Every therapy fee contributes to the quality, safety, and effectiveness of the support provided.
Understanding what goes into therapy fees helps to appreciate the depth of work that happens beyond the session. Investing in therapy is investing in well-being, and behind every session is a commitment to offering the best possible support for personal growth, healing, and resilience.
If you’re considering therapy, know that your fee reflects not just the session itself but the expertise, dedication, and care that goes into ensuring you receive the best possible help.
