@alicegoldfuss A few things to know about therapy and insurance that most people don't know. If a therapist takes insurance, the insurance company then retains a right to see the notes from the session. The insurance company also potentially has the right to state the method used. @alicegoldfuss If you pay out of pocket, this doesn't apply. Even if you submit for reimbursement. Also, to use insurance you need some diagnosis or code. If you don't use insurance the therapist doesn't have to give any kind of diagnosis and nothing will end up in an insurance file.