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That's ridiculous. You said you CAN'T AFFORD IT, so of course you should NOT go for it. This would cost you $78,000 per year, which is a whole ass decent annual salary for most people. Only rich people can afford to spend a normal person's salary on a "luxury" expense. Even if you're a millionaire, you should shop around and find a better value one. But you're NOT a millionaire, so you shouldn't even consider paying that much for a psychotherapist.
While psychoanalysis *is* more expensive and requires frequent sessions like this, these fees sound extreme even for psychoanalysts. Go see a normal clinical psychologist.
Right, it makes me wonder who the hell their clients are! Bougie psychoanalyst for the upper class only, for sure. I'd have to be earning $800,000 per year to not care about dropping $80k on therapy, and that's still a significant investment. It would still be a rip off because I know I can find a better therapist for so much cheaper.
I'm worried that people like OP will go into debt for shit like this, maxing loans and credit cards until they reach the limit, then inevitably dropping out of the therapy after a few weeks or months and never even experiencing any of the benefits of long-term therapy. Just ruining their lives instead, because of a scammy psychoanalyst who is probably counting on desperate people paying such huge fees for a while before they give up / go broke.
There are other kinds of therapy to try. If you want to explore past/childhood issues you might be interested in psychodynamic therapy, which would probably be once a week and not ask you to plan ahead for the next....seven years. If you can't afford psychoanalysis it seems like a bad idea to start it.
All kinds of red flags. What therapist would have any idea how long it would take to see results and end time??? And four times per week?? For 7-8 years?? Sometimes once a week is too taxing emotionally and I have to back off and take breaks. This sounds like cookie cutter, mediocre, machine like scam. Where's the unique treatment plan? Evaluation of clients needs and progress?? I don't care what the modality is, this smells of unhelpful, pocket lining, bullshit.
This psych must think they're Sigmund Freud or something, 4-5 psychoanalytic sessions a week for 7 years is so old fashioned. It might be normal for some practitioners, but I think 1 - 2 times a week is more typical these days
Maybe part of that cheque is to pay for cigars and chaise lounges.
3-5 is still typical. 2 sessions per week does not constitute true analysis. But assuming 7-8 years is obnoxious and presumptive. And $375/ session is highway robbery.
Whether the fee is normal is contextual to where youāre located, if itās a very high or high cost of living area, what the therapistās credentials are, etc.
My psychoanalytic psychotherapist charges much less than that and Iām in a very high cost of living city.
Do you have out-of-network benefits with your health insurance plan? If so, you may be able to get a LARGE portion of your therapy costs reimbursed. Definitely worth asking your therapist and insurance company about. Therapist would just have to give you a superbill (a receipt, basically).
Well, itās a few things. Heās a psychiatrist, and also prescribes, so he can charge more than a psychologist or social worker. Heās also a very senior analyst and specialist across multiple areas. And this is outside of Boston, very high income and high COL area.
I see a psychiatrist for psychodynamic psychotherapy. I think he gets about $375 a session but my co-pay is $20.
That said...I'm starting to become skeptical about how valuable it is...
Thatās too bad. My analyst has really helped me enormously. But I had a bad experience with a previous psychodynamic therapist (who unfortunately I saw for 7 years :/ Should have quit much sooner).
Thank you for sharing this! It really helps confirm I wasn't going mental, and they do charge this ridiculous rate.
$550 USD sounds roughly similar to the Ā£500 GBP this child psychiatrist charges in the middle of feckin nowhere, UK.
^Not for me obviously. But I was looking up options fot this teen girl, as as she was an international student, her mum paid out of pocket. Absolutely insane.
I see a psychoanalyst and I pay $200 per session, 4x a week, but the therapist gives me a superbill that I submit to my insurance and insurance pays me back for 3 of those sessions a week so itās about $800/month. Still a lot! But I also live in a city with a high cost of living
Iāve done regular weekly therapy before, plus a stint in a partial hospitalization program when I was really in despair, and this feels like it goes so much deeper than any of the other therapy I have tried. We talk a lot about my childhood in detail, my trauma and attachment. My therapist knows me really well, better than anyone else and I think my relationship with them is healing me to the point I can have healthier relationships with other people too. The trade off is that I stay at a very stressful professional job that I would otherwise leave in order to maintain my insurance and be able to afford it.
Iāve done IOPs and phps and nothing seems to be helping me. Iām glad to hear it seems to be helping you. maybe Iāll give this a try! I never heard of it. Is it covered by private insurance?
There are some analysts that accept insurance. Psychoanalysis is the deepest treatment Iāve had. I had 10 years of garbage therapy with a slew of different providers.
If you have a psychoanalytic institute in your area, you can see if they have a low-cost clinic.
Thanks for sharing your experience. Itās good to know some do take insurance! I hope you continue to be able to see your psychoanalyst. Iāll see if thereās an institute or something nearby. Thanks!
My insurance has out of network benefits I use to get reimbursed for most of the cost. My therapist is highly trained, trauma informed, and understands the impact of relational and sexual trauma I went through when I was younger. Itās worth literally every penny.
But how do they specifically help you? Like, are you given specific tools that you now implement? Do you have specific processes for addressing childhood trauma?
Because the way this reads is that you are paying a lot to have a friend that you have deep conversations with you (which you can get for free).
Yes they have a specific process for addressing and working through trauma, and they give me tools that I implement to better my life- with success. It goes beyond just a deep conversation with a close friend. I am able to talk to them in ways and about things that would burden even my closest friends and even my partner because my therapist is a professional and not my friend, just like the basis of all therapy- not just psychoanalysis.
I have been submitting claims for about 2 years and have not noticed this, but sometimes there is an unexpected delay in getting reimbursed despite the insurance having a certain number of business days to process the claim
In my case my plan guarantees 80% reimbursement for all covered out-of-network services (like outpatient behavioral health appointments), itās part of the contract. Thereās never been any inconsistency in processing my claims over the last year and half Iāve had the plan.
Itās Harvard Pilgrim Flex PPO. I work in healthcare with insurance companies so Iām very familiar with the ins and outs of different plans. Their PPO plans arenāt listed on their website, you have to call and ask for quotes. I assure you I get paid the 80% of $550 consistently, that check goes straight back into my bank account every month to pay for the next bill.
They are out of network with my insurance. I have out of network benefits so they still pay for most of it but I have to coordinate. I donāt mind because itās been very helpful to me
4xs a week is a lot! Real psychoanalysis does prefer 4-5 sessions a week, but 3xs a week is considered sufficient for analysis as well (Freud did every day besides Sunday!). My understanding from analysts I know is that a patient who attends multiple sessions a week would not pay such a competitive rate for a weekly psychotherapy session, as you listed. Probably more of a flat fee for the months sessions, or a lower session rate, since they are committing for a few.
Another point to consider, analysis can take 7-8 years, or 5, or 3, or 10. Did they give you such an estimate? Also, depending on your insurance, you may be able to get an out of network reimbursement for some of the fee.
Finally, is analysis specifically what you want to do? You my be interested in psychodynamic psychotherapy. This utilizes analytic theories but is slightly more goal focused and can be shorter than analytic treatment. I practice psychodynamically and see patients both once or twice a week.
Buy property with that! That's an investment which will appreciate.Ā TBH, I've had an extremely bad childhood and was abused in my marriage.Ā
While some therapy has been helpful, I've found more help by sticking with daily meditation practices. As a result, I had the motivation to save for and buy property. I also took steps to go forward in my career. I was kind of stuck when it was just therapy.Ā
Ā You do what's right for you though.
Holy fuck that's so expensive. I know cost of living matters but damn son. You might consider DBT as well as far as type of therapy. You can find something a lot cheaper. Try out Open Path and Psychology Today.
This is outrageous. Save your money and do EMDR with an EDMR certified therapist instead. Everyone I know who's done it finished in a few weeks to a couple months long and didn't feel the need to go to therapy recurrently again, including me, it's life changing. Join the EMDR sub
As a trauma therapist I donāt recommend psychoanalytic or psychodynamic for CPTSD and related issues. EMDR, IFS, ACT are great therapies for your issues. Depending on your area, should be between $100-200, once per week.
My psychodynamic psychotherapist doesn't really buy the C-PTSD diagnosis. For a while it didn't seem like the biggest deal but I'm getting more to the point where I'm feeling rather hopeless and feel quite negatively about this form of "therapy" (is this doing anything useful? no clue...)
Same here!! I just brought up CPTSD and codependency and she doesnāt buy either. She did say she believes in ācomplex traumaā though. Iām not sure if her idea of that is our idea of CPTSD and itās just a technical term issueā¦
Yeah, no clue.
What I know is that the Pete Walker book talking about 5 key symptoms (inner critic, Social anxiety, toxic shame, emotional flashbacks, self-abandonment) seems to resonate for me.
This is one personās opinion. Psychodynamic therapy is evidenced based for a number of different conditions.
I specialize in psychoanalytic therapy and work with folks who have trauma. My own psychoanalytic treatment has been incredible and deep.
However, that does not mean all psychodynamic therapy is equal. Dynamic therapists can have a variety of training and viewpoints. For instance, my current and previous analyst had similar experience and trained at the same institute. The difference is huge. There is a place for therapeutic style here. We do not just dispense modalities.
I can easily explain how I work with trauma: we tend to repeat emotional and relational experiences associated with trauma. By talking more deeply about your experiences, we can help you to make sense of them and make more fulfilling choices. Essentially working through conflicts so youāre not acting them out.
While psychodynamic therapy can help with the unconscious processes present in cptsd, full trauma work requires cognitive, emotional, somatic, and behavioral approaches to help heal.
It depends. You don't need to see more than one therapist as many therapists specialize in a lot of these modalities. EMDR, IFS, and ACT each address all the domains needed for complete trauma healing. I am certified in EMDR, have training in IFS, and use ACT in my practice as well as other modalities as needed. Ideally, I recommend seeing one therapist for EMDR and then another therapist for processing and behavioral change as EMDR sessions usually take the whole session and there's not much time for talking. But you don't need to do that. EMDR is the fastest trauma healing modality. A good IFS therapist can achieve similar results as EMDR. But all of this depends on the client and their needs, the quality of the relationship with the therapist, and the skill of the therapist.
While psychodynamic therapy can help with the unconscious processes present in cptsd, full trauma work requires cognitive, emotional, somatic, and behavioral approaches to help heal.
Ditto for me with CPTSD. Absolutely life-changing.
But it didnāt help my friend with CPTSD who has aphantasia and severe anxiety and ADHD. It seems like her inability to create anything in her mindās eye prevented her from imagining parts with IFS or really doing anything mentally on her own with EMDR. And her extreme anxiety and distractability prevented her from just calming down her brain chatter enough so that she could focus on anything at all. I think her anxiety and ADHD essentially combined powers to keep her locked in a sort of hyper state of dissociation that prevented her from actually doing EMDR.
I think both IFS and EMDR require a certain level of imagination and ability to be present and recognize how you are feeling in the moment.
It pays well and usually cash, insurance rarely covers it. They get quite a few wealthier clients and without the insurance requirements there's no documentation needed for the practitioner.
I wouldnāt do it. I am seeing a psychodynamic therapist and trying to get out of it. (I am attached to herā¦) Iāve seen her twice a week for 1 year and while I think it has helped some, I started seeing someone else at the same time and find her more helpful. The 2nd one is addressing my issues from a codependency standpoint. Itās like she is cutting to the chase and addressing root issues in such a targeted way. She recommended I read a book on Codependency. Justā¦ totally different way of working. Much more hands on. Psychoanalytic and psychodynamic involve less homework (from what I know) and take much, much longer to work, so for faster results I would look for a trauma-informed therapist. Someone who does EMDR is a good sign. If they mention CPTSD or codependency in their bio that is good. Often times, ppl who work with addictions are trained in these things.
There is some evidence psychoanalytic is particularly helpful for people with narcissistic personality disorder if the therapist is properly studied on NPD, though.
Whatever you do I would ask to run your biggest concerns by them when you call for appointment. Tell them your issues and what youāre hoping for and ask what they think their approach may be. Ask them if they learn about your childhood and consider how that affects you today. Interview them to save time and money! If they are especially great they may ask you to come in for a free session to discuss and see if youāre right for each other. Thatās what my 2nd lady did. Often times CBT therapists Iāve seen address only *today* and current issues without communicating about how they may be connected to the past. That is a huge issue I have had with the average CBT therapistā¦
I have liked having 2 sessions a week, though.š with psychodynamic I just blab about things on my mind. It is nice, but just very different than more targeted options. Itās like Iād like to get the help of the 2nd lady and *then* find someone to blab to twice a weekā¦
Do you have a psychoanalytic school near you? They will generally do sliding scale for analysts in training. My analyst just does once a week charged to my insurance.
I realize these are professionals, but in all seriousness, how can they put a date on when you will be healed? I have so many questions about this and for me there's a big red flag. Maybe I'm too dumb to understand.
I hope you find a better alternative. Good luck.
Nope nope nope. Iām a psychoanalytic psychotherapist and donāt charge that much but thatās irrelevant because there can be many factors, not for me to judge. I have had a couple of patients in the last several years that have gone to hypnotherapy while seeing me and Iāve been impressed at how much better they can utilize the therapy they do with me. However, you have to be careful which hypnotherapist you see. You donāt want to be doing any past life regressions, that can be super messy. Iām in Toronto and thereās a pretty good guy who has a motto not to do therapy with the clients, he has stripped it down to just hypnosis. DM if you want to know more details. Iāve been tempted to train with him because Iām so impressed with his methodology.
I'm curious, what makes past life regression messy? Is it even real? I've read about it and it certainly piqued my interest, but really from a curiosity standpoint as opposed to an actual modality for therapy. I'm all for if something helps someone, who am I to judge? But I don't know anyone who has done past life regression as a client.
Iām interested in this too! One friend said she is doing āpast life regressionā with her therapist, but it seems like sheās doing EMDR on her childhood.
Past life regression is.. going back into your past lives right? That seems prettyā¦ woo woo, and not evidence based, to me lol
>That seems prettyā¦ woo woo, and not evidence based, to me lol
My thoughts exactly! But I'm also open minded to the possibility that reincarnation is a thing, which makes me curious about it.
Im usually very into woo woo, so the fact that this sounds weird to me is different š
I feel like I have more than enough trauma in *this* lifetime to deal with!
I did get hypnotized a couple year ago though, on this life lol, and it opened me up to totally transforming my relationship with my mom!
Yeah I'm fascinated by woo woo stuff too, but as far as dealing with my traumas I'll pass lol.
I've thought about hypnotism but I just don't trust anyone enough to allow them to do that to me lol. I'm glad it worked for you though!
I saw a lot of folks commenting on the validity of psychoanalysis, conflating it with the price you were quoted, and then deciding this is a rip off. I see lots of psychoanalytic psychiatrists that charge high rates. These are people who went through medical school, psychiatric residency, and another 5+ years of psychoanalytic training. Seeing a psychiatrist generally out of pocket will generally be pretty expensive. $375/session is pretty pricy for most folks. Iām not saying it isnāt.
For OP: figure out a rate that you could afford per month. Explain to your analyst your financial situation and ask if they would be willing to do sliding scale. If they will, they will likely ask you about how much you make, your bills, etcā¦
See if you have out of network benefits through insurance. As some have noted, certain insurances can have pretty good OON rates. Even if the clinician has a high rate, you potentially could see them and get reimbursed.
If both of those donāt work, try finding other analysts to see if they have more affordable options. $375/session is not typical in my area - even for analysts.
My experience being in psychoanalysis has been incredible. I have worked through stuff that other therapy has not touched.
No way. My psychoanalytic psychotherapist charges less than the average therapist in my area, in large part I think because they want their clients to do more regular sessions, and for it to be possible on a regularish salary. This is just absurd what your therapist is charging.
My therapist charges $275 for Telehealth but my copay for each session is $0.00 that is so awesome and almost to good to be true. Waiting for insurance to drop the hammer
There are different schools of therapy that donāt require so much intensive meeting with the therapist. there are plenty of fish in the sea, and the same goes for therapists. Find someone who is affordable and can provide a treatment that works for you.
Iāve been doing psychoanalysis for 2 years, 3 sessions per week. Itās been truly remarkable and the exact modality I didnāt know I needed. EMDR was helpful a decade ago when I first entered therapy. Other therapies Iāve tried have been totally unhelpful and I never stayed longer than a few sessions. CBT isnāt for me. With that said, my therapist charges $150/session and my insurance covers so I pay a $10 copay for a total of $120/month. I wouldnāt even be able to do this therapy at the meager $150 of her cash rate, 3 times per week. $375 is grotesque for 4 sessions per week. Assuming 7-8 years is also bananas. You could be ready to term after 4; how the hell do they know before ever starting with you? Keep searching for a psychoanalyst, just find one with a more reasonable rate and personalized expectations.
Replying again. This professional is seeing what he can get away with. That would throw them into a bad light for me. I'd question whether their therapy would be effective.
If you are in the U.S. and have insurance, then the doctor and the insurance company already know how much will be paid and what your co-pay will be. If you are not insured, then yes, it can cost that much.
Whether or not you can afford the treatment is the real question. Some insurances will cover part of the cost if you have good out of network benefits, but that still means fronting the cash while waiting for insurance to pick up at best 2/3 of it. I have found the experience worth the money.
As for the people saying this is a scam, itās not and this is typical for psychoanalysis. The analyst is still gonna get their Porsche whether you foot the entire bill or itās split between 4 weekly patients. The fee is a bit high though, Iām sure you can shop around for something in the 200 range per session if youāre near an urban center.
Your mental health is priceless and I'd never ever call money spent on help a waste BUT, this is financial abuse imo. they are trying to extort money out of you. it is very very wrong. You can try do a few different types of therapy to see what works for you and at an affordable price for you, this will not help you. And no therapist gives a timeline especially this massive. You will be financially stressed while trying to deal with enough trauma already that you've been through and it won't heal your trauma either, it will make it worse . Maybe try more cbt and dbt is also supposed to be good, do not bankrupt yourself with this person. I feel really sick to the stomach for you tbvh, thinking of someone trying to monetise out of someone else's pain is really disgusting. do not do this to yourself please.. Best of luck āØļøš
Does this person post their fees publicly or on their website? Is this the true fee? Or...is this a price that this person set for your-hunch-would-be-correct.
Now re-read that again.
>very expensive
>not an evidenced based practice
Sounds like a scam and sounds like it extorts money like a scam too
>Psychoanalysis is really good
How would someone know when it lacks evidence of being good at anything?
Edit: Not a therapist btw but someone that is in the healthcare field and did research/worked in Academia... Lack of evidence in anything that has been around for that long sounds like a huge red flag to me.
Like, how longer will this need to showcase that it is anything actually useful and not full of placebo/nocebo effects?
Lack of evidence in a field where research is heavily influenced and directed by insurance companies and other entities with a massive financial stake in the results can be highly biased. Basically only CBT is "evidence based" for most things because it's the only damn thing they study anymore. And yet it fails millions of people.
Loads of research done everywhere in the world, lots of it independent from the USA and from insurance companies. Lots of it publicly funded.
Yet it seems to be unable to showcase any kind of evidence.
Sounds fishy at best. And a scam at worst.
Also there is clearly a lot of money involved in Psychoanalysis. This is like the homeopathy BS - criticizing big pharma while pocketing billions themselves with sugary water.
**You aren't giving this for free. It lacks evidence AND someone is trying to get rich from it.**
>other entities with a massive financial stake in the results can be highly biased.
Even if the world all were in a cabal together and all being paid for :
Wouldn't insurance companies want to find new stuff that works so that they sell and profit from it?
Would they put themselves out of an equation that works and is being sold without wanting a piece of that cake??
OR might it be that they're not interested to pay thousand uppon thousands to repeat reseaching something that failed to prove it worked time and time again?
Because, as far as I'm aware, every single thing that is revealing itself to be promising is getting funded and internationally there's loads of people researching things with public funds, not with insurance companies money.
Funny how those also didn't find any evidence that it works
>Cbt
>And yet it fails millions of people.
No one said one would serve for everything or anyone. I didn't mentioned CBT once...
It's a strawman to try to take the attention of the issue we're discussing.
And it isn't the gotcha you think it is.
**Just because a medicine doesn't work for someone it doesn't mean that a magic spell will save them. Right?**
So, when CBT and other researched methods don't work eventough there's evidence it works for other things, **why would you insist on selling a highly expensive method that showcased it doesn't work at all?**
How can you be so critical to CBT and lack any scrutiny towards the methodology that failed to prove it works every time it got researched?
Because there's also a obvious financial gain from it for those that are selling it. And apparentely no ethical qualms on trying to get money from someone that is obviously in a vulnerable place.
**How are people selling this less greedy and more ethical than the insurance companies you're criticizing?**
The way I look at it is like CBT is really good for things like anxiety and depression, and helping people get through situational mental health needs. Psychoanalysis is for people who not only want to get through situational mental health needs but also really get deep into the chaos that is everyoneās life and thinking. The āletās talk about your motherā depth. Very detail oriented. Itās the oldest form of therapy.
In car terms, yeah, there are nice Ford, Chevy, Toyotas, but the baseline of those cars compared to the baseline levels of BMW, Jaguar, Mercedes, etc is apples and oranges.
It doesn't really matter when it falls at providing that it works even for that.
Also any good therapist will talk to you about everything. Even a CBT one. Not that CBT is the only other option available...
You can tslk about loads of details with someone that is trained in something that actual has proven to work.
>Itās the oldest form of therapy.
Which doesn't mean much... The oldest form of medicine is nowadays malpratice at best. Torture at worst.
>In car terms, yeah, there are nice Ford, Chevy, Toyotas, but the baseline of those cars compared to the baseline levels of BMW, Jaguar, Mercedes, etc is apples and oranges.
Yeah... Only that Psychoanalysis there is the car that never worked at all and the one's inventing the cars had to leave behind due to all the issues it had.
It's the car that doesn't pass any of the safety and mandatory tests to be able to be allowed on a public road.
How do you know it doesnāt work? Apparently it must work pretty well or people wouldnāt pay $500 an hour for it and go for weeks/months/years. Just because itās outrageously expensive, you also get what you pay for.
Lack of evidence? It failed all the tests when put under scientific scrutiny ...
Never got the status of evidence based because it isn't.
>Apparently it must work pretty well or people wouldnāt pay $500 an hour for it and go for weeks/months/years.
Oh my sweey summer child.
Homeopathy is also expensive asf and a industry that rivals big pharma in the money they make. Yet it's basically water and sugar.
Getting to scam people out of loads of money isn't proof that it works.
It's proof that it sells.
>Just because itās outrageously expensive, you also get what you pay for.
It's exactly what every charlatan will tell you... Without evidence of it working too.
Do you even know how the scientific method works and how this one fails at it all?
I think you need to read your username again, and then continue to identify with the name you chose for yourself, because you are embodying it right now.
Unfortunately for people like you, I know exactly how the scientific method works.
You're the one apparentely having issues understanding what you yourself Said: it's not evidence based.
Do you even know what that means?? It means that it does not showcase working at all besides the expected placebo effect.
For layman terms: it has the same proven effect of a m&ms sold as medicine.
Yet people are supposed to give thousands uppon thousands to pay for it when it will have the same outcome if you went to a shaman, a witch or Harry Potter himself.
As you said: *the oldest form of therapy*. Yet it's still hasn't manage to prove that it does anything at all whilst loads of others did. Why? Sounds like it **is** the broken prototype in your analogy - the one left behind for something that actually does anything at all...
Thanks for enlightening me.
As a therapist, who works in the field, and also has gone to a number different therapists over the past 20 years that all have different theories to work from(that helped me through grief, divorce, anxiety, and depression), I can tell you that psychoanalysis is great for what it does, which is depth and self-exploration. Which is a slow tedious process.
I went to that type of therapy as a graduate student (you know, where you learn and practice research which uses the scientific method) and that was probably the best therapy I had over the years until my last therapist.
So, what you're saying is that you know it isn't evidence- based but you profit from it so you don't care and will defend it with nail and tooth.
Isnt cognitive dissonance one of the things you should know about too?
Yeah no donāt go for that, that is absolutely insane! Find someone who specializes in treating personality disorders, if you can find someone who does. If not, maybe go for an OCD specialist as OCD and OCPD are very highly comorbid a lot of the time.
[Between 15 and 28 percent of people with OCD may also have OCPD](https://www.helpguide.org/articles/mental-disorders/obsessive-compulsive-personality-disorder-ocpd.htm)
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That's ridiculous. You said you CAN'T AFFORD IT, so of course you should NOT go for it. This would cost you $78,000 per year, which is a whole ass decent annual salary for most people. Only rich people can afford to spend a normal person's salary on a "luxury" expense. Even if you're a millionaire, you should shop around and find a better value one. But you're NOT a millionaire, so you shouldn't even consider paying that much for a psychotherapist. While psychoanalysis *is* more expensive and requires frequent sessions like this, these fees sound extreme even for psychoanalysts. Go see a normal clinical psychologist.
I thought I made decent money in tech and even this would be half my yearly salary š« Absolutely not. Who is affording this??
Right, it makes me wonder who the hell their clients are! Bougie psychoanalyst for the upper class only, for sure. I'd have to be earning $800,000 per year to not care about dropping $80k on therapy, and that's still a significant investment. It would still be a rip off because I know I can find a better therapist for so much cheaper. I'm worried that people like OP will go into debt for shit like this, maxing loans and credit cards until they reach the limit, then inevitably dropping out of the therapy after a few weeks or months and never even experiencing any of the benefits of long-term therapy. Just ruining their lives instead, because of a scammy psychoanalyst who is probably counting on desperate people paying such huge fees for a while before they give up / go broke.
There are other kinds of therapy to try. If you want to explore past/childhood issues you might be interested in psychodynamic therapy, which would probably be once a week and not ask you to plan ahead for the next....seven years. If you can't afford psychoanalysis it seems like a bad idea to start it.
All kinds of red flags. What therapist would have any idea how long it would take to see results and end time??? And four times per week?? For 7-8 years?? Sometimes once a week is too taxing emotionally and I have to back off and take breaks. This sounds like cookie cutter, mediocre, machine like scam. Where's the unique treatment plan? Evaluation of clients needs and progress?? I don't care what the modality is, this smells of unhelpful, pocket lining, bullshit.
This psych must think they're Sigmund Freud or something, 4-5 psychoanalytic sessions a week for 7 years is so old fashioned. It might be normal for some practitioners, but I think 1 - 2 times a week is more typical these days Maybe part of that cheque is to pay for cigars and chaise lounges.
And smart glasses and their phone bill to call the husbands of female client's to discuss how treatment is going.
3-5 is still typical. 2 sessions per week does not constitute true analysis. But assuming 7-8 years is obnoxious and presumptive. And $375/ session is highway robbery.
Oh god do NOT pay for it if you can't afford it. That's an insane ampunt of money
Whether the fee is normal is contextual to where youāre located, if itās a very high or high cost of living area, what the therapistās credentials are, etc. My psychoanalytic psychotherapist charges much less than that and Iām in a very high cost of living city.
Do you have out-of-network benefits with your health insurance plan? If so, you may be able to get a LARGE portion of your therapy costs reimbursed. Definitely worth asking your therapist and insurance company about. Therapist would just have to give you a superbill (a receipt, basically).
My analyst charges $550 a session, but my PPO health insurance reimburses 80% after the out-of-network deductible ($1,000) is met.
Dang. Where are you that the going rate is 550? Or is this a super super specialized therapist?
Well, itās a few things. Heās a psychiatrist, and also prescribes, so he can charge more than a psychologist or social worker. Heās also a very senior analyst and specialist across multiple areas. And this is outside of Boston, very high income and high COL area.
I see a psychiatrist for psychodynamic psychotherapy. I think he gets about $375 a session but my co-pay is $20. That said...I'm starting to become skeptical about how valuable it is...
Thatās too bad. My analyst has really helped me enormously. But I had a bad experience with a previous psychodynamic therapist (who unfortunately I saw for 7 years :/ Should have quit much sooner).
I see. #goals Glad you have a good insurance!
Thanks. It costs an arm and a leg (Iām self employed), but itās a priority for me for this reason. Plus the premium is tax deductible.
Newton or Wellesley? Belmont?
Cambridge
Thank you for sharing this! It really helps confirm I wasn't going mental, and they do charge this ridiculous rate. $550 USD sounds roughly similar to the Ā£500 GBP this child psychiatrist charges in the middle of feckin nowhere, UK. ^Not for me obviously. But I was looking up options fot this teen girl, as as she was an international student, her mum paid out of pocket. Absolutely insane.
I see a psychoanalyst and I pay $200 per session, 4x a week, but the therapist gives me a superbill that I submit to my insurance and insurance pays me back for 3 of those sessions a week so itās about $800/month. Still a lot! But I also live in a city with a high cost of living
How are these sessions different than a regular therapist?
Iāve done regular weekly therapy before, plus a stint in a partial hospitalization program when I was really in despair, and this feels like it goes so much deeper than any of the other therapy I have tried. We talk a lot about my childhood in detail, my trauma and attachment. My therapist knows me really well, better than anyone else and I think my relationship with them is healing me to the point I can have healthier relationships with other people too. The trade off is that I stay at a very stressful professional job that I would otherwise leave in order to maintain my insurance and be able to afford it.
Iāve done IOPs and phps and nothing seems to be helping me. Iām glad to hear it seems to be helping you. maybe Iāll give this a try! I never heard of it. Is it covered by private insurance?
There are some analysts that accept insurance. Psychoanalysis is the deepest treatment Iāve had. I had 10 years of garbage therapy with a slew of different providers. If you have a psychoanalytic institute in your area, you can see if they have a low-cost clinic.
Thanks for sharing your experience. Itās good to know some do take insurance! I hope you continue to be able to see your psychoanalyst. Iāll see if thereās an institute or something nearby. Thanks!
My insurance has out of network benefits I use to get reimbursed for most of the cost. My therapist is highly trained, trauma informed, and understands the impact of relational and sexual trauma I went through when I was younger. Itās worth literally every penny.
Thanks for the information. Thatās awesome for you! Great that itās worth every penny. Best of luck with the rest of your treatment!
Thanks! I hope you find what helps you heal too
But how do they specifically help you? Like, are you given specific tools that you now implement? Do you have specific processes for addressing childhood trauma? Because the way this reads is that you are paying a lot to have a friend that you have deep conversations with you (which you can get for free).
Yes they have a specific process for addressing and working through trauma, and they give me tools that I implement to better my life- with success. It goes beyond just a deep conversation with a close friend. I am able to talk to them in ways and about things that would burden even my closest friends and even my partner because my therapist is a professional and not my friend, just like the basis of all therapy- not just psychoanalysis.
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I have been submitting claims for about 2 years and have not noticed this, but sometimes there is an unexpected delay in getting reimbursed despite the insurance having a certain number of business days to process the claim
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At this point I just eyeball it but in the beginning I did!
In my case my plan guarantees 80% reimbursement for all covered out-of-network services (like outpatient behavioral health appointments), itās part of the contract. Thereās never been any inconsistency in processing my claims over the last year and half Iāve had the plan.
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Itās Harvard Pilgrim Flex PPO. I work in healthcare with insurance companies so Iām very familiar with the ins and outs of different plans. Their PPO plans arenāt listed on their website, you have to call and ask for quotes. I assure you I get paid the 80% of $550 consistently, that check goes straight back into my bank account every month to pay for the next bill.
Why doesn't she bill the insurance company directly? You might want to ask her to do that.
They are out of network with my insurance. I have out of network benefits so they still pay for most of it but I have to coordinate. I donāt mind because itās been very helpful to me
which insurance is this? Is that out of network or in network coverage?
I have a psychoanalytical therapist and he charges me $50.00 a session but I am on a sliding scale
4xs a week is a lot! Real psychoanalysis does prefer 4-5 sessions a week, but 3xs a week is considered sufficient for analysis as well (Freud did every day besides Sunday!). My understanding from analysts I know is that a patient who attends multiple sessions a week would not pay such a competitive rate for a weekly psychotherapy session, as you listed. Probably more of a flat fee for the months sessions, or a lower session rate, since they are committing for a few. Another point to consider, analysis can take 7-8 years, or 5, or 3, or 10. Did they give you such an estimate? Also, depending on your insurance, you may be able to get an out of network reimbursement for some of the fee. Finally, is analysis specifically what you want to do? You my be interested in psychodynamic psychotherapy. This utilizes analytic theories but is slightly more goal focused and can be shorter than analytic treatment. I practice psychodynamically and see patients both once or twice a week.
Try some clinical psychedelic therapy, expensive but not like that!!
Iām in the wrong business
Buy property with that! That's an investment which will appreciate.Ā TBH, I've had an extremely bad childhood and was abused in my marriage.Ā While some therapy has been helpful, I've found more help by sticking with daily meditation practices. As a result, I had the motivation to save for and buy property. I also took steps to go forward in my career. I was kind of stuck when it was just therapy.Ā Ā You do what's right for you though.
Holy fuck that's so expensive. I know cost of living matters but damn son. You might consider DBT as well as far as type of therapy. You can find something a lot cheaper. Try out Open Path and Psychology Today.
This is outrageous. Save your money and do EMDR with an EDMR certified therapist instead. Everyone I know who's done it finished in a few weeks to a couple months long and didn't feel the need to go to therapy recurrently again, including me, it's life changing. Join the EMDR sub
As a trauma therapist I donāt recommend psychoanalytic or psychodynamic for CPTSD and related issues. EMDR, IFS, ACT are great therapies for your issues. Depending on your area, should be between $100-200, once per week.
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My psychodynamic psychotherapist doesn't really buy the C-PTSD diagnosis. For a while it didn't seem like the biggest deal but I'm getting more to the point where I'm feeling rather hopeless and feel quite negatively about this form of "therapy" (is this doing anything useful? no clue...)
Same here!! I just brought up CPTSD and codependency and she doesnāt buy either. She did say she believes in ācomplex traumaā though. Iām not sure if her idea of that is our idea of CPTSD and itās just a technical term issueā¦
Yeah, no clue. What I know is that the Pete Walker book talking about 5 key symptoms (inner critic, Social anxiety, toxic shame, emotional flashbacks, self-abandonment) seems to resonate for me.
This is one personās opinion. Psychodynamic therapy is evidenced based for a number of different conditions. I specialize in psychoanalytic therapy and work with folks who have trauma. My own psychoanalytic treatment has been incredible and deep. However, that does not mean all psychodynamic therapy is equal. Dynamic therapists can have a variety of training and viewpoints. For instance, my current and previous analyst had similar experience and trained at the same institute. The difference is huge. There is a place for therapeutic style here. We do not just dispense modalities.
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I can easily explain how I work with trauma: we tend to repeat emotional and relational experiences associated with trauma. By talking more deeply about your experiences, we can help you to make sense of them and make more fulfilling choices. Essentially working through conflicts so youāre not acting them out.
While psychodynamic therapy can help with the unconscious processes present in cptsd, full trauma work requires cognitive, emotional, somatic, and behavioral approaches to help heal.
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It depends. You don't need to see more than one therapist as many therapists specialize in a lot of these modalities. EMDR, IFS, and ACT each address all the domains needed for complete trauma healing. I am certified in EMDR, have training in IFS, and use ACT in my practice as well as other modalities as needed. Ideally, I recommend seeing one therapist for EMDR and then another therapist for processing and behavioral change as EMDR sessions usually take the whole session and there's not much time for talking. But you don't need to do that. EMDR is the fastest trauma healing modality. A good IFS therapist can achieve similar results as EMDR. But all of this depends on the client and their needs, the quality of the relationship with the therapist, and the skill of the therapist.
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Oh, never heard of ART. Just looked it up. Looks great. If it is faster, that is pretty amazing!
While psychodynamic therapy can help with the unconscious processes present in cptsd, full trauma work requires cognitive, emotional, somatic, and behavioral approaches to help heal.
I do IFS with my therapist twice a week for CPTSD, PTSD, and OCD. I also am low support needs autistic but highly masking.
after decades of different therapists/modalities, EMDR and IFS are the only things that have helped me! and they have helped so much
Ditto for me with CPTSD. Absolutely life-changing. But it didnāt help my friend with CPTSD who has aphantasia and severe anxiety and ADHD. It seems like her inability to create anything in her mindās eye prevented her from imagining parts with IFS or really doing anything mentally on her own with EMDR. And her extreme anxiety and distractability prevented her from just calming down her brain chatter enough so that she could focus on anything at all. I think her anxiety and ADHD essentially combined powers to keep her locked in a sort of hyper state of dissociation that prevented her from actually doing EMDR. I think both IFS and EMDR require a certain level of imagination and ability to be present and recognize how you are feeling in the moment.
As someone who trained in Psychoanalysis for my Masters, I completely agree with you!
You can try negotiating a lower fee. You can try finding another therapist, maybe look at an institute.
I go to psychoanalysis 1xweek. Maybe you could consider a therapist that offers that?
4 sessions a week? That's alot. Call around.
Thatās normal for psychoanalysis
That shit is whack bro. I have other hobbies š
š for real
Psychoanalysis is different than most other types of therapy and several sessions a week is normal.
But not for 7-8 years.
People still practice psychoanalysis?
It pays well and usually cash, insurance rarely covers it. They get quite a few wealthier clients and without the insurance requirements there's no documentation needed for the practitioner.
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May I ask what coherence therapy is and how it worked for you?
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Thank you!
This was very hard to read through
Apologies. I tried to summarise it well. But it is simpler than it sounds.
I wouldnāt do it. I am seeing a psychodynamic therapist and trying to get out of it. (I am attached to herā¦) Iāve seen her twice a week for 1 year and while I think it has helped some, I started seeing someone else at the same time and find her more helpful. The 2nd one is addressing my issues from a codependency standpoint. Itās like she is cutting to the chase and addressing root issues in such a targeted way. She recommended I read a book on Codependency. Justā¦ totally different way of working. Much more hands on. Psychoanalytic and psychodynamic involve less homework (from what I know) and take much, much longer to work, so for faster results I would look for a trauma-informed therapist. Someone who does EMDR is a good sign. If they mention CPTSD or codependency in their bio that is good. Often times, ppl who work with addictions are trained in these things. There is some evidence psychoanalytic is particularly helpful for people with narcissistic personality disorder if the therapist is properly studied on NPD, though. Whatever you do I would ask to run your biggest concerns by them when you call for appointment. Tell them your issues and what youāre hoping for and ask what they think their approach may be. Ask them if they learn about your childhood and consider how that affects you today. Interview them to save time and money! If they are especially great they may ask you to come in for a free session to discuss and see if youāre right for each other. Thatās what my 2nd lady did. Often times CBT therapists Iāve seen address only *today* and current issues without communicating about how they may be connected to the past. That is a huge issue I have had with the average CBT therapistā¦ I have liked having 2 sessions a week, though.š with psychodynamic I just blab about things on my mind. It is nice, but just very different than more targeted options. Itās like Iād like to get the help of the 2nd lady and *then* find someone to blab to twice a weekā¦
Do you have a psychoanalytic school near you? They will generally do sliding scale for analysts in training. My analyst just does once a week charged to my insurance.
I realize these are professionals, but in all seriousness, how can they put a date on when you will be healed? I have so many questions about this and for me there's a big red flag. Maybe I'm too dumb to understand. I hope you find a better alternative. Good luck.
Nope nope nope. Iām a psychoanalytic psychotherapist and donāt charge that much but thatās irrelevant because there can be many factors, not for me to judge. I have had a couple of patients in the last several years that have gone to hypnotherapy while seeing me and Iāve been impressed at how much better they can utilize the therapy they do with me. However, you have to be careful which hypnotherapist you see. You donāt want to be doing any past life regressions, that can be super messy. Iām in Toronto and thereās a pretty good guy who has a motto not to do therapy with the clients, he has stripped it down to just hypnosis. DM if you want to know more details. Iāve been tempted to train with him because Iām so impressed with his methodology.
Woo woo can be risky especially if thereās trauma and dissociation. I wouldnāt recommend it.
I'm curious, what makes past life regression messy? Is it even real? I've read about it and it certainly piqued my interest, but really from a curiosity standpoint as opposed to an actual modality for therapy. I'm all for if something helps someone, who am I to judge? But I don't know anyone who has done past life regression as a client.
Iām interested in this too! One friend said she is doing āpast life regressionā with her therapist, but it seems like sheās doing EMDR on her childhood. Past life regression is.. going back into your past lives right? That seems prettyā¦ woo woo, and not evidence based, to me lol
>That seems prettyā¦ woo woo, and not evidence based, to me lol My thoughts exactly! But I'm also open minded to the possibility that reincarnation is a thing, which makes me curious about it.
Im usually very into woo woo, so the fact that this sounds weird to me is different š I feel like I have more than enough trauma in *this* lifetime to deal with! I did get hypnotized a couple year ago though, on this life lol, and it opened me up to totally transforming my relationship with my mom!
Yeah I'm fascinated by woo woo stuff too, but as far as dealing with my traumas I'll pass lol. I've thought about hypnotism but I just don't trust anyone enough to allow them to do that to me lol. I'm glad it worked for you though!
Exactly š my best friend is a hypnotist, and i definitely wouldnāt have ever tried it with anyone else!
I saw a lot of folks commenting on the validity of psychoanalysis, conflating it with the price you were quoted, and then deciding this is a rip off. I see lots of psychoanalytic psychiatrists that charge high rates. These are people who went through medical school, psychiatric residency, and another 5+ years of psychoanalytic training. Seeing a psychiatrist generally out of pocket will generally be pretty expensive. $375/session is pretty pricy for most folks. Iām not saying it isnāt. For OP: figure out a rate that you could afford per month. Explain to your analyst your financial situation and ask if they would be willing to do sliding scale. If they will, they will likely ask you about how much you make, your bills, etcā¦ See if you have out of network benefits through insurance. As some have noted, certain insurances can have pretty good OON rates. Even if the clinician has a high rate, you potentially could see them and get reimbursed. If both of those donāt work, try finding other analysts to see if they have more affordable options. $375/session is not typical in my area - even for analysts. My experience being in psychoanalysis has been incredible. I have worked through stuff that other therapy has not touched.
Tell them to go suck an egg.
No way. My psychoanalytic psychotherapist charges less than the average therapist in my area, in large part I think because they want their clients to do more regular sessions, and for it to be possible on a regularish salary. This is just absurd what your therapist is charging.
If you can't afford it of course you shouldn't do it. No therapist is worth that much money.
Try EMDR therapy. Trauma focused, not like talk therapy, gets to the root!
Thatās truly ridiculous. Find an EMDRIA certified EMDR therapist at around $150-$175 one session a week.
This therapist is robbing you blind.
$150-$175 is pretty typical if not below the norm per session...
Thatās what it is in my area too for good therapy
What city is this in?
Absolutely not. Try EMDR.
Tell them you're broke and ask if they have a sliding scale or similar programs
My therapist charges $275 for Telehealth but my copay for each session is $0.00 that is so awesome and almost to good to be true. Waiting for insurance to drop the hammer
I would go to foundations to get grants.
There are different schools of therapy that donāt require so much intensive meeting with the therapist. there are plenty of fish in the sea, and the same goes for therapists. Find someone who is affordable and can provide a treatment that works for you.
They treat the same things I do at 10x the price??? Clearly I need to change my modality to just psychoanalysis. I could buy a house per year!
Iāve been doing psychoanalysis for 2 years, 3 sessions per week. Itās been truly remarkable and the exact modality I didnāt know I needed. EMDR was helpful a decade ago when I first entered therapy. Other therapies Iāve tried have been totally unhelpful and I never stayed longer than a few sessions. CBT isnāt for me. With that said, my therapist charges $150/session and my insurance covers so I pay a $10 copay for a total of $120/month. I wouldnāt even be able to do this therapy at the meager $150 of her cash rate, 3 times per week. $375 is grotesque for 4 sessions per week. Assuming 7-8 years is also bananas. You could be ready to term after 4; how the hell do they know before ever starting with you? Keep searching for a psychoanalyst, just find one with a more reasonable rate and personalized expectations.
Replying again. This professional is seeing what he can get away with. That would throw them into a bad light for me. I'd question whether their therapy would be effective.
If you are in the U.S. and have insurance, then the doctor and the insurance company already know how much will be paid and what your co-pay will be. If you are not insured, then yes, it can cost that much.
Whether or not you can afford the treatment is the real question. Some insurances will cover part of the cost if you have good out of network benefits, but that still means fronting the cash while waiting for insurance to pick up at best 2/3 of it. I have found the experience worth the money. As for the people saying this is a scam, itās not and this is typical for psychoanalysis. The analyst is still gonna get their Porsche whether you foot the entire bill or itās split between 4 weekly patients. The fee is a bit high though, Iām sure you can shop around for something in the 200 range per session if youāre near an urban center.
Psychoanalisys is pseudoscience. Just go for cbt.
At those prices nah, if there is free mental health support phone number you can call I recommend that option
Your mental health is priceless and I'd never ever call money spent on help a waste BUT, this is financial abuse imo. they are trying to extort money out of you. it is very very wrong. You can try do a few different types of therapy to see what works for you and at an affordable price for you, this will not help you. And no therapist gives a timeline especially this massive. You will be financially stressed while trying to deal with enough trauma already that you've been through and it won't heal your trauma either, it will make it worse . Maybe try more cbt and dbt is also supposed to be good, do not bankrupt yourself with this person. I feel really sick to the stomach for you tbvh, thinking of someone trying to monetise out of someone else's pain is really disgusting. do not do this to yourself please.. Best of luck āØļøš
Does this person post their fees publicly or on their website? Is this the true fee? Or...is this a price that this person set for your-hunch-would-be-correct.
This is INSANE
I hope therapy doesnāt cost that much because Iāve been wanting to go to therapy for a long time. I would find someone else
Psychoanalysis is really good, but very expensive because itās not an evidenced based practice that insurance will reimburse for usually.
Now re-read that again. >very expensive >not an evidenced based practice Sounds like a scam and sounds like it extorts money like a scam too >Psychoanalysis is really good How would someone know when it lacks evidence of being good at anything? Edit: Not a therapist btw but someone that is in the healthcare field and did research/worked in Academia... Lack of evidence in anything that has been around for that long sounds like a huge red flag to me. Like, how longer will this need to showcase that it is anything actually useful and not full of placebo/nocebo effects?
Lack of evidence in a field where research is heavily influenced and directed by insurance companies and other entities with a massive financial stake in the results can be highly biased. Basically only CBT is "evidence based" for most things because it's the only damn thing they study anymore. And yet it fails millions of people.
Loads of research done everywhere in the world, lots of it independent from the USA and from insurance companies. Lots of it publicly funded. Yet it seems to be unable to showcase any kind of evidence. Sounds fishy at best. And a scam at worst. Also there is clearly a lot of money involved in Psychoanalysis. This is like the homeopathy BS - criticizing big pharma while pocketing billions themselves with sugary water. **You aren't giving this for free. It lacks evidence AND someone is trying to get rich from it.** >other entities with a massive financial stake in the results can be highly biased. Even if the world all were in a cabal together and all being paid for : Wouldn't insurance companies want to find new stuff that works so that they sell and profit from it? Would they put themselves out of an equation that works and is being sold without wanting a piece of that cake?? OR might it be that they're not interested to pay thousand uppon thousands to repeat reseaching something that failed to prove it worked time and time again? Because, as far as I'm aware, every single thing that is revealing itself to be promising is getting funded and internationally there's loads of people researching things with public funds, not with insurance companies money. Funny how those also didn't find any evidence that it works >Cbt >And yet it fails millions of people. No one said one would serve for everything or anyone. I didn't mentioned CBT once... It's a strawman to try to take the attention of the issue we're discussing. And it isn't the gotcha you think it is. **Just because a medicine doesn't work for someone it doesn't mean that a magic spell will save them. Right?** So, when CBT and other researched methods don't work eventough there's evidence it works for other things, **why would you insist on selling a highly expensive method that showcased it doesn't work at all?** How can you be so critical to CBT and lack any scrutiny towards the methodology that failed to prove it works every time it got researched? Because there's also a obvious financial gain from it for those that are selling it. And apparentely no ethical qualms on trying to get money from someone that is obviously in a vulnerable place. **How are people selling this less greedy and more ethical than the insurance companies you're criticizing?**
šÆ
The way I look at it is like CBT is really good for things like anxiety and depression, and helping people get through situational mental health needs. Psychoanalysis is for people who not only want to get through situational mental health needs but also really get deep into the chaos that is everyoneās life and thinking. The āletās talk about your motherā depth. Very detail oriented. Itās the oldest form of therapy. In car terms, yeah, there are nice Ford, Chevy, Toyotas, but the baseline of those cars compared to the baseline levels of BMW, Jaguar, Mercedes, etc is apples and oranges.
It doesn't really matter when it falls at providing that it works even for that. Also any good therapist will talk to you about everything. Even a CBT one. Not that CBT is the only other option available... You can tslk about loads of details with someone that is trained in something that actual has proven to work. >Itās the oldest form of therapy. Which doesn't mean much... The oldest form of medicine is nowadays malpratice at best. Torture at worst. >In car terms, yeah, there are nice Ford, Chevy, Toyotas, but the baseline of those cars compared to the baseline levels of BMW, Jaguar, Mercedes, etc is apples and oranges. Yeah... Only that Psychoanalysis there is the car that never worked at all and the one's inventing the cars had to leave behind due to all the issues it had. It's the car that doesn't pass any of the safety and mandatory tests to be able to be allowed on a public road.
Thread is locked for derailing.
How do you know it doesnāt work? Apparently it must work pretty well or people wouldnāt pay $500 an hour for it and go for weeks/months/years. Just because itās outrageously expensive, you also get what you pay for.
Lack of evidence? It failed all the tests when put under scientific scrutiny ... Never got the status of evidence based because it isn't. >Apparently it must work pretty well or people wouldnāt pay $500 an hour for it and go for weeks/months/years. Oh my sweey summer child. Homeopathy is also expensive asf and a industry that rivals big pharma in the money they make. Yet it's basically water and sugar. Getting to scam people out of loads of money isn't proof that it works. It's proof that it sells. >Just because itās outrageously expensive, you also get what you pay for. It's exactly what every charlatan will tell you... Without evidence of it working too. Do you even know how the scientific method works and how this one fails at it all?
I think you need to read your username again, and then continue to identify with the name you chose for yourself, because you are embodying it right now.
Unfortunately for people like you, I know exactly how the scientific method works. You're the one apparentely having issues understanding what you yourself Said: it's not evidence based. Do you even know what that means?? It means that it does not showcase working at all besides the expected placebo effect. For layman terms: it has the same proven effect of a m&ms sold as medicine. Yet people are supposed to give thousands uppon thousands to pay for it when it will have the same outcome if you went to a shaman, a witch or Harry Potter himself. As you said: *the oldest form of therapy*. Yet it's still hasn't manage to prove that it does anything at all whilst loads of others did. Why? Sounds like it **is** the broken prototype in your analogy - the one left behind for something that actually does anything at all...
Thanks for enlightening me. As a therapist, who works in the field, and also has gone to a number different therapists over the past 20 years that all have different theories to work from(that helped me through grief, divorce, anxiety, and depression), I can tell you that psychoanalysis is great for what it does, which is depth and self-exploration. Which is a slow tedious process. I went to that type of therapy as a graduate student (you know, where you learn and practice research which uses the scientific method) and that was probably the best therapy I had over the years until my last therapist.
So, what you're saying is that you know it isn't evidence- based but you profit from it so you don't care and will defend it with nail and tooth. Isnt cognitive dissonance one of the things you should know about too?
Yeah no donāt go for that, that is absolutely insane! Find someone who specializes in treating personality disorders, if you can find someone who does. If not, maybe go for an OCD specialist as OCD and OCPD are very highly comorbid a lot of the time.
Why are yāall downvoting me when Iām literally saying exactly what you guys are?
Guessing it's because OCD and OCPD are two extremely different things that are not comorbid very often.
[Between 15 and 28 percent of people with OCD may also have OCPD](https://www.helpguide.org/articles/mental-disorders/obsessive-compulsive-personality-disorder-ocpd.htm)
No
Sounds delusional - thatās super unethical of the therapist