Question

My therapist charges me money even if I can't attend the session or have cancelled it days before. She says that she does it for consistency reasons but I have been very anxious about it. Is this normal among therapists or not?

Answer 1

Therapists' policies regarding missed or canceled appointments can vary widely. While many therapists do have cancellation policies that involve charging for missed sessions, there is no one-size-fits-all standard in the field. Some therapists might charge a full fee for missed sessions, while others may have a more flexible approach.

Here are some reasons why a therapist might have a cancellation policy that includes charging for missed sessions:

1. Consistency: As your therapist mentioned, maintaining a consistent schedule can be important for therapeutic progress. Frequent cancellations or missed sessions may disrupt the therapeutic process and hinder progress.

2. Financial Stability: Like any other professional, therapists rely on their practice for income to cover their expenses. Charging for missed sessions ensures a stable income, especially since therapists often schedule their time with limited availability.

3. Respect for Time: A therapist sets aside time for each client and may not be able to fill that slot with another client on short notice if a session is canceled.

4. Accountability: Having a cancellation policy can help clients take responsibility for their commitment to therapy and encourage consistent attendance.

While having a cancellation policy is common, there are also therapists who adopt a more lenient approach, such as allowing a certain number of missed sessions without charge or offering makeup sessions.

If you find that the therapist's policy is causing significant anxiety or financial strain for you, it's essential to discuss your concerns openly with your therapist. Communication is key in the therapeutic relationship, and your therapist should be receptive to understanding your perspective. They might be willing to work with you on a more flexible arrangement or provide alternative solutions.

If you are not comfortable discussing this issue with your current therapist or feel that their policy is too rigid, you could consider seeking another therapist whose policies align better with your needs and preferences.

Remember, therapy is a collaborative process, and finding the right therapist and therapeutic environment that suits you is essential for a positive and productive experience.