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Affording Psychotherapy. Should You Start Therapy in Economically Uncertain Times? A Thoughtful Approach

Writer: Dr. Maura FergusonDr. Maura Ferguson

Therapy or not. Money and economic obstacles to mental health

When money is tight, therapy can feel like an impossible expense. The stress of rising costs, job insecurity, and financial instability weighs heavily—not just on your bank account but on your emotional well-being. Anxiety, sleepless nights, and feelings of hopelessness can take hold, yet the very support that could help—therapy—may seem out of reach.

If you’re struggling with this dilemma, you’re not alone. Financial hardship is a significant barrier to accessing mental health care, and it’s completely understandable to feel hesitant about adding another expense to your budget. At the same time, mental health challenges don’t pause when the economy is uncertain—they often intensify. Finding a way to care for yourself within your means can be difficult, but it’s also worthwhile.


Therapy as an Investment—But Only If It’s Realistic for You


It’s easy to say, “Mental health is an investment,” but that doesn’t change the reality that money has limits. Instead of thinking about therapy as an all-or-nothing decision, it can help to ask:

  • What can I realistically afford? Even a brief course of psychotherapy can be beneficial. You may feel like you would like to start a long term course of therapy but all or nothing can prevent you from addressing a briefer list of therapeutic goals that can produce a shift.

  • Can I talk to a psychologist about my budget? Many clinicians understand financial constraints and may help create a plan that fits within your means.

  • Are there lower-cost options available? Some psychologists have sliding scale rates, reduced-fee sessions, or can refer you to skilled practicum trainees who work under close supervision.


A conversation with a therapist about affordability isn’t just about rates—it’s about finding a way to make therapy accessible in a way that works for you.


Doing a Budget Check: Are There Small Adjustments That Could Make Room for Therapy?


If therapy feels financially impossible, it can sometimes help to take a fresh look at spending. This isn’t about judgment—it’s about seeing if there are areas where money is going toward things that may not actually be helping your well-being.

  • Food and takeout costs: Cooking more at home, meal planning, or even making small adjustments to grocery spending can make a difference.

  • Alcohol or stress-related spending: It’s completely understandable to turn to things like alcohol, shopping, or comfort food in stressful times, but these expenses can add up without providing long-term relief.

  • Subscriptions or unused memberships: Streaming services, gym memberships, or apps you no longer use could be areas where small cuts add up.

Even a modest shift in spending can help free up resources for therapy—if that feels like a priority for you right now.


Exploring Therapy Alternatives That Fit Your Budget


If weekly individual therapy isn’t possible, there are still ways to get meaningful support:

  • Sliding scale or lower-fee therapy: Many therapists offer reduced rates based on financial need. It never hurts to ask.

  • Practicum trainees and supervised clinicians: Many skilled trainees provide therapy at significantly reduced costs while receiving expert supervision.

  • Brief psychodynamic therapy: A structured, focused approach (such as 10-session therapy) may be a cost-effective way to gain insight and support.

  • Group therapy: Less expensive than individual therapy, group settings provide a supportive space to process emotions and learn from others.

  • Community-based mental health programs: Some organizations offer free or low-cost counseling services.

The key is to talk to therapists and clinics about what’s available—many are open to finding creative solutions.


Strengthening Mental Health in Other Ways: Volunteering and Social Connection


While social media influencers focus on wellness as a buzzword, all the hot and cold plunges in the world will not make you feel as good as helping someone.

While therapy is valuable, it’s not the only way to care for your mental health. In difficult times, increasing social and community connection can be a lifeline.

  • Volunteering: Even a few hours a month at a food bank, or a literacy or language initiative for young people or newcomers, to community center, or local initiative can provide a sense of purpose and reduce feelings of isolation.

  • Building social support: Strengthening connections with friends, family, or community groups—even virtually—can help create a buffer against stress.

  • Practicing low-cost self-care: Activities like journaling, meditation, movement, and creative expression can be valuable for emotional regulation.


These options provide meaningful support, especially in financially difficult times and offer countless benefits to you and people around you.


The Takeaway: Prioritizing Your Mental Health, Even in Uncertain Times


If financial concerns are making you question therapy, it’s okay to feel conflicted. There’s no one right answer—only what works for you. What matters most is approaching your mental health with compassion and flexibility. That might mean reworking your budget, seeking sliding-scale options, or leaning on social connections while you figure out your next steps.

Therapy should never feel like an added burden—it should feel like support. If you’re unsure, reaching out to a therapist to discuss affordability and options can be a first step. You don’t have to navigate uncertainty alone, and even small steps toward caring for your well-being can make a meaningful difference.


We offer a free initial consultation to help you determine if therapy is right for you. It's an opportunity for us to get to know each other and see if we're a good fit.


CLICK HERE to schedule a free call and then you can decide if therapy feels right for you at this time.


Taking care of your mental health is a courageous and important step towards overall well-being. We're here to support you on your journey to a happier, healthier life.


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