
How to collect therapy fees without awkward conversations
Why asking for payment after a session feels wrong, and how paid-at-booking protects both you and your client.
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A sustainable fee comes from three numbers: what you need to earn, the hours you can really work, and what your practice costs to run. Start there, then check it against what feels fair to your clients.
Few therapists fill every hour. Sessions are only part of the week: notes, admin, supervision and time to recover between clients. Count the hours you can sustain with care, not the hours that exist.
Your needed monthly income plus costs, divided by the sessions you can realistically run in a month, gives a minimum fee per session. Treat it as a floor, not a target.
A first consultation usually takes longer and needs more preparation than a follow-up. Many practices set separate fees and lengths, for example a longer first session and a shorter follow-up, and show both on the booking page.
If you want to offer reduced fees, make it a defined number of slots rather than an open-ended favour. It protects your income and makes the offer easier to give.
Revisit your fees yearly and tell existing clients in good time before any change. Predictable, gentle increases are easier on everyone than rare, large ones.

Why asking for payment after a session feels wrong, and how paid-at-booking protects both you and your client.
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Holds, reminders and waitlists that keep your calendar full without making clients feel policed.
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