⚠️ 6 Therapy Gotchas to Watch For
- Confidentiality Exceptions: HIGH Therapists must break confidentiality for harm to self/others, child abuse, and court orders. Know exactly when your privacy can be breached
- 24-48 Hour Cancellation Policy: MEDIUM Miss notice window and you pay full session rate ($100-300+). Mental health crises don't follow business hour scheduling
- Out-of-Network Billing: HIGH Many therapists don't take insurance directly. You pay $150-250/session upfront, then fight with insurance for partial reimbursement
- No Guaranteed Outcomes: MEDIUM "Therapy does not guarantee results." Unlike medical treatments, mental health care has no refunds for ineffective treatment
- Communication Boundaries: MEDIUM Email/text may not be confidential and isn't for emergencies. Response times of 24-48 hours typical. Crisis situations require separate resources
- Records Release Complexity: MEDIUM Getting your therapy records can be complicated. "Psychotherapy notes" may be withheld even from you, and fees may apply for copies
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