“Do You Take Insurance?” How to Talk to Clients About Self Pay Therapy | LHSFT Classic episode artwork

EPISODE · Aug 12, 2026 · 47 MIN

“Do You Take Insurance?” How to Talk to Clients About Self Pay Therapy | LHSFT Classic

from Love, Happiness, and Success For Therapists · host Dr. Lisa Marie Bobby

Ever had a dream client vanish the second you said, “I don’t take insurance”?  In this rerun episode of Love, Happiness, and Success for Therapists, I’m breaking down one of the most frustrating, deflating, and pivotal conversations we have in private practice: ⁠⁠how to talk to therapy clients about insurance⁠⁠ and self-pay therapy (without spiraling, apologizing, or selling yourself short). I walk you through exactly how to handle that record-scratch moment with clarity, confidence, and integrity—so you can stop losing ideal clients and start owning your value. We’ll explore why the insurance model was never built for growth work, how to frame your services outside of the medical model, and how self-pay therapy and coaching can be transformational for both you and your clients. Whether you’re a seasoned pro or just getting started, this conversation will help you rethink the way you show up, speak up, and set yourself up for long-term success. You'll learn: The Insurance Dilemma Empowering Therapists: Navigating Insurance Questions Why Don’t Some Therapists Take Insurance? The Disconnect Between Client Needs and Insurance Ethical Considerations and Challenges Are Self Pay Therapy Clients More Motivated? (Yes. Here's why.) How to Stop Feeling Guilty For Charging Self Pay Rates How to Communicate Your Value Can I Build a Practice Without Taking Insurance? How to Become a Certified Coach as a Therapist Clarity and Confidence in Practice If you’re longing for a practice that aligns with your passion for growth work—it might be time for a new approach. In my ⁠⁠ BCC-Accredited Coaching Certification for Therapists⁠⁠, I guide licensed clinicians just like you to: Ethically expand beyond the limitations of the insurance model Work confidently with self-pay clients who are motivated and ready to change Learn the language, structure, and mindset of transformational coaching psychology Build a sustainable practice doing the work you actually want to do with your dream clients. This program rewards up to 50 CE hours. Come learn how to create a thriving, ethical, and fulfilling practice from someone who’s walked this road. And hey—if we haven’t connected on LinkedIn yet, let’s do so! I’d love to follow your journey, cheer you on, and swap notes on what’s working (and what’s not) in our evolving world of therapy and coaching. Come say hi and ⁠⁠connect with me right here⁠⁠. Xoxo, ⁠⁠Dr. Lisa Marie Bobby⁠⁠ ⁠Growing Self⁠ P.S. If this episode made you nod, scribble notes, or rethink your client scripts, share it with a fellow therapist or drop it in your favorite consultation group. Let’s rise together. 💛

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“Do You Take Insurance?” How to Talk to Clients About Self Pay Therapy | LHSFT Classic

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