Why I’m Moving Away from Insurance (And What That Means for You)

I believe therapy should feel safe, personal, and empowering.

For years, I’ve accepted insurance to help make mental health more accessible. I understand how hard it can be to find a provider who takes your plan, who feels like a good fit, and who sees the whole you. That’s why this decision to move away from insurance hasn’t been an easy one.

But it is the right one for me, my practice, and my clients.

Let me explain why.

Insurance Doesn’t Always Honor the Therapy Process

When you use insurance, I’m required to give you a diagnosis. Often at the very first session. While there are times when a diagnosis is appropriate and even helpful, there are many situations where it isn’t. You may come to therapy to process parenting stress, burnout, grief, life transitions, or personal growth. These are deeply valid reasons to seek support, but insurance companies don’t always recognize them as “medically necessary.” The system prefers a clinical model with a clear diagnosis, treatment goals, and measurable outcomes.

But healing doesn’t always fit into that box. It’s deeply personal, often nonlinear, and deserves space to unfold without pressure.

Working with insurance companies adds a heavy layer of paperwork, phone calls, billing platforms, denials, and audits.

It often means spending hours of unpaid time managing systems instead of preparing for sessions or investing in continuing education. This chips away at the energy providers have to show up fully for our clients and our own lives. And I want to show up well. I want to do work that is grounded, present, and sustainable.

Shifting away from insurance allows me to build a practice that honors both my clients and myself.

It gives me the freedom to work more creatively and flexibly, to focus on the heart of therapy rather than the paperwork.

This change means I can:

• Spend more time preparing thoughtful, individualized care

• Offer support that isn’t driven by insurance restrictions

• Focus on healing, growth, and connection at a pace that works for you

• Create a calmer, more focused practice that isn’t constantly responding to external demands

It lets us take back the conversation about what therapy should look like.

What This Means for You:

If you’re currently using insurance with me, please know that I will always give clear notice ahead of any changes. I won’t make sudden decisions that leave you in the dark. We’ll talk through it together and make a plan if your coverage is affected.

If you’re considering starting therapy with me and cost is a concern, I still want to hear from you. I may have limited insurance or sliding scale spots available for a period of time. I also offer superbills that many clients successfully submit for partial reimbursement through their out-of-network benefits.

I didn’t become a therapist to argue with insurance companies.

I became a therapist to help people heal, reconnect with themselves, and live more peacefully. This shift is part of how I stay rooted in that purpose.

I’m grateful you’re part of this journey,

Miranda