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Choosing Quality Mental Health Care: The Advantages of Private Practice Counseling

Jul 27, 2023 | 0 comments


The information provided here is not intended to be a substitute for professional health and mental health care or consultation. Individuals who believe they may require or benefit from treatment should seek the advice of a psychologist or other licensed mental health professional.

Very Good Counseling is a private practice of licensed mental health therapists who specialize in EMDR.  We provide online mental health services to individuals throughout the State of Florida,  and in-person at our office in Fort Myers, FL. For more information, contact us.

by: <a href="" target="_blank">Robert Engle, EMDRIA-Approved EMDR Therapist</a>

by: Robert Engle, EMDRIA-Approved EMDR Therapist

Because We Believe You Matter

Robert joined the practice full time in 2022 to help neurodivergent individuals with ADHD, anxiety, and depression find freedom and enjoy life through counseling. He is currently working towards becoming a Certified ADHD Professional (ADHD-CCSP). Trained in EMDR therapy, he excels at understanding the intricacies of ADHD and Trauma.

Alternative Title: Investing in Your Mental Well-being: Why Private Practice Counseling Matters

Investing in Private Practice Counseling


Investing in private practice counseling is a choice that prioritizes quality care and individualized attention. While it’s true that private practice counseling often comes with a higher upfront cost, with the average cost in the United States ranging from $100 to $200 per session, it’s crucial to look beyond mere dollar signs to understand the value proposition [1]. In Florida, for instance, the average cost per session is $120, a reasonable range considering the enhanced benefits you receive.

In insurance-based counseling practices, the caseload can become quite overwhelming for therapists, who often manage to have individual counseling sessions with 30 to 40 clients per week. The resulting burnout may lead to high turnover rates and compromised care, hindering the counseling process and potentially impacting treatment outcomes. An overstressed counselor can’t provide the level of care required for truly effective therapy.

Conversely, private practice therapists typically manage a significantly smaller caseload, ensuring that each client receives personalized attention, care, and follow-up. The consistency provided by having the same counselor can greatly enhance the effectiveness of the therapy and reduce the chances of halting or stalling progress due to changes in counselor.

Ultimately, private practice counseling is an investment in personalized, consistent, and high-quality mental health care. Its advantages can yield transformative results over the long-term, making the initial costs a worthwhile investment in your mental well-being [2]. This is not to say that insurance-based counseling cannot be beneficial. However, it’s essential to understand the value that private practice counseling can offer when making your choice.

Turnover Rates in Insurance-Based Counseling


In the realm of insurance-based mental health practices, turnover rates are indeed an area of concern. Studies show that these practices frequently have turnover rates of around 50% per year, a statistic that paints a concerning picture about the stability of care [3].

When you dive deeper into the numbers, you can see the discrepancy between licensed mental health therapists and pre-licensed counselors. For instance, in insurance-based practices, the turnover rate for licensed therapists can be as high as 40%. Pre-licensed counselors, on the other hand, often have an even higher turnover rate, reaching up to 60% [3].

This high turnover can be detrimental to the continuity of care. Constant change in providers can disrupt the therapeutic relationship, cause a loss of progress, and create uncertainty for clients. Additionally, it can lead to a lack of consistent supervision for pre-licensed counselors, further affecting the quality of care.

Contrastingly, in private practices, the counselor-client relationship tends to be much more stable, as therapists often manage their caseloads to prevent burnout and ensure continuity of care. By mitigating turnover, private practice counseling offers clients the opportunity for consistent and meaningful therapeutic relationships, which are fundamental for successful outcomes in mental health treatment.

Specializations and Therapeutic Approaches in Private Practice


Private practice counseling often includes a wider range of specializations and certifications due to the flexibility and autonomy in the type of care they provide. Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two such therapeutic approaches that are prevalent in private practice.

CBT is a highly effective therapeutic approach used to treat a variety of mental health conditions, with studies showing a significant improvement in 60–70% of cases [4]. EMDR, a relatively newer form of psychotherapy, is especially effective in treating post-traumatic stress disorder (PTSD), with a success rate of up to 77-90% after approximately 3–7 sessions [4].

In comparison, insurance-based practices may not offer these therapies as prevalently due to constraints such as cost, time, and resources necessary for specific training and certifications.

This reveals that while both types of practices offer a range of therapies, private practices are more likely to have therapists specializing in specific techniques like CBT and EMDR. These specializations can provide clients with more targeted, effective treatment options, making private practice counseling a potentially more beneficial choice for many individuals.

Transformative Therapy Choices: Embrace Your Journey to Wellness

Choosing between private practice counseling and insurance-based counseling is a significant decision that requires careful consideration of various factors. It’s essential to examine the quality of care, individualized attention, therapist turnover, and availability of specialized therapeutic approaches when making this choice.

Although private practice counseling comes with a higher upfront cost, with the average in the United States ranging from $100 to $200 per session, it’s important to evaluate the value it provides beyond the monetary expense. In contrast to insurance-based practices, where caseloads can become overwhelming, private practice therapists often manage fewer clients, ensuring each one receives personalized attention and care. This smaller caseload significantly enhances the effectiveness of the therapy and reduces the chances of halting or stalling progress due to a change in therapists.

A key disparity between these two types of practices is the high turnover rate often seen in insurance-based practices. With an overall turnover rate of around 50% per year, the rate can rise to 60% specifically for pre-licensed counselors. This instability can be detrimental to the continuity of care and can impact the therapeutic relationship, potentially causing a loss of progress and creating uncertainty for clients.

In contrast, private practice counseling often offers more stability and continuity in the therapist-client relationship, contributing to improved treatment outcomes. With less burnout and lower turnover rates, private practice therapists can provide consistent and meaningful therapeutic relationships, which are fundamental to successful mental health treatment.

When it comes to therapeutic approaches, private practices tend to offer a wider range of specializations and certifications due to their flexibility and autonomy. Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two such therapies that are prevalent in private practice, with success rates showing significant improvement in 60–70% for CBT and 77-90% of cases treated with EMDR therapy, respectively. However, these therapies may not be as prevalently offered in insurance-based practices due to constraints such as cost, time, and the necessary resources for training and certification.

Overall, private practice counseling offers several benefits, including personalized care, stability, and a range of specialized therapeutic approaches. These advantages can yield transformative results over the long term, making the initial costs a worthwhile investment in mental well-being. While insurance-based counseling can be beneficial, understanding the disparities between the two can help individuals make a more informed decision about their mental health care.

At Very Good Counseling, we offer a comprehensive range of therapeutic services, including EMDR therapy and talk therapy, designed to meet your unique needs and support your mental well-being.

Our experienced therapists are dedicated to providing personalized attention, consistency, and compassionate care to guide you on your path to wellness.

Ready to prioritize your mental health and take the first step towards transformative change? Click here to schedule your consultation with Very Good Counseling. Let us be your companion in healing and personal growth.

Start your healing journey with us. 

Not to brag, but we’re Very Good.

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