One major reason therapy costs so much is that
insurance doesn't really pay a living wage for therapy appointments. Therapists accepting insurance and Employee Assistance Programs (EAPs) often end up having to double the number of clients they see just to make ends meet. This increased workload leads to a high risk of burnout and a sense of disconnection.
EAPs are even worse than regular insurance. Therapists dealing with EAPs face even lower compensation, pushing them further towards burnout. When therapists are stretched too thin, they can't provide the quality care their clients need.
Another big factor is the continuing education requirements for therapists. I don't know if you know this, but therapists are required to do upwards of 40 hours of continuing education every time they renew their license. Many of us choose to take crucial, but expensive, trainings. For instance, EMDR training averages about $1500 a pop. And that's just the training itself! There's also the cost of consultation, certification, and advanced training.
I estimate that I've spent almost half a million dollars on training and education so far in my career. It could easily be more. This ongoing investment is essential for maintaining the quality of care we provide.