Rates & Insurance


$140 per 55-minute session

Our first meeting is an intake session for $190

Reduced fee services are available on a limited basis. Limited sliding scale spots are occasionally available through Open Path Collective.



Depending on your current health insurance provider or employee benefit plan, it is possible for services to be covered in full or in part. Please contact your provider to verify how your plan compensates you for psychotherapy services.

Couples/relationship/marriage counseling is not covered under insurance.  There is no identified client in this type of therapy and therefore no diagnosis.  The relationship itself is the client, thus all relationship counseling is done on a private pay basis.

I’d recommend asking these questions to your insurance provider to help determine your benefits:

  • Does my health insurance plan include mental health benefits?
  • Do I have a deductible? If so, what is it and have I met it yet?
  • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
  • Do I need written approval from my primary care physician in order for services to be covered?

Should I Private Pay?

Some good reasons to pay privately for therapy:

  • You have more control – you decide which therapist you are comfortable with, the insurance company doesn’t tell you who to see and If you insurance plan changes you can still stay with your therapist.
  • You have more flexibility – you decide the number and length of sessions, type of therapy and who to include in the therapy.
  • You have complete confidentiality – no need to share records with insurance company or anyone else without your permission.
  • check out this article:  https://www.kevinmd.com/blog/2011/05/managed-care-caused-mental-health-care-crisis.html

I am happy to discuss your options with you to decide what’s best in your case.


Cash, check, HSA or FSA cards, Debit Cards and all major credit cards accepted for payment.

Cancellation Policy

If you do not show up for your scheduled therapy appointment, and you have not notified us at least 48 hours in advance, you will be required to pay the full cost of the session.

Any Other Questions

Please contact me for any additional questions you may have. I look forward to hearing from you!



3830 Packard St #110
Ann Arbor, MI 48108

15 E. Kirby St. Suite 107B
Detroit, MI 48202

(248) 767-8411

Paula Kirsch's profile on the Gottman Referral Network

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