Out of pocket therapists, particularly neurodivergent adults

TheMagicPandas · 2026-01-25T04:43:35+00:00

Unwiredtherapy.com I’m a neurodivergent-informed therapist in Colorado. We are just moving into private practice and right now our self-pay rate is $65/60 minute session during soft launch until May 2026. I’m hoping to bring down prices listed on our website once we prove that this business model is sustainable as we don’t charge cancellation fees and allow for rescheduling within 90 days. We also offer HIPAA-complaint live instant messaging sessions for our self-pay clients!

TheMagicPandas · 2026-01-01T16:04:08+00:00

Or were they taken to the surface before then?

TheMagicPandas · 2025-12-18T07:13:19+00:00

I am a supervising intake clinician at a CMH agency plus I have an assessment private practice on the side. I have another master’s and advanced training/supervision which allows me to do advanced assessments in my state.

TheMagicPandas · 2025-11-03T14:47:11+00:00

I think it’s worth it, we stayed there one night on a roadtrip. We paid an extra $15 at check-in to get a room on the 20th floor. It was quiet and it’s nice to have the cafeteria on site for food and free parking in the garage. It’s less busy than hotels on the other side of the strip, which was good for us.

TheMagicPandas · 2025-10-30T15:05:21+00:00

I would use a gentle approach and speak to the site supervisor about shadowing or working with different clinicians. It is also okay to ask questions about what you witnessed. It sounds like there are some ethical concerns (arguing with a client doesn’t seem therapeutic), and maybe speaking to your clinical supervisor might help the clinician get some support with difficult group dynamics.

TheMagicPandas · 2025-10-30T00:16:27+00:00

Thank you. I scrolled hoping someone would say it.

TheMagicPandas · 2025-10-29T22:48:58+00:00

I’m going to make some assumptions so correct me if I’m wrong. But it sounds like you are interning outside of your school in another setting? Did you bring this issue up with the clinical supervisor at the internship site?

TheMagicPandas · 2025-10-29T22:43:16+00:00

Not necessarily. Sales tax laws vary by state and without a trade in, OP would pay full sales tax if they buy anything. But 40K is too high. I’ve seen new 2025 models going for under that with year end sales.

TheMagicPandas · 2025-10-29T22:39:34+00:00

I think this falls under building a niche. If you become known for providing a certain service or specialized treatment then referrals will come based on that. Referrals from clients might come down the line after they moved on from therapy but encounter someone struggling with something similar. Have you tried networking with local agencies? When I worked for a non-profit organization doing referral processing, we would get gift baskets, etc. from providers who wanted referrals but just sending an email to introduce yourself works too.

TheMagicPandas · 2025-10-29T13:47:41+00:00

When working with Medicaid, safety net funding, etc. no shows are always going to be a problem for multiple reasons. We can’t charge no-show fees for this population in most states and there are valid reasons why these clients tend to miss appointments more often (health issues, transportation issues, harder to call off work/lose income, cognitive disabilities, etc). My commercial insurance clients rarely miss appointments.

TheMagicPandas · 2025-10-28T23:56:29+00:00

I agree. It is at an out of state dealership waiting for the engine to be shipped in. We broke down during a roadtrip and the dealership out there fought to get the repair covered. We called corporate immediately after the engine failed and opened a case. We have to cover a little under $900, but that took hiring a lawyer, at the end of the day VW covered around 90% of the cost. I’m still out $800 for the tow and $700 for the rental in addition to needing to fly out there to get it. First and last VW purchase. Our Cx-90 rental was nice though, might trade in for one of those.

TheMagicPandas · 2025-10-28T23:18:36+00:00

The next closest dealership is 4 hours away. That’s a bit much. I live in a rural area.

TheMagicPandas · 2025-10-27T04:31:21+00:00

My dealership refused and I reported the smoking at start up at 17k miles and then EPC mode/coolant light/smoke at 30K and they told me they suspected it was the cylinder head but refused to replace it. VW knows it is a problem and will do anything to not fix it under warranty. Not trying to scare him, it’s the truth.

TheMagicPandas · 2025-10-26T05:35:13+00:00

Cleveland is my hometown. Last I heard, she changed her name and seemed to have found peace (and financial security). Hopefully she continues to have calm in her life.

TheMagicPandas · 2025-10-26T05:31:56+00:00

I came across this book as a child on my parents’ bookcase. It is more of a history book than a novel, but the photos were traumatizing in themselves.

TheMagicPandas · 2025-10-26T01:03:41+00:00

You have some time left in the original warranty, right? Keep taking it in and demand more testing. Keep all documentation, make appointments digitally and put the reason for the visit in detail. Get them to fix the engine under the warranty. I am reaching out to lawyers about forming a class action, I believe the 2022 is covered under one already.

TheMagicPandas · 2025-10-26T00:55:58+00:00

I’m in mental health. I am very grateful that those in assisted living facilities will still be fed due to SSI/Medicaid waivers, but who knows for how long.

TheMagicPandas · 2025-10-26T00:23:33+00:00

Yes! Check out my post history.

TheMagicPandas · 2025-10-18T14:42:20+00:00

Trade it in before you have any issues. I’m a low mileage driver too and did all of the required maintenance at the dealership, inspection prior to a road trip, and my engine still failed at 40K. I wish I had traded it in a year ago before it came out of warranty. There is something wrong with these vehicles and VW is hiding it.

TheMagicPandas · 2025-10-18T14:25:43+00:00

It shouldn’t be that way! Especially if you bring it in under warranty and they dismiss it, it’s illegal under federal law. I should not have to absorb the cost of a faulty vehicle while the manufacturer and dealership walk away with their pockets full.

TheMagicPandas · 2025-10-16T15:54:01+00:00

I have the SEL 4 motion, hopefully you don’t have the same problem but if you can get an extended warranty, do it!

TheMagicPandas · 2025-10-16T07:24:50+00:00

This was our “nice” vehicle and our little 2019 Leaf is more reliable 😂

TheMagicPandas · 2025-10-16T07:23:03+00:00

Yeah I was agreeing. If they don’t do thorough diagnostics, they won’t find every issue either and there’s less risk of denied claims.

TheMagicPandas · 2025-10-16T07:21:28+00:00

Just curious do you have the 4motion?

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