Scheduling, Fees, and Insurance

Karissa Mueller Counseling Office


Sessions are 50 minutes and are generally scheduled for the same day/time each week. I currently see clients on Tuesdays, Wednesdays, and Thursdays in the mornings and afternoons and offer in-person and online sessions.

I meet with clients once a week, or more if desired. My hope (and this is the only agenda I set for my clients) is for you to eventually trust your ability to take care of all parts of yourself. How long this takes can vary quite a bit and may depend on the types of experiences that brought you to therapy in the first place. For some clients, this takes a few months. For others, it’s a few years. Alternatively, some clients like to stay in therapy even when things are going well as a part of their self-care maintenance.


Appointments are $225 per 50-minute session and can be paid with cash, check, or card (including FSA & HSA).

I believe in keeping my practice relatively small (like – between 10-12 clients a week as opposed to the 20-30 many therapists will see) so you will get really individualized and intentional work with me each time we meet.

A small caseload and higher fees ensure that I’m taking care of myself so I can be my best and most available self when I’m with you. I do this by prioritizing my own individual therapy (yes, the therapist goes to therapy), ongoing training (4-6 weekends a year), and clinical supervision (2+ times a month).

Karissa Mueller Counseling Office


I don’t take insurance – and to be honest, while insurance coverage is great for some things, it’s not the best when it comes to covering our sessions, and here’s why:

1) It requires me to diagnose you, and I prefer not to work that way. I don’t consider my client’s problems evidence of an illness or disease to be treated or cured.

2) It allows insurance companies to control how often and for how long we meet – which I’m not a big fan of because they’re not the ones in the room, doing the work together. How are they supposed to know whether or not you needed that extra session or if you’re really ready to be done with therapy?

3) If they’re paying for our sessions, they’re also entitled to details about the content of our sessions. I prefer not to explain to a third party what we’ve been talking about so they can evaluate whether or not it’s valid or if we’re making “progress” fast enough.

4) The reimbursement rates (what your therapist is actually paid) are typically only a portion of what they actually charge. My practice (which is both my passion and my business) could only support my family and accept insurance rates if I saw…like…30-40 clients per week. That many clients a week just isn’t sustainable in the long term.

I get that paying out of pocket isn’t a fit for everyone though. It wasn’t always for me either, and you’re not totally out of luck if you can’t do it right now. I know plenty of other therapists who happily work with insurance companies and I’m glad to provide referrals if insurance is a must.

Got more questions? Ask me here.