Behind the Couch: Understanding Why Therapists Opt Out of Insurance As a therapist, I've noticed an increase in the number of people who want/need to use their insurance benefits to receive therapy. And, to be honest, when I first sought out a therapist for myself, I felt the exact same way. I understand. Therapy can be a very costly investment. But that's how you have to think about it - as an investment...in yourself and your mental and emotional well-being. But working as a therapist, I've learned that there are some definite reasons that you may not want to use your inusrance benefits. Let me take a few moments to explain. Insurance Requires a Diagnosis In order to use your insurance for therapy benefits, the insurance company requires that the providing therapist give a diagnosis. That means that once you enter into therapy using your health insurance benefits, there is a documented record of a mental health diagnosis on file for you. And that record may stay