Let's be clear: "One-size-fits-all" is a failed model for brains, and it's a failed model for billing. A practice that doesn't have a thoughtful, transparent financial model that reflects the clinical reality of its services is not a practice you can trust.

You're a systems thinker. You've been scrolling through our site, and your pattern-recognizing brain immediately flagged an apparent inconsistency: we offer a sliding scale for ongoing therapy but a set hourly rate for assessments.

You're not just asking a question about money; you're stress-testing our entire system for logical integrity. That's not skepticism; it's due diligence. And you are right to demand an answer.

Why The Models Are Different (And Why That's The Point)

The answer lies in the profoundly different neurological and energetic demands of the two services. Roughly 3% of adults have ADHD, and many neurodivergent and disabled clients face real, documented financial barriers. We believe a rigid one-size-fits-all pricing model ignores that reality — so we reject it. Two different types of work, serving different needs, require two different financial models.

Ongoing therapy is a marathon. It's a long-term endurance event. It's about building a sustainable pace over months or years to do the deep work of unmasking or trauma recovery. A sliding scale is the financial equivalent of a sustainable pacing strategy. It's a structural commitment to accessibility that ensures you have the resources to finish the race without burning out financially.

A Clarity Assessment is a focused project. It is short, time-bound work with a single, clearly defined deliverable: a user manual for your brain. It takes a concentrated burst of clinical energy — deep-diving into your history, making sense of the patterns, and writing up your blueprint. A transparent $125 hourly rate is the financial equivalent of a project fee: you know the exact scope and cost per hour. And you choose the pace — woven into weekly sessions or done all at once.

Financial Predictability is a Clinical Tool

This isn't just business logic. Emotional safety is a prerequisite for learning and engagement. And drawing on Stephen Porges's Polyvagal Theory, the concept of neuroception — the body's subconscious process of detecting safety and danger — is theorized to shape which autonomic state is active. A confusing pricing model can register as a neuroceptive threat. It can shift your nervous system from safe engagement into defensive vigilance at the exact moment you need to be open and vulnerable.

Financial predictability is a powerful form of felt safety. An intelligent pricing model isn't about business; it's a clinical tool to reduce cognitive load and help keep your nervous system feeling safe and settled.

Our pricing isn't arbitrary. It is an intentionally designed system that honors the different demands of different kinds of work. Both models are built on a non-negotiable foundation of radical transparency, which you can read more about on our Cost page.

You deserve a clinical partner whose systems make as much sense as their science. When you're ready: Start here →

Part of: Cost & Insurance → | Related: Sliding Scale Guide · The Insurance Shell Game