How to Charge For Your Psychotherapy Services - 9 Steps to Help Calculate and Set a Realistic Fee

When you start out in private practice, one of theexperience, always underestimated.
most difficult things you have to do is determine whatQuite a complex exercise, perhaps, but critical to
you are going to charge for your services. This articledetermining what your required outlay is likely to be
walks you through the 9 steps you need to take to beover the year.
able to set a realistic hourly rate that will allow you buildNow, consider how this fits with your target income.
a practice that will bring you a reasonable income andAre you likely to be left with enough to achieve the
cover the numerous expenses that you incur fromliving standard you aspire to? If not, we need to
your practice.consider Step 6:
Many therapists come to private practice with the6. What additional figure is required to allow you meet
view that they will charge relatively little for theiryour expenses and still have sufficient monies left to
services because they are working with a vulnerableallow you to achieve a reasonable lifestyle? By this I
population who need help and therefore they have amean if you had initially set a figure of 10x as your
moral obligation to make their services affordable sotarget income, but discovered that costs come to 5x,
that everyone can benefit from them. Now, this is aand really, you need 8X to be comfortable, then you
laudable position to take, certainly, but as a practicalneed to revise your target income figure upwards to
business proposition, it fails to realise that a practice13x.
does not run on fresh air. You, the therapist, have7. Steps 2 -- 6 establishes the gross annual turnover
obligations that you have to meet too, like paying youryou need to generate each year to produce the type
mortgage, putting food on the table and bills that haveof income you are hoping for in step 1 above.
to be paid. The only way to do this is to calculate aSo, what will your Hourly Rate be?
realistic fee range for your services - and understand8. Now, work out how many chargeable hours you will
how you got to that figure so that you can feel okaybe able to work each year.
in asking for it. But how do you arrive at this figure?This is not a simple 36 hours x 52 weeks, of course. If
This article will guide you in some of the steps youyou plan to work Monday to Friday only, that equates
need to consider as you work out what you willto 261 days a year. Now out of this time allocation, you
charge.need to allow for annual leave (if you are looking after
First things first: How much do you want or need toyourself, you will take at least 20-30 days leave, for
make each year to be "solvent"? So, Step 1 is:which, obviously, you will not get paid), CPD time
1. Establish your required/anticipated annual salary from(possibly 5 - 10 days a year), Bank Holidays (8 in the
the work -- perhaps you could initially use what aUK), sick leave (do not say you will not get sick
practitioner would be likely to get in the Public Sector,because we all might, and it is an employment cost
for the level of experience and the type of work andthat must be scheduled in), admin time (allow around 2
location, as a guide figure (this can change as youdays per month), marketing and business development
come to understand your market's potential).(aim for maybe 3 days a month) etc. That reduces
Next, look at the costs you are likely to encounter:your "earning" days to around 160 days per year, and
2. Consider the entitlements an employee mightwithin this time, few practitioners can expect to be
expect, such as pension contributions, health insurance,busy for 7 hours each of these days, so calculate
continuing professional development costs, mileage andoptimistically at around 4 earning hours a day across
other reimbursements for out-of-pocket expensesthese 160 days, leaving around 640 earning hours!
which might reasonably be met for this type of work.9. Divide the total in 7 by the total in 8 to see what
3. Add on costs for office provision, secretarial costs,your hourly rate must be in order to achieve the salary
test and equipment purchases, computing and ITyou are seeking.
facilities, office furniture, etc., annualised in terms ofSurprised? I imagine that you are, but I hope that this
capital and depreciation costs (I am not an accountant,exercise helped you get some perspective on the
so you may need to seek professional guidance onquestion of how you calculate what you will charge for
this in time).your services. If you still wish to support less
4. Add on sundry other costs, such as employingfinancially-able clients, certainly you are free to do so,
people to clean your office and waiting area, providebut build their "costs" into your calculations and settle
tea and coffee to patients and other visitors,on a realistic hourly rate for your services. This is what
secretarial and receptionist costs, advertising, publicyou will need to charge to make the living that you
liability insurance, IT technician costs plus others thataspire to. It is certainly possible, but you need to go
you will not realise you need until something goesforward with a clear understanding of how you came
wrong (e.g. electrics, Health and Safety, Informationto set this fee for your services so that when it
Commission requirements etc.). And do not forget thecomes time to tell your potential client what you
Taxman will need a cut!charge, you can do so safe in the knowledge that you
Nearly there, but just in case:are asking a reasonable and realistic amount for you
5. Add in a 10% contingency because costs are, in myservices.