Why I’m not ‘In Network’

Rachel Gabrielle, MA, LMHC
2 min readDec 12, 2022
Photo by Vlad Deep on Unsplash

The majority of clients I see do not have a “mental illness.” They are often highly capable women sick of being asked to adapt to a sick society or broken system. Why should they get a stigmatizing diagnosis?

But in order to use your insurance for therapy, insurance companies require a “billable diagnosis,” even for the first session. This means that in under an hour — I am supposed to give you a label that could follow…

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