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Cost of therapy

139 replies

lanya · 15/05/2024 07:57

My DH goes to therapy twice a week. This is a very long term thing. He's been going for about 10 years once a week and upped it to twice a week last year.

This is now costing costs upwards of £7000 a year which is not a small chunk of our income.

I've needed therapy on and off too and I am in therapy at the moment, once a week, but I will stop when I am feeling better. I see therapy as something you do when you have a particular problem/ issue and the ideal is to live your life without it. He sees it as a long term thing.

I am really struggling with the amount of money we're spending on his therapy and I would like him to cut back to once a week but I feel I might be being unreasonable, as he does have depression and chronic health issues that he is dealing with.

He feels he needs it and it is helping, but I haven't seen any difference in him since he started going twice a week. He still gets just as depressed and seems to struggle just as much with life. I just feel like he is dependent on his therapist and it's a bit navel-gazing to be honest, I don't know if it's actually making a noticeable difference in his life anymore.

I haven't voiced any of this with him really because I want to be supportive and I respect that he feels he needs it.

We're not struggling to pay bills etc, it's just that we're not saving as much as we'd like to and this is probably our biggest cost. He complains about the cost if we get a takeaway etc. so I feel like we have to cut back on luxuries yet he is having huge amounts of therapy which cost a fortune.

AIBU to ask him to stop? What would you do?

OP posts:
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CharlotteRumpling · 16/05/2024 09:54

I suppose if he is so good, maybe the therapy helps. I am not being sarcastic.

CrappySack · 16/05/2024 09:24

lanya · 15/05/2024 17:10

@Choux Yes exactly and sometimes I wish he would change a few things to help his own wellbeing and mental health.

Although to be honest, having just been reading some other threads on mumsnet about men, I do feel lucky to have my husband.

He has a good job and income. He cooks. He cleans. He showers every day. My family love him. He doesn't have an aggressive bone in his body. He loves me massively.

It could be a lot worse.

I do worry about this therapy stuff but generally I am pretty lucky.

So really I probably just need to get over this, accept it as a compromise, and leave him to do what he feels best with his therapy.

I'm glad he's good in so many other ways.

Remember that it is ok for you to express concerns and opinions on anything too though.

RandomButtons · 16/05/2024 08:20

WhatAreYouOnAbout · 16/05/2024 00:44

£7k a year is about £70 a session twice a week. Some city center therapists I know cost £90 a session while others in posh post codes cost a lot more. Agree the question to be answered is is it actually helping the man.there has to be a vested interest on the part of the therapist for keeping him on for the cash flow

£7 a year over 10 years is £70k. That therapist is laughing all the way to the bank.

I’m not saying a good therapist isn’t worth it - they are. I’m saying just like any profession you will get some who milk the cash cow.

This man seems to have no deep rooted issues/trauma from what OP has said, just low level depression, and 10 years of therapy hasn’t helped it. His wife isn’t seeing a change and the therapist doesn’t appear to be doing proper reviews. It’s sounding pretty unethical to me.

Time to take stock, review and make some actual changes. Therapy shouldn’t be a weekly moan about life.

WhatAreYouOnAbout · 16/05/2024 00:44

RandomButtons · 15/05/2024 08:19

Therapy absolutely does not have to cost a fortune, certainly not £7k a year for 10 years. That’s nothing like what I’ve paid, and I had some serious stuff to work through including CPTSD.

There has to be a point one questions if it is actually helping, there is a risk the therapist is keeping him on because it’s good income. Any therapist I’ve seen has always done periodic reviews to make sure we’ve progressed and are working towards proper closure.

Edited

£7k a year is about £70 a session twice a week. Some city center therapists I know cost £90 a session while others in posh post codes cost a lot more. Agree the question to be answered is is it actually helping the man.there has to be a vested interest on the part of the therapist for keeping him on for the cash flow

OVienna · 15/05/2024 21:54

So, I've been thinking a lot about this thread. I'm in therapy now and was in it for four years, prior to the birth of my first DC. I went on an immediate hiatus with that first therapist and didn't look back. I had gotten into a phase with her where I didn't really know how to end it so we just carried on and on and on.

All of that said, I think there are some people who do need therapy for ten years and maybe more than once a week. For example, if the OP is married to Charles Spencer I'd tell her to let him crack on, having listened to A Very Private School.

Even after the OPs updates I'm still feeling there's not good communication between them as to what the therapy is really about.

XenoBitch · 15/05/2024 21:17

10 years in therapy is a long time. I was in (NHS) therapy for 5, but there were goals and end points to work towards.

StarDolphins · 15/05/2024 21:14

Youcannotbeseriousreally · 15/05/2024 08:07

Honestly? If you’re not skint then I have NO idea why you’re not supporting your husband in this.

Sorry, but I think you sound mean ( and tight) and a bit like a brat, therapy isn’t really a nice to have luxury! He obviously requires is - do you really think saving for a holiday / car / rainy day, having a takeaway is more important than your husbands wellbeing?

edited to add : imagine if you had posted the reverse of this ‘my husband thinks I spend too much on my therapy and thinks we should save and have treats instead’ IMAGINE THE RAGE OF MN there would be LTB’s all over the shop!

Edited

he’s been in full time therapy for 10 years! I think op has been very supportive.

Unexpectedlysinglemum · 15/05/2024 21:00

I think you need to have a budget for joint stuff (need and joint fun) and then a budget for 'me stuff'

He might think your Botox or horse riding or manicures or theatre trips with your pals or Uber habits are a waste, but you wouldn't want him to comment - this can only work if you have some 'just for me to spend how i like' money in the budget

benfoldsfivefan · 15/05/2024 17:29

lanya · 15/05/2024 15:18

If you read back through the comments this is exactly what I am pointing out. Friends aren't the same as therapists.

I know they’re not, but we should be able to offload to our friends as we do our partners, a space where we feel accepted and heard. ‘Offload’ being the word you used to describe what you believe is going on in those sessions. And that’s not what therapy is about, but believe me, lots of clients love that space to vent and don’t mind paying for it. The unpalatable truth is that some therapists in private practice only give a shit about getting their clients through their doors for financial gain, similarly with some trainee therapists, so they can get their hours to qualify. There has to be therapeutic change going on, regardless of the modality. His therapist never doing reviews to me speaks volumes about their ethical stance.

SquirrelSoShiny · 15/05/2024 17:29

I could give you a very long answer to the questions here but essentially two sessions a week of psychotherapy will be working at real depth. It will likely be working with very deep rooted issues and patterns of relating. It's difficult to explain unless you have ever been in therapy. Some people benefit from 6 weeks of CBT; many people do not because they are dealing with long term issues and trauma.

It's not for you to decide the value of therapy for your husband BUT it's okay to look at how family money is spent and make an agreement about that.

lanya · 15/05/2024 17:10

@Choux Yes exactly and sometimes I wish he would change a few things to help his own wellbeing and mental health.

Although to be honest, having just been reading some other threads on mumsnet about men, I do feel lucky to have my husband.

He has a good job and income. He cooks. He cleans. He showers every day. My family love him. He doesn't have an aggressive bone in his body. He loves me massively.

It could be a lot worse.

I do worry about this therapy stuff but generally I am pretty lucky.

So really I probably just need to get over this, accept it as a compromise, and leave him to do what he feels best with his therapy.

OP posts:
Choux · 15/05/2024 15:45

lanya · 15/05/2024 15:11

@Choux Usually we're away at the same time if it's Christmas etc and he's distracted. When we're not away, it's pretty rare and always for such a short period that I don't think it really bears any impact on what it would be like for him to actually stop therapy.

So if he had more distractions outside of work, he might be able to cut down or eventually stop the therapy? But as you have said he doesn't seem interested in doing things other than work, therapy and tv and doesn't want to change anything.

I think that's your problem. He doesn't want to change anything about his life - not his job, the therapy, his hobbies. The therapy is just one expensive part of the jigsaw.

lanya · 15/05/2024 15:18

benfoldsfivefan · 15/05/2024 15:16

But is he talking to them the way he talks to the therapist?

If you read back through the comments this is exactly what I am pointing out. Friends aren't the same as therapists.

OP posts:
Princessfluffy · 15/05/2024 15:18

What does your therapist have to say about this?

lanya · 15/05/2024 15:17

Princessfluffy · 15/05/2024 15:15

Effectively though it's surely for DH to decide himself how best to manage his health.

I don't think I said it wasn't at any point?

But if he has a therapist who is recommending more sessions than he needs, and he is not benefitting from that, and he is vulnerable/ predisposed to thinking there is something emotionally wrong with him that he needs therapy - that puts him in a pretty vulnerable position.

You have to explore, discuss, and have conversations which is what you base decisions on. Currently he's only really getting advice from one person and that is his therapist.

OP posts:
benfoldsfivefan · 15/05/2024 15:16

lanya · 15/05/2024 15:07

@Choux I do get what you're saying but I don't think it's quite on the mark in his case, but thanks for the thoughts - he has plenty of friends who he talks to.

But is he talking to them the way he talks to the therapist?

Princessfluffy · 15/05/2024 15:15

Effectively though it's surely for DH to decide himself how best to manage his health.

lanya · 15/05/2024 15:12

Princessfluffy · 15/05/2024 15:11

Why are you so attached the idea that DH cannot have therapy forever if that is what he wants to do OP?

I'm not 'attached' to any one idea, I'm simply exploring and discussing.

OP posts:
lanya · 15/05/2024 15:11

@Choux Usually we're away at the same time if it's Christmas etc and he's distracted. When we're not away, it's pretty rare and always for such a short period that I don't think it really bears any impact on what it would be like for him to actually stop therapy.

OP posts:
Princessfluffy · 15/05/2024 15:11

Why are you so attached the idea that DH cannot have therapy forever if that is what he wants to do OP?

CharlotteRumpling · 15/05/2024 15:10

I have been accused of saying this too often on MN, but my god, he sounds hard work. I assume you don't have DC or he wouldn't have time for all this navelgazing. Do you ever plan to?

I am not saying you should leave him but all this narcissism and self absorption must leave very little time for you.

Choux · 15/05/2024 15:09

How does he cope when the therapist goes on holiday or it's Christmas and he doesn't misses a couple of weeks of therapy?

BePinkReader · 15/05/2024 15:08

BumpyaDaisyevna · 15/05/2024 14:46

Just to put across the view that this DH is not totally hopeless, depressed, passive, dependent and weak.

Actually, he holds down an "important" job and he earns most of the household money.

I agree with PP that this doesn't mean that finances are not joint, but this DH is providing financial independence for the household, despite his depression.

The OPs concern is not that they can't afford the therapy, just that they are not saving as much as she would like.

The way some posters talk about him it is as if he is a heroin addict, hollowed out by his addiction to therapy, drained of all agency, capacity, getting thinner and thinner as the addiction takes deeper hold.

Actually, he is creating wealth and providing.

I wonder what it is, that allows him to do that, even as someone with significant depression?

Let me see .... one thing is clear, it certainly can't be that absurd long term therapy relationship with a charlatan bent on lining his own pocket, for sure ...

He has a job with a good income.

That doesn't mean he isn't self-absorbed and spending money on a clearly ineffective 'therapy'.

He'd possibly carry on in his 'stressful job' without the therapist soothing him every week because that's his source of income.

The point is, he hasn't tried. And won't exercise or do anything else that is proven to help depression. Or get another job which may be less stressful. Or try any other therapy or therapist.

He wants to offload to someone every week for 10 years and be soothed by them while spending all his free time on the sofa watching TV because he's 'depressed and in therapy'.

He's a drain on the OP and their finances.

OP isn't being a bitch wanting to see some kind of benefit from the drain on their finances.

lanya · 15/05/2024 15:07

@Choux I do get what you're saying but I don't think it's quite on the mark in his case, but thanks for the thoughts - he has plenty of friends who he talks to.

OP posts:
Roseau18 · 15/05/2024 15:06

In psychoanalytical therapy the patient initiales the ending, not the therapist (unless they are retiring or moving away).
To those saying it encourages a victim mind set, that is not true; the therapist will challenge the person about why they see themselves as the victim/what role they play in allowing other people to take advantage of them etc.