Being a psychotherapist is my life's work. The fees I am paid cover individual sessions, my availability outside of these sessions, administrative costs, and ongoing training and consultation. They reflect the value and importance of the work patients and I do together and they enable me to live a balanced life. I handle all of the billing for my practice so that I'm not paying someone else additional fees to do that work on my behalf. The arrangements to which patients and I agree include plans for scheduling and cancellations, as well as our thoughts on treatment. They create the frame within which therapy occurs.