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Money Talks: Fees, Slides, and Cancellation Ethics

Karen L. Smith, MSS, LCSW

Thursday, January 28, 2021 – 9:00 am – 12:00 pm | $81

3CE Credits Available for Psychologists, PA/NJ/DE LPCs and LMFTs, and PA/DE Social Workers.



Council for Relationships is approved by the American Psychological Association to sponsor continuing education for psychologists. Council for Relationships maintains responsibility for this program and its content. The following entities accept continuing education credits provided by APA-approved sponsors: the Pennsylvania State Board of Social Workers, Marriage and Family Therapists, and Professional Counselors; the New Jersey State Board of Marriage and Family Examiners; the Delaware State Board of Professional Counselors of Mental Health and Chemical Dependency Professionals; the Delaware State Board of Social Work Examiners.

Workshop Description:

Some basic policy questions: How did you determine your service fee? Do you offer a sliding scale? If so, to whom, under what circumstances? What is your late cancellation policy?

Some harder questions: Do you ever feel guilty or under-appreciated based on your fee? Is your slide based solely on presenting economics, or do factors like client likability, clinician guilt, difficulty of presenting case, and the like play into your decisions? And how about late cancellation policies? Are they individually dispensed, sometimes with internal punitive impulses, sometimes with internal avoidance of conflict with your client?

It shouldn’t surprise us that issues related to payment are ripe for both client and clinician enactments of anxiety, guilt, and aggression. Our management of these pose ethical risks and opportunities.

This 3-hour ethics workshop will be primarily didactic as we explore issues that arise for both client and clinician in this pinnacle element of the frame that defines the boundaries of our relationship. The facilitator is particularly skilled at evoking a shame-free environment for clinicians to explore unchartered territory ripe with accidental enactment.

Workshop Level: Open to all; Most valuable to Intermediate and Advanced

Learning Objectives:
After this workshop, attendees will be able to:

  1. Identify examples from their own caseloads of ways clients have expressed anxieties, guilt, and resentment about payments.
  2. Identify ways clinicians manage client aggression through payment policies and payment exceptions.
  3. Identify two pros and two cons of offering sliding scales on the clinical relationship between client and clinician.

Location: Online via Zoom Videoconferencing

Registration Required:


Full Living: A Psychotherapy Practice
1904 South Street
Philadelphia, PA 19146
Phone: 215-494-7818
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