Services & Pricing

I offer a limited number of reduced-fee (sliding scale) therapy spots for clients experiencing financial barriers to care. My sliding scale is based on The Green Bottle Method, a dignity-centered, self-assessment model that supports transparency and fairness without invasive financial documentation.

The Green Bottle Method: A Self-Assessment Tool for Financial Transparency 

The Green Bottle Method (by Alexis J. Cunningfolk) is a reflective framework that helps one identify their financial capacity in a way that honors context, privilege, and lived reality – not just income.

Eligibility & Process: Sliding scale availability is based on: 

• Financial hardship

• Gaps in insurance coverage

• High deductibles or out-of-pocket burdens

• Life transitions (job loss, medical bills, caregiving, single parenting)

• Systemic barriers to care of marginalized identities 

• Student status or part-time income stability 

Eligibility is determined collaboratively through an honest, good-faith conversation. 

I do NOT require: 

• Tax returns

• Pay stubs

• Proof of hardships

• Bank statements

*Below is a summary of each category and at the end of the page is a detailed image of The Green Bottle Method  

Full Bottle- Full Fee

$150 per 50-minute session

You may fail into the Full Bottle if: 

• You consistently meet basic needs without strain

• You have stable income and financial security

• Unexpected expenses are manageable 

• You engage in leisure travel, dining out, or saving without hardship

• Paying full fee does not significantly impact your wellbeing 

Middle Bottle- Middle Tier (limited slots available)

$105-$130 per 50-minute session

• High: $130

• Mid: $120

• Low: $105 

You may fall in the Middle Bottle if: 

• You can meet basic needs but with budgeting 

• You have modest financial stability but unexpected expenses create stress

• You can pay more than the lowest tier but not the full fee without strain

• You sometimes need to prioritize or delay spending decisions

Lower Bottle- Reduced Fee (limited slots available)

$70-95 per 50-minute session

• High: $95

• Mid: $85

• Low: $70

You may fall in the Lower Bottle if:

• Meeting basic needs is a struggle or inconsistent 

• You experience financial insecurity or instability 

• You have significant debt, medical expenses, or rely on public assistance 

• Paying full fee would prevent your from accessing therapy at all 

• You experience systemic barriers to financial security 

Fee Structure Summary 

Sliding scale spots are limited and evaluated approximately every 6 months. Clients are expected to notify their therapist if their financial situation changes.

Limitations

• Sliding scale availability is limited and not guaranteed.

• Priority may be given to individuals with systemic barriers to care.

• Reduced rates apply to ongoing psychotherapy sessions, not specialized services such as: 

• Court letters 

• Legal documentation 

• Extended reports

• Emergency sessions

• Crisis intervention

How to Request a Sliding Scale Spot 

If you are interested in a reduced fee:

1. Bring it up during your consultation or initial session. 

2. Reflect honestly on the Bottle Method categories. 

3. We will collaborate to determine a rate that is sustainable for both you and the practice. 

If no sliding scale spots are available, I will offer referrals to low-cost or community-based providers. 

My Belief

Sliding scale is a collective commitment. It reflects my belief that healing should be accessible, that care must be equitable, and that dignity is fundamental. I trust you to assess your needs with honesty – and I will meet you with transparency, respect, and compassion.

Click HERE or on the image below for Alexis J. Cunningfolk’s Website

Sliding scale (self-pay clients)