Working with insurance companies requires that I make a diagnosis and provide them with access to audit your file (which includes session notes), which often means a breech in confidentiality. While I celebrate sexuality, I also understand that many, if not most, of my clients value strict confidentiality above all else when working through relationship and sexuality issues. Because being reimbursed by insurance companies as a provider often compromises aspects of what I believe creates a safe, and trusting client-therapist relationship, this process does not feel right to me, especially given the kind of work I do.

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