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Yes, that's what we call the "cost of living" in a particular area. Overhead costs, which make up a portion of a professional rate for service, will always be affected by real estate prices. Either home prices (ie mortgage) if working out of their home or commercial (rent) if working out of an office.
betterhelp.com seems like a good idea. You lose the face-to-face communication, but it does allow the therapist and the patient to be anywhere, and so to escape the crazy rents around here.
Could this new online model of practice be described as "The Uberization of psychotherapy"?
https://www.betterhelp.com/
I am professionally a licensed mental health practioner but I have no involvement with betterhelp. I am using it only as a model, to make my point which is that if you see a private psychotherapist face to face and in-person, at a private office not in their home, the Bay Area, most of the fee you pay almost certainly goes to pay rent for the office.
That distortion of the psychotherapy market is one the many negative side effects of the real estate bubble. And Ironically as rent has driven up the price of psychotherapy it has also created unemployment for the majority of licensed therapist who do not have a government job to support themselves.
Anyway I would be interested in comment.