What are your fees for therapy?

My fee for individual therapy is $200 per session. Sessions are typically 55 minutes. Because this is private-pay therapy, we can focus on depth-oriented work without the limitations or requirements often tied to insurance-based care. Under federal law, the No Surprises Act requires health care providers to give patients who don't have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

How do you accept payment?

A credit or debit card is kept on file and typically charged later in the day following your session. I also accept Zelle and HSA/FSA cards when applicable.

Do you accept insurance?

I am not in-network with insurance plans. Many clients choose to self-pay because they value the flexibility and privacy of working outside of insurance. If you have out-of-network benefits, I am happy to provide a superbill you can submit to your plan.

Do you provide superbills for out-of-network reimbursement?

Yes. I can provide a monthly superbill that you may submit to your insurance company for possible out-of-network reimbursement, depending on your plan.

What is your cancellation policy?

I ask for at least 48 hours' notice for cancellations or rescheduling. Appointments cancelled with less than 48 hours' notice are charged the full session fee.

Do you work with clients throughout Florida or only locally?

Because sessions are online, I work with adults throughout Florida rather than only in one local area.

Can you work with clients in Chicago or Illinois?

Yes. I am licensed to work with adults located in Illinois through secure online therapy.

Where are you licensed to provide therapy?

I am licensed to provide therapy to adults located in Florida and Illinois. Sessions are typically held online, which allows me to work with clients throughout both states.

What happens in a somatic therapy session?

Sessions often include conversation alongside moments of slowing down to notice what is happening in your body and emotional experience in real time. Any somatic practices arise from what makes sense for your particular needs and nervous system state in that moment. The work is gentle, collaborative, and always your choice, with close attention to what feels supportive and attuned to you.

Do I have to focus on my body or do exercises?

Not at all. Somatic therapy is guided by what feels appropriate in the moment. Sometimes this simply means noticing sensations or emotional shifts as they arise. Other times it may include gentle, self-supportive practices such as a hand on your heart, a self-hug, supporting the back of your head, or small movements like standing, pressing into something for support, or slowly moving through joints and posture. If something feels like too much, we respect that and adjust together. You always have choice in how we work.

Is online somatic therapy as effective as in-person therapy?

Online somatic therapy can be just as meaningful as meeting in person. Being in your own space often supports familiarity and regulation, and some clients appreciate having comforts nearby, even a pet if you have one. I'm able to attune closely to what's happening moment to moment through the screen, just as I would in person. Limited in-person sessions are also available at my Delray Beach office when appropriate.

How do I know if this type of therapy is a good fit for me?

Many people who reach out already have insight into their patterns but feel like something hasn't fully shifted. Somatic therapy may be a good fit if you're interested in a mind-body approach that includes both reflection and experiential work, while still respecting your pace and autonomy. A consultation can help you get a sense of whether my approach aligns with what you're looking for.

What if I feel nervous or unsure about starting therapy?

It's completely understandable to feel uncertain at the beginning. You always have choice in what you share and how we work together. Somatic therapy is experiential, and I move at a pace that respects your nervous system, your boundaries, and what feels right for you in the moment. My role is to support you, not to push you beyond what feels manageable.

Do you offer long-term therapy or short-term therapy?

Therapy can be either short-term or longer-term depending on your goals and what you are wanting to work through. Many of the people I work with are interested in deeper, mind-body oriented work that unfolds over time and allows for meaningful integration, but we always collaborate around what feels appropriate for you.

Do you assign homework or give exercises between sessions?

Therapy is not structured around assignments or rigid exercises. Sometimes we may explore small ways of bringing awareness into daily life if that feels supportive, but nothing is required. The focus is on what feels relevant and sustainable for you rather than adding pressure outside of sessions.

Who is not a good fit for this approach?

My approach tends to resonate with adults who are open to a collaborative, experiential process and who are interested in understanding how their nervous system and emotional patterns connect. If someone is looking only for quick strategies or a highly structured, manualized approach, another style of therapy may feel like a better match. If I believe a different direction would serve you more fully, I will always be honest about that.

Do you work with high-functioning or high-achieving adults?

Many of the adults I work with are thoughtful and high-functioning in their daily lives but notice patterns of anxiety, stress, or trauma responses that feel harder to shift through insight alone. Therapy creates space to slow down, reconnect with the body, and build capacity in a way that supports both personal growth and real-world responsibilities.

Therapy Fees and Frequently Asked Questions — Amy Hagerstrom Therapy PLLC

Starting therapy often brings practical questions about cost, scheduling, and what sessions are like. Below are answers to the most common questions about working with me, including fees, policies, and how online somatic therapy works.

Some questions focus on logistics, others on what the work itself is like.

My fee for individual therapy is $200 per session. Sessions are typically 55 minutes. Because this is private-pay therapy, we can focus on depth-oriented work without the limitations or requirements often tied to insurance-based care.
Under federal law, the No Surprises Act requires health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
A credit or debit card is kept on file and typically charged later in the day following your session. I also accept Zelle and HSA/FSA cards when applicable.
I am not in-network with insurance plans.

If you have out-of-network benefits, I am happy to provide a superbill that you can submit for possible reimbursement.

Many clients also appreciate the privacy and flexibility that come with care outside of insurance.
Yes. I can provide a monthly superbill that you may submit to your insurance company for possible out-of-network reimbursement, depending on your plan.
I ask for at least 48 hours’ notice for cancellations or rescheduling. Appointments cancelled with less than 48 hours’ notice are charged the full session fee.

Fees, Payment, and Policies

Location and Availability

Sessions are online
Because sessions are online, I work with adults throughout Florida rather than only in one local area.
Yes. I am licensed to work with adults located in Illinois through secure online therapy.
I am licensed to provide therapy to adults located in Florida and Illinois. Sessions are typically held online, which allows me to work with clients throughout both states.

The experience of therapy

Every session is a little different. We usually begin by talking about what's bringing you in, then slow down at times to notice what you're experiencing in your body and emotions in the present moment. Depending on what's happening, we might explore ways to help your nervous system feel more supported, like grounding, noticing sources of support, gently pressing against something, or simple movement. Other times, the work is simply practicing staying with an experience in a new way, without needing to change or fix it.
Not at all. Somatic therapy is guided by what feels appropriate in the moment. Sometimes this simply means noticing sensations or emotional shifts as they arise. Other times it may include gentle, self-supportive practices such as a hand on your heart, supporting the back of your head, or small movements like standing, pressing into something for support, or slowly moving through joints and posture. If something feels like too much, we respect that and adjust together. You always have choice in how we work.
Many people wonder how somatic therapy works online. Because the work is guided by what's happening in your nervous system moment to moment, I don't need to be physically present with you. Through the screen, I can observe facial expressions, changes in your voice, breathing, and posture, which provide a great deal of information about your experience. We use those cues together to guide the session, just as we would in person.
Many people who reach out already have insight into their patterns but feel like something hasn’t fully shifted. Somatic therapy may be a good fit if you’re interested in a mind-body approach that includes both reflection and experiential work, while still respecting your pace and autonomy. A consultation can help you get a sense of whether my approach aligns with what you’re looking for.
It’s completely understandable to feel uncertain at the beginning. You always have choice in what you share and how we work together. Somatic therapy is experiential, and I move at a pace that respects your nervous system, your boundaries, and what feels right for you in the moment. My role is to support you, not to push you beyond what feels manageable.

Approach and Fit

Therapy can be either short-term or longer-term depending on your goals and what you are wanting to work through. Many of the people I work with are interested in deeper, mind-body oriented work that unfolds over time and allows for meaningful integration, but we always collaborate around what feels appropriate for you.
Therapy is not structured around assignments or rigid exercises. Sometimes we may explore small ways of bringing awareness into daily life if that feels supportive, but nothing is required. The focus is on what feels relevant and sustainable for you rather than adding pressure outside of sessions.
My approach tends to resonate with adults who are open to a collaborative, experiential process and who are interested in understanding how their nervous system and emotional patterns connect. If someone is looking only for quick strategies or a highly structured, manualized approach, another style of therapy may feel like a better match. If I believe a different direction would serve you more fully, I will always be honest about that.
Many of the adults I work with are thoughtful and high-functioning in their daily lives but notice patterns of anxiety, stress, or trauma responses that feel harder to shift through insight alone. Therapy creates space to slow down, reconnect with the body, and build capacity in a way that supports both personal growth and real-world responsibilities.

Still have questions?

If you're wondering whether this approach is right for you, you're welcome to schedule a brief consultation. I'm happy to answer questions and help you decide whether working together feels like a good fit.

Practical Questions About Therapy, Fees, and What to Expect