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Insurance Doesn't Cover Therapy? 5 Smarter (and Affordable) Alternatives That Actually Work for the Self-Employed, No Insurance

May 1, 2025

Therapy can cost you $1,000/month — especially if you’re self-employed and uninsured. But what if you could get real support, targeted help, and emotional clarity without the price tag?

If you’ve ever looked into therapy as a self-employed person, you’ve probably had a moment where you thought:

“Wait, how much?”

Yeah. You’re not imagining it.

In the U.S., therapy can cost anywhere from $100 to $250 per session, this is WITHOUT insurance coverage! If you’re self-employed, you’re probably paying out of pocket. Even with marketplace insurance, mental health coverage is notoriously limited, with high deductibles and confusing networks.

Let's not get us started about how ridiculous this is...

So what happens if you need support but can’t swing $1,000/month just to feel like a functioning human?

You still have options. Good ones.

Here's your step-by-step plan to get the support you need — without the therapy bill.

Step 1: Get Clear on What You Actually Need

Before diving into therapy (or alternatives), take a moment to ask yourself:

What am I hoping will change?

Are you looking for help with:

  • Anxious thoughts or spiraling?
  • Relationship patterns that leave you stuck?
  • Burnout or work identity confusion?
  • Drinking or coping mechanisms that feel out of control?

This might feel overwhelming, but a quick 10-minute journal check-in can make things clearer:

  • What’s been hard lately?
  • What do you keep ruminating on?
  • What emotion shows up the most — anger, shame, loneliness, anxiety?

Knowing what you’re really trying to work through helps you choose the right kind of support. Not just the most obvious (or expensive) one.

Step 2: Consider Coaching or Targeted Tools Instead

If out-of-pocket therapy is too much right now, coaching can be a more affordable, goal-focused option. A coach won’t do trauma work, but they can help with issues like:

  • Relationship dynamics
  • Career burnout
  • Emotional regulation
  • Building confidence or boundaries

Coaches often run on monthly packages or intensive programs — and some apps now do the same, offering deep support without the weekly calendar drain.

Take relationships, for example…

Step 3: Don’t Underestimate Specificity

General talk therapy is great — but it’s also broad.

Your current issue is the visible problem. Once you know the root cause, you can save hundreds of dollars.

Sometimes a targeted solution gets to the root faster. If your issue is relational, go there. If it’s burnout, don’t default to general anxiety — explore systems, identity, boundaries.

Think of it like this:

  • Therapy is like hiring a generalist
  • Getting a specialized tool or coach is like hiring a specialist with a zoom lens

And bonus: it’s usually 10x cheaper.

Step 4: Example: If It’s a Relationship Issue, It Might Be Attachment

Does this sound familiar to you?

"Why are you shutting me out again?"

"Not this again..."

Over-texting, shutting down, panicking when things feel distant — actually trace back to something deeper:

👉 Your attachment style.

Attachment theory is the idea that we all develop emotional blueprints based on how safe and seen we felt growing up. These blueprints shape how we relate to intimacy as adults.

The four core styles are:

  • Secure: Comfortable with closeness and independence
  • Anxious: Fear of abandonment, often over-attuned to others
  • Avoidant: Discomfort with emotional closeness, values independence
  • Disorganized: A mix of both — push-pull dynamics

Understanding your attachment style can change everything in how you show up in romantic, platonic, and even work relationships. And the best part?

You don’t need to go to therapy just to learn it.

And here’s something most people don’t know:

Most generalist therapists don’t specialize in attachment at all.

Many therapists (especially those trained over 10 years ago) received little formal training in attachment theory — because it’s a relatively new science (main research started in the 1950s).

Modern, practical models for healing insecure attachment and moving toward secure behavior have only become widespread recently. That means if you’re struggling with anxious, avoidant, or disorganized patterns… the average therapist might not even speak that language.

So instead of spending thousands on general talk therapy that might never touch the root — what if you went straight to the source?

Step 4: Try Targeted Apps (That Don’t Cost $200/Hour)

Depending on what you’re struggling with, a focused app might be exactly what you need — and way more affordable.

Here’s a breakdown by issue:

🧠 For Relationships / Attachment Patterns:

Try Attached — a guided app to help you understand your attachment style, practice secure behavior, and reflect deeply through journaling and meditations.

🛏 For Sleep and Anxiety:

Apps like Stellar Sleep or Open combine breathwork, anxiety relief techniques, and guided support to help your nervous system unwind.

For OCD or ADHD:

Apps like NOCD or Shimmer provides coaching or treatment.

🍷 For Drinking or Habit Shifts:

Check out Sunnyside or Monument — apps built for reducing alcohol use through behavior science and daily tracking.

TL;DR

  • Therapy’s expensive — especially if you’re self-employed.
  • But understanding your specific need can help you find affordable, focused support.
  • Journaling is a great first step.
  • Coaching and apps can provide structured, often more accessible support.
  • Attachment-based tools like Attached may be especially useful for relationship challenges.
  • Targeted support > generalized advice — and that means quicker results, less guesswork, and more peace of mind.

You’re not broken. You’re just ready for the right kind of help.

And there’s more of it out there than you think.

Understand your attachment style and solve your relationship issues

Love shouldn't be painful. The No.1 app to explore your relationships and attachment style so you can become happy and free — backed by attachment science.

The Attached app helps make this process easier with:

  • Daily Quests for habit-building
  • Help Mode for tough emotional moments
  • AI Journal to find hidden emotional patterns
  • Weekly Coaching from Eden, your relationship guide

Download Attached for free and start working toward stronger emotional security.

What Attached members say



As a person who stumbled onto Attached, I didn't know what to expect. I worked with other apps, for meditation, journaling as well as having motivational quotes every day but nothing like Attached which put these features all into one easy to use app.
Attached is by far, one of the best apps making use of the advances in AI to make a customized approach to attending to ones emotional and mental needs. I'm glad I got to stumble upon Attached, and I'm sure anyone who reads will too.


Betoc

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Attached has been an incredibly valuable tool for me, not just for relationships, but for my overall well-being. [It's] led to a shift in my perspective towards a more realistic and optimistic outlook on life. The personalized meditations have helped me navigate moments of anxiety, and knowing there is an active community makes me feel less alone. Attached has been a very worthwhile investment for me. I'd highly recommend it to anyone looking to improve their mental health and relationships.

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This is the best app I have ever seen in my life I clicked thinking it was a scam or [something] you have to pay for a huge amount of money [...] it's so so so so so worth it, I've tried a lot of therapists and this is equal to the best therapist I'm seeing right now And plus it's just in your pocket, I swear to god I didn't expect this!

B7e

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It’s helped me process a lot of my emotions in a healthy manner. I’d say I’m in the best state of my life and it’s helped me identify a lot of key points. The AI is sincerely useful but more than that, the people are honest

Nile

⭐⭐⭐⭐⭐

I normally pay for a very expensive therapist. I was triggered and then spent the past hour talking to Eden. I was able to go deep. It’s an on demand therapist that would usually cost hundred of dollars an hour. Wow!

J

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I've really enjoyed using this app. It has been the most helpful therapy app of the few I've tried. The team behind it is always improving the experience and seems to really care about the program. It has been a great additional tool to use alongside my other traditional therapies

Craig

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Attached has been incredibly helpful in addressing my avoidant tendencies in my relationship. The app provides insightful guidance and practical advice that has made a real difference in how I navigate emotional challenges. Highly recommend it for anyone looking to improve their relationship dynamics.

Adrian

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This is a wonderful app, supported by a wonderful community. I'd highly recommend checking them out.

Phoenix

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Attached has been monumental in helping me understand why I have my behaviors. I love seeing my progress and I use the ‘Help’ mode to feel better daily. It’s SO helpful for my anxious attachment.

Zedd

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After years of painful anxious attachment, Attached provided a clear path forward to heal. I use the app daily, and feel the benefits from the mindfulness that Eden has armed me with. I’m calmer, more relaxed and present than ever!

Gabriel

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Attached made me realize that I not only feel anxious in my relationships, but also with family. I love the patterns feature in the journaling!

Ethan

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