We do not work directly with managed care companies for several reasons. First, insurance companies put profound restrictions on the number of sessions they will cover and how much they will reimburse. Many will only “authorize” a few sessions at a time. This type of practice is disruptive to continuity in therapy. Secondly, insurance companies often require reports and treatment plans from therapists on their panels. Confidential and personal information processed by insurance companies is stored in a database and can jeopardize client confidentiality. Thirdly, managed care companies hire case managers to oversee the mental health providers on their panels. In this case, a third party may dictate treatment decisions. We believe that treatment planning and procedures should be agreed upon mutually between the therapist and client.