What Therapy Costs in Different Countries: Global Comparison (2026)

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therapy costs by country

Are you curious how much it costs to get therapy in the U.S. versus Europe … or Kenya versus Japan? You're not alone. Mental health support is one of the most important investments we make in ourselves — but the price tag varies wildly across the world. In this article, we’ll break down therapy costs by country and region, explain why prices differ, and show how to find options that fit your budget whether you’re a local resident or expat.

 Why Therapy Costs Vary Around the World

Before comparing numbers, it helps to understand why therapy prices aren’t uniform globally:

 Healthcare Systems Differ

Countries with strong public health systems often provide therapy for free or at a subsidized cost — but wait times can be long. Others rely heavily on private practice, where prices are market-driven.

 Cost of Living

Therapists in affluent countries or major cities generally charge more because of higher rent, utilities, and training costs.

 Insurance and Coverage

Some national systems or private health insurance plans cover part or all of therapy. In other places, you often pay out of pocket.

 Mode of Delivery

Online therapy can sometimes be cheaper than in-person sessions, especially if delivered by a provider based in a lower-cost area.

Now let’s break down therapy costs by region and specific countries for 2026. These figures are estimates based on available data and provider lists — but they give a solid comparative snapshot. (Quality Care Global)

 United States — One of the Highest in the World

Therapy in the U.S. stands among the most expensive globally:

Why so high? The U.S. largely relies on private practice, costs of professional training are high, and insurance coverage varies significantly across plans.

Canada — Moderate to High Costs

Therapy costs in Canada also tend toward the upper-mid range:

  • Typical session: CAD $75–$200 (~USD $55–$145) depending on province and therapist. (Psychology Today)

 Public coverage may include some therapy in community health centers, but many people still opt for private sessions to avoid waitlists or get specific therapists. Supplemental insurance often covers some of the cost. (Psychology Today)

 United Kingdom — NHS vs Private

The UK is a special case because of its NHS public health system:

 Private fees have been rising sharply: one 2025 survey reported the average 12-session cost at £1,550 (~£129 per session), with heavier demand squeezing supply. (The Guardian)

 Europe — Wide Pricing Differences

Europe’s therapy prices vary greatly depending on the country’s healthcare system and economy. Here’s a snapshot:

 Western & Northern Europe (Higher Costs)

 Central & Eastern Europe (Lower Costs)

France

  •  Public insurance may fully cover up to 12 sessions under national schemes. (My Expat Mind)

  •  Private sessions: ~€50–€80, rising to €70–€110 in big cities. (My Expat Mind)

 Spain

Portugal

Public coverage and reimbursement systems matter hugely here — sometimes the same therapy costs €0 if funded or reimbursed by national insurance. (My Expat Mind)

 Asia & Middle East — Diverse Economies, Diverse Prices

Therapy pricing across Asia isn’t as widely documented, but existing data and community reports show:

  • Japan: Community discussions suggest private session fees can be quite high relative to other Asian markets (often several thousand yen per session). (Reddit)

  • South Korea: Prices are reported as high relative to average incomes, though national insurance may not fully cover mental health. (Reddit)

Public systems vary: in some places you’ll find subsidized or university-linked clinics, while in others private practice is the only option.

Kenya — Growing Access & Variable Rates

In Kenya, therapy costs are generally lower than in Western markets — though still meaningful for many people:

  • 📍 Typical price range: ~KES 2,000–KES 10,000 per session (~USD $15–$75). 

  • In urban centers like Nairobi, most private sessions fall between ~USD $22–$52). 

  • Community clinics or trainees may charge as little as ~USD $7–$18.

African public hospitals and university programs may offer subsidized therapy, and online therapy gives flexible and sometimes cheaper options. 

 Other Regions & Global Trends

 Global Average

According to one study on couples counselling, global average cost per session was estimated at about $112.35 USD, with a range from ~$32 to $250. (Couples App)

 High vs Low Cost Countries

  • Highest: Switzerland, USA, Australia often charge at the top end of international pricing. (Quality Care Global)

  • Lower-cost regions: Eastern Europe, parts of Latin America, and select private online therapists offer more affordable rates. (My Expat Mind)

 How to Make Therapy More Affordable

Even in countries with high prices, there are ways to reduce costs:

 1. Sliding Scale Fees

Many therapists offer sliding scale rates based on income — sometimes lowering costs by 50% or more. (Verywell Mind)

 2. Insurance & Employee Benefits

Check whether your insurance plan or employer covers mental health services.

 3. Online Therapy

Platforms and individual teletherapy can be more affordable than in-person visits.

 4. Community & University Clinics

These can offer quality support at much lower rates.

 5. Public Health Services

Always explore public or nonprofit mental health resources available where you live.

 Choosing the Right Therapy for You

Cost is only one part of the equation. The quality of fit with your therapist, the style of therapy (CBT, psychodynamic, trauma-informed, etc.), and your therapeutic goals matter just as much if you want real, lasting progress.

If you’re just starting, consider:

  •  What type of therapy resonates with you?

  •  Do you prefer online or in-person?

  •  What’s your budget, insurance situation, and how frequently do you want to attend?

Taking time upfront to answer these can save money and time in the long run.

Investing in Your Well-Being

No matter where you live, therapy is an investment in yourself — not an expense. Mental health support empowers you to navigate life’s challenges with clarity, resilience, and strength. 🌱

If the cost feels intimidating, remember: there are accessible options, community resources, public programs, and online platforms that make support more attainable than ever before.

 Start Your Journey Today

Taking that first step toward support can be transformative. If cost is holding you back, start by:

 Researching Sliding Scale & Low-Cost Providers

Search local community clinics, nonprofit centers, or university counseling programs in your area.

 Explore Online Therapy Platforms

Many offer subscription models or discounted rates — and some even provide financial aid.

 Reach Out for a Free or Low-Cost Consultation

Many therapists offer a free 10-minute consultation — use it to ask about costs, sliding scales, and payment options.

Your mental health matters — and help shouldn’t be out of reach.
Every journey begins with one step: begin yours today. ❤️

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