ABSTRACT

Compared to some goods and services, sexuality counseling is expensive because it is labor intensive. Given the present state of knowledge, treatment usually requires a number of hours by a trained professional. Although not every client pays a direct fee-for-service, the cost must be covered in some way. Naturally, fees have an influence on both the counselor and the client regardless of how direct or indirect the funding. Because of cycles in the political, economic, and social climates, the proportion of public, private, and charitable payment for services fluctuates, and the counselor needs to be aware of this very real factor.