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Few subjects in therapy get less airtime than money, yet few carry as much emotional charge. This session covers the ethics behind what clinicians charge, how they set financial limits and how openly they discuss cost. Through conversation, cases and reflection, participants weigh how money touches trust, who can afford care, whether a practice stays viable and the working bond with the client. Topics include sliding scales, fees for late cancellations, no-show policies, insurance quandaries and pricing that respects both your professional worth and your clinical values. You finish with practical frameworks for speaking about money in a confident, ethical, kind and clear way that honors yourself too.

Upon completion of this training, participants will be able to

  • Identify ethical considerations related to fees, sliding scales, insurance limitations, and financial boundaries in clinical practice.
  • Demonstrate strategies for transparent and compassionate communication about financial policies, value, and therapist sustainability.
  • Apply ethical decision-making models to real-world financial dilemmas, including no-shows, fee increases, and client expectations around affordability.

Syllabus:

Introduction

Objective #1: Identify ethical considerations related to fees, sliding scales, insurance limitations, and financial boundaries in clinical practice.

  • Importance of therapist self-awareness
  • Examining countertransference beliefs
  • The nature of ethics

Objective #2: Demonstrate strategies for transparent and compassionate communication about financial policies, value, and therapist sustainability.

  • Transparency with clients
  • Examples of financial policies
  • Determining the value of therapy

Objective #3: Apply ethical decision-making models to real-world financial dilemmas, including no-shows, fee increases, and client expectations around affordability.

  • How to make ethical decisions
  • Examples of conversational scripts with clients
  • Managing client expectations

Summary/Q&A


Social workers completing this course receive 1.5 Ethics asynchronous continuing education credits.

For other board approvals, this course qualifies for 1.5 Ethics continuing education training.

Instructor: Dreya Blume, LCSW

Recording Date: April 27, 2026


CEUS On-Demand, LLC, provider #2274, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/7/2026 - 08/6/2027. Social workers completing this course receive 1.5hrs Ethics continuing education credits.  

CEUs On-Demand, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7091. Programs that do not qualify for NBCC credit are clearly identified. CEUs On-Demand, LLC is solely responsible for all aspects of the programs.

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Request for Special Accommodations: Learners can request special accommodations by contacting the administrative team at admin@ceus-ondemand.com


Course Instructor: Dreya Blume is a licensed clinical social worker, with her MSW from Radford University and an MA in anthropology from the University of Hawaii. Dreya has twenty years of experience working in mental health, from case management to intensive in-home services to leading groups for addicts in recovery. Dreya began a part-time counseling practice in 2004, and as a psychotherapist, her focus has been on serving the LGBTQ+ community. Dreya also has been a teacher for thirty years. Prior to her career in social work, she taught English in places such as Japan, Thailand, Australia, and Hawaii. Since 2010, Dreya has been an adjunct professor for Virginia Western Community College, preparing future social workers for the field. In her spare time, Dreya loves to write. She is the author of a number of books (published under her former name, Andy Matzner), including “Everyone Has a Story: Using the Hero’s Journey and Narrative Therapy to Reframe the Struggle of Mental Illness,” “The Tarot Activity Book: A Collection of Creative and Therapeutic Ideas for the Cards,” and “The Buddha Diet: A Guide to Creating a Positive Relationship with Food and Eating.”