Why This Practice Exists Outside the System
Insurance-based therapy is a bureaucratic machine designed to minimize cost, not maximize outcomes. It caps session frequency, dictates treatment modalities, and requires clinicians to reduce your complexity to a billing code.
This practice operates entirely outside that machine. No insurance panels. No managed care. No third-party access to your records. What happens in session stays between you and Dr. Fitch — protected by the full weight of clinical privilege and professional ethics.
The $350 flat rate is not a premium markup. It is the cost of removing every institutional barrier between you and the highest tier of behavioral science available.
Clinical Services
Individual Psychotherapy
$350 · Per session · 50 minutes
One-on-one clinical sessions via secure telehealth. Evidence-based treatment drawing from CPT, DBT, CBT, ACT, and Liberation Psychology — calibrated to your specific presentation, not a generic protocol. Sessions are conducted entirely in English and available across time zones.
Black and LGBTQ+ executives, creatives, and leaders navigating the compounded psychological burden of high achievement in systems not built for them.
Intensive Consultation
$525 · Per session · 90 min
For clients requiring accelerated progress for high-stakes career transitions, acute identity concerns, pre-launch psychological preparation, reputational crises, etc., intensive sessions compress months of standard therapeutic work into focused, high-output engagements.
Clients facing immediate, high-consequence decisions who need clinical support at the speed of their lives.
The Systemic Tax
The Systemic Tax is the compounded psychological burden carried by Black and LGBTQ+ executives — the invisible labor of code-switching, hypervigilance, identity concealment, and institutional gaslighting that accumulates across a career. It is not a metaphor. It is a measurable, clinically documented phenomenon with real physiological and psychological consequences. This practice was built to address it directly.
The Investment
No insurance accepted
This practice does not bill insurance. Payment is made directly, session by session. A superbill can be provided upon request for potential out-of-network reimbursement.
No sliding scale
The flat rate reflects the caliber of clinical expertise and the operational infrastructure of a fully private, cross-border practice. It is not negotiable.
By referral only
New clients are accepted by referral or through the direct intake process. This is not a high-volume practice. Caseload is intentionally limited to ensure the depth of attention each client deserves.
Cancellation policy
24-hour notice required for cancellations. Late cancellations and no-shows are billed at the full session rate. Your time is protected. So is Dr. Fitch's.
Neutral billing identity
All billing, invoicing, and payment processing are executed under a neutral corporate consulting name. Your financial documentation — bank statements, credit card records, expense reports — will never reference mental health services, clinical psychology, or any demographic identifier. Your financial trail is as protected as your clinical record.
A note on access
Systemic and institutional economic injustices heavily restrict access to elite psychological care for Black and Queer communities. While this 1-on-1 clinical calendar is structured as an unnegotiable premium resource, Dr. Fitch is fundamentally committed to ensuring advanced behavioral science is not locked behind a wealth gap. If the premium private retainer is outside your current financial bandwidth, you are invited to utilize the self-contained clinical tools from the Courageously You Psychological Liberation Program — a structured digital ecosystem translating gold-standard CBT and Liberation protocols into an actionable playbook for personal sovereignty. Free resources and the 4-week program workbook are available at CourageouslyYouProgram.com.
The Process
01
Apply for Direct Intake
Submit a brief, confidential inquiry through the contact form. No lengthy questionnaires. No public waitlists.
02
Private Consultation
Dr. Fitch reviews your inquiry personally. If there is a clinical fit, you will be contacted directly to schedule a brief consultation call.
03
Begin
Sessions are scheduled at a cadence that serves your life — weekly, biweekly, or intensive. All sessions are conducted via secure telehealth.
Stop Paying the Emotional Tax Alone.
The intake process is private, direct, and begins with you.