Reserved Capacity, Billed Monthly

Concierge therapy membership: a standing place in your clinician's week

A membership is a retainer, not a package. You are not buying sessions at a discount; you are paying for time that is held out of the schedule and offered to no one else, so the work continues through the months your calendar does not cooperate. Three tiers, billed monthly, private-pay throughout.

The short answer

A concierge therapy membership buys a standing weekly hour held with one clinician, rather than competing for whatever slot is open. CEREVITY runs it nationwide on a 100% private-pay basis with licensed clinicians, so the arrangement creates no insurance claim, no diagnosis code and no carrier record.

The question every member asks first

Why would I pay more than the per-session rate?

You would, and we are not going to pretend otherwise. A membership costs roughly eleven percent above list at the Standard and Signature tiers. Here is exactly what that premium buys, what it does not, and when booking one session at a time is the better arrangement.

  • You are buying capacity, not units

    The premium reserves an hour in your clinician's week and closes it to everyone else. Every retainer you have ever paid works this way: the value sits in the availability, not in the count. If lowest cost per session is the goal, book individually.

  • Unused time expires, and we tell you so

    Sessions do not roll into the next cycle; each month stands alone. Because that is a real cost to you, your coordinator reviews utilization mid-cycle and gets in touch if slots are going unused, either to book them or to move you down a tier.

  • A monthly charge, and nothing else

    Weekly work billed through insurance would generate a claim and a diagnosis code every week, accumulating for as long as the work continues. A private-pay membership produces a monthly charge to a card and no third-party record at all, however long you stay.

When a membership is the right instrument

Six situations where a held slot solves something that booking one at a time does not.

01

The calendar keeps winning

You mean to go weekly. Then a board meeting moves, then a trip lands, and six weeks have passed. The slot only survives if something is holding it open on your behalf.

02

Restarting costs you a session

Long gaps mean the first twenty minutes go to catching up rather than working. Continuity is not sentimental; it is the difference between a session that moves and a session that briefs.

03

Booking is its own friction

Requesting a time, waiting on availability, and negotiating around a full week is a small task you keep not doing. A recurring slot removes the decision entirely.

04

The work has more than one thread

Some seasons need two hours a week rather than one, not because things are worse but because there is genuinely more to work. A tier can hold that without renegotiating every month.

05

Depth needs a longer container

Trauma processing, an unwinding marriage, a decision that will not resolve in fifty minutes: work like that wants three-hour blocks placed around your month, not squeezed into a standard hour.

06

You want one clinician, not a rotation

The same person throughout, holding the thread between sessions and between blocks. No reassignment, no restating your history to someone new because the roster changed.

What a concierge therapy membership actually holds

Three tiers, one structure: reserved time with a named clinician, billed monthly, with the terms in writing before anything is charged.

Standard: one hour, every week, held

A standing 50-minute slot on the same day and time each week, with the same clinician throughout. One monthly charge to a card on file rather than a per-session invoice, and the full membership terms in writing before the first payment.

Any covered session can be extended when a week calls for it: 90 minutes for an additional 150 dollars, or a three-hour block for an additional 450. The slot stays yours whether or not you extend it.

Signature: twice a week, spaced on purpose

Two standing 50-minute slots each week, usually spread across the week rather than stacked back to back, so there is room between them for something to settle. The same clinician for both, so neither session restarts the context.

Signature adds a scheduled review of whether the cadence is still right. Two sessions a week is the correct answer for a season, not forever, and the review exists so nobody drifts into paying for a rhythm the work has outgrown.

Intensive: eighteen clinical hours a month

Six standing three-hour blocks, placed around the shape of your month rather than pinned to a fixed weekday. The same clinician throughout, holding the thread between blocks so each one opens where the last closed.

This is the deepest arrangement offered here. Standard 50-minute sessions taken outside the membership are billed separately at the usual rate, so the blocks stay the structure and anything extra is genuinely extra.

Membership or session by session: buy the right one

Most clients should book one session at a time. A membership earns its premium in one specific case: when a schedule keeps eating the appointment and the work keeps restarting because of it.

Concierge MembershipSession by Session
What you are buyingReserved capacity in a clinician's week, held in advanceIndividual appointments, subject to what is open
What it costsAbout eleven percent above list at Standard and SignatureList rate, and nothing more
Getting on the calendarAlready there; the slot recurs without being requestedRequested each time, against whatever remains open
Unused timeDoes not roll over; each cycle stands aloneYou pay only for what you book
Right forContinuous work on a calendar that keeps winningEpisodic needs, or a schedule you can actually predict

Start with a licensed clinician →

Concierge by design: you never browse a directory

You describe the cadence the work needs. We hold the time before anything is charged.

Confidential intakeOne coordinator handles enrollment, tier changes, and utilization, so there is no self-service toggle on something this consequential.
Matched to a specialistYour slot is matched to a clinician who will hold it for the duration, not to whoever had an opening the week you enrolled.
Matched the same daySessions run seven days a week, early morning through late evening, and a standing slot can move within its week when the week demands it.
Measured progressValidated instruments at intake and on an ongoing basis, plus a mid-cycle utilization check, so the arrangement is reviewed on evidence rather than assumed.

Where we practice: nationwide. Coverage is nationwide: our psychologists hold PsyPact authority across the participating states and individually licensed clinicians cover the rest, matched to where you are physically located during each session. Tell your coordinator about extended travel in advance and we will confirm what is possible before you go.

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Why a held slot is worth holding

19.7%

was the weighted dropout rate across 669 studies representing 83,834 psychotherapy clients, as reported in a meta-analysis of premature discontinuation.

Source: Swift & Greenberg, Journal of Consulting and Clinical Psychology
21,488

counseling clients were studied in a naturalistic setting; researchers report that those seen weekly improved more quickly than those seen every other week.

Source: Society for the Advancement of Psychotherapy, on Erekson, Lambert & Eggett
12

randomised trials comparing psychotherapy delivered by telehealth with the same therapy face to face found no significant differences after treatment or at follow-up.

Source: JMIR Mental Health, systematic review and meta-analysis

Choose your depth

A membership is built out of the same three session lengths sold individually. Standard and Signature hold the 50-minute hour and let you extend it; Intensive is built from three-hour blocks.

Treated by clinicians, reviewed by clinicians

Every CEREVITY clinician is independently licensed and works with members as core caseload, not a curiosity. This page is clinically reviewed by Martha Fernandez, LCSW, Licensed Clinical Psychologist.

  • PhD & PsyD psychologists with PsyPact mobility authority
  • LCSW / LMFT / LPCC clinicians, multi-state licensed
  • Evidence-based care: CBT, ACT, psychodynamic & somatic approaches
  • HIPAA-secure telehealth; records stay between you and your clinician

One standing hour, one story

I had done therapy twice before and quit both times, and neither time was because it stopped helping. It was because a quarter got busy and rebooking became one more thing on a list. What changed with the membership was that the hour stopped being a decision. It was simply Tuesday. Fourteen months later I have missed four of them, and I know that number because someone actually keeps track.

Managing partner, professional services, 14 months with CEREVITY

Shared with permission by a former client; identifying details altered to protect confidentiality. Individual experiences vary.

The work does not fail because the hour stops helping. It fails because the hour stops happening.

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Questions clients ask before enrolling in a therapy membership

Is a membership cheaper than paying per session?
No. It costs more, by roughly eleven percent at the Standard and Signature tiers. What the premium buys is reserved capacity: an hour held in your clinician's week and closed to other clients. If your goal is the lowest possible cost per session, booking one at a time is the better arrangement, and we will say so.
What happens to sessions I do not use?
They expire at the end of the billing cycle and do not carry into the next one. Each month stands on its own. Because that is a real cost to you, your coordinator reviews utilization mid-cycle and reaches out if sessions are going unused, either to get them booked or to discuss moving you to a smaller tier.
What if I travel, or a month gets away from me entirely?
Sessions can move within the week, and session hours run seven days a week from early morning to late evening, which covers most disruptions. Client support is available early morning to late evening if you need to reach your coordinator. Travel raises a second question, because licensure follows wherever you are physically located during the session, so tell your coordinator about extended trips in advance and we will confirm what is possible. If your months are routinely unpredictable, that is a reasonable argument against a membership.
How do I change tiers or end a membership?
By contacting your coordinator, who handles it directly; there is no self-service toggle, which is deliberate for something this consequential. The minimum term is set out in your membership terms in writing before any payment is taken. Moving between tiers is straightforward, and downgrading is a conversation we would rather have than watch a member overpay.
What does a membership cost?
Current membership and per-session figures are listed on our pricing page, alongside what each tier includes. CEREVITY is 100% private-pay: we do not bill insurance and we do not provide superbills, so no claim is ever filed and nothing about the arrangement enters an insurance database.
Why does private-pay matter more on a membership than on a one-off session?
Because of the cadence. A weekly arrangement billed through insurance would generate a diagnosis code and a claim every single week, and that accumulates into a long, dated history in carrier records that can surface in life-insurance underwriting or legal proceedings. A private-pay membership generates one monthly charge and no code, no claim, and no third-party file, no matter how many years it runs.
Clinically reviewed by Martha Fernandez, LCSW, Licensed Clinical Psychologist · Last reviewed July 2026

The hour only exists if something holds it.

One conversation sets the tier and the clinician, and the terms are in writing before anything is charged. Most members are in their first standing session the same day.

Seven days a week, early morning to late evening · Current session and support hours are on the contact page, shown in your time zone