As of this writing many people still do not have health insurance. If you are in this situation and cannot pay therapists their full fees, then there are alternatives. A number of private therapists have sliding scales for their fees, meaning that they will charge less for patients who have less ability to pay. Even with a sliding scale, however, this may be fairly expensive. Yet in most areas you can find a community mental health center that will offer low-fee therapy with a sliding scale that is usually lower than that found with private therapists.