How much does behavioral activation therapy cost?

The cost of behavioral activation (BA) therapy can vary widely depending on where you live, how you access it, and whether you’re working with a licensed therapist or using a self-guided approach.

These are the typical options and what you can expect cost-wise:

  1. Private therapy (one-on-one)

If you’re seeing a licensed therapist in private practice:

    • USA: $100–$250 per session.
    • UK: £50–£120 per session.
    • Europe (e.g., Belgium): €50–€100 per session.
    • Australia: AUD 100–$200 per session.

Most BA therapy programs last 8–20 sessions, so full treatment might cost $800 to $4,000+, depending on the duration and location.

Insurance may cover part or all of the cost if BA is provided by a licensed therapist under mental health coverage.

  1. Public or subsidized healthcare
    The sentence "health insurance" was made with Scrabble blocks on a table with pills around it.

In some countries (like Belgium, the UK, or Canada), BA may be offered:

    • For free or low cost through public health services.
    • With reimbursement through national health insurance.
    • As part of a broader therapy program (in hospitals, mental health centers, or outpatient clinics).

In Belgium, for example, therapy under the national health system can cost as little as €11 per session with a registered psychologist.

  1. Online therapy platforms

Many online platforms now offer BA as part of general depression treatment:

    • BetterHelp, Talkspace, or similar: $60–$120/week (subscription-based).
    • European platforms (Mindler, BloomUp): €50–€90 per session.
    • Some platforms have sliding scales or student discounts.

Ask if your therapist specializes in BA specifically, as not all do.

  1. Self-guided or budget options

BA is one of the few therapies that can also be effective in a self-help format if affordability is a concern.

That’s notably true for mild to moderate depression.

    • Books:
      A woman reading a book on a table outside.
      • “The Mindful Way Workbook” – ~$20.
      • “Behavioral Activation for Depression: A Clinician’s Guide” – ~$30.
      • “The Depression Cure” by Stephen Ilardi – ~$15 (not BA-only, but very relevant).
    • Free or low-cost online courses/tools:

Self-guided BA works best if you’re motivated and able to track behaviors consistently.

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