It goes like this: I get a phone call from a potential client. We chat about therapy and their individual needs. We discuss appointment days and times. Then they ask if I take insurance. Instead of simply saying, “No, I don’t, I’m cash-pay only,” my first instinct is to say, “I am really sorry, I only take cash.”
Another scenario: I charge full-price to clients that fail to give a 24-hour notice of cancelling an appointment. This cancellation policy is clearly stated on my website, as well as in all intake paperwork signed by my clients. I also verbally state my policy to all clients in person when they fill out their credit card form (which I keep on file to charge no-shows). I’ve had to implement this policy on ocassion, and each time I found myself telling the client, “I’m sorry, but I have to charge you.”
Why, oh why, am I always compelled to say “I’m sorry?”
Studies have shown that women like to apologize. A lot. We do it in our personal and professional lives on a daily basis. In fact, in a 2010 study in Psychological Science, it states that women are more likely to see a need for an apologies in everyday situations, and suggests that men apologize less frequently than women because they have a higher threshold for what they consider offensive behavior.
So here’s the thing.
Nearly one-year into running my private practice, I am going to stop apologizing for my business policies. The truth is, I’m not sorry I don’t take insurance. I’m not sorry that I charge no-shows for my time. And I’m certainly not sorry that my latest policy is to charge for my intake upon making the appointment (no-shows at 8:00 a.m. on a Saturday morning or 8:00 p.m. at night – and I’ve had both – make me totally not sorry for this one).
I’m in a person-centered, helping profession, but at the end of the day, I have a business to run. My policies are sound and fair, and clearly spelled-out from the get-go. Apologizing makes me sound as if I did something wrong or am worried that I offended someone.
So I’m sorry – wait, not sorry, that I’m done apologizing. I’m proud of my business, and my practices, and for that, I’m not sorry.
Something to think about. Are there many clients willing to pay cash Jennifer
Rudy – My entire practice is cash-pay only, and I inform people about that upfront. My clinic is busy enough with cash-pay clients, so there are plenty in this area that will forego insurance benefits.