Ethics for Social Workers: How to Handle Fee Conflicts

Instructor:  Kylie Dennis, PhD, LCSW

This class has sold out.  Thank you.



kylie Saturday, August 11, 2018

Time:  9:00 a.m. – noon

Location: Institute Classroom A 8820 Ladue Rd., 3rd Floor, St. Louis, MO 63124

Fee: $50

Class participants must be Licensed Clinical Social Workers.   This course, when completed in its entirety, fulfills the Missouri LCSW licensure renewal ethics requirement

Credit hours: 3.0 Classroom Credit Hours awarded when class is completed in its entirety

Certificates awarded upon completion of on-line post-class survey

Money is essential in Western culture for most people’s survival. Therefore, it is charged with emotion and meaning and is often the focus of conflict in relationships. In the therapeutic relationship, payment of the fee is an essential part of the frame. Both the patient and the therapist bring their conscious and unconscious feelings, meanings, and experiences related to money into the therapeutic process.

Psychoanalytic theory has much to offer when it comes to understanding the nuances of fee payment in psychotherapy. In this course, we will draw upon theory to assist with the challenges related to handling conflicts that may arise.


Licensed Clinical Social Workers who attend this course will be able to:

  1. Identify potential conflicts related to fee-setting and collection.
  2. List social work ethics related to fees in psychotherapy.
  3. Describe psychodynamic aspects of fee conflicts, including frame-setting, transference, countertransference, and the role of the unconscious.
  4. Explain social pressures related to payment for psychotherapy, including third party payment and special challenges related to oppressed populations.
  5. Apply psychodynamic and practical techniques for ethical conflict resolution.


Please take this short self-test before you attend the class:

Fees and Money in Psychotherapy & Counseling: Therapists’ Self-Assessment Regarding Their General Attitude Towards Money, By Ofer Zur, Ph.D. (used by permission)


Myers, K. (2008). Show Me the Money: (the “Problem” of) the Therapist’s Desire, Subjectivity, and Relationship to the Fee. Contemporary Psychoanalysis, 44:118-140.

Shields, J.D. (1996). Hostage of the Fee: Meanings of Money, Countertransference, and the Beginning Therapist. Psychoanalytic Psychotherapy, 10:233-250.

About Kylie Dennis, PhD, LCSW – I am a psychotherapist specializing full-time in the treatment of eating disorders in Saint Louis, Missouri. My private practice is a warm, supportive, personal alternative to large treatment centers. My approach is to start with a careful evaluation and to respect that struggling with an eating disorder is an individual’s attempt to cope. Together, we explore the meaning of the symptoms and work on finding healthier, more effective ways of handling stress, emotional pain, and relationship problems. Treatment options include individual, family, and group therapy. For professionals, I offer consultation and training. For the public, I offer workshops and public speaking tailored to the needs of your organization. I am committed to the Health at Every Size philosophy, and to promoting the equality of all human beings.


 Click HERE for Continuing Education Credit details.