Therapy and counseling
$100-$250/session
Can You Write Off Therapy and Counseling?
Short answer: Yes, psychotherapy and counseling for a mental health condition are medical expenses.
Marriage counseling for general relationship issues usually is not. Medical costs are an itemized deduction only for the amount above 7.5% of your AGI, and only if your total itemized deductions beat the standard deduction ($16,100 single / $32,200 joint for 2026).
Records to keep: Keep receipts, statements (1098, 1098-T, 1099, W-2G), and a note of what each cost was for. Compare itemizing to the 2026 standard deduction before you claim.
Therapy and counseling
Typical range: $100-$250/session
Individuals / Personal Taxes
Yes, psychotherapy and counseling for a mental health condition are medical expenses.
Business justification
Yes, psychotherapy and counseling for a mental health condition are medical expenses. Marriage counseling for general relationship issues usually is not. Medical costs are an itemized deduction only for the amount above 7.5% of your AGI, and only if your total itemized deductions beat the standard deduction ($16,100 single / $32,200 joint for 2026).
Category
- Personal Tax Deductions