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16. March 2026

Criticism of planned cuts to fees for outpatient psychotherapy

Jana Schmöller, head of the social services department in the state capital of Mainz, is clearly critical of the announced cuts in fees for outpatient psychotherapy services.

“Especially at a time when mental health issues are on the rise and many people are already waiting months for a therapy spot, cutting fees sends the completely wrong message,” explains Jana Schmöller, head of the Social Affairs Department. She notes that outpatient psychotherapy is a central pillar of healthcare and an indispensable component in preventing severe cases of illness.

In Mainz, as across the country, patients report long wait times for therapy appointments. A deterioration in financial conditions could lead to fewer treatment options being available or put practices under economic pressure. “Instead of cuts, we need to strengthen outpatient care structures,” says Schmöller.

Psychotherapeutic treatment enables many people to cope with crises, re-engage in social life, and avoid long-term health-related costs. Restrictions on this care particularly affect vulnerable groups, including young people, those in stressful life situations, and individuals with limited access to other support services.

The state capital of Mainz is therefore viewing current developments with concern. “Cutting costs in outpatient psychotherapy is cutting in the wrong place,” Schmöller emphasizes. A sustainable health policy must recognize the growing need and improve—not worsen—the working conditions for therapists.

The Social Affairs Commissioner is therefore calling on the relevant stakeholders in the healthcare sector to reconsider the planned cuts and to work together to develop solutions that ensure reliable and comprehensive psychotherapeutic care.

Explanations and notes

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