Does therapy count as a medical expense on taxes?

Asked by: Dr. Crawford Quitzon  |  Last update: October 24, 2025
Score: 4.1/5 (13 votes)

(added March 17, 2023) A7: Yes, if the therapy is treatment for a disease. For example, an amount paid for therapy to treat a diagnosed mental illness is a medical expense, but an amount paid for marital counseling is not.

What qualifies as medical expenses for taxes?

Medical expenses are the costs of diagnosis, cure, mitigation, treatment, or prevention of disease, and for the purpose of affecting any part or function of the body. These expenses include payments for legal medical services rendered by physicians, surgeons, dentists, and other medical practitioners.

Does therapy count towards deductible?

Since your therapist will not bill your insurance, these payments will not go towards your deductible for the year, but they can make therapy services more affordable.

Is mental health tax deductible?

The IRS allows you to deduct unreimbursed expenses for preventative care, treatment, surgeries, and dental and vision care as qualifying medical expenses. You can also deduct unreimbursed expenses for visits to psychologists and psychiatrists.

Is counseling considered medical?

Generally, therapy or counseling will qualify as a qualified medical expense if it is deemed medically necessary by a licensed healthcare provider.

CPA EXPLAINS How To Deduct ALL Medical Expenses 🏥 From Taxes

17 related questions found

Can you write therapy off on your taxes?

(added March 17, 2023) A7: Yes, if the therapy is treatment for a disease. For example, an amount paid for therapy to treat a diagnosed mental illness is a medical expense, but an amount paid for marital counseling is not.

What category does therapy fall under?

Unlike medical practitioners like NPs or MDs, therapists do not prescribe medications. This kind of care falls under the heading of “psychology,” which focuses on behavior and the mind.

What proof do I need to deduct medical expenses?

You should also keep a statement or itemized invoice showing:
  • What medical care was received.
  • Who received the care.
  • The nature and purpose of any medical expenses.
  • The amount of the other medical expenses.

Is a gym membership tax deductible?

The IRS typically does not allow taxpayers to deduct gym memberships or other costs associated with general health and wellness. The main reason is that these expenses are considered personal, even if they contribute indirectly to improved work performance, stress reduction, or overall well-being.

Is seeing a psychologist tax deductible?

Deductible medical expenses may include but aren't limited to the following: Amounts paid of fees to doctors, dentists, surgeons, chiropractors, psychiatrists, psychologists, and nontraditional medical practitioners.

What doesn't count towards medical deductible?

Copays and coinsurance don't count toward your deductible. Only the amount you pay for health care services (like the medical bill you receive) count toward your plan's deductible.

Is therapy covered by a high deductible health plan?

With a deductible plan, the out-of-pocket price per session is determined by your insurance company. Once you've reached your deductible amount, your insurance company will start contributing to your therapy costs. Your plan determines the set amount or percentage they cover.

How to quickly meet your medical deductible?

Consider these ways to meet your deductible before the end of the year.
  1. Order a 90-day supply of your prescription medicine. ...
  2. See an out-of-network doctor. ...
  3. Pursue alternative treatment. ...
  4. Get your eyes examined.

What are not qualified medical expenses?

Other examples of nondeductible medical expenses are nonprescription drugs, doctor prescribed travel for "rest," and expenses for the improvement of your general health such as a weight loss program or health club fees (the weight loss program is deductible if it is to treat a specific disease).

What can I write off on my taxes?

If you itemize, you can deduct these expenses:
  • Bad debts.
  • Canceled debt on home.
  • Capital losses.
  • Donations to charity.
  • Gains from sale of your home.
  • Gambling losses.
  • Home mortgage interest.
  • Income, sales, real estate and personal property taxes.

How much does the IRS allow for medical expenses?

Medical Expense Deduction

On Form 1040, medical and dental expenses are deducted on Schedule A, Itemized Deductions. You can deduct only the amount of your medical and dental expenses that is more than 7.5 percent of your adjusted gross income shown on Form 1040, line 38.

Are massages tax-deductible?

Massages may be tax deductible if prescribed as a treatment for musculoskeletal disorders such as tendonitis, arthritis, carpal tunnel syndrome, or fibromyalgia. If a licensed medical practitioner prescribes massage therapy to address musculoskeletal issues, it can be tax-deductible as a medical expense.

Can I write off a Rolex?

Despite popular belief and advice from some tax professionals and influencers, the IRS and tax courts generally do not allow deductions for Rolexes.

What membership fees are tax-deductible?

Dues you pay to professional, business, and civic organizations are deductible business expenses, as long as the organization's main purpose is not to provide entertainment facilities to members.

Is it worth claiming medical expenses on taxes?

The medical expense deduction covers a wide variety of expenses. However, because of the high Standard Deduction and the 7.5% of AGI threshold requirement, it can be difficult to benefit unless you have a lot of out-of-pocket costs.

Is hormone therapy tax deductible?

IS TRANSITION RELATED MEDICAL CARE TAX-DEDUCTIBLE? Yes. On November 21, 2011, the Internal Revenue Service (IRS) affirmed that transgender people can deduct the costs of hormone therapy and sex reassignment surgery from their gross income as medical expenses for the treatment of gender identity disorder (GID).

How much medical expenses can I claim without receipts?

Share: If you're itemizing deductions, the IRS generally allows you a medical expenses deduction if you have unreimbursed expenses that are more than 7.5% of your Adjusted Gross Income.

Does therapy count as medical?

An amount paid for therapy to treat a diagnosed mental illness is a medical expense, but an amount paid for marital counseling is not. Except for the cost of insulin, the cost of a drug that isn't prescribed by a physician is not a medical expense that is deductible under Code Section 213.

What field does therapy fall under?

If you're intent on becoming a therapist, then you should major in psychology or a related field. Gaining a foundational degree that exposes you to principles and practices of psychology will help prepare you for graduate school, and ultimately, a career as a licensed therapist.

Is therapy considered mental health?

Psychotherapy and medication are the most common forms of mental health treatment. NIMH has information on mental health medications. In general, the goals of psychotherapy are to gain relief from symptoms, maintain or enhance daily functioning, and improve quality of life.