Is therapy considered a medical expense?

Asked by: Aiden Homenick  |  Last update: June 12, 2025
Score: 4.7/5 (71 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.

Is therapy deductible as a medical expense?

Medical expenses– including doctor and dentist appointments, prescriptions, eyeglasses, lab fees, therapy, mileage to and from appointments and more– can be deducted if you keep track of all your expenses and make an itemized list.

What is considered a medical expense?

Medical expenses are any costs incurred in the prevention or treatment of injury or disease. Medical expenses include health and dental insurance premiums, doctor and hospital visits, co-pays, prescription and over-the-counter drugs, glasses and contacts, crutches, and wheelchairs, to name a few.

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.

Is therapy a qualified medical expense for HSA?

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The good news is mental health therapy, including virtual appointments, is an HSA eligible expense. You can use your HSA to directly pay for your sessions or you can pay out of pocket and reimburse yourself to get your tax savings later.

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Can I use HSA for gym membership?

Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.

What does the IRS consider qualified medical expenses?

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.

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 counseling considered a medical expense for child support?

Healthcare and Medical Expenses

Child support often includes provisions for medical and healthcare-related expenses, including: health insurance premiums, medical and dental care, and therapy and counseling.

What is not considered a qualified medical expense?

Medical care expenses must be primarily to alleviate or prevent a physical or mental disability or illness. They don't include expenses that are merely beneficial to general health, such as vitamins or a vacation.

What is considered out of pocket medical expenses?

Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.

Is gym membership tax-deductible?

Usually, no—a gym membership is considered a personal expense and doesn't qualify as a business deduction. For example: If you're a plumber or chef, a gym membership isn't necessary to perform your job, so it wouldn't be tax-deductible.

Do I have to pay deductible for therapy?

Most mental health plans have either a copay or a deductible. If you have a copay plan, this means you pay a set amount each time you have an appointment. For example, if your plan's copay is $40, you will pay $40 per session, and your insurance will cover the remainder of your balance.

Is rehab a deductible medical expense?

IRS reports that you may deduct medical expenses from your taxable income. Rehab for drug addiction or alcoholism is defined as a medical expense.

Is car insurance tax deductible?

If you only use your car for personal use, then you likely can't deduct your car insurance premiums from your taxable income. Generally, you need to use your vehicle for business-related reasons (other than as an employee) to deduct part of your car insurance premiums as a business expense.

Is therapy a tax deduction?

Ordinary individuals can file for tax deductions on therapies, provided they are part of a doctor-prescribed regimen. For example, seeking therapy for a physician-diagnosed mental illness qualifies for a tax deduction. Marital counseling doesn't; the same is true with nutritional counseling for obesity.

What things qualify for itemized deductions?

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.

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 therapy considered medical care?

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.

Why is mental health not covered by insurance?

The parity law does not require insurers to provide mental health benefits—rather, the law states that if mental health benefits are offered, they can't have more restrictive requirements than those that apply to physical health benefits.

What cannot be claimed as a medical expense?

Examples of Medical and Dental Payments you CANNOT deduct:

Health club dues, gym membership fees, or spa dues. Electrolysis or hair removal. The cost of diet food or nutritional supplements (vitamins, herbal supplements, "natural medicines") Teeth whitening.

Is psychotherapy a qualified medical expense?

Mental health services that may qualify for tax deductions include therapy sessions, psychiatric care, medication management, inpatient treatment, and substance abuse treatment. However, expenses related to general health and wellness, such as gym memberships or nutritional supplements, are typically not deductible.

Is a gym membership a qualified medical expense?

Gym membership costs are qualified medical expenses only if the gym is for the sole purpose of: 1) affecting a structure or function of the body, such as part of a prescribed plan for physical therapy to treat an injury or 2) treating a specific disease diagnosed by a physician such as obesity, hypertension or heart ...