The costs for couples therapy are not generally covered by private or statutory health insurance. Health insurance companies only cover therapy costs for individuals who are being treated for a diagnosed mental illness. If a patient’s condition is putting a significant strain on their relationship, joint sessions with the patient’s partner may be helpful. These may be covered by the patient’s health insurance as part of their individual treatment.Couples therapy is exempt from VAT if it has been identified as preventative or curative psychotherapy treatment. You can deduct therapy costs from your taxes as an exceptional expense. My services are aimed exclusively at self-financing customers.