and possibly having a diagnosis tied to me. From the answers, I've concluded that in my specific situation, any help I need will have to be "off the record." Because that's my decision, this has made it hard to obtain care. How do I go about finding it anyway?
I'm located in the United States, and have the usual litany of Ask Metafilter issues: self-esteem, challenges with interpersonal relationships, maybe a dash of depression and anxiety. I don't believe I have any "major" issues (bipolar, schizophrenia, sexual or substance abuse, violence, etc.) I'm primarily looking for talk (rather than pharmaceutical) therapy, although it's plausible that what I really need is something like a life coach.
I actually have
(good, even) group health insurance, but the disincentives from the previous question
are so great that I'd really not rather make use of it. In a word, I'd rather go untreated than have a record of any of this.
Can I pay for therapy and counseling in cash, on some sort of sliding scale, as if I were uninsured? Use an assumed name? How do I make this as untraceable as possible, while still getting effective care?
I'm open to suggestions for informal counseling as well, although since I am a staunch atheist, religious figures and support groups associated with a religion aren't something I would consider.