For US Residents

Retreat from the USA

World-class therapeutic care at a fraction of US behavioral health costs. When American healthcare pricing makes intensive treatment inaccessible, Thailand offers a real alternative.

Why Americans Choose Therapeutic Care Abroad

The cost of mental healthcare in the United States is a barrier for millions of people. Residential treatment centers charge USD 20,000–80,000 per month. Even outpatient therapy – at USD 150–300 per session – is unaffordable for many, especially at the frequency needed for trauma recovery.

At Silkworth, a fully inclusive month costs from approximately USD 2,800. This includes accommodation, all meals, multiple therapy sessions per week, EMDR, group work, mindfulness, and 24/7 support. Not a stripped-down programme – a comprehensive therapeutic experience at a price point that makes intensive care genuinely accessible.

A tranquil swimming pool surrounded by lush tropical plants and banana palms in a garden setting

US-Specific Information

Cost Comparison

US residential treatment: USD 20,000–80,000/month. US outpatient therapy: USD 150–300/session, typically once per week. Silkworth: from approximately USD 2,800/month all-inclusive with daily therapeutic support. The savings are not because the care is inferior – they reflect Thailand’s cost of living.

Flight Routes

Direct and one-stop flights from major US cities to Bangkok. From the West Coast: 15–17 hours. From the East Coast: 17–20 hours with one connection. Airlines include Thai Airways, ANA, Korean Air, and EVA Air.

Insurance & HSA

While Thai treatment is typically not covered by US health insurance, some guests use HSA/FSA funds for out-of-network mental health care abroad. We provide detailed invoices and clinical documentation that may support reimbursement claims.

Our admissions team can provide documentation to support your claim.

Medical Tourism Context

Thailand is the world’s leading medical tourism destination, with over 2.5 million medical tourists annually. JCI-accredited hospitals, Western-trained physicians, and a healthcare infrastructure built to serve international clients.

Learn more about our therapeutic approach.

Addressing American Concerns

We understand that choosing healthcare abroad is a significant decision for US residents.

  • Credential verification: Our therapists hold internationally recognised qualifications. We are transparent about every team member’s training and registration
  • Clinical documentation: We provide comprehensive clinical summaries for your US healthcare providers to ensure continuity of care
  • Emergency protocols: We maintain relationships with JCI-accredited hospitals and have clear emergency medical protocols
  • Communication: All care is delivered in English by native or fluent English speakers
  • Return planning: We help you establish ongoing care in the US before you leave, including therapist recommendations in your area

Explore our programmes: trauma recovery, PTSD treatment with EMDR, professional burnout recovery, and anxiety and depression support. View pricing in USD or begin your enquiry.

Ready to begin your journey?

Get in touch to discuss your needs and learn more about how we can support you.