Peaches, if you tell your T about the hospital billing problem, perhaps she can agree to bill your insurance herself instead of having the hospital do it. That way, you can continue to pay just $40. If it is too much effort for her to do the billing, perhaps you could offer to make up the bill for her yourself and then give it to her for approval before it is mailed. You could also have her do the bill only once a month or every other month to save the the number of times she has to do it. Just some ideas....

I have gone from weekly therapy to once every 2-3 weeks. This was not working well for me because we just couldn't get into serious work efficiently at this frequency of session. We lost too much continuity and had to spend time reconnecting each time and then there wasn't enough time for the work. So T suggested we meet for an hour and a half (actually 80 minutes) every two weeks instead of 50 minutes. So far we've had 3 of these longer sessions, and they have been great. I feel like the problem is solved. The longer sessions cost more, but it is still cheaper than going every week.