Rainbow, my BCBS also has a 10 session pre-approval req. I hate it. But I also have PTSD and DID, so my T has not yet had a problem with that part - except when insurance didn't do things right and that messed up some stuff that we worked out. Anyway, so far things are still OK. I have only 5 sessions left before they make him re-app again. And T was thinking of going to 2 sessions per week again since I was feeling too SU this past 5 days and called him 3 times. Hope my experience helps put your mind at ease a bit.