Fortunately I have insurance so I'm not paying full price out of pocket, but yes, it is still expensive. But I have never considered it self-indulgent. I have a mental illness that requires consistent treatment and monitoring. If this was a chronic physical illness I wouldn't question needing care, so I don't see how this is any different. What is helpful for me is that my insurance treats this as any medical illness. The co-pays and access is exactly the same. I find that refreshing and validating that mental illness is not seen as some forbidden diagnosis or treated any differently.