Also I have to add from experience that unlimited visits doesn't always mean what we think it means. Usually insurance companies when a patient needs more than one provider visit a week they want to kick the patient up to the next level of care. At least that has been my experience and thats the guidelines set by the Mental Health IPA my HMO uses even though I have "unlimited" visits. I also think T's are reluctant to do multiple visits per week because that limits the patient load they can carry. It's hard enough for me to get in weekly sometimes.