I happen to have Skype sessions with my T because he lives an hour away but I've stuck with him because I like him better than any therapists I've tried locally. I'm most likely starting a full-time, 9-5 job next week and he's agreed to have a session with me after hours, at 6 p.m. I think it helps that my mom and his wife used to work together. I don't know how often he skypes with other patients after hours. At any rate, I'm really grateful he's willing to work with me like this.