This is a really good question and one that I have been thinking a lot about. I see my T twice a week and have been for the last 6 months. It really has been helping but my insurance only covers 10 sessions so obviously that doesn't last long. I know that my T said that when my insurance ran out that if I was having trouble financially, we could talk about a sliding scale and even not charge me until my insurance kicked in again. He said that if I was willing to make the committment to therapy and to him then he was willing to make the committment to me and not the money. I have been paying out of my pocket for most of the sessions (which is putting me financially further and further backwards) but I am so scared to say anything to him for fear that he will be upset or cut my sessions to once per week and given the nature of the topic that I am working on, I don't see once a week being enough. I have no other support in my life besides my T. Anyway, I kind of feel stuck between a rock and a hard place. If I do ask him to reduce his fee then that is not really fair because he is a professional that needs to survive and make a living too...how can I expect him to keep seeing me for so little but then on the other hand, how can I keep going at this rate while all my other financial obligations are getting put to the wayside so that I can continue with therapy? Anyway, thanks for letting me vent this out.