I just take breaks - even a week or two. I have others to chat with so paying a therapist to chat holds no allure for me. If someone does not chat with others or if one just likes to chat, then chatting with a therapist may be useful as well. But for me, taking a week break or going to every other week for a month, can be very freeing. It is not a change set in stone and it gives time to regroup.