Just chiming in to add that I'm in a similar boat as Skies was - having to take 3 hours off work each therapy day. Greatly inconveniencing others. AND I'm one of the LUCKY ones I know whose boss doesn't just FIRE me. I used to burn vacation leave on therapy days and he actually started asking WHY I had to take a day off once every three weeks. And I only get the time off because I go to public mental healthcare in my country. And I'm lucky to only work 45 hours a week!

Many people I know who can't afford private practices with evening or weekend hours and who can't come to arrangements with their employers for time off to attend public mental healthcare simply do without therapy.