Insurance covers 2x per week for me. I do suspect they'd be reluctant to pay for more than that, which is frustrating since I'm beginning to think that 3x per week might be helpful, but it is what it is and I definitely feel fortunate to have found a therapist who even works with insurance to begin with. With 3x or 4x weekly psychoanalysis, my understanding is that therapists often lower their rates in order to make that frequency possible, though it could still be expensive regardless.

As for time, motivation, and concentration--my work schedule is flexible enough that carving out two time slots is manageable, and therapy feels important enough that I make it a high priority in terms of both mental energy and scheduling. There are ways that 2x per week feels easier than 1x, and ways that it feels harder, and so I suspect the same is true of more frequent sessions.