I do psychoanalysis (4 times per week) but I'm in Europe.

In my country there is a public healthcare system which generally does not cover psychotherapy. In case of mental health problems it would probably cover psychiatric services and perhaps some very limited amount of psychotherapy but there really needs to be a clinical indication. Thus, most of the psychotherapy is paid out of pocket and so do I for my sessions.

My T offers a sliding scale. He has a fixed fee on his web page for the initial consultation but for long term therapy he negotiates the session fee with every person separately. For those who go less frequently the session fee is higher. So I guess that someone who goes 2 times per week actually pays the same amount per month as I do going 4 times per week.

As for about how I can afford it then yes, I am generally quite well off at least for now compared to the average pay in my country. Monthly I pay about 1/3rd of my income for therapy and I can afford it, especially because my spouse is also earning quite well right now. We don't have huge savings and thus we are not bolstered against anything but I don't expect to be in therapy forever and at some point (I suppose in 4-5 years time) I will not have this cost anymore.