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Psychoanalysis is different than psychotherapy. Psychoanalysis requires the patient (the person is called a patient because psychoanalysts are almost always doctors - psychiatrists) to be in session 4 to 5 times per week. Psychoanalysts often do not accept insurance; patients pay out of pocket. So you can only imagine the cost! Obviously only extremely wealthy people (the 1%) can afford psychoanalysis. And analysts are fairly hard to find. They usually practice in larger cities and very wealthy communities.
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