But they’re different decisions. You working on health involves just you, plus there are benefits. Even if you never lose weight, you love swimming and it makes you happy.

But the therapist—my sense is that she has been your major, sometimes sole, source of love and support for a decade. That’s much harder to give up, and it doesn’t lead to quick benefits like swimming—you have to remake your life so that you get that love and support from elsewhere. And that’s more difficult to do and involves change and chaos, plus there is no guaranteed good result.