If you are paying out of pocket, then it doesn’t matter.

If you want insurance to cover it, then it’s a bit different. You want to ask your insurance.

My insurance reimburses medical visits and prescription anywhere in the world as long as doctor fills out quick form. I just went to UK at Christmas time and got sick, I went to random private doctor and paid out of pocket and my insurance in MI reimburses me upon return.

Pretty sure if it was mental health emergency like going to psychiatric hospital, it would cover it. But therapy isn’t the same thing. Unless maybe MD provides therapy?

I’d call insurance first
.