Asked in an initial interview if she could pay for her therapy out of pocket and dial down the frequency to say, once a month, Horton said she could do this “in the same way that I could skip lunch, or that I could walk to work instead of drive a car”—the point being this was not a reasonable option.

Disgusting. Leaving aside many, many glaring problems with what the system described herein is trying to do, at its core, therapy is not a one-size-fits-all thing, e.g. once a month for 6 months and you’re solved. If only it were so simple.

Anecdote: many years ago I went to Kaiser Permanente in a very densely populated area. You got individual therapy once every three months or longer. In between, they offered group therapy classes on your particular ailments (bipolar meets Tuesdays at 7pm, obsessive-compulsives Wednesdays at 6, etc.). I was perpetually stuck for 90 minutes hoping the first 6-8 people didn’t suck up all the time again, or just give crap advice. Alternative solutions to monthly/weekly individual therapy are a special hell.