It’s seldom covered in any decent capacity by most work or private health insurance unless you target it directly and lose out on other options.
Most offices are corner cutting so hard that the following week, you might have a new therapist/counselor that has no frame of reference beyond the former’s patient folder on you.
A lot of therapy is just a gotcha for Christian and religious bullshit.
Therapy and mental health is often seen as a sign of weakness for men, who often times never open up or seek help to begin with due to the stigma.
This isn’t a huge conundrum. It’s pretty easy to understand.