well the place i;m going to get bottom surgery at, states this " If the first letter is from a person with a master's degree, the second letter should be from a psychiatrist or a Ph.D. clinical psychologist, who can be expected to adequately evaluate co-morbid psychiatric conditions. If the first letter is from the patient's psychotherapist, the second letter should be from a person who has only played an evaluative role for the patient." but if i see an online therapist because it's more affordable for me, would i have to pay for another therapist, when i can barely afford one?