Therapy is so valuable that it is worth doing whatever it takes to see a therapist.
I had to drive an hour and a half each way to the city to see mine, and I still have to do the same drive whenever I see my HRT doc. Both my therapists were good about booking double appointments to minimize driving time, and my HRT doc has arranged my now-annual checkups to occur in summer, when the driving is easier. When I had to see a psychiatrist for my second surgery referral letter, I had to drive three and a half hours each way for the half-hour appointment. It was my life on the line, and if I wanted to live it the right way, I needed to do whatever it took.
If you have to drive, ride the bus, or bum a ride from a friend, do it. Don't hitchhike, though: that's too dangerous, especially for us. Some therapists will do appointments via Skype.