I looked very seriously at working with Dr Grobman in NY, who wrote an article about gifted teens/young adults and under achievement that we all discussed here a while ago. He was happy to do telehealth and could work with us even though we are not in the USA. He seemed like a perfect fit for our child, but we were completely unable to afford what it would have cost given overseas treatment would have been 100% self funded, plus currency conversion being horrendous... I did try to convince my husband we should try to do at least a few sessions but we really just can't. I have no idea how he might align with your location, insurance, etc, but it might be worth looking into?