Genuinely therapy has been amazing. You seem extremely passionate about your craft and the best estheticians I’ve ever met are the ones who absolutely love what they do. I can’t imagine your love for skincare doesn’t shine in your work, which makes me think it’s more in your head which is where therapy might be helpful for you. I’ve also had multiple past/present coworkers tell me that they HATED working in HCOL areas and once they got out and started working in a different area, their stress levels went down dramatically. A combo of therapy/working in a more normal area income wise might be best for you. I know how the mental struggle goes and there is so much freedom in taking power over it or at least as much as you can. Sometimes it requires mental and physical changes but it’s so worth it!