Is there somewhere you could stay overnight?
My last T was 5 hours away, and while most of the time I liked that it gave me time to collect myself on the 5 down, and settle on the 5 back... During insomnia jags I had to get pretty creative. Either head down there the night before, or just stay over if they were back to back appointments. His office was in a city, so if I didn't just want to hang out in my car -or at the train station, if I didn't drive- I had a huge range of options. I could pay $10 to stay at a hostel, or sleep for free at the university library / gym/ mall/ airport/ hospital.
Being rural would limit options, but maybe there's somewhere closer to the clinic than your home & less expensive than a cab?
If not, what does the day program suggest?