I think twice a week is considered unusual. I think the standard is once a week. But my first T saw me twice a week for 5 years! I have to say though, it was not better at all. I lived immersed in therapy (and pain) and the few days in between seemed longer than the two weeks in between now (i now have therapy every two weeks). Since your T is asking why you think you need twice a week, tell her just what you said here. And try not to jump to conclusions that she doesn't want to see you more often...it could be the insurance company is asking her to justify it and maybe giving her a hard time. I don't think most insurance companies will pay for more than once a week unless the T insists that it is medically necessary. Also, i think it can create dependency and that could become an issue.