My t runs his sessions about 50-55 minutes longs with consistency. He has a full schedule and if he didn't keep that boundary and let sessions run over, it would be chaos quite frankly. I wouldn't want to be the person waiting because he let time run over with the person ahead of me. He does that on very rare occasions (maybe 2 or 3 times in all these years), but only when I was not being followed by another patient. I've only had to wait on him a couple of times and he came out to let me know both times. Only once was it more than a few minutes, and that time the problem was that it was an initial visit with parents involved who didn't speak English so there was translating going on.

I have never wanted longer sessions. T is very good at being sure I am ready to leave when time is up, not in the middle of something upsetting. I would find more than an hour pretty exhausting.