When I first started having flashbacks and was out of control I went 3x a week and sometimes had crisis appointments (I was also diagnosed Bipolar rapid Cycling during this time as well). After about a year (was hospitalized 2x during this period) I started seeing her 2x a week. Just about 3 months ago I started her seeing her 1x a week, but have moved to 2x a week every other week because we are doing some hard trauma work now that I am stable to do that...Sounds confusing, but I hope that helps...