This is something I wonder about too, and sometimes get jealous of. I've only even seen two other patients--one before me when I had to come on a different day, and the guy after me whom I always describe to my husband as Mr Depressed Irainian man. ( Mr Depressed Irianian man seems lately to be down to every other week, which means on his off weeks we run over especially long.) I'm the first patient of the day at 5pm, I think my therapist mainly keeps just evening hours. So I like to believe that makes me more special with being the first person that day, I tell myself my therapist thinks of me and prepares for our session on the drive in. I go through periods of jealousy and get possessive of my therapist--he's mine, no one else can have him! But I also know the man has to make a living, I get it, we both have families. So I tell myself little lies, that maybe I'm the only female he sees, and that I'm definitely the one who works the hardest in therapy. But I also know one truth in this situation which usually helps me the most when I feel jealous--I realize that no one else gets that 60 minutes, it's my time, and no one gets to intrude or take that away, and in that hour, I'm definitely the most interesting patient ;-)