It might help to ask about it in general before you need it. Like to say, "Sometimes I want to ask for an extra session, but I don't know if it would be allowed." And if your T says it would be OK and she'd try to fit you in, that should make it easier to ask for it at the time. And to get a sense if she often has space or is usually all booked up.


I see my T twice a week, but he made the initial offer once I stopped seeing ex-marriage counselor regularly (he made the realization that I'm used to seeing two T's a week, so once weekly was cutting my therapy time in half). I also occasionally ask him for an earlier (like Wednesday in place of Thursday) or extra session if I'm struggling or upset about something that happened in session, and he's generally been able to fit me in. Which I really appreciate. He has a smaller client load, so he tends to have an opening or two--with previous T and marriage counselor, it was rarely an option to have an extra session--worked out once with each over the course of multiple years.