.
Who is responsible for bringing up the issue of more sessions?

Under what circumstances would a T say no?

[unlockingsanity]

It should be a joint decision on what is needed.

[Hope-Full]

While I agree it should be a joint decision, it is something that I feel the client should bring up. Might come up in a conversation in the sense that client is really struggling between appointments, and from there leads into the convo about adding more sessions.

[BlessedRhiannon]

It should be a joint decision, but I think there's also a responsibility on the client to ask for more sessions if needed. Likewise, if a T sees something happening and thinks more sessions are needed, it would be responsible for them to bring it up. The only reason I can imagine a T saying no to more sessions would be if they don't have openings on their schedule, or if they feel the client is malingering.

Has anyone asked?

[stopdog]

I see two each week so it does not come up for me a lot, but I have seen the one therapist twice in one week when I was having a challenge. I called and said I would like to make another appointment and we did.

[GeorgiaGirl413]

My last T was the one who brought up the subject. I was going once a month because it was all I could afford. She brought up that she thought I needed more sessions. (at least twice month). I explained the situation and she agreed to see me once a month a no charge. Prior to that it had never really occured to me to see a T more than once a month. However, after working with this T I feel very comfortable asking for what I need in terms of numbers of sessions.

[ready2makenice]

My T is the one that intially brought it up,me being the person I am was trying to scale back my sessions. T recommended that I come in twice a week,I coudn't afford that so T helps me out.

I think it should be a mutual thing but me personally,would NEVER ask for more sessions

[sunrise]

I think whoever sees the need should bring it up. My T does let me decide how often to go. Sometimes it is once a month or longer. Sometimes I will come 2 weeks in a row, and he doesn't bat an eye. He lets me pick according to my need. But if he ever said to me, "sunny, I think you should come in more frequently for a while," I would definitely sit up and listen. There have been some times when I came in and apparently presented as needing more help or support, and at the end of the session, instead of asking me when I wanted to come in next, he said, "I have an opening next week on Thursday, will that work for you?" And I tell you, that made me feel so good that he would kind of take charge like that and book me in so soon. But most of the time, it is up to me....

Sometimes I think clients are reluctant to bring it up because of the mentality of the doctor knows best, medical authority, etc. Others may worry about rejection or cost. So in that case, a nudge from the T can be very helpful, but some Ts might want to encourage the client to know their own needs and be able to speak up, so they might not be willing to give a nudge.

[MusicLover79]

A therapist might think that you are better and may want to have less sessions but if you don't think so and want to have more then it's your right to have as many as you need. I know for me I have had sessions twice a week, once a week, twice a month. haha. I think its a decision between both though

[unlockingsanity]

Originally Posted by Stringcheese

Has anyone asked?

Yes. She said we'd end when we both felt it was the right time.