How do people pay for multiple sessions per week?

I am in a class action law suite because of something like this where I was denied extra sessions when it was clear from the review and from the letters from my T that it was needed. That was United Health Care using Behavioral Health for their Mental Health Coverage.

FWIW, I did 3x a week for a long time and my insurance never had a problem with it.

I've been going twice a week for maybe 4 months, and I think this is a good description of it. I've also found it helps me with some attachment issues with my T and I'm better able to sit with thoughts/feelings knowing I'll be seeing him in 3 or 4 days instead of 7 (that said, I still e-mail between sessions at times). I feel like I'm making more progress, that I can do deeper work on issues because it's easier to continue from last session (at least for me) if it's been less than a week. I found when I was going weekly, I'd often end up talking about something that happened in my life the past week instead of continuing things from the previous session. I think going more often keeps me focused.


But, working on deeper issues like that also means they're more on my mind. I also can be a bit zoned out after a therapy session, trying to process everything, so twice a week means that happens more often. And then I'll spend some time anticipating the next session, thinking about what we'll discuss. So, as you said, therapy is very much on my mind. Then again, it was on my mind a lot when going weekly before...(and really, for a long time, I was seeing my individual ex-T once a week and my marriage counselor once a week, so I was having some form of therapy twice a week anyway--which is part of why my current T offered me twice a week, now that we're not seeing ex-MC anymore).

I agree, and this is one reason I really liked it. I did so much better. We do a "check in" during the week but it's not the same as seeing him and talking about issues. I sometimes get frustrated that I got a great T but he has this annoyingly crappy rule about multiple times a week.
Glad it's been mostly helpful for you

Hi LT - I have a employer/employee owned insurance that is managed by a local insurance provider, so nothing that you could have unless you lived in my area and worked for same employer. When I called, I did ask if my call would flag my file for review as I too was worried about that. At first, I felt weird asking that question; but then I figured I'm talking to someone in the MH/Behavioral Health segment and talking about increasing sessions from 2-3x a week. That person probably has had other calls that would seem as paranoid if not more than my call. The assured me that calling would not flag my file. I can't say that will be the same for others.

I have no clue what my T puts down other than adult psychotherapy. When we (T and I) talked about needing to find a medical necessity reason, I got the impression that she would not be able to fully defend the need. I do feel like the 3x a week have been helpful.

I’m glad that there are people out there fighting this kind of thing. Mine is UHC using Optum. One of the reasons that they stated for the 1x/week decision is simply untrue; T said that she never said that to the reviewer. We’ll see how the appeal goes. They might overturn the decision because of the wrong info, or they might just move the goalpost and say that it’s still not sufficient reason.