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  #1  
Old Apr 26, 2020, 11:52 AM
emmaleemochizuki emmaleemochizuki is offline
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I have been seeing my T twice a week for two years, I had a break of about 9 months long in between while I was seeking treatment for my eating disorder.

How do you know at what frequency do you need therapy for? Even after seeing her for that long we are still at early stages in therapy, as it took me a long time to open up and stabilise.

I am starting uni in september and it will be easier if I have weekly sessions timing wise. But I don't know if I am ready to shift to weekly sessions? Should I ask my therapist what she thinks?

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  #2  
Old Apr 26, 2020, 11:59 AM
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I see T weekly unless scheduling doesn't listen and puts me at two weeks which happens more then I'd like. I'd ask your T if she thinks you are ready. Are you journaling in between sessions?
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  #3  
Old Apr 26, 2020, 11:59 AM
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I am only able to see my T once a week for multiple reasons. Twice a week or a double session each week would work better for me (when we are able to meet in person). But so far it hasn’t been doable. T and I have a pretty strong bond and do a lot of processing (when we are in person).
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  #4  
Old Apr 26, 2020, 12:00 PM
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LonesomeTonight LonesomeTonight is offline
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I've been seeing mine twice a week for about 2 years (once a week for maybe 6 months before that), though recently, with the pandemic, I've added another half-session or full session a week (depending on how things are going). Before the pandemic happened, I was actually thinking of trying to reduce sessions, but with all this going on, it's not the time for me...

I'd suggest discussing it with your T. If you think it would be easier to just meet once a week starting in September, maybe talk about how you can work toward that. Like if there's a big topic or goal you want to work on now that would benefit from twice a week, try to focus on that. Another thing to discuss with your T is if you could do a trial run of once a week, then, if it feels like you need to see her more often, switch back to twice a week.


I have no idea if this would work with your T's schedule, but mine has said if I want to switch to once a week at some point, I could start by meeting, say, every 5 days, like Monday, Friday, Wednesday, Monday, Friday...So then I'd be seeing him 3 times in 2 weeks (instead of 4 times). Or to try twice one week, once the next, then twice, keeping the days the same. So that you're not suddenly shifting to half the therapy.


Also consider that you might need some support when first starting at the university, so it probably wouldn't be good to suddenly shift to once a week as soon as you start.
  #5  
Old Apr 26, 2020, 12:04 PM
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Also, in terms of knowing how often you should go, my T has said that if I consistently came in and didn't have much to talk about (or I was talking about inconsequential things), that would be a sign that it would be time to reduce sessions. I've had a week or two here or there like that, but not consistently.
  #6  
Old Apr 26, 2020, 12:05 PM
MissUdy MissUdy is offline
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I can only afford to have therapy once a week. I’ve had extras in an emergency but I don’t think he’s available for other days anymore, so I don’t ask. I hope you can figure out something that works for you.
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  #7  
Old Apr 26, 2020, 12:07 PM
emmaleemochizuki emmaleemochizuki is offline
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thank you for everyone helpful reply so far. I have a session with her tomorrow and I will bring it up.
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  #8  
Old Apr 26, 2020, 12:26 PM
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Once a week usually for about five hours.
  #9  
Old Apr 26, 2020, 12:30 PM
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Once each 3 months.....
Public health system...
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  #10  
Old Apr 26, 2020, 12:30 PM
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My insurance will pay for 2 sessions a week but I only see her once a week. But I do sometimes email her between sessions.
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  #11  
Old Apr 26, 2020, 01:26 PM
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I see my therapist three times a week, which I'm aware is an outlier. To be honest, I don't want to reduce. I've suggested it in moments of disconnectedness but he wants me to have a support system outside of him before we do that. I'm afraid that I will never find that support system and I told him so. He didn't seem phased by it so I guess everything is okay for now. I would definitely bring it up with your therapist and see what they have to say.
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  #12  
Old Apr 26, 2020, 05:03 PM
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I've slowly increased things. I see my ED therapist weekly. About 1.5 years ago, I started to see another therapist who is well versed in eating disorders but focuses on treatment resistant depression with me. I started out by seeing her weekly. In November 2019, I think, we moved to 2x a week. And now, because of my current state, I see her typically 3x a week. I also have "therapy" with my Pdoc weekly. And I meet with my dietitian weekly.

I know that it's all a lot. I would have never though of myself as someone needing this much support. But here I am.

Thanks to this constant support, I'm able to be working full-time and have stayed out of the hospital (with the exception of a planned weekend stay) for a bit over 1.5 years.
  #13  
Old Apr 27, 2020, 10:18 AM
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I see regular T once every two weeks. I see Pastor T weekly. It works out well that way. We work on some of the same stuff and some different stuff between the two T's. If I saw Regular T more I probably wouldn't have much to say. I could probably go to seeing Pastor T every two weeks but he believes in the once a week is optimal for therapy mode so whatever.
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  #14  
Old Apr 27, 2020, 01:02 PM
Lonelyinmyheart Lonelyinmyheart is offline
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Once a week for an hour.
  #15  
Old Apr 27, 2020, 02:04 PM
ArtleyWilkins ArtleyWilkins is offline
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When I was in therapy, we scheduled around every 7-10 days. Sessions were around 50 minutes give or take a few. I didn't schedule for the same day and time every week. I know many prefer that, but it would have never worked for my crazy schedule. I like the flexibility AND I think it helped me not get all verklempt about adjustments to schedules.
  #16  
Old Apr 29, 2020, 07:08 AM
Gettingitsoon Gettingitsoon is offline
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Twice a week for an hour.
Ive thought about cutting back to once per week but then my anxiety convinces me not to.
  #17  
Old Apr 29, 2020, 11:50 AM
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I see her (now speak on the phone with her) twice per week.
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  #18  
Old Apr 29, 2020, 03:47 PM
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90 minutes 2x per week
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  #19  
Old Apr 29, 2020, 04:12 PM
InkyBooky InkyBooky is offline
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3x week (may vary depending on the week). Therapist is a trauma specialist (psychologist). Treatment for: CPTSD, CSA, MDD, dissociative disorder, and grief around recent sibling sui. But things are slowly getting better and I hope to reduce sessions to 1x week when possible.

Last edited by InkyBooky; Apr 29, 2020 at 04:27 PM.
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  #20  
Old Apr 29, 2020, 04:56 PM
Elio Elio is offline
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After our last rupture (a bit over a year ago), we started having daily contact to help rebuild connections. I have session 3-4 times a week and email on the other days. My T allows email and calls between sessions. I used to journal and give these to her to read. With the additional contacts, I don't journal as much.

We don't do therapy through email and my T's responses are rarely over 5 sentences long. They are pretty formulaic as well. First sentence is thanking me for reaching out. 2 and sometimes 3 is usually about something I wrote. 4 is ritual statement which is sometimes added to a looking forward to seeing me whenever next session is or that might be a 5th sentence.
  #21  
Old Apr 29, 2020, 11:14 PM
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it was once a week until my insurance changed, and she doesn't accept it So then I started seeing her every other week, which took awhile to get used to. Then, the pandemic. We've been talking on the phone for 30 minutes every week.
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  #22  
Old Apr 30, 2020, 05:35 AM
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ScarletPimpernel ScarletPimpernel is offline
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I see her twice a week. I don't know how long I can afford to see her. It helps seeing her twice though.
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  #23  
Old Apr 30, 2020, 11:56 PM
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WastingAsparagus WastingAsparagus is offline
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Trying to afford weekly currently. No guarantees on that one. Maybe we'll scale back to once every two weeks but my mental health cannot afford that, so to speak.
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