Therapy appointments are generally 50 minutes long – the classic “50-minute hour”. The last ten minutes of the hour is set-aside for the therapist to write notes. Clients usually come once a week but as therapy proceeds and with the discretion of your therapist, sessions can reduce to every two weeks. The number of sessions involved in therapy varies a great deal and depends primarily on the nature of your concern. It can however also be determined by the limitations imposed by your insurer and sometimes your own preferences about the pace of the work.