Question

Therapists: would you be willing to schedule 90-minute sessions instead of 45, or would that be unethical?

Answer 1

I can offer some general insights on therapy session duration.

The duration of therapy sessions can vary depending on the therapist's approach, the client's needs, and the therapeutic goals. Traditionally, therapy sessions are often around 45 to 50 minutes long, but some therapists do offer longer sessions, such as 90 minutes. Here are some considerations regarding longer therapy sessions:

1. Client Needs: Longer sessions might be appropriate for certain clients who require more time to explore complex issues, delve deeper into their emotions, or process significant life events.

2. Intensive Work: For clients engaged in intensive therapy or those who travel from a distance to see the therapist, longer sessions could be helpful to make the most of their time.

3. Deep Exploration: Longer sessions can facilitate a more in-depth exploration of patterns, behaviors, and emotions, which can lead to more meaningful insights and progress.

4. Therapist Approach: Some therapeutic modalities, like certain types of psychoanalysis or trauma-focused therapies, may benefit from extended sessions to allow for comprehensive exploration.

5. Practicality: Offering 90-minute sessions can be more practical for therapists who prefer to have fewer clients per day but want to provide sufficient time for each session.

However, there are also some considerations to keep in mind:

1. Client Suitability: Longer sessions might not be suitable for all clients, as some individuals may find it emotionally draining or difficult to maintain focus for an extended period.

2. Ethics and Boundaries: Therapists need to consider their own well-being and avoid overextending themselves, ensuring they have adequate breaks between sessions.

3. Fees: Longer sessions may require adjustments to the fee structure, which could impact clients' affordability.

In summary, the appropriateness of offering 90-minute therapy sessions depends on various factors, including the therapist's approach, client needs, and practical considerations. If a therapist believes longer sessions could be beneficial for their clients, and they can manage it ethically, there is no inherent ethical issue with offering extended sessions. However, therapists should carefully consider the impact on both themselves and their clients before making such decisions and be mindful of maintaining appropriate boundaries and self-care practices.