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Val12
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Default Apr 01, 2020 at 10:29 AM
  #1
I have noticed this with my last 2 Ts and this current one. At least half of the time, they will take me into their office a few minutes later than my appointment time, but always end the session on time. It has always annoyed me, but, as someone with anxiety issues, I never felt like I could say anything.

Being cut short on time has been thrown even more into my face now that we are doing video calls. I can see my call logs with my T and they're like 41:32, 42:13, 41:59, etc.


Has this been your experience? Did you say anything?
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Default Apr 01, 2020 at 11:28 AM
  #2
Typically a therapy “hour” is 50 min. My T usually runs late and sometimes we get out on time sometimes late or early. I figure it balances out in the end.

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Default Apr 01, 2020 at 11:29 AM
  #3
Mine are an hour.
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Default Apr 01, 2020 at 12:02 PM
  #4
My sessions are 50 minutes. They almost always begin and end on time. I understand being a couple minutes off now and then, but if my T were consistently late, I'd be upset about it.

I think you should definitely let your T know that you've noticed this and that it bothers you.
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Default Apr 01, 2020 at 12:03 PM
  #5
Mine are an hour (60 minutes) but sometimes he goes over by 10-15 minutes, which I really appreciate. I tend to be the last appointment of the day so he doesn’t often have anyone after me.

I can understand why your situation annoys you, it would irk me too if my T ended earlier than the agreed time, especially since you pay for every single one of those minutes. Given my personality, I think I’d be too anxious to bring it up though. Would you find it easier to email your T about this rather than saying it face to face?
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Default Apr 01, 2020 at 12:27 PM
  #6
Mine are technically 50 minutes, I think, though I'm usually in there about 55 minutes, when billing and scheduling are considered (I pay T directly and also schedule with him). We've occasionally gone a full hour. He's generally on time to get me, but the other day he was about 7 minutes late to a telehealth session, and he asked if I was able to stay a few extra minutes to make up for the time, which I appreciated. I would definitely tell your T this bothers you, especially now that you can see the exact times for telehealth.
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Default Apr 01, 2020 at 12:30 PM
  #7
Mine are 45mins. They sometimes run a few mins over.

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Default Apr 01, 2020 at 12:31 PM
  #8
My sessions with regular T are right around 55 minutes to 1 hour. My sessions with Pastor T tend to be around 35 to 40 minutes. (Note: I do not pay Pastor T for therapy, but I do tithe to his/my Church, so I don't really care how much time he spends with me as it is free. Secondly Pastor T usually asks me if there is anything else I'd like to discuss. It is me who says, nope, I'm good. But if there were something I wanted to discuss, we could take up to the whole hour.)

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Default Apr 01, 2020 at 01:50 PM
  #9
My T told me it depends on your insurance. I was contemplating switching insurance companies at work and he said the other company would only pay for 45 minute sessions.
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Default Apr 01, 2020 at 02:08 PM
  #10
My sessions are 60 minutes and it is one of the few boundaries about which she is very vigilant. In three years of working together, there have been less than a handful of times where we have run over and in those instances by only 5 minutes. It is really interesting to me that she upholds the time boundary, even if I am distressed or we are finishing on a disturbed note (which is common). There are many other boundaries which she does not uphold.
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Default Apr 01, 2020 at 02:25 PM
  #11
Mine used to be 60, but over the last couple of years, they’ve been 50. Which sort of ticks me off - since I’ve been seeing her for almost a decade... but them’s the rules, I suppose.
In a situation where I felt shorted, I’d probably email and express my dissatisfaction (and provide evidence. For example: on date X we started at Y and ended on Z).
Good luck!

Last edited by CharlieStarDust; Apr 01, 2020 at 04:09 PM.. Reason: Grammar
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Default Apr 01, 2020 at 04:05 PM
  #12
Depends, sometimes it's 40 minutes, sometimes 50 or 60. We've gone up to 1 hour and 15 minutes once. It depends on how I'm doing and how much I have got to talk about.
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Default Apr 01, 2020 at 06:16 PM
  #13
Do you know what time she bills for? If she bills for 45 minutes the requirements are not actually 45 minutes. These are the requirements.
90832 – Psychotherapy, 30 minutes (16-37 minute)
90834 – Psychotherapy, 45 minutes (38-52 minutes)
90837 – Psychotherapy, 60 minutes (53 minutes and above)

T use to bill for 50 minutes. We always went 60 or more. Emdr T is 60 minutes and we have never gone only 60 minutes. Usually it has been 75 or so...twice only 65 because she had someplace to be.

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Default Apr 01, 2020 at 08:09 PM
  #14
I have always has really generous therapists in terms of time and have been spoilt looking back. However the last therapist I had we were meant to have 50 mins sessions and I enjoyed the strictness of that 50 minutes but it was never really 50 minutes. By the time we walked to her room a couple of mins past by the hour and she would always finished before the 50 minutes were up and I started to notice by the time I completely left the building I was still in my time. I mean we are talking 2-5 minutes per session but I still think that's a lot. I wouldn't have minded if occasionally we overran but even if I was in a complete state and dissociated we would still stop before the time was over. This was one of the reasons I left.

Anyway now is the opposite so far we have run over a couple of minutes each time and it just makes me feel less pressured and it feels less clinical as a result. There is still an acknowledgement of the time but I don't feel like I am going to be ussured out the door 47 mins in.
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Default Apr 02, 2020 at 06:47 AM
  #15
I usually get tired around 35 minutes and that’s the least amount of time that she can bill insurance for. So that’s when we end most of the time.

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Taylor27
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Default Apr 02, 2020 at 02:56 PM
  #16
Mine are a full hour. She sometimes goes over 15 to 20 mins and it is nice. She works it in so every client has a full hour or more if needed
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Default Apr 02, 2020 at 07:32 PM
  #17
Mine are anywhere from 35 minutes to 50. Im not really satisfied with my current practice, my last one was better and I used to always get 50 minutes plus. But Ive relocated and this is the best I can do right now.
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Default Apr 04, 2020 at 11:25 AM
  #18
Phone sessions right now and not loving them.
But live or phone at least 50 min, sometimes 60.
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Default Apr 04, 2020 at 03:38 PM
  #19
60 minutes
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Default Apr 04, 2020 at 10:33 PM
  #20
With my psychologist they're 50, but she usually gives me 3 to 8 minutes extra. Today she wants to see me twice per week & offered half the price. I said that's not fair to her, so we agreed on 40 minute sessions at half price until I become more stable and no SI. She's always been very nice to me.

My psychiatrist only does 25 minutes now for my meds.
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