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2 hour therapy sessions?

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Hooper

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When I walked into my therapist office the first time and many times since there is a 5-10 minute period of time for whatever reason before things get going. I blink and I see my therapist watching the clock behind me. Nothing against her because she has someone sitting outside. After a few months I'd walk in, get comfortable, pay and try to shorten the period to where we are getting somewhere. Since I started almost 3 years ago the cost is $90 billed to my insurance company which happens to be the only company therapists here take because few pay that well but my copay has gone from $20 to $45 while my premiums rise to cover the expense of me covering more of the cost of my health care.

I asked my therapist about going to 2 hour sessions and was met with a resounding no because the insurance companies will not cover it. There's other reasons I think 2 hours would be more beneficial. It takes 40 minutes round trip so a 2 hour session would save 40 minutes of driving time. There's also the anxious days coming before a session. If I went to 1 2 hour appt vs 2 1 hour appt.'s I'd have less anxiety. It makes no sense to me if I want x amount of treatment why am I limited to being told I have to do 1 hour sessions that are supposed to be cut off after 50 minutes for notes and preparing for the next client. I just find it annoying. I'm thinking of calling my insurance company and threatening them with one of those 4-6 week $20-30k intensive therapy programs if they don't work around what I feel like what works best for me. If you are going to have effective therapy how the hell do you come up with a 1 size fits all 1 hour session that isn't even an hour? It just makes no sense to me.
 
If you are going to have effective therapy how the hell do you come up with a 1 size fits all 1 hour session that isn't even an hour? It just makes no sense to me.
I completely agree! Thankfully my insurance covers up to 1.5 hours, but to me it’s almost worth paying out of pocket to do longer sessions because I don’t always do well with time pressure.
 
With what I pay for healthcare I do not feel like paying out of pocket although my out of pocked copay has risen 125% in less than 3 years. If a doctor is performing a knee replacement that takes 3 hours but runs into complications and it takes 5 hours he would be in a law suit for malpractice if he stopped at 3 hours because the insurance company dictates it's a 3 hour procedure. Insurance companies should not dictate how healthcare is delivered to an individual but they do for mental health. At the moment I'm skipping sad and going straight to mad as my therapist says but it just pisses me off. If after an hour all that has happened in therapy is a scab has been scratched off and am told my hour is up I'm going to be irritated but that is what I am forced to do. I'm about to call them and start the pissing contest but the truth is they don't care and I'll be going off on some most likely good person trying to provide for their family. So many companies hide behind these good people they pay as little as possible and provide as little as possible to their own customers. Beyond annoying.
 
With what I pay for healthcare I do not feel like paying out of pocket although my out of pocked copay h...
Doctors don’t perform surgery by the hour but by the job. It isn’t possible to do that in mental health care. Whenever you are met with managed care there will be hurdles to overcome. Perhaps you could go to 90 minute sessions and pay for the 30 minutes? Not sure but I am guessing if you bring this up in the same format as you presented it here that your therapist would help you brainstorm. There may not be a solution but it may help to discuss it further.
 
Longer sessions are useful though I know nothing about the insurance system really (okay, maybe a bit)

Last time I spent 3.5 hours there, since I had a bit of a trigger-panic-suicidal-self destruction thingy.

Thus I'm on the side of longer sessions, I hope you manage to get it
 
Rumors,
I'm guilty of poor use of sarcasm when I try to make a point. Mental health care has long been a bastard step child of medicine but it is important. I understand managed health care is there for a reason but it has little practical value when it comes to mental health. I've emailed my therapist about having a Monday and Tuesday appointment at 1 hour each but coming 1 day for 2 hours and paying 2 copays. That is insurance fraud and she could lose her license as a certified therapist. An insurance company dictating a 1 hour appointment as far as I am concerned is practicing medicine without a license. Let's say I were suicidal and went to a scheduled appointment. In that appointment I get to a critical issue that needs to be discussed and we are in the middle of the discussion but my time runs out and my next appointment is in 2 weeks. I leave at an unresolved point reliving a traumatic event in detail. The therapist even if he/she is aware of it can do nothing. I'm sure the therapist could ask her next client to reschedule and deal with a mental health emergency at a cost to the therapist and next client but it simply should not be like that. If in this example I were to leave after getting all worked up and commit suicide it raises legitimate questions about how mental health is treated. Is the insurance company more qualified to determine the time an individual needs over a trained mental health professional? They are absolutely not but insurance companies dictate how medicine is practiced without a license to do so. It makes no sense to me. My therapist is paid $90 an hour of which I meet $45 with my copay. If I need 2 hours and I pay my insurance bill along with my copay I want 2 hours. If a therapist sees a person is at risk when the clock strikes 60 minutes why should they not be paid if they extend a session when ending it could threaten the health of the patient? I just don't get it.

(Saelben) I was typing while you posted right above me. I'm glad an exception was made. What I wrote above was just a fictional example to make a point. Wish you the best.
 
@Hooper
Definitely with you on that, the normal session was meant to be 2 gours last time but got extended to 3.5 due to crisis, and its considered normal

I really don't get the system that doesn't have workarounds for that while dealing with potential crisis patients
 
I asked my therapist about going to 2 hour sessions and was met with a resounding no because the insurance companies will not cover it.
My therapist does sessions longer than 1 hour; he bills them to different days. So, if we do 2 hours on a monday, he bills it as one hour monday, one hour tuesday. This does complicate his billing somewhat, but I think it's worth it to him to have the hours; he's also happy to work a long session. I wouldn't be surprised if some therapists feel they can't do their best for someone going for that long.

Ask your therapist if she'd be willing to split the billing across days. Never hurts to try, anyway. (You will have to pay a double co-pay, that's just the fly in the ointment that will never go away).
 
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