Therapy Basics

How Often Should You Go to Therapy?

Therapy frequency varies based on your needs, goals, and circumstances. Here's what to know about how often to attend therapy sessions.

Common Therapy Frequencies

Weekly (Most Common)

Once per week is the most common frequency, especially when starting therapy or dealing with active concerns.

When this might work:

Starting therapy, active symptoms, crisis situations, intensive work

Twice Weekly

More intensive frequency for severe symptoms, crisis situations, or intensive therapy approaches.

When this might work:

Severe symptoms, crisis, intensive therapy (like DBT), rapid progress needed

Biweekly (Every 2 Weeks)

Good for maintenance, when symptoms are stable, or when making good progress.

When this might work:

Maintenance phase, stable symptoms, good progress, budget considerations

Monthly

Often used for ongoing support, maintenance, or check-ins.

When this might work:

Maintenance, check-ins, ongoing support, long-term therapy

As Needed

Flexible scheduling based on when you need support.

When this might work:

Stable, occasional support needed, crisis prevention

Factors That Affect Frequency

  • Severity of symptoms (more severe often requires more frequent sessions)
  • Type of therapy (some approaches require more frequent sessions)
  • Your goals and progress
  • Budget and availability
  • Life circumstances and stress levels
  • Therapist's recommendation
  • Insurance coverage limitations

How Frequency May Change Over Time

Therapy frequency often changes as you progress:

  • Start: Often weekly to establish rapport and begin work
  • Active phase: Continue weekly or more frequently as needed
  • Progress: May reduce to biweekly as symptoms improve
  • Maintenance: May reduce to monthly or as needed
  • Flexibility: Frequency can be adjusted based on your needs

Talk to Your Provider

The best frequency depends on your individual needs. Discuss frequency options with your therapist or provider to find what works best for you.