How long do you go between sessions?

When I first exited the hospital in 2008 after starting on clozapine, I was seeing my therapist once to twice per week. Eventually this developed into a meeting every two weeks and then every month. Now I am on a frequency of every 6 to 8 weeks for seeing my therapist. During this time post 2008 I saw my psyche doctor every month or every two months. Now I see him every 3 months for meds management.

It is important to note that these elongated timeframes happened for me after years of work with my therapist and with my meds. It feels good to move to longer timeframes between visits, but it is true that pre-2008 I used to “play mind games” with myself regarding my psyche visits. I would deliberately schedule doctor’s visits every three months out to tell myself I was doing “fine” when in retrospect this should have been monthly. I was not doing fine and I was on a drug that wasn’t working. In part, this was because I was not maintaining the proper dosage of the meds.

I feel like today I am honest with my therapist and my psyche doc about how frequently I need appointments. I used to have to have a therapy appointment lined up for the next time when I completed a session so as to be able to “see” what was upcoming on the horizon. Now I basically see how I am progressing and schedule a session every 6 to 8 weeks or so as needed.

Any thoughts on your session frequency with the therapist or the MD?

Reposting – after 12 years of work

I have decided this cancellation from my therapist (see below) was all for the best. Rather than panic about not having a therapy visit for 8 weeks, I was able to talk myself through a period of not having a regular session with my therapist. When we did get in touch I learned s/he had a very painful illness but was not at a serious risk level. I feel proud of myself, if I can say so, about managing through this period. It has made me realize that in the 12 years of working with my therapist I have grown into a person who can handle a temporary lapse in therapy time if that occurs and/or as it occurs.

Here is the original post from a week or two ago:

After 12 years of work with my therapist with no interruptions and no cancellations, I got a call today cancelling/postponing our session for this month. In all the 12 years of work, my therapist has never missed or changed an appointment.

Funny how you rely on someone being there and expect there to be no gaps. Rationally, I know at some point people do get sick and have to call in sick, but it worries me when my therapist does/did this.

I guess you could say I am confronting my dependency on her. Should I have a back-up plan for when she is ill? She is into her 70’s as is my psyche doctor. Should I be thinking about someone younger just because?

When I got the news today about the cancellation I got somewhat anxious, so I called my psyche doctor and shared the news. We agreed I would go up on my meds if things felt too stressful.

Just out of curiosity, what do you do if your therapist is sick and cannot make a session? Does it stress you out? Do you move to Plan B? What is your Plan B?