Welcome to r/TalkTherapy!
This sub is for people to discuss issues arising in their personal psychotherapy. If you wish to post about other mental health issues please consult this list of some of our [sister subs](https://www.reddit.com/r/TalkTherapy/wiki/resources/#wiki_subreddit_list).
To find answers to many therapy-related questions please consult our [FAQ](https://www.reddit.com/r/TalkTherapy/wiki/faq) and [Resource List](https://www.reddit.com/r/TalkTherapy/wiki/resources).
If you are in distress please contact a suicide hotline or call 9-1-1 or emergency services in your area. r/SuicideWatch has compiled a helpful FAQ on what happens when you contact a hotline along with other useful resources.
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/TalkTherapy) if you have any questions or concerns.*
Ask her about it.
But it is standard in the therapy field to call fifty minutes of face to face time a therapy "hour." Sometimes called the fifty minute hour. The therapist uses the ten minutes between clients to return phone calls, go to the bathroom, write up notes, etc.
50 mins of therapy + 10 mins of administrative tasks (writing session notes in your file, invoicing/financial, setting up next appointments in the calendar, etc.)
It’s okay to end at like 47, 48 or 49 minutes, but definitely not at 40. You can say that you think there’s still about 10 mins left, and you’d like to take the last few minutes to talk about/focus on ___.
Does she bill your insurance? Whether she bills you directly or your insurance, do you know what CPT code she is using? If it is 90834, that is for 38-52 minutes, usually clinicians do 45 or 50 though. If she is billing for 90837 it has to be 53+ minutes. Ask her about it to understand what’s going on.
All of my sessions are 50 mins. That’s my therapeutic hour, and it is outlined in my paperwork. Check yours and see if the therapist sets this expectation in informed consent. If we are at a natural stop at 48 mins, the. Sure, I’ll end there. I wouldn’t end more than a couple of mins early based on a natural place to end unless the client requested.
Private pay stays super firm on this. I can get paid more by insurance if I must go over the 52 min mark, but I try to keep everyone right at 50. The price reflects that. Hope you get clarification from your therapist.
That being said she shouldn’t be quitting 20 minutes early. Sounds like a good thing to discuss with her and see what you think about how she handles it.
Yep mine are 45 minutes and I didn't know for months why they were so short until I asked one day. He's late often so it makes it even shorter which can get frustrating
Your comment was removed for the use of inappropriate language. This could be an uncivil invective or accusation towards another user, harassment, or stigma enforcing language. We want to encourage a respectful discussion. You are fine to attack an argument just not the person making it.
Remember that you can report rule breaking activity to us, rather than engage in potentially unhelpful and bad faith discussions.
If you have any concerns, please message the moderators [here](https://www.reddit.com/message/compose?to=/r/TalkTherapy).
Welcome to r/TalkTherapy! This sub is for people to discuss issues arising in their personal psychotherapy. If you wish to post about other mental health issues please consult this list of some of our [sister subs](https://www.reddit.com/r/TalkTherapy/wiki/resources/#wiki_subreddit_list). To find answers to many therapy-related questions please consult our [FAQ](https://www.reddit.com/r/TalkTherapy/wiki/faq) and [Resource List](https://www.reddit.com/r/TalkTherapy/wiki/resources). If you are in distress please contact a suicide hotline or call 9-1-1 or emergency services in your area. r/SuicideWatch has compiled a helpful FAQ on what happens when you contact a hotline along with other useful resources. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/TalkTherapy) if you have any questions or concerns.*
Ask her about it. But it is standard in the therapy field to call fifty minutes of face to face time a therapy "hour." Sometimes called the fifty minute hour. The therapist uses the ten minutes between clients to return phone calls, go to the bathroom, write up notes, etc.
While this is true, ending therapy 15 to 20 minutes early is not a 50 minute hour.
50 minutes = therapy hour.
But 20 mins early is crazy, I think that should be communicated early on
50 mins of therapy + 10 mins of administrative tasks (writing session notes in your file, invoicing/financial, setting up next appointments in the calendar, etc.) It’s okay to end at like 47, 48 or 49 minutes, but definitely not at 40. You can say that you think there’s still about 10 mins left, and you’d like to take the last few minutes to talk about/focus on ___.
Does she bill your insurance? Whether she bills you directly or your insurance, do you know what CPT code she is using? If it is 90834, that is for 38-52 minutes, usually clinicians do 45 or 50 though. If she is billing for 90837 it has to be 53+ minutes. Ask her about it to understand what’s going on.
Second this.
I came here to say this
The therapeutic hour (as defined by insurance codes) is now 45 minutes.
oh weird okay? i was unaware of this honestly. it makes sense i guess though? but she doesn’t even run my insurance so?
All of my sessions are 50 mins. That’s my therapeutic hour, and it is outlined in my paperwork. Check yours and see if the therapist sets this expectation in informed consent. If we are at a natural stop at 48 mins, the. Sure, I’ll end there. I wouldn’t end more than a couple of mins early based on a natural place to end unless the client requested. Private pay stays super firm on this. I can get paid more by insurance if I must go over the 52 min mark, but I try to keep everyone right at 50. The price reflects that. Hope you get clarification from your therapist.
That being said she shouldn’t be quitting 20 minutes early. Sounds like a good thing to discuss with her and see what you think about how she handles it.
Bring it up to them....
Yep mine are 45 minutes and I didn't know for months why they were so short until I asked one day. He's late often so it makes it even shorter which can get frustrating
[удалено]
Paperwork, documentation, scheduling etc. are all included in the hour, making talking time roughly 50 minutes. It is standard practice.
Your comment was removed for the use of inappropriate language. This could be an uncivil invective or accusation towards another user, harassment, or stigma enforcing language. We want to encourage a respectful discussion. You are fine to attack an argument just not the person making it. Remember that you can report rule breaking activity to us, rather than engage in potentially unhelpful and bad faith discussions. If you have any concerns, please message the moderators [here](https://www.reddit.com/message/compose?to=/r/TalkTherapy).