Guides
Intensive Therapy or Weekly Sessions: How to Choose
A weekly session and an intensive give a concern different kinds of time. The right question is what the work needs, not which sounds more ambitious.
Weekly Rhythm
What Regular Appointments Make Possible
In a 50-minute weekly appointment, you can return to an ongoing concern, look at what happened since the last meeting, and decide together what deserves attention next. This rhythm leaves space to notice a pattern in ordinary life before talking about it again. It can be especially useful when several areas of your life need care at once or when trust and preparation need time.
A 50-minute Individual Therapy session is $225. Sex Therapy is $250 for 50 minutes, and Couples and Sex Therapy is $300 for 50 minutes. You do not need a polished goal for each visit. A conversation about what happened during the week can reveal where a familiar response took over or where a different choice felt hard to make.
Extended Time
What an Intensive Changes
An intensive protects a longer period for one agreed focus. EMDR and ERP/OCD Intensives are 180 minutes for $1,500 each; a Couples & Intimacy Intensive is 180 minutes for $1,750. Andrea can use the time for preparation, active work, pauses, and a thoughtful close. An intensive does not compress a predictable number of weekly sessions into one day.
The format may suit a concern that benefits from staying with one piece of work without the usual stopping point. It may not fit if you first need to establish safety, explore several competing concerns, or make room for change between meetings. The decision is clinical and personal. It cannot replace a higher level of care.
The Decision
Questions Worth Bringing to the Consultation
You might ask what Andrea would focus on in 180 minutes, what preparation comes before that appointment, and what happens afterward. You can also explain whether the current difficulty is recurring each week or centered on a particular event, fear, or shared conflict. The answer should account for your life outside the session, not just the clock.
A $100 consultation is required before any intensive, and the $100 is credited in full toward your first paid session or intensive. It is a real conversation about what care might fit. If weekly sessions make more sense, you can discuss that. If an intensive fits, you can ask what a reasonable follow-up might involve without treating one appointment as a complete treatment plan.
Other Options
The Choice Is Not Only Two Ways
An Extended Specialty Session offers 90 minutes for $395. That can give a topic more room than a standard appointment without setting aside an entire intensive block. For Custom & Multi-Day Intensives, plan for 360+ minutes and $2,500 to $3,000+, priced after consultation. Neither is automatically the middle or final step in a sequence.
Andrea works by secure telehealth with people physically located in Texas, Colorado, or Idaho during sessions. Scheduling can be part of the discussion: a long session calls for privacy, stable connection, and time to settle afterward. Weekly care has a different practical rhythm. It is reasonable to weigh those details alongside the clinical focus rather than assuming availability determines what is best.
Weekly work also gives you a chance to notice how a conversation lands after you return to ordinary routines. Extended work allows a more sustained focus while you are together. Neither rhythm asks you to prove how serious your concern is. If finances, caregiving, or privacy limit what you can schedule, include that in the conversation. A workable plan has to make sense in your actual week.
A Next Step
When to Reach Out
If you are unsure which format fits, tell Andrea what keeps returning and what you hope to spend time on. The consultation can clarify the distinction without asking you to make a clinical decision alone. You can begin with the problem, not a package name.
Choose time that fits the work.
Start with a $100 consultation. The $100 is credited in full toward your first paid session or intensive.