This is something I get asked a lot. Most therapists use one hour sessions (or often 50 or 55 minutes) and there are some who do 90 minute sessions. I like to work with two hour bookings because it allows time to find out exactly what is going on rather than just using a one size fits all approach.
There are occasions when shorter sessions are appropriate e.g. working with children or using hypnosis for specific aims like deep relaxation or to build momentum gradually over time (for a marathon runner or to increase mobility for purposes of weight loss), but these instances are the unusual rather than the norm.
For most issue resolution there will be more than one thing going on so it’s really important to find out where you are before you think about moving ahead.
Commercially it’s disadvantageous for me to use two hour sessions – I am asking a bigger commitment of my clients (and for that first session many people have a high level of uncertainty – is this going to work, what is it going to be like? etc) so two hours can seem like a big ask. And of course a two hour session will have a higher fee, so again for a potential client it’s a bigger commitment to make.
As a therapist what I want most is successful outcomes for those who invest in working with me, and that’s why I use two hour sessions.
In the context of what is considered the norm, two hours can look like a long time, but start to think about the change you want to make (and specifically how long you have wanted to make it) and now two hours is looking like a short amount of time (indeed it might even seem miraculous)!
So when we are dealing with big life changes it’s important to bring some focus and commitment along to a session. And here we start to get to the benefits of the two hour session. It demands commitment and allows focus. Two hours is enough time to make a change. When someone comes to see me – even in the first session, I want them to go away feeling like something worthwhile has occurred (otherwise they may not come back).
By using shorter sesisons I could book in more clients, but chances are success rates would drop, and rate of non-returning clients (at the moment extremely low) would rise.
So, despite the commercial implications, I stick with two hour sessions because they work and because good outcomes are important to me.