Weekly counseling/psychotherapy tends to be the default frequency for sessions. There are studies that back this up as efficient and effective. It also allows for a consistent weekly rhythm for sessions. For various reasons, some clients may benefit from more or less frequent sessions.
Some clients may want to attend more frequently. If a client is very motivated and ready to address specific issues, coming in 2-3 times per week may speed up this process. Also in times of crisis we may need more support temporarily.
But what if I run out of things to talk about? Much of psychotherapy is deeper than the content of what is discussed. Sometimes it helps to spend more time on learning why we react in certain ways or develop skills to manage our emotions or behaviors. Also when using Somatic Experiencing techniques in sessions, we work through the story much slower so that more time is spent on healing the nervous system.
If severe mental illness or addiction is the reason for needing more than weekly outpatient counseling, then it may be more helpful to consider a more intense level of care. This may mean inpatient, but there are programs that bridge the gap between traditional counseling settings and hospitalization. For example there are intensive outpatient programs (IOP) and partial hospitalization programs (PHP).
So, sometimes more time per week on the psychotherapy couch can really help. Other times that extra work growing and grounding can be done outside of session with pleasant activities, journalist, goals, reading assignments, and/or meditations. The point is that every person has their own unique set of needs that may vary over time, and I seek to collaborate with each client to meet them where they are now, even if that means they may need more or less from me that week.