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My practice, in numbers · 2017 – 2026

How long does therapy take?

It's the question I get most before a first session. Every case is different, but ten years of practice give a clear picture: here is what over 300 people and nearly 4,000 sessions say, counted without names.

over 300people seen
nearly 4,000sessions held
10years in practice (2017–2026)

The processes

How many sessions

Among people who come more than once, the median (the case in the middle) is 7 sessions. And of those who reach a fourth session, 71% stay through the eighth, which is roughly when change starts to show.

51%
of people
Initial work
1 to 3 sessions
A consultation, a second opinion, or something that was resolved quickly.
Typically spans 22 days
14%
of people
Basic work
4 to 7 sessions
A focused issue that gets worked through and closed: already a process, still a short one.
Typically spans 2 months
18%
of people
Deep work
8 to 21 sessions
From a couple of months to a year. Where most of the work happens.
Typically spans 7 months
17%
of people
A life’s path
22 sessions or more
Years-long processes, with seasons and returns. Few people, a great many sessions.
Typically spans 2 years and 1 month

The people

Who comes

More women than men come: 66% of the 127 people with age and gender on record. They come at every age, from teenagers to people over 45; the age shown is the one they had when they arrived.

See the figure by age and gender
WomenAge on arrivalMen
17
46+
—
26
36–45
15
22
26–35
11
14
18–25
10
5
17 or under
7

Teenagers, 17 or under on arrival: 12 in total, 5 girls and 7 boys. The figure shows 127 of the 194 people who sustain a process of three sessions or more. For the other 63 I don't have age or gender on record, so they don't appear. 4 more fall into an age-and-gender cell with fewer than five people: that cell is marked "—" and not drawn, so no one can be singled out.

See how long people stay, by who

How long processes last, by who

Each row is the median of its group: calendar days between the first and last session, and number of sessions. These are processes, not people: a couple's process is one, classified by whoever opened the file, so these totals won't match the figure above.

By gender

Median durationDaysSessionsProcesses
Woman259 d11n = 115
Man165 d8n = 58

By age on arrival

Median durationDaysSessionsProcesses
17 or under316 d14n = 14
18–25376 d20n = 24
26–35373 d20n = 29
36–45268 d18n = 35
46+333 d19n = 19

By type of process

Median durationDaysSessionsProcesses
Individual217 d9n = 166
Couple147 d13n = 13

Counts the 180 processes of three sessions or more. Groups under ten processes are shown paler: a median of that few cases doesn't hold up a conclusion. 1 process is left out for falling into a group of fewer than five.

The office

Where and when

Of the 180 processes of three sessions or more, 2 have no setting on record. Of the other 178, 60% were at the office, 30% online and 10% mixed the two; most are still in person. I've held sessions Monday to Friday between 7:00 and 22:00, and Saturdays between 8:00 and 13:00. Those are hours when sessions have happened, not the ones I have free today: that I tell you when you write.

In person · 107 (60%)Online · 53 (30%)Both · 18 (10%)
See the months of the year and the hours of the week
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
The three busiest monthsRest of the yearThe three quietest

There are more sessions in May, July and February and fewer in January, September and October. Counted over 2022–2025, the years with a complete calendar.

The busiest hour of these ten years: Monday at 18:00.

Mo
Tu
We
Th
Fr
Sa
Su
7:00
8:00
9:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00

If, after reading this, you'd like to know what it would look like in your case, write to me; I answer personally.

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For colleagues

If you're a therapist, these figures let you compare with your own practice. And if you carry cases and want to think them through with others, have a look at the supervision group (in Spanish).

How it's counted

Median, not mean. A few years-long processes would pull the average well above what happens to most people.

Who goes into each figure. The four bands and the header figures count everyone; the header ones are rounded. The time medians leave out the people who came only once: there's no "how long" to measure for a single visit. The figures for setting, age and gender, and duration by group require three sessions or more; processes of one or two sessions are left out of those and counted under "Initial work". With one or two visits there's no pattern to count yet.

The "of those who reach a fourth session" percentage is calculated over the processes that went past three, not over the total.

Age and gender. The age is the one at the first session, so that ten years of people are comparable. An age-and-gender cell with fewer than five people isn't drawn, and a group with fewer than five doesn't enter the tables: a median over that few cases would come close to identifying the person.

The hours grid. The darker the cell, the more sessions. The color doesn't grow at the same pace as the count: if it did, the three or four busiest hours would leave all the others nearly blank.

Processes and people. The tables by group count processes: a couple's is one, classified by whoever opened the file. The age-and-gender figure counts both people separately. That's why their totals don't match.

Data as of 2026-10-10. Nothing on this page identifies anyone; only counts, medians and percentiles reach it, computed before leaving the practice's own system.

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