Question: My practice serves many clients with PTSD who require longer sessions- 90 minutes. There appears to be no accommodation in the new CDs for that service.  What do you suggest?

Answer: Greetings Mary,
That’s a good question! You’re not alone in wanting to provide longer sessions, or back-to-back sessions, to clients who could really benefit from more services. In situations like this, you will need to get special authorization from the client’s/patient’s insurance company. I’ve seen this done! And I’ve seen such requests rejected too–it could really go either way. Eileen, one of my senior medical billers and I just recorded a video on this very topic. You can watch it here:

I hope this helps!

Dr.  is CEO of Thriveworks is Private Practice Consultant for the American Counseling Association, and Author of “How to Thrive In Counseling Private Practice.” Learn more at

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Dr. Anthony Centore

Anthony Centore, PhD

Anthony Centore, PhD, is Founder and Chair at Thriveworks — a counseling practice focused on premium client care, with 340+ locations across the US. Anthony is a Private Practice Consultant for the American Counseling Association, columnist for Counseling Today magazine, and author of "How to Thrive in Counseling Private Practice". He is a multistate Licensed Professional Counselor (LPC) and has been quoted in national media sources including The Boston Globe, the Chicago Tribune, and CBS Sunday Morning.

Check out “Leaving Depression Behind: An Interactive, Choose Your Path Book” written by AJ Centore and Taylor Bennett."