An extended session is simply a longer version of regular therapy. It allows for more time in a single sitting without changing the overall structure of our work together.

An intensive, by contrast, is a more intentionally designed format. It involves focused planning around a specific theme or goal and may include preparation or structured reflection between sessions. Intensives are time-limited and collaborative in design, allowing for sustained attention without needing to pause and reorient week to week.

For clients who process deeply, need longer time to transition into meaningful work, or find it disruptive to stop mid-exploration, both formats can offer a more supportive rhythm.

Ongoing therapy can occur at a variety of frequencies depending on your needs. For some seasons, meeting once per week is appropriate. In others, meeting twice per week can support momentum, accountability, real-time responsiveness, or focused implementation work.

For example, one session may be used for planning, mapping executive functioning needs, or skill-building, while another may focus on reviewing implementation, troubleshooting barriers, and reinforcing progress.

Intensives offer a more immersive format, allowing us to stay with a topic longer without interruption. This can be helpful for clients who benefit from extended focus, reduced transitions, or a more contained period of deep work.

Some clients choose intensives when they want to dedicate time to learning about ADHD for the first time or in a new life stage, understanding executive functioning, building and practicing skills, strengthening communication strategies, or navigating a transition that feels especially challenging. The format allows for both learning and implementation follow-up within a shorter window.

Extended sessions can be helpful when initially starting therapy and wanting to build momentum.

They can also be particularly useful when mapping out needs related to executive functioning, routines, planning, or organizing toward specific goals. Having additional time allows us to explore barriers in depth, identify motivators, and think practically about implementation without feeling rushed.

For some individuals, extended sessions create space to settle in, fully explore a topic, and move toward integration within one meeting rather than carrying unfinished threads into the following week.

Extended sessions may be scheduled based on availability. Because they require longer blocks of time, advance planning is often helpful, but let’s be real, advanced planning can be a challenge.

We can use them occasionally when needed or more consistently during certain seasons. We determine together what rhythm supports your capacity and goals.

Not necessarily. Intensives require readiness for sustained focus and emotional engagement.

For some clients, shorter weekly sessions provide a steadier pace. For others, particularly those who experience strong momentum, difficulty re-engaging after pauses, or benefit from concentrated skill-building, an intensive format can feel more aligned.

We assess fit together to ensure the structure supports your nervous system and executive capacity rather than overwhelming it.

Intensives involve a larger upfront investment but provide concentrated time and sustained focus. For some clients, this allows for meaningful progress within a shorter window.

They are not inherently better than weekly therapy. They are simply structured differently. The most effective format is the one that aligns with your goals, capacity, and learning style.