Extended Therapy Sessions for Burnout | Raleigh, NC & the Research Triangle | Virtual for NC & CT | Erica M. Cuni, LMFT
Extended Therapy Sessions for Burnout
Because 50 Minutes Isn't Always Enough
Therapy doesn’t have to look the same for everyone.
Extended therapy sessions give you more time, more depth, and less start-and-stop — structured around your nervous system's pace rather than an insurance billing format.
What extended therapy sessions actually are
An extended therapy session for burnout is a longer, focused, uninterrupted block of clinical time — available in 90-minute, 2-hour, 3-hour, and 4-hour formats. The clinical work is the same. The OFNS™ Framework, the nervous system-based approach to high functioning burnout, chronic stress, and anxiety — none of that changes.
What changes is the container.
More time per session means less re-orienting at the start and less stopping just as the work gets real. Every extended session is intentionally structured — prepared for in advance and designed to go somewhere specific rather than wherever the hour takes you.
Some clients who choose the 90 minute or 2 hour extended therapy sessions meet biweekly. While others who choose the 3 and 4 hour extended therapy sessions meet monthly. That space between sessions matters — it gives your nervous system time to integrate what shifted before the next one builds on it.
Your extended therapy sessions for burnout options
because one size doesn't fit all
Working with Erica M. Cuni, LMFT means choosing the format that actually fits your life. Here’s how clients structure their work:
Weekly sessions
50 minutes, once per week. Consistent touchpoints and regular nervous system check-ins. Good for clients who want steady momentum and frequent contact.
Biweekly sessions —
50 minutes, every two weeks. More space between sessions for integration. Works well for clients whose nervous systems benefit from breathing room between appointments — or whose schedules make weekly sessions difficult to sustain.
Extended sessions —
90 minutes to 4 hours, biweekly or monthly. More depth per session without a weekly commitment. Good for clients who want meaningful, uninterrupted work on a less frequent basis — or who want to go deeper than 50 minutes consistently allows.
Formats can also be combined. Some clients do biweekly 50-minute sessions with periodic extended sessions when they want to go deeper on something specific. The right structure is figured out together — based on your nervous system, your schedule, and what you’re working on.
Extended therapy sessions for burnout might be the right fit if...
You’ve been in therapy before — maybe you’re in it now — and you keep hitting the same ceiling. You get somewhere real and the session ends. You leave with something unfinished and spend the next week carrying it.
Or your schedule simply doesn’t allow for weekly appointments — but you don’t want that to mean less meaningful work.
Extended therapy sessions tend to be a strong fit if you:
- Notice that 50-minute sessions feel too brief to get underneath what you're actually working on
- Gain insight quickly but want more time to work with it before the session ends
- Have a schedule that works better with less frequent but longer appointments
- Want consistent, meaningful work without a weekly commitment
- Are already working with Erica and extended sessions have been recommended as a next step
- The feelings of burnout, chronic stress, anxiety, perfectionism, or people pleasing patterns that keep returning despite consistent weekly work
If you’ve ever left a session feeling like you were just getting somewhere — this format was built for that moment.
In extended therapy sessions for burnout, it rarely shows up as just one thing
In high functioning adults burnout almost never arrives alone. Extended therapy sessions address:
- High functioning burnout
- Anxiety
- Chronic stress
- Perfectionism
- People pleasing
- Overwhelm
- High functioning depression
- Relationship issues
- Low self-esteem
- Hypervigilance - why you can't relax
These don’t get treated as separate problems. They get understood as connected — coming from the same place, addressed at the same level. That’s the difference between managing symptoms and understanding the system.
Before you book your extended therapy sessions for burnout — here's what to know
All clinical work is conducted by Erica M. Cuni, LMFT — licensed in North Carolina and Connecticut.
Session formats and rates:
- 90 minutes — $375
- 2 hours — $450
- 3 hours — $675
- 4 hours — $900
This practice is private pay by design. Extended sessions are not covered by insurance and superbills are not available for this format — insurance companies do not reimburse for sessions beyond the standard length. If weekly or biweekly sessions with superbill availability are a better fit for your situation, that’s worth discussing on the discovery call.
Extended therapy sessions are available:
- In person in Raleigh, NC — North Hills area
- Virtually for clients in North Carolina and Connecticut — including Hartford County and Fairfield County
Offered on a limited basis. Currently accepting a limited number of new clients.
View insurance & fees for more info
Real life doesn't pause. Neither does this work.
Here's what to expect
This is ongoing therapy — which means you have consistent support as you’re actually living your life, not just processing it after the fact. The difference is the container — more uninterrupted time per session, less frequently, with the same ongoing therapeutic relationship underneath it.
This work is:
- Directive when you need clarity — naming what's happening and building a concrete understanding of your system
- Supportive when life is a lot — a space to process what's coming up in real time
- Skills-based when your system needs practical tools for the moment
- Sometimes the work is more directive than exploratory - it will feel like coaching at times
- Clinical and provided under licensure
- Built for lasting change — not temporary relief that wears off
This work is not:
- Active crisis — including suicidal or homicidal ideation
- Active substance use
- Need for higher level of care — including IOP, detox, or inpatient hospitalization
- Need for stabilization before outpatient therapy is appropriate
If you’re unsure whether this is the right level of care for where you are right now — that’s exactly what the discovery call is for. We figure that out together before anything else.
You've been managing long enough.
Whether you’re exploring your options for the first time or Erica has recommended extended therapy sessions for burnout as a next step — the path forward starts with a conversation.
Erica M. Cuni, LMFT specializes in high functioning burnout, anxiety, chronic stress, perfectionism, people pleasing, hypervigilance, high functioning depression, relationship issues, and self-esteem for high-performing adults across the Research Triangle — Raleigh, Durham, Chapel Hill, and Cary — and virtually for clients in North Carolina and Connecticut, including Hartford County and Fairfield County.
If you’re a prospective client — the first step is a free 20-minute discovery call. No pressure. No commitment. Just an honest conversation about whether this format is the right fit for where you are right now.
If you’re already working with Erica and extended sessions have been recommended — reach out directly to schedule.
Erica M. Cuni, LMFT — Burnout Therapist & Creator of the OFNS™ Framework
Come join Erica M. Cuni, LMFT, a licensed burnout therapist with nearly two decades of clinical experience — who has the roadmap to help you understand what’s actually driving your patterns and what it takes to change it.
Her work has been featured in Refinery29, Well + Good, and NBC News. She was named one of the 22 Leaders to Learn From by Bunch in 2022. As a keynote speaker she has delivered to audiences from 10 to 1,500+ across organizations, conferences, and leadership teams nationally.
Based in Raleigh, NC and serving the Research Triangle — and virtually across North Carolina and in Hartford County and Fairfield County, Connecticut. Licensed in North Carolina and Connecticut.
FAQ's
Frequently asked questions about extended sessions for burnout therapy
What is an extended therapy session for burnout?
An extended therapy session for burnout is a longer, focused, uninterrupted block of clinical time — available in 90-minute, 2-hour, 3-hour, and 4-hour formats.
The clinical work is the same as any other session — the OFNS™ Framework, the same nervous system-based approach to high functioning burnout, chronic stress, and anxiety.
What changes is the container. More time means less re-orienting at the start, less stopping just as the work gets real, and more space for depth and integration that shorter sessions can’t consistently reach.
Extended therapy sessions with Erica M. Cuni, LMFT are available in person in Raleigh, NC and virtually in North Carolina and Connecticut.
Who are extended therapy sessions for burnout for?
Extended therapy sessions tend to be a strong fit for high functioning adults who notice that 50-minute sessions feel too brief to get underneath what they’re actually working on — or whose schedules make weekly appointments difficult to sustain but who don’t want that to mean less meaningful work.
They’re also a natural next step for current clients whose patterns would benefit from more uninterrupted time per session.
If Erica has recommended extended sessions during your work together — this page is a good place to start understanding what that looks like in practice. The OFNS™ Framework helps identify whether extended sessions are the right format for your specific nervous system and capacity level.
How is an extended therapy session different from a weekly session?
The clinical work and the therapeutic relationship are the same. What changes is the format. A standard 50-minute session requires significant time just to re-enter the work — checking in, orienting, and then wrapping up before you’ve gone as deep as you’d like.
Extended sessions remove that friction. More uninterrupted time means the work gets to go somewhere real before it ends — and you leave with something settled rather than something unfinished. Most clients who choose extended sessions use them biweekly or monthly rather than weekly, allowing time for nervous system integration between appointments.
Extended therapy sessions with Erica M. Cuni, LMFT are available in person in Raleigh, NC and virtually in NC and CT.
How often do clients do extended sessions?
Most clients use extended therapy sessions biweekly or monthly — not weekly.
The longer format is designed to be used less frequently than standard sessions, with enough space between appointments for your nervous system to integrate what shifted before the next session builds on it.
Some clients combine formats — biweekly 50-minute sessions with periodic extended sessions when they want to go deeper on something specific. The right frequency is determined collaboratively based on your nervous system, your schedule, and what you’re working on.
How much do extended therapy sessions cost?
Extended therapy sessions with Erica M. Cuni, LMFT are private pay only — not covered by insurance. Session formats and rates:
- 90 minutes — $375
- 2 hours — $450
- 3 hours — $675
- 4 hours — $900
Superbills are not available for extended sessions — insurance companies do not reimburse for sessions beyond the standard length. If superbill availability is important for your situation, weekly or biweekly sessions may be a better fit. Detailed fee information is available on the Fees & Insurance page.
Erica M. Cuni, LMFT offers extended therapy sessions for burnout in Raleigh, NC — available in 90-minute, 2-hour, 3-hour, and 4-hour formats for high performing adults experiencing high functioning burnout, chronic stress, anxiety, perfectionism, people pleasing, overwhelm, high functioning depression, relationship issues, self-esteem, and hypervigilance. Extended therapy sessions are built on the Overfunctioning Nervous System™ (OFNS) Framework. Private pay only. Not covered by insurance. Available in person in Raleigh, NC and serving the Research Triangle — and virtually for clients in North Carolina and in Hartford County and Fairfield County, Connecticut. The first step is a free 20-minute discovery call.