Time management may be something that needs to be discussed. Counseling appointments are 50 minutes and can be conducted via telehealth for convenience. While meeting once a week at first may be recommended, it is not required. If you and your partner have created a life where 50 minutes every week or every other week is unavailable for the most important part of your life, we may need to re-evaluate your priorities. If you are an executive couple with high work demands, it may be necessary to try and find some balance (as difficult as that may be).