The VRT I saw always schedules the first session for an hour, because it includes an extensive evaluation where she checks all sorts of things (made somewhat humorous thanks to masks!). She may have decided upon the every other week program because she knew I had a grasp of what needed to be done, plus I live two hours away. Some PTs also do an evaluation, sometimes pretty extensive, sometimes not. My husband saw a PT biweekly for almost a year; she did an evaluation at the start, plus he had been referred by the pain clinic. She worked very hard to convince him that moving would reduce his pain, but, in spite of all her effort, he refused to do exercises at home or even walk every day, so she "fired" him for noncompliance. His back pain has increased a great deal in the two years since he saw her, but it certainly is not her fault. He spends about half of every day lying down, which only increases the pain, although he claims that he feels better in that position. He's basically just waiting to die, which is damned depressing. The pain clinic also gave up trying to get him to help himself. I'm sure that lots of therapists see people who simply don't want to do anything beyond show up for appts., which isn't going to really improve their lot...must be awfully discouraging.