Background: Despite growing evidence that clinical gains are lost when clients transition back to care as usual, typical coordinated specialty care programs (CSCs) continue to be limited to 2-3 years. This qualitative paper aims to explore the experiences of first episode psychosis clients within a CSC clinic that retains clients beyond the standard 2-3 years. Methods: The authors conducted qualitative interviews with ten clients who engaged with the clinic for three or more years. The guiding research question was; what motivates clients to remain engaged with CSC beyond the typical 2–3-year treatment period? Results: Five main themes emerged from qualitative thematic analysis: symptom improvement, recovery as a process, supportive staff, trusting relationships, and individualized care. Results demonstrate preliminary evidence on the benefits of prolonged engagement in first episode psychosis care. Discission: The emergent themes from the qualitative analysis provide insight into clients’ experiences of team based first episode psychosis care beyond 2-3 years. Given the value placed on continuity of care and meaningful therapeutic alliances, we must consider how established timeframes for first episode psychosis programs may negatively impact the overarching goal of sustaining gains long term. Perspectives from those living the experience of first episode psychosis treatment are important to inform standards of care.