What To Expect In The Therapy Session

For many, the idea of going to therapy or counseling can be a bit… intimidating. Despite the many benefits they know come with therapy, people often avoid seeking professional help. One of the most common reasons for this hesitation is a fear of the unknown - not knowing what to expect from the therapy experience.

With my extensive background as a licensed therapist and certified life coach, spanning over two decades, I've encountered almost every reason why people hesitate to discuss life's difficulties with a professional. Some express concerns about the topics of conversation, others about my reactions, and many feel uneasy about confiding in a stranger. 

First, it’s helpful to remember that these concerns are entirely normal and understandable.

In my practice, I strive to create a safe, non-judgmental space where clients feel empowered to explore their thoughts, feelings, and experiences. My interactive and collaborative approach focuses on building a strong therapeutic partnership with each client – which allows me to tailor treatment to each client’s unique needs.

In this post, I want to shed some light on what you can expect when chatting in therapy, particularly when working with me. By demystifying the therapy process and highlighting what you can expect, I hope to ease some of the apprehension you may feel and encourage you to take that first step toward prioritizing your mental health and well-being.

Topic Freedom in Therapy

One of the most important aspects of therapy is the freedom to discuss whatever is on your mind. 

In my New Orleans psychotherapy practice, I encourage clients to bring up any issues they want to explore, whether it's relationship conflicts, work-related stress, changes in mood, or self-esteem concerns. This open-ended approach allows us to look at the ideas that matter most to you and can have the greatest impact on your well-being.

However, I understand that this level of freedom can be both liberating and challenging – especially for those who are new to therapy or are struggling with anxiety or depression. 

It's common to feel unsure about where to start or worry that your concerns aren't "important enough" to discuss. As your therapist, part of my role is to help guide you through this process and create a space where you feel comfortable sharing your thoughts and experiences.

Remember, there's no right or wrong way to approach therapy. Whether you come in with a specific issue in mind or simply want to explore your thoughts and feelings more broadly, I'm here to support you and help you navigate the challenges you face. Together, we'll work to identify the areas where you want to focus and develop a plan that aligns with your goals and values.

Pre-Therapy Preparation and Questions

To make the most of our time together, I often recommend that clients spend a bit of time preparing before each therapy session. This can involve asking yourself some exploratory questions to identify potential topics you'd like to discuss. For example, you might consider:

  • What has been on my mind lately?

  • Are there any recent events or interactions that have been particularly challenging or emotionally charged?

  • What patterns or themes do I notice in my thoughts, feelings, or behaviors?

Reflecting on these questions can help you identify the areas where you may want to focus our conversations. This preparation can be especially helpful in overcoming the initial hurdle of starting a discussion in therapy.

But I’m not the only one asking questions! I also encourage clients to come prepared with questions they want to ask me. This can be particularly useful during our first few sessions, as it can help you feel more in control of the process and make the experience feel more like a collaborative dialogue. Think along these lines:

  • What is your approach to therapy?

  • How do you typically work with clients who have similar concerns to mine?

  • What can I expect from the therapy process over time?

Remember, there are no silly or insignificant questions. As your therapist, I'm here to provide clarity, guidance, and support throughout your journey. You’d be amazed how asking questions opens the floodgate to deeper understanding and personal growth.


The Therapist's Role In The Healing Process

As a therapist, my role extends beyond simply being a passive listener. While I do spend a great deal of time listening attentively to my clients, I also actively participate in guiding the conversation and offering insights and perspectives that can help you gain a deeper understanding of yourself and your experiences.

The specific methods I employ may vary depending on my training and the therapeutic models I draw from, but my approach is characterized by warmth, empathy, and collaboration. I believe in creating an environment where you feel heard, understood, and supported.

Some clients, particularly those who have experienced more traditional psychoanalytic therapy, may find my approach more interactive than they are used to. If you find yourself craving a more engaged and dynamic therapeutic relationship, I encourage you to discuss this with me. Together, we can find a style and pace that feels comfortable and productive for you.

Confidentiality and Boundaries

One of the most important elements of therapy is confidentiality. As a licensed therapist, my commitment to confidentiality and personal boundaries is paramount. 

This means that, with a few specific exceptions, such as if I believe you are in immediate danger of harming yourself or others, I will not share anything you tell me with anyone else without your explicit permission.

This confidentiality is designed to create a safe space where you can feel free to explore your thoughts, feelings, and experiences without fear of judgment or repercussions. However, I also recognize that certain topics or experiences may feel particularly sensitive or difficult to discuss. In these cases, I encourage you to communicate your boundaries and let me know if there are any areas you'd prefer not to explore.

At the same time, it's important to remember that effective therapy often involves stepping outside our comfort zones. As your therapist, I may gently encourage you to examine more challenging areas over time, as they often hold the key to deeper self-understanding and personal growth. However, we will always move at a safe and manageable pace for you.

Reactions and Judgments

As a therapist, I am human, and I may have reactions to the things you share with me. However, it's crucial to understand that these reactions are not the same as judgments. My role is not to evaluate your thoughts, feelings, or behaviors as "good" or "bad" but rather to help you understand and work through them in a way that supports your well-being.

Openly discussing my reactions can be a valuable part of the therapeutic process. By exploring how your words and experiences resonate with me, we can gain new insights and strengthen our alliance. This open communication can help you feel more understood and supported and model healthy ways of expressing and processing emotions.

As Topics Evolve

As our therapeutic relationship develops, you may find that topics that initially seemed off-limits or too sensitive to discuss become more accessible. This is a natural and important part of the therapeutic journey, as it reflects a growing sense of trust and safety within our relationship.

As you become more comfortable with the therapy process and with me as your therapist, you may find yourself more willing to explore deeper issues and experiences. This progression can lead to significant breakthroughs, insights, and a greater sense of self-awareness and personal empowerment.

Therapy is a journey, and the topics we discuss will likely evolve and change over time. As your therapist, I support you every step of the way, offering guidance, insight, and a safe space to explore the issues that matter most to you.

Are You Ready To Take Your First Step Toward Healing?

I hope that by demystifying the therapy process and highlighting my unique approach, I've helped ease some of your apprehension about seeking professional support. 

Remember, therapy is a collaborative journey, and I am here to support you every step as you work towards greater self-understanding, personal growth, and improved well-being.

If you're considering therapy or feel that you could benefit from professional support, I encourage you to take that first step and reach out. Whether you're struggling with a specific issue or simply want to explore your thoughts and feelings more deeply, therapy can be a powerful tool for creating positive change in your life.

Visit me online to learn more about my New Orleans therapy services or to schedule a consultation. I offer in-person and virtual therapy sessions and am committed to creating a safe, supportive, and inclusive space for all my clients.

Remember, seeking help is a sign of strength, not weakness. By prioritizing your mental health and well-being, you are taking an important step toward living a more fulfilling, authentic, and empowered life!

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