How are you with small talk? I’ll be honest. I’m not that great at it. I think some of it comes from the nature of what I do as a psychotherapist. I’m used to getting deep with people in a one-on-one or small group setting. The types of questions I’m accustomed to asking do not really lend themselves to party chit-chat and simple social exchanges. Not to mention the fact that I can shut down a conversation pretty quick when someone invariably asks, “So, what do you do for a living?” and I answer, “I’m a psychotherapist.” Usually people’s eyes get large and they ask me something along the lines of, “Are you analyzing me right now?”
People who may not have experienced first-hand the counseling process often have lots of questions about what it entails. Hollywood images of laying out on leather couches while someone with a tight bun or wire rimmed glasses scribbles continuously on a clipboard can lead people to be apprehensive about beginning counseling. Though I can not speak for any other therapist, I can tell you a little of what you can expect from a typical counseling session with me.
Yes, I have been trained extensively in both the art and theory behind counseling and psychology as well as a host of approaches for helping people with a variety of different concerns, but at the heart of it all I am a person not that different from you. Hopefully when you meet me, you will feel warmth and a genuine interest in you as a person.
I am not the only expert in the room. You are a much larger expert on yourself than I can ever be. I rely on and welcome your feedback and honesty about how you feel the process is going. In order to be most effective, I need your accurate descriptions of yourself and the situations in your life. Counseling will not work if it is only one-sided.
Usually sessions are 50 minutes long, which allows me to schedule people on an hourly basis, and typically occur once a week. There are some times I see people for longer sessions, or more frequently, and other times where we drop down to meeting every other week or once a month as people’s need for therapy decreases. As far as overall length, there is no one set answer. Some people come for a few weeks, some for a few years. This is something I usually discuss with my clients individually when we first start counseling, and we check in around their goals throughout the process to make sure we are both in agreement about expectations for duration.
The very first session is very different than any other sessions because I have to get a lot of information from you, and discuss how I keep that information and records confidential. This first session is more like a consultation, where I go into more detail about what to expect from counseling, and you and I both take some time to get to know each other and learn what has led you to begin counseling. After the first session, though, there will be very little if any more paperwork for you. You can save time by filling out some of your paperwork ahead of time by downloading it here.
People are complex. Usually whatever is causing people to come for counseling is influenced by a whole host of factors, peoples, and situations (not to mention a lifetime of learning and experiences), and it takes time to learn about it all and begin making changes. Some things may be easier to begin working on, but other aspects will take time to work through.
Research has been done on what makes the counseling process effective. They’ve looked at different therapeutic approaches or qualities of the counselor, but one thing shows up consistently. People often experience change based on nothing other than their decision to begin counseling. I have worked with several people who report seeing things begin to change for the better rather quickly, as their decision to start counseling may provide the last push or level of support they needed to start doing something different in their lives.
Hopefully that answers some of your questions about what therapy is like. If you have other specific questions or concerns, feel free to call or email me and I will be happy to discuss those with you. Or you can schedule an initial session with me, and we can discuss in person more about the expectations for counseling.