It’s natural to be curious about what a therapy session entails and to question what goes on during a 50-minute session. The truth is, it depends on you, your reasons for seeking treatment, and/or your mental health needs.
Before Your First Session
Before engaging in a session, most therapists offer brief consultations. These consultations are typically done over the phone, last approximately 15 minutes, and are usually free! Consultations grant you the ability to discuss your mental health concerns, while giving the therapist an opportunity to assess your needs and simultaneously determine whether they are a good fit to assist you. If a therapist does believe that they can be a source of support, they will offer to book an appointment with you. If the therapist does not believe they are equipped to assist you, they will refer you to a therapist who is a better therapeutic fit. The consultation also allows you to determine if you feel comfortable with the therapist and whether you would like to proceed with therapy.
Your First Session
After booking an initial session, it’s completely natural to feel a bit nervous. The first meeting is typically referred to as an intake session or intake assessment. Your therapist will discuss with you everything related to the therapy process, including privacy and confidentiality. Your consent is necessary in order to begin the intake. During an intake session, you and your therapist start to connect and establish rapport. Your therapist will ask you some questions to seek a good understanding of your primary mental health concerns, your goals for therapy, and other important components, in order to develop a general understanding of who you are. This first session typically dabbles into different life domains, some of which consist of mental and physical health, social environment, and family history.
An intake assessment may require up to two or three sessions to complete. At its completion, the therapist will assess your treatment needs and goals. You and your therapist will discuss and agree on a treatment plan to work on your symptoms and/or other therapy goals. Psychologists and psychiatrists have the ability and training to diagnose; therefore, if they determine you meet criteria for a specific psychiatric diagnosis they will communicate that to you. It is common for individuals seeking treatment to not meet criteria for a psychiatric diagnosis.
What’s Next?
After the intake assessment, subsequent sessions will focus on treatment. The type of treatment and interventions used are highly dependent on the therapist's understanding of the patient’s presenting problem(s)/symptom(s) and the modalities they choose to engage with, as well as what type of intervention fits best with your concerns. Some popular, evidence-based therapeutic interventions include: Cognitive Behavioural Therapy (CBT), Mindfulness-Based Cognitive Therapy (MBCT), Dialectical Behaviour Therapy (DBT), and Emotion Focused Therapy (EFT).
Although treatment differs from person to person, therapists are constantly revisiting a patient’s previously outlined goals to ensure that the patient’s concerns are being actively addressed. This also creates a space to introduce any new goals that might come up for the patient throughout the therapy process.
Throughout each session, the therapist and the patient create a connection often referred to as the therapeutic alliance. This alliance is key to creating a comfortable and safe environment where you feel you are able to discuss personal matters without judgement from the therapist. This therapeutic relationship may form slowly over time and typically results in a connected and trusting bond between therapist and patient.
Before You Go...
Therapy is a multifaceted process, which each person experiences differently. The most important component to therapy efficacy and prognosis is finding a therapist with whom you connect and feel comfortable with. If you do decide to engage with therapy, please ensure that you find a therapist who best suits your wants, needs, and therapeutic goals. You are your own best advocate, so if you feel you aren’t connecting with your therapist, don’t be afraid to let them know. Many clinics have diverse teams of therapists available for you to work with. If one therapist is not a good fit for you, your therapist will be happy to refer you to someone who may be better suited for you.
Check out our diverse team of therapists here to learn about the various services we provide and how we can help you.
Written by: Natalie DeRose, M. Psy. Candidate, B.A. (Hons)
Edited/Reviewed by: Dr. Stacy Lekkos, C.Psych and Chantal Legere, M.Psy. Candidate, B.A. (Hons)
References
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