How can I best prepare for my therapy session?
Good question.
It’s best to avoid this situation: you put in the time to book another therapy session, you pay the money (gulp), you put it in your schedule, on the day-of you get your notification reminding you of your appointment, you travel to the office, you wait in the waiting room, you are welcomed into a room, you get to the chair, sit down, get asked the question, “what would you like to work on today?” A silence follows. And then you answer: “I don’t know.”
This happens a lot and I’d like to suggest gently that this is not an ideal situation.
I do want to start with saying that even if this is you, don’t be too hard on yourself. I’ve started many therapy sessions sitting in silence not knowing how to begin… and yes I’ve uttered these words. At other times I’ve just wanted to update my therapist on fun life events or ask simple questions that I’ve been pondering.
Even more, simply by booking a session you are already getting the gears moving in the change process. There are six stages in the change process (pre-contemplation, contemplation, preparation, action, maintenance, and termination). By booking a therapy session it means that you are past the first stage, which is pre-contemplation. The change process has already begun simply by contemplating your situation, deciding that you could use some help navigating your way forward, and then reaching out for help. The fact of having booked an appointment is substantial!
And yet, this question still remains relevant: how can I maximize my time in therapy? How can I make this investment even more fruitful? How might I go about preparing for therapy?
You want to get the best bang for your buck! Counselling – a valuable, set-part space and time for growth – can be enhanced by preparation.
So, how might one prep?
I’ve got three things for you: first, ten questions to ponder. Second, three tips. Third, one general attitude to develop.
Ten Questions to Prepare for Therapy:
I read a quote that said, “the best answers begin with good questions.”
I’ve compiled a list of questions that you can ponder before your sessions that will enhance your time together. I’ve gathered them from personal experience and from other clinical counsellors who have given me their insights on how one might best prepare for therapy.
- Whats not working? What do I want different? How will I know if it’s different?
- What do I have a hard time admitting to myself?
- What gets in the way of me getting to where I want to go? Bonus points if it’s a repeat offender.
- What do I want to change about my life? Make sure it’s practical, measureable, and reasonable.
- How would I have to adjust my time each week to achieve this change?
- How might I sabotage my plans to make this change?
- What is my role in maintaining the problem I am wanting to address? What do I gain from its existence?
- What could we focus on today that would help me leave feeling like it was useful?
- What stuck with me from the last session?
- What is bothering me the most right now? Is there something I can do to fix it? How willing am I to fix it?
Those are some questions to ponder before sessions that will help you get started in the right direction.
Three Tips to Prepare for Therapy:
Here are some other practical tips that you could take in to help as well:
- Have an ongoing tab on your phone or in your journal of topics, subjects, challenges that you are wanting to explore in therapy. Whenever new thoughts or insights or feelings rise up that are relevant, write those down in your notes.
- Take ten minutes before each session to mentally prepare. This moment of thinking, mindfulness, and silence will help you settle into how you are doing and what is going to be most important to focus on.
- Finally, a helpful reminder is that every session is NOT going to be groundbreaking. This is normal. Just like regular life, lots of the time we are not on the mountaintop, we are just in the thick of it. Processing our mixed emotions, asking good questions, risking vulnerability in the presence of a compassionate other. Let yourself embrace the process of growth and transformation which does not happen overnight. I’ve heard some studies that suggest that it takes at least 5-6 sessions to start to experience deeper therapeutic gains and other studies that say it may take up to 40 sessions to achieve the changes you are wanting to make.
Therapy is a bold endeavour to self-examine the state of our lives, develop understanding, and hope for growth. I’m continually left in wonder, awe, and reverence at the courage of those enter therapy and display this level of humility, vulnerability, and courage.
AN ATTITUDE TO DEVELOP
I want to end with another fundamental of therapy that might help your mindset going into each session.
Bill Gates once said, “Your most unhappy customers are your greatest source of learning.” In the same vein, Richard Schwartz, a seasoned therapist, encourages all of us to develop an attitude of openness and receptivity to the many excellent teachers that we have in life. He writes, “I’m not talking about the gurus, priests, professors, or parents, although they can certainly help you learn your lessons if they’ve learned theirs. I’m talking instead about the difficult events and people that trigger you—your tor-mentors. By tormenting you, they mentor you about what you need to heal.”
This gets at a deep truth that undergirds therapy as a whole: within the mess of our greatest challenges, discomfort, or pain, is the potential for transformation and growth. “But wait, I want to get rid of those very problems!” True, we do want change and that involves hoping for peace and order. However, the way forward is often not what we initially expect. When we are able to befriend these tor-mentors we find our pathway to healing and growth. When a seed dies, new growth breaks through. After a field has laid fallow, will it be ready to be planted again. The treasure is hidden behind the guarding dragon. The promised land comes after the trek through the desert.
Think of the wise people you know in life, have they had an easy life without challenge or suffering? No, quite the opposite. These people persevered amidst great adversity. Navigated complex messy obstacles.
This is the posture that will also aid your therapeutic journey: edge towards facing the given challenges we have, the internal limitations we have to admit, confounding situations we are plagued with and from that place we attempt to develop a posture of receptivity to these tor-mentors.
Deep breath. This seems like a lot, and it is. And that is why we don’t do this alone! We need a safe companion for the journey. Therapists can prove helpful companions to enter into this journey of growth, resilience, and change.
If you’ve been on the fence about trying therapy, we’d love to hear from you. Starting therapy can be an intimidating thing – we’ve all been there. If this post is resonating with you, give us a shout and we’d be happy to sit down with you.