What is Therapy Like? An Inner Look at the Therapy Office Experience

If you are asking yourself “What therapy is like?” then this article is for you. It takes an inner look at the therapy office experience and the many differences you find behind each door. With all the differences, it can make it difficult to decide how, when, and what therapy to start with.

That’s okay, there are tools for that as well (see “Individual Choice” section). There are not only differences between therapies and therapists but also unique phases of therapy each client goes through. It all comes down to individual choices.

Differences

Certain techniques of therapy fit certain people. There is no one-size-fits-all. In order not to make this a textbook-sized article, the following are over-simplifications of different types of therapy, including some highlights of the most used therapies out there such as DBT, CBT, somatic, psychodynamic, etc. Just as a reminder, this is an oversimplification.

Commonly used therapies

DBT, ACT, CBT. basically brain training. The concepts are black-and-white, plug-and-play techniques that have proven to work for many people. There’s a lot of talking, but a lot of formulas being plugged into throughout.

Somatic

Body and brain training. The concepts connect the whole brain, but the focus is on the reptilian portion and therapists work through experience exercises that can range from holding onto the edge of a table to jumping off a tower into a foam pit.

Psychodynamic

Here’s where you talk it out and see where things go. Most offices really do have a couch, and some people lie down on it.

Online vs. in-person

Youth

The entertainment factor is a must to consider how well they can engage/be attentive (so don’t be surprised if there is more of a play approach), there’s a certain age limit for the general therapist out there.

Adults

Psychological disconnect (no replacement for in-person), but otherwise no difference is shown in short-term studies (in other words, real work can still be done online).

Social: male/female, religious/nonreligious, race

Male/female

You may not have a preference, or you may feel strongly about it. It will be an easy choice for some individuals. As a couple, it may be more difficult to navigate the first-time choices of a male or female.

The most important question is whether you have had major trauma involving one gender to another. Either way, it’s going to be a case-by-case basis where one gender or another could change your mind on the issue just because of how they naturally fit your case.

Religious/non-religious

Similar to male/female considerations – the couple’s work makes this more of a factor than for individuals since couples may not be in the same space religiously and will need to find the best middle ground.

For individuals, the benefit of a particular religious background is an understanding of vocabulary and context to certain sensitivities. Otherwise, no matter the religious background, it is likely the therapist has worked with both religious and nonreligious alike.

Race

Again, you may not have a preference, but similar to the above, race can be an identifying factor in who you want to see and open up to in the experience of therapy.

The phases

The beginning phase

The beginning phase is when the introductions happen. No matter the level of intensity of the problem, this phase typically has little change overall. It is in this phase where the problem can be closely examined, and the client can work to get used to the therapist and the therapist can get to know the client. Typically, if any progress is made in this stage, there will be a temptation to quit too early before the lasting work is done.

The working phase

This phase can be the most uncomfortable for the client. It is in this phase where challenges to the client’s routine/habits are made. It is the time when the reality of the situation shows and the going gets tough. It is important to advocate for yourself during this phase, so the therapist can adjust their approach accordingly.

The end phase

This phase can be difficult for some, but in general, this is where progress is reviewed, game plans for future trouble are made, and final check-ins take place before saying goodbye to therapy. This may mean that progress has been made and therapy is no longer needed. However, this may also occur before transferring to a new type of support.

Individual choice

Overall, therapy is an individual choice. With no guarantees offered, the success of it depends on multiple factors. Your individual choices are not only what type of therapy you will try, but also what type of therapist you want to meet with. Another individual choice is when you want to enter and exit therapy.

Regarding couples therapy, it should be kept in mind that there is no such thing as shotgun therapy. Should a spouse not be committed to the relationship, even for a short time for the sake of trying therapy, there should be no couples therapy.

Keeping these choices in mind is important in helping you sift through the options of therapists and therapies out there. If it becomes more overwhelming to make the decision yourself, reach out to our reception team at https://cachristiancounseling.com/ or 424-438-2888 and let them know so they can help you find the best place to start.

Photos:
“Relaxing”, Courtesy of Coen Stall, Unsplash.com, CC0 License; “Naptime”, Courtesy of Adrian Swancar, Unsplash.com, CC0 License; “Counseling”, Courtesy of TienDat Nguyen, Unsplash.com, CC0 License

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