Expectations in Therapy

  The reasons why people seek help in therapy varies widely, but the expectations are the same; change and insight. So why does it sometimes feel like there is little to no change? Why do we feel worse, and not always better? Why do we feel like we are still stuck in the same place as when we started therapy? These are all frequently asked questions for those in therapy. This comes from a misunderstanding of the role of the therapist in therapy, as well as a misunderstanding of the client’s role in the relationship. Let’s take a look at the therapeutic relationship, and the roles of both the counsellor and client to better understand it.

The therapeutic relationship seems simple at first glance. It is a relationship that involves a deep trust and understanding, however these are two things that are very hard to develop with a stranger. Feeling unsure of how much to reveal about yourself is completely normal early on in the therapeutic relationship, but going forward it is important that the trust level is increased. Not being able to open up to your therapist slows down or brings the process to a hault. A lack of trust will lead to a lack of open communication, and expecting to get help without taking a look at yourself is completely impossible. It is fair to expect your therapist to facilitate a space in which you feel safe and secure, but it is your responsibility to open up.

Therapists are equipped with tools and strategies to help you work through just about anything, but not every therapist is equipped to handle everything. Depending on their style of therapy and training, one may be well-suited for your needs and another may not be. This is why it is important to be clear about what you are hoping to get out of therapy. This will let your therapist know if they will be able to meet your expectations, or if they will need to refer you to another clinician. Do not take a referral as a sign of a therapist giving up on you. Take it for what it is, their attempt to put the help that you require within your reach.

One assumption about your therapist that may not be a conscious one, is that they are going to be able to solve all of your problems. This could not be any further from the truth. In person-centred therapy (which is what the majority of therapy is), your therapist acts as a guide. Your therapist will ask you questions in an attempt to reach your deeper feelings and thoughts, and guide you to the realization of these thoughts and feelings. Your therapist does not have all of the answers. Inside you are the answers that you are looking for, your therapist just helps to shed a different light on these answers.

So what is your role as the client in all of this? Well, put simply, your role is to put in the work that is required in order for you to move forward. This means learning to trust your therapist, having open honest conversations with them (and yourself), and doing the homework that they ask you to do. In order for your therapy to be successful, you need to be open to the experience and willing to take a good hard look at who you are. It is important to keep in mind that your life will not improve instantaneously, and neither will your mood. Often times bringing up the past can be very painful and difficult to deal with. This pain should not be discouraging. It is an important part of the entire process.

A really good question to ask yourself is, what are my goals?  Write them down and work with your therapist towards your goals without any expectations of a time frame.  Failed expectations bring disappointment.  Better to allow the therapeutic process to happen organically rather then trying to control the outcome.

Therapy is challenging, but it is a good way to help you sort yourself out. A therapist can be a good foundation of support and well-being in your life that you may not have otherwise. When discouraged by the process, remember this: it is not the path we take that matters, but the things we learn about ourselves.