Therapy expectations vs. Actual therapy

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Going to therapy is often portrayed in the media as lying on a couch, crying into a box of tissues while a spectacled therapist scribbles furiously in their notepad. The reality is that there are many different ways to get mental illness help and the setting and approach can be vastly different than what you’ve seen on TV. 

Such misconceptions can be harmful, not only because they fail to show how diverse mental health treatment approaches can be, but because it can also set unrealistic expectations about how therapy works (dramatic breakthroughs aren’t the norm). If you’ve been considering working with a mental health counselor, therapist, or psychiatrist, here’s what you can actually expect. 

Common Therapy Misconceptions

Myth #1: Therapy is only for those with severe mental health issues

 In reality, therapy can benefit individuals from all walks of life, regardless of the severity of their concerns. It is a valuable tool for personal growth, self-exploration, and the development of healthy coping mechanisms, even for those without a diagnosed mental health condition. Some people may believe that seeking therapy is a sign of weakness or that it is a last resort for those who have “failed” to manage their own mental health. On the contrary, reaching out for professional help demonstrates an individual’s courage, self-awareness, and commitment to their well-being.

Myth #2: Therapy is a long and arduous process

While the duration of therapy can vary depending on the individual’s needs and the complexity of their issues, many therapists offer flexible scheduling and short-term, solution-focused approaches that can be highly effective without requiring a significant time commitment. Some clients may opt for weekly or bi-weekly sessions, while others may choose to meet less frequently as they progress in their journey.

Additionally, the advent of telehealth has made mental health treatment more accessible than ever. Patients can meet with a mental health professional digitally using their phone or computer. It’s extremely convenient; patients don’t have to go out of their way to a physical location; and can make the idea of talking to someone less intimidating,

Myth #3: All therapists do is ask “How does that make you feel?”

Mental health counseling encompasses a diverse range of therapeutic approaches, each with its unique principles, techniques, and areas of focus. There are many different types of therapy approaches, some of which may work better with a person’s preferences or specific disorders. Some popular modalities include:

Cognitive-behavioral therapy (CBT) is a goal-oriented approach that focuses on identifying and modifying negative thought patterns and behaviors that contribute to emotional distress. It teaches patients to recognize and challenge their maladaptive thoughts and beliefs and can be particularly effective in addressing issues such as anxiety, depression, and addiction.

Family and couples therapy is a specialized form of therapy that focuses on the dynamics and relationships within a family or intimate partnership, examining communication patterns, role assignments, and underlying issues. Family and couples therapists aim to improve interpersonal relationships and foster greater understanding and support among family members which can be especially effective for addiction recovery. 

Psychodynamic therapy emphasizes the exploration of unconscious thoughts, feelings, and motivations that shape an individual’s personality and behavior. Psychodynamic therapy aims to help patients gain a deeper understanding of their inner conflicts and how they have been shaped by past experiences. It’s often used for treating depression and other serious psychological issues. 

Some mental health counselors may adopt an integrative approach that combines elements from various therapeutic modalities to create a tailored treatment plan that addresses the unique needs and preferences of each patient.

Tips for Getting the Most Out of Therapy 

1. Establish Clear Goals

Before beginning therapy, it is beneficial for clients to reflect on their specific needs, concerns, and desired outcomes. By collaborating with the mental health counselor to set clear, measurable goals, clients can stay focused and motivated throughout the therapeutic process.

2. Be an Active Participant 

Effective therapy is a collaborative endeavor, requiring clients to actively engage in the process. This includes being honest and transparent about their thoughts, feelings, and experiences, as well as being receptive to guidance and suggestions.

3. Embrace Vulnerability

Sharing personal and often sensitive information can be challenging, but the therapeutic process needs to be effective. Patients should strive to approach their sessions with an open and vulnerable mindset, allowing themselves to be truly seen and heard. Be prepared to navigate setbacks and challenges, while remaining committed to the process.

Regardless of the specific structure, the primary goal of a therapy session is to provide a safe, supportive, and collaborative environment where a person can explore their thoughts, feelings, and behaviors, and work towards achieving their personal growth and well-being. Talk to a mental health counselor in South Florida today if you need mental illness help or psychological treatment.

Written by: Onyx Behavioral Health Admin

The Onyx Behavioral Health Editorial Team includes content experts that contribute to this online publication. Editors and mental health experts review our blogs carefully for accuracy and relevance. We reference authority organizations such as The National Institute of Mental Health and NAMI for the latest research, data, and news to provide our readers with the most up-to-date mental illness and recovery-related content.

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