Therapy sessions can vary widely depending on the therapist and client. Each session is shaped by the unique perspectives, experiences, and needs that both parties bring to the table. In my practice, my approach centers on having a conversation—one that’s open, flexible, and client-led.
I usually begin with a simple question: How are you doing since our last session? From there, I’ll ask if anything has come up they’d like to discuss or focus on, or where they’d like to start. Early in my career, I noticed that walking into a session with assumptions about what a client might want to talk about—or what activity they might want to engage in, like art or games—often made it harder to find a natural flow.
Now, I’ve adjusted my approach. I keep a variety of materials on a shelf near or above the table—art supplies, games, and other creative tools—but they’re not taking up the client’s space. They’re there if wanted, and I may rotate items depending on who’s coming in that day. On the table itself, I always have tissues, a small container of candy (seasonally themed), and hand sanitizer—simple touches that make the space welcoming and practical.
Most clients choose to talk and perhaps fidget with something small rather than dive into a creative activity, and that’s perfectly okay. The creative materials are always available, and sometimes I’ll suggest trying something different, depending on where a client is in their journey or how sessions have been going.
For many, the idea of creating can feel overwhelming when life’s stressors are flaring up. While I’m passionate about creating and know firsthand the therapeutic benefits it offers, I understand that it’s not always what someone needs in the moment. Even in my personal life, I sometimes find it hard to pull out art supplies or finish a project when I’m feeling stressed. Keeping that in mind helps me remain mindful of what I suggest to clients, whether we’ve been working together for years or are just getting started.
People occasionally ask about homework, wanting more structure between sessions. I’m happy to provide tools, worksheets, or book recommendations with a little time to research and find what’s most appropriate. Still, it’s ultimately the client’s responsibility to engage with these materials outside of our sessions, as our time together is limited. Often, clients have a lot happening in their lives and aren’t able to complete journaling, worksheets, or reading. That’s okay! I remind them these tools are available if they’re helpful, but if not, it’s not detrimental to their progress. We can revisit these resources together at another time, especially if we find ourselves with fewer pressing matters to discuss.
At this point in my career—nearly 12 years as a licensed therapist—I’ve learned that flexibility, presence, and client-centered care are key. Therapy isn’t one-size-fits-all, and every session is an opportunity to meet the client where they are.
How about you? If you’ve experienced therapy, what made your sessions feel most supportive or effective? And if you’re considering starting, what would you want a session to look like for you?
