Welcome to our 'What is Therapy?' page. This page aims to help answer your questions, set accurate expectations and ready you for therapy.
Understanding therapyPsychologists and CBT therapists offer psychological therapies for mental health problems. They tend to use an approach called psychological formulation. This involves being problem-focused (on the whole), looking at a current problem someone is experiencing that is impacting their ability to function day-to-day and causing distress, and then looking at factors from the past that might have contributed to that problem as well as things in the present that might maintain it.
Psychological interventions involve using approaches borne out of theory, research and clinical practice to understand the problem better and to learn to manage it in a different way: through developing more effective coping strategies, reducing symptoms, distress, and working on goals that can improve quality of life in the future.
It’s best practice if CBT therapists are accredited with the BABCP and Psychologists are registered with the HCPC.
Coaches generally work with their clients on the present and the future and have less of a focus on the past.
Coaching is about making tangible changes related to personal growth, improved performance/productivity/efficiency, or to overcome a personal challenge rather than treating a mental health problem. Generally coaching focuses on people that are functioning well, or may even be working at a high level, but want to grow and improve further.
Therapy assessment is a process that focuses on understanding an individual's current psychological state, emotional well-being, and specific needs to tailor an effective treatment plan. Unlike therapy itself, which involves ongoing sessions aimed at managing and improving mental health, therapy assessment is more about gathering comprehensive information to determine the best course of action. It involves evaluating symptoms, wellbeing, behaviours, and life circumstances to identify underlying issues or challenges.
The assessment typically occurs at the beginning of the therapeutic process and may include interviews, questionnaires, and sometimes psychological testing. The goal is to create a clear picture of where the individual is starting from, what issues need addressing, and what therapeutic approach might be most effective.
In a therapy session, the focus is on creating a safe and supportive environment where individuals can explore their thoughts, feelings, and behaviours.
The therapist may guide the conversation to help the individual gain insights into their patterns of thinking and behaviour, explore past experiences, or develop new coping strategies. Depending on the type of therapy, the session might include specific techniques like cognitive restructuring, mindfulness exercises, or role-playing scenarios. The therapist's role is to listen, provide feedback, and offer tools to help the individual make positive changes, always working collaboratively.
Sessions are typically scheduled regularly, often weekly, and can last for 50 to 90 minutes depending on the therapy modality. The focus is on making incremental sustainable progress, with each session building on the last, helping you move toward your goals.
Therapy is a collaborative effort, where both you and your therapist work together as a team. While your therapist brings professional expertise and guidance, you bring valuable insights into your own experiences.
Your role is to be open, honest, and engaged in the process. This means sharing what’s on your mind, being willing to explore difficult emotions, and discussing any challenges or progress you’re experiencing.
It’s also important to remember that you are the one who ultimately makes the change. Your therapist can offer tools, perspectives, and support, but you are the one who puts these into practice in your daily life. This might involve trying out new coping strategies, reflecting on your sessions between meetings, or challenging yourself to think differently about certain situations.
Your role is also to communicate with your therapist about what is and isn’t working. Therapy is a space where your feedback is essential to ensuring the process is tailored to your needs and goals.
In the days leading up to your session, it's beneficial to take intentional time to reflect on your recent experiences and emotional landscape. Identify any specific issues, emotions, or patterns that have surfaced, whether they relate to ongoing challenges, new stressors, or even moments of positivity and growth.
By coming to your session with a clear sense of what you’d like to explore, you make the time more focused and productive.
Before your session, consider what you hope to achieve. This might include gaining clarity on a specific issue, understanding a behaviour pattern, or learning new coping strategies.
Setting a clear goal helps guide the session and ensures that your time is focused on what matters most to you.
Notice any physical sensations or emotions you’re carrying into the session. Are you feeling anxious, stressed, or calm?
This awareness can be useful to share at the beginning of your session to help your therapist understand where you’re at in the moment.