Psychotherapists and Counsellors Answer your Questions

We work as a team to address your therapeutic goals. We will regularly review how we are working, what is helpful and what requires adjustment. We will discuss what progress you want to make and...

We work as a team to address your therapeutic goals. We will regularly review how we are working, what is helpful and what requires adjustment. We will discuss what progress you want to make and explore how you will know when we are achieving that.

Progress in counselling is highly individualised and can vary greatly from one client to another. Each person has unique goals, challenges and experiences, so what constitutes progress will differ...

Progress in counselling is highly individualised and can vary greatly from one client to another. Each person has unique goals, challenges and experiences, so what constitutes progress will differ from one individual to the next. For some clients, progress may involve achieving specific goals or milestones they've set for themselves, while for others, it may be more about the internal shifts in mindset, emotions, or relationships they experience over time. Moreover, clients may have different preferences in terms of how they measure progress. Some may focus on tangible outcomes, such as symptom reduction or behaviour change, while others may prioritise subjective experiences, such as increased self-awareness or emotional growth. As a counsellor, I believe my role is to honour each client's individual journey and collaborate with them to define what progress looks like for them personally. By tailoring interventions and goals to meet the unique needs and preferences of each client, I can better support my clients in achieving meaningful and sustainable change.

I believe client's will experience in their body when they are beginning to move forward, and progress is not a linear process. There is no timeline for healing and progress will be experienced in...

I believe client's will experience in their body when they are beginning to move forward, and progress is not a linear process. There is no timeline for healing and progress will be experienced in different ways by each person. I will make ongoing assessments with clients about the progress of their therapy and adjust my approach as needed.

Once they have had a few sessions, and they have completed any tasks the therapist has set for them.

Once they have had a few sessions, and they have completed any tasks the therapist has set for them.

In the first few sessions they should see on their Outcome Rating Scale (https://rb.gy/q5k84) that they are on track towards feeling better. If by the 6th session there is no visible improvement,...

In the first few sessions they should see on their Outcome Rating Scale (https://rb.gy/q5k84) that they are on track towards feeling better. If by the 6th session there is no visible improvement, despite getting their written feedback at the end of every session about our work together, it's my responsibility have a deeper discussion. I explore with them what I'm not understanding about their issue & work with them to see how I need to adapt my approach to better suit their hopes for improvement.

I have often experienced my clients feeling lighter and more spacious in their lives quite quickly. Having a space dedicated to you with a supportive person creates the potential for powerful change...

I have often experienced my clients feeling lighter and more spacious in their lives quite quickly. Having a space dedicated to you with a supportive person creates the potential for powerful change and transformation. Developing emotional agility is a natural outcome of therapy that provides agency for change.

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One size does not fit all - some clients start to experience benefits right away, whilst others may take longer. In some cases progress is regular and incremental, whilst others may feel that they are...

One size does not fit all - some clients start to experience benefits right away, whilst others may take longer. In some cases progress is regular and incremental, whilst others may feel that they are taking two steps forward and one backwards.The process is unique and different for each person.

Only the client will know this and it varies greatly as there are a multitude of factors that influence 'progress'.

Only the client will know this and it varies greatly as there are a multitude of factors that influence 'progress'.

Transformation can begin once a client feels heard, seen, and understood without judgment. Progress is different for everyone and may not always include catharsis. However, progress is made when a...

Transformation can begin once a client feels heard, seen, and understood without judgment. Progress is different for everyone and may not always include catharsis. However, progress is made when a client feels safe to explore their feelings and distress. Reaching out for help is often the first step in the change process and can already signify progress.

Most couple therapy clients come in for communication or conflict resolution problems. Therefore, progress looks like, firstly, conflict dying down in the relationship and communication improving....

Most couple therapy clients come in for communication or conflict resolution problems. Therefore, progress looks like, firstly, conflict dying down in the relationship and communication improving. Then, after that, communicating from a more vulnerable and authentic place emotionally, rather than by getting angry or withdrawing from each other. Infidelity is also a common presenting issue and progress with that looks like feeling the pain less and being less triggered around what has occurred, as well as addressing the reasons for the infidelity. For individual clients, progress looks like feeling entitled to your own emotions, being able to identify and process your emotions in a healthy way, being discerning in the types of relationships you allow into your life, being able to modify unhelpful attachment patterns and having greater self esteem and better coping mechanisms.

I usually encourage clients to plan for 3 sessions and see where they are after that. This gives both client and therapist time to feel out the space, the relationship and get a sense of how they will...

I usually encourage clients to plan for 3 sessions and see where they are after that. This gives both client and therapist time to feel out the space, the relationship and get a sense of how they will work together.

when they feel better, trusting life

when they feel better, trusting life

It depends on the client, their presenting issue and their expectations. For some clients, progress can occur after a session, for others it might take many months.

It depends on the client, their presenting issue and their expectations. For some clients, progress can occur after a session, for others it might take many months.

After the first session I would like you to feel hopeful and after the third session you can expect real results.

After the first session I would like you to feel hopeful and after the third session you can expect real results.

This is a difficult one to answer as it obviously depends upon the circumstances. However I am a firm believer in brief therapy which encourages active engagement with the challenges from the outset...

This is a difficult one to answer as it obviously depends upon the circumstances. However I am a firm believer in brief therapy which encourages active engagement with the challenges from the outset as well as a clear timeline thereafter. My objective is to establish defined benchmarks agreed between client and therapist. We then collaborate actively in forging durable solutions. Obviously we must pace ourselves, but my objective is to establish progress from day one.

This varies, depending on the severity of the issues and how long a person has been struggling with their issues. Generally you can start to feel shifts after 4-6 sessions. Roughly individuals will...

This varies, depending on the severity of the issues and how long a person has been struggling with their issues. Generally you can start to feel shifts after 4-6 sessions. Roughly individuals will attend for min 10 sessions. With singular trauma experiences using EMDR, significant shifts can be experienced after 4 sessions.

The sooner the better of course... but everyone's different. For some people it's just making the booking. I hope that if and when you meet me you get a sense that you're heading in the right...

The sooner the better of course... but everyone's different. For some people it's just making the booking. I hope that if and when you meet me you get a sense that you're heading in the right direction.

With individuals it may take a few sessions for a relationship to begin to form. There are so many factors in play: each session is a safe experiment (to use the Gestalt phrase). Many couples...

With individuals it may take a few sessions for a relationship to begin to form. There are so many factors in play: each session is a safe experiment (to use the Gestalt phrase). Many couples feel progress by the end of the first session, and report back positively on this.

When experiencing changes of mood, feeling, self perception. An increase in well being and behavioural changes.

When experiencing changes of mood, feeling, self perception. An increase in well being and behavioural changes.

I think progress will only truly begin when trust has been established. Without trust in relationship, there is no safety and without safety, deep healing cannot be achieved.

I think progress will only truly begin when trust has been established. Without trust in relationship, there is no safety and without safety, deep healing cannot be achieved.

Every client is different. The duration of therapy depends on the client and their needs, the nature of the problem and how much energy and time the client wants to devote to the process. If a person...

Every client is different. The duration of therapy depends on the client and their needs, the nature of the problem and how much energy and time the client wants to devote to the process. If a person has a relatively straight forward concern 6-12 weeks may be enough time for them. If, on the other hand, a person wants to understand and change long term patterns and the broader context which effect their functioning and underpin their symptoms, a longer therapy would be more helpful. A person may not have a major problem but may want to make use of therapy to understand and explore themselves, to grow in their relationships and to steer themselves more effectively in their life-path. Usually therapy starts with weekly or fortnightly sessions with greater spacing as things improve.

From the first session - something shifts. Between sessions - when something just ... clicks.

From the first session - something shifts. Between sessions - when something just ... clicks.

The fact that you're seeking support is a significant step towards progress. If you decide to work with me, the pace of your progress will depend entirely on you. I strongly believe that trust is...

The fact that you're seeking support is a significant step towards progress. If you decide to work with me, the pace of your progress will depend entirely on you. I strongly believe that trust is the foundation of any relationship, especially in therapeutic relationships. Therefore, my primary responsibility is to create a safe space and earn your trust. Once we establish trust, we can make progress. I always prefer to under-promise and over-deliver. However, some of my clients have been able to transform their relationships in less than three months, even while working only with one partner. In some cases, clients have been able to overcome lifelong obstacles in their very first session. Of course, every client is different, and some may require a few weeks to make progress.

Clients vary in their perception of when progress is being made. However, I approach every session as if it's the first and only session. I use this particular approach so that the essence of the...

Clients vary in their perception of when progress is being made. However, I approach every session as if it's the first and only session. I use this particular approach so that the essence of the session is always as therapeutic as possible and that the client will have the opportunity to make optimal gains from each and every session. Generally speaking, most clients feel relief in the first session and continue to experience positive gains. I see progress - not as a one-off event - but as a process, which continues to build and grow cumulatively. That is not to say that individuals do not feel stuck sometimes in therapy. However, feeling stuck with a supportive, non-judgmental, patient and highly attuned fellow co-participant/therapist is often the very thing that makes all the difference. It helps the client feel seen and heard - sometimes for the first time. Often this results in newfound clarity, insight, resolve, hope, compassion, self-forgiveness, or forgiveness of others. Put simply, things shift in the right sort of therapeutic environment, with the right sort of therapeutic conversation. That is why establishing a good therapeutic relationship is so important.

With Process Oriented Psychology while it does depend on what the client is working with, a connection with the deeper processes of their disturbance is very likely to happen early in the work, often...

With Process Oriented Psychology while it does depend on what the client is working with, a connection with the deeper processes of their disturbance is very likely to happen early in the work, often in the first session. The therapists close observation of the client's signals leads them to these deeper processes fairly quickly so that these can then be addressed with different approaches. Typically the clients I work with using Process Oriented Psychology achieve some level of significant shift and expanded awareness by the 6th session. With TRTP significant change can be achieved in 3 to 4 sessions. This is one of the key values of this method - that profound shifts in the trauma experience can be made by following this comprehensive, step-by-step process which resolves extreme trauma and trauma-related issues - anxiety, depression, fears and phobias. It achieves results quickly, effectively and safely.

This varies from client to client and depends on the severity of their situation. However I think clients should know within a few sessions if this is moving in the right direction for them.

This varies from client to client and depends on the severity of their situation. However I think clients should know within a few sessions if this is moving in the right direction for them.

I use evidence-based, brief psychotherapy models. In my experience, my clients begin to feel that they are making cognitive, emotional, and behavioural progress within 2-3 sessions.

I use evidence-based, brief psychotherapy models. In my experience, my clients begin to feel that they are making cognitive, emotional, and behavioural progress within 2-3 sessions.

I hope the client will feel some kind of movement happening from the first session. It's important for me not to presume what progress' is but to continually check in with my client about their...

I hope the client will feel some kind of movement happening from the first session. It's important for me not to presume what progress' is but to continually check in with my client about their experience and what they are hoping to get out of each session.

A client may have a little 'aha' moment as a previously confusing situation becomes a little clearer; or may notice that some unhelpful patterns of doing things have changed; or that previously...

A client may have a little 'aha' moment as a previously confusing situation becomes a little clearer; or may notice that some unhelpful patterns of doing things have changed; or that previously impossible relationships are a little less daunting.

Immediately, although I always make it clear that feeling better is not the same as doing better. Quite often clients make the mistake of shortening suggested treatment plans because they feel...

Immediately, although I always make it clear that feeling better is not the same as doing better. Quite often clients make the mistake of shortening suggested treatment plans because they feel better. Its important to attend, do extra tasking, and listen to audios if this is part of the plan.

They will experientially feel real progress during the session with additional shifts after. Deeper patterns will continue to shift outside of the session. These are often unnoticed until clients find...

They will experientially feel real progress during the session with additional shifts after. Deeper patterns will continue to shift outside of the session. These are often unnoticed until clients find themselves in better moods and moving in ways that are different to when they felt stuck.

I seem have noticed this pattern that around 3 weeks is difficult and by the forth there seems to be a shift. Sometimes four sessions is all that is needed with some issues. For medium to long term...

I seem have noticed this pattern that around 3 weeks is difficult and by the forth there seems to be a shift. Sometimes four sessions is all that is needed with some issues. For medium to long term work this cycle repeats so around 8-16 sessions for medium term work and 16-32 for longer term work.

This can vary but for clients experiencing addiction, an obvious indicator is relief from their substance / behaviour of choice. This can either be abstinence or reduction of problem behaviours. As...

This can vary but for clients experiencing addiction, an obvious indicator is relief from their substance / behaviour of choice. This can either be abstinence or reduction of problem behaviours. As important in the long-term is improved self-care, options for dealing with challenging thoughts and feelings constructively, and better relationships.

'Progress' is a difficult measure as self-learning/awareness can come quickly or take a bit more time depending on each person. I'd say that if you're not feeling positive towards your therapeutic...

'Progress' is a difficult measure as self-learning/awareness can come quickly or take a bit more time depending on each person. I'd say that if you're not feeling positive towards your therapeutic experience within 4-6 sessions, discuss what you're unhappy about with your therapist (just blurt it out!). If you're still don't feel any change in how you feel within the next few sessions, you may find a better fit with someone else. Not all therapists are going to suit everyone, so don't be scared to talk about it with them or try someone else.

When they feel heard and understood, helped, empowered and more hopeful.

When they feel heard and understood, helped, empowered and more hopeful.

As human beings, we have an in-built desire to talk about ourselves and be well received by another person who is truly present and interested in who we are. While all of a client's concerns may...

As human beings, we have an in-built desire to talk about ourselves and be well received by another person who is truly present and interested in who we are. While all of a client's concerns may take a while to talk about, understand and manage, I believe clients feel some relief from distress within the first 1-3 sessions.

Sometimes clients feel progress has been made from the first session! It's not unusual for clients to say that they feel so much better just knowing that they have a safe and caring place to talk...

Sometimes clients feel progress has been made from the first session! It's not unusual for clients to say that they feel so much better just knowing that they have a safe and caring place to talk about what is bothering them. Sometimes clients come with a specific issue that they need support for and within a shorter time frame they feel better and more able to navigate whatever is happening for them. Other times, clients need longer to really explore what their experience is and begin to feel more comfortable. I like to suggest that clients start with three sessions and then assess how things are going from there.

Clients often begin to feel benefits from counselling in the first few sessions. During this time we focus on building the relationship and understanding the difficulties which brought them, along...

Clients often begin to feel benefits from counselling in the first few sessions. During this time we focus on building the relationship and understanding the difficulties which brought them, along with beginning to address symptoms learn new skills (like Mindfulness) and address the areas of discomfort. Symptom management is really only the beginning and as the work and relationship develops we can go a little deeper into discovering and building up resilience and if the client chooses, into exploring/ unpacking what has been supporting the problem.

This is very individual and depends on many factors such as personal circumstances, histories, and individual objectives. Sometimes it happens in the first session, other times it can take...

This is very individual and depends on many factors such as personal circumstances, histories, and individual objectives. Sometimes it happens in the first session, other times it can take considerably longer for change to occur, particularly with long-standing, entrenched issues. In my experience, as with most things in life, what people tend to get out of this process is usually proportional to what they're able and willing to put into it. Unlike some other modalities that address people's health, psychotherapy and counselling require a certain degree of motivation and active participation. A good match between client and therapist usually helps the process.

I hope that my clients will start to feel progress from the very first meeting and continue their progress throughout the duration of the therapy. I aim to help my client's deal quickly and...

I hope that my clients will start to feel progress from the very first meeting and continue their progress throughout the duration of the therapy. I aim to help my client's deal quickly and efficiently with any initial crisis, then gain personal insight and meaning into the nature of their struggles.

Experience has shown me that some shifts can be felt anywhere from one session onwards. But generally clients notice some kind of difference within a couple of sessions. Psychotherapy can be an...

Experience has shown me that some shifts can be felt anywhere from one session onwards. But generally clients notice some kind of difference within a couple of sessions. Psychotherapy can be an ongoing process so often more will come up to explore or come to light as other things are being addressed or resolved. This is a tricky question because there are so many variables including the client's own idea of what progress is to them.

When my client starts to feel hopeful and feel like there is more choices in their life.

When my client starts to feel hopeful and feel like there is more choices in their life.

When experiencing changes of mood, feeling, self perception. An increase in well being and behavioural changes.

When experiencing changes of mood, feeling, self perception. An increase in well being and behavioural changes.

It varies from person to person depending on what they present with, what they are hoping to achieve and how they define 'progress'. Just making the appointment can feel like progress is being made to...

It varies from person to person depending on what they present with, what they are hoping to achieve and how they define 'progress'. Just making the appointment can feel like progress is being made to many people who have thought about going to counselling or psychotherapy for a long time. Most clients express some relief after the first session and tell me that it was 'good to get it off their chests' and that they feel 'lighter' having done so. I let all my clients know that they may feel worse before they feel better, especially when working through trauma, as the painful material is processed sometimes for the first time in many years or at all. I work with people for as long as it takes to reach their personal therapeutic goal and we reflect together on their progress throughout the therapy.

depends upon each unique individual and circumstances

depends upon each unique individual and circumstances

Most of my clients start to feel progress after the first session, because they gain insight and self awareness from the first session, which helps them see new perspectives and therefore make...

Most of my clients start to feel progress after the first session, because they gain insight and self awareness from the first session, which helps them see new perspectives and therefore make changes. However this does not mean that one session is enough or that there is not a moving forwards and backwards from session to session, as sometimes progress brings with it new insights that need to be worked through or navigated.

This will depend on what is happening for the client. Some clients are content after just 2-3 sessions, others 6-7 sessions and others will need more deeper therapy over a longer period of time. I...

This will depend on what is happening for the client. Some clients are content after just 2-3 sessions, others 6-7 sessions and others will need more deeper therapy over a longer period of time. I always make a point of tracking progress, talking about this and the direction the client wants to take. Goals change over time and as one goal is reached the next emerges.

This varies of course but sometimes people say they feel much better after just one appointment! Starting to feel better is a big part of being able to make progress and take steps forward. In terms...

This varies of course but sometimes people say they feel much better after just one appointment! Starting to feel better is a big part of being able to make progress and take steps forward. In terms of resolving particular concerns, often it depends how long something has been a 'problem' or difficulty in that person's life. Long standing concerns can take some time and might require regular contact over some months. But more recent issues can often be resolved in 6-10 appointments. Some of the people who meet with me are quite happy about having had a few sessions over a few weeks. Others remain in contact for a year or more, often spacing out their appointments as we progress to the point that they might end up meeting with me just once a month or every few months as a kind of 'maintenance' visit.

This is a good question! It is very individual and it depends on what the client views as progress. For many clients it is significant progress for them reach out to a therapist and share that they...

This is a good question! It is very individual and it depends on what the client views as progress. For many clients it is significant progress for them reach out to a therapist and share that they have a problem. The initial sessions of schema therapy involves education about schemas and how they operate, so within a few sessions I would expect progress in terms of a client understanding their difficulties, where they came from and what keeps them going. We work towards goals so clients may identify that progress is being made when things start to change in their thinking, feelings or behaviours. For some, progress is slower and gradual and for others it can be much quicker and feel very transformative. It is important to note that the therapy journey can be an incremental healing experience.

Depending on the complexity of the situation (and barriers to change) it could be from session 2-3 (if 2 or 3 issues) and longer if multiple difficulties. How long is a piece of string and how do you...

Depending on the complexity of the situation (and barriers to change) it could be from session 2-3 (if 2 or 3 issues) and longer if multiple difficulties. How long is a piece of string and how do you define progress? Barriers to progress are many and may include chronic self-criticism, low self-worth, mistrust, substance use and/or increased functioning (return to work, more social, more gym).

Hopefully from the first appointment.....that's my aim

Hopefully from the first appointment.....that's my aim

That's highly variable and depends on the client's life experiences. If a client's childhood needs (eg, safety, love, predictability) were met, but they experienced traumas sometime later in life,...

That's highly variable and depends on the client's life experiences. If a client's childhood needs (eg, safety, love, predictability) were met, but they experienced traumas sometime later in life, they may start to feel better after a few sessions and may need less than 10 sessions to achieve their therapeutic goals. However, if neglect or physical or emotional abuse were experienced early in life, it may take an unpredictable and extended period to start to feel improvements.

Progress has already been made in the moment they ask for support.

Progress has already been made in the moment they ask for support.

Most likely in our first session. I think even having made the appointment offers a sense of relief, indeed clients often report this. I want to start helping someone immediately and I use Resource...

Most likely in our first session. I think even having made the appointment offers a sense of relief, indeed clients often report this. I want to start helping someone immediately and I use Resource Therapy's powerful question to get my clients goals out in front for them to feel progress and direction in our time together. What are you ready to change today?

Sometimes after the very first session, usually by the second, or almost always by the third - depending, of course, on the nature of the problem. Some issues are bigger and take longer, whereas...

Sometimes after the very first session, usually by the second, or almost always by the third - depending, of course, on the nature of the problem. Some issues are bigger and take longer, whereas others can be remedied surprisingly quickly.

Hopefully after the first meeting. I would like to think that on meeting and talking to me that clients recognise I am sensitive, non-judgmental and open to exploring their concerns.

Hopefully after the first meeting. I would like to think that on meeting and talking to me that clients recognise I am sensitive, non-judgmental and open to exploring their concerns.

After the first session they should have gained an understanding of how they can move forward and begin to regain a sense of self efficacy and hope in a non judgemental and safe environment. Therapy...

After the first session they should have gained an understanding of how they can move forward and begin to regain a sense of self efficacy and hope in a non judgemental and safe environment. Therapy definitely requires the psychologist and the client to feel comfortable and be the right fit. You need to find a therapist who makes you feel validated and heard. My aim is to help the client realise what they can do to help take control of the situation they are in and help them understand through psycheducatioin that they are not alone, and that they can begin to take charge of their own life again and make some positive changes which will eventually enable them to live a more fulfillling and meaningful life. It may take one session or it make take many sessions to achieve this goal depending upon their individual situation. Ultimately it is the client who decides.

This is very individual but usually just starting experiencing this different style of conversation in the first and subsequent few sessions helps to externalise the effects of the problem and has the...

This is very individual but usually just starting experiencing this different style of conversation in the first and subsequent few sessions helps to externalise the effects of the problem and has the person experiencing less stuckness and connecting more with hope. By defining the realms of influence of the issue and what it is robbing a person of and realising what this implies about what they really value, people can often have a sense of being moved. We are all very used to talking about problems in great detail. Finding out about the healthy tissue and asking about what people would most like to be known for, can help shine light on areas they may not have had a chance to talk about or connect with.

Therapy experiences are unique and vary from person to person. Whilst it can take time for individuals to feel the benefits of talk therapy, others can feel some level of progression after a number of...

Therapy experiences are unique and vary from person to person. Whilst it can take time for individuals to feel the benefits of talk therapy, others can feel some level of progression after a number of sessions. That being said some report feeling positive impacts after a few months. With respect this may not be the case for everyone. Therefore it's imperative as a clinician that I check in with clients to ensure they're finding the process effective.

Certain beliefs are associated with feelings of wellbeing, other beliefs are associated with experiences of suffering, of contraction and heaviness. Some of the work we may do is examining the beliefs...

Certain beliefs are associated with feelings of wellbeing, other beliefs are associated with experiences of suffering, of contraction and heaviness. Some of the work we may do is examining the beliefs the client has, and seeing if these beliefs are true or false. Although in colloquial speech feeling and belief are used interchangeably, in therapy it is very useful to distinguish between them. Progress is being made is not a feeling, as such, it is a belief. Feelings just are what they are, present or absent, but beliefs can be questioned. When a client writes or phones to make the first appointment they may begin telling themself they are making progress. When they believe the thought I am making progress there are likely to be accompanying sensations in the body - perhaps a losening, or expansion, or lightening.

I take a longer term approach as I believe long term issues take longer to effect long term change. However, I expect that clients will be begin to feel that progress is being made within a few...

I take a longer term approach as I believe long term issues take longer to effect long term change. However, I expect that clients will be begin to feel that progress is being made within a few months of consistent therapy. In addition to this the client will feel better from the very first session when they get an experience of being heard and validated. It is often remarked by my clients that they feel very understood, this is sometimes the very first time they have experienced someone who listens and understands. This feeling is often enough to have clients develop hope, facilitating an increase in wellbeing.

After the first session

After the first session

Depending on the type of work the client is interested in, by that I mean, if the client is coming to gain skills and tools in order to better manage conflict then 2-3 sessions should yield result. On...

Depending on the type of work the client is interested in, by that I mean, if the client is coming to gain skills and tools in order to better manage conflict then 2-3 sessions should yield result. On the other hand, if the client wish to understand what is really going on underneath our reactions then that process will take longer to unfold.

Most of my clients feel progress is made within weeks.

Most of my clients feel progress is made within weeks.

This varies from client to client and it depends on the severity of a client's situation. In saying this, I think client's often feel that progress is made in the very first session, because they...

This varies from client to client and it depends on the severity of a client's situation. In saying this, I think client's often feel that progress is made in the very first session, because they have made an appointment and show up! This in itself is progress. Furthermore, I strive to create an environment that feels safe and supportive. One that is full of care, hope, compassion, respect and empowerment. For this reason I feel that client's leave our first session feeling hope, often for the first time in a long time.

When they have a sense of agency and are being encouraged to listen to their own authentic voice.

When they have a sense of agency and are being encouraged to listen to their own authentic voice.

This is always tricky. Sometimes just starting to see a counsellor is huge progress in itself. Some clients progress through goals quickly others take time depending on how embedded the problem is and...

This is always tricky. Sometimes just starting to see a counsellor is huge progress in itself. Some clients progress through goals quickly others take time depending on how embedded the problem is and how motivated the client is to change. Most people feel they are going two steps forward and one step back. From my experience, sustained progress should result in an increased ability to tolerate and manage emotions, better and wiser decision making, healthier relationships with people and a general sense of satisfaction and freedom. Not easy to get there but definitely possible!

When they feel a sense of trust and safety in the room and feel that their therapy sessions are valuable.

When they feel a sense of trust and safety in the room and feel that their therapy sessions are valuable.

My hope is that a client will feel progress after the first session - that they have learned something about themselves, or walk away with a sense that change is possible. I also know that progress or...

My hope is that a client will feel progress after the first session - that they have learned something about themselves, or walk away with a sense that change is possible. I also know that progress or healing isn't linear, and that sometimes things feel a bit all over the place before they get better.

I have the ability to build rapport quickly, having had years of experience. This means that progress can be quick and generally weekly sessions move quickly on to fortnightly and then monthly.

I have the ability to build rapport quickly, having had years of experience. This means that progress can be quick and generally weekly sessions move quickly on to fortnightly and then monthly.

I work proactively with clients and my experience is that client's start to feel change from the start of therapy

I work proactively with clients and my experience is that client's start to feel change from the start of therapy

This is very unique for everyone. However, when I hear people tell me they are coping better with everyday challenges, shifts in their relationships, managing their symptoms and triggers better and...

This is very unique for everyone. However, when I hear people tell me they are coping better with everyday challenges, shifts in their relationships, managing their symptoms and triggers better and have more tolerance, this a good sign that something is shifting and that their nervous system is healing. When people start to experience better connection with others and look after themselves better, that's also a wonderful sign of progress.

Instantly. I find that when people sit with me and are invited into the level of presence and acceptance that I reside in there is an automatic shift in their awareness.

Instantly. I find that when people sit with me and are invited into the level of presence and acceptance that I reside in there is an automatic shift in their awareness.

This is a difficult question as it depends on the individual's readiness to change and also, what is understood as progress. In the short term, a person might be developing skills to reduce anxiety or...

This is a difficult question as it depends on the individual's readiness to change and also, what is understood as progress. In the short term, a person might be developing skills to reduce anxiety or to regulate emotions. If that is considered progress, it can happen quite quickly. For longer term work, positive change is a more gradual process with ups and downs along the way. Typically, once trust has developed in the therapeutic relationship and there is a commitment to the process, changes in other relationships/aspects of the person's life begin to occur. Commonly, significant shifts happen out of our awareness and it's only on reflection that the person realises, for example, their stress headaches are gone.

When there is a shift from fear to a sense of hopefulness about the possibility of change occurring. This may occur when a client experiences a good match' with their therapist; from the moment they...

When there is a shift from fear to a sense of hopefulness about the possibility of change occurring. This may occur when a client experiences a good match' with their therapist; from the moment they have opened to the therapeutic process; or when they are fully engaged in therapy and are starting to see their world with a new lens and are starting to experience life with greater meaning and authenticity.

Often clients report an immediate feeling better after a first session. Progress can then become a bit more stagnant to again leap further into the therapy work we do together. Progress is an...

Often clients report an immediate feeling better after a first session. Progress can then become a bit more stagnant to again leap further into the therapy work we do together. Progress is an individual thing and depends on the situation. Sometimes actually allowing yourself to feel low, can boost your ability to feel better in a way that lasts. If that makes sense.

That varies on how open the client feels to start to heal an how motivated they are for therapy.

That varies on how open the client feels to start to heal an how motivated they are for therapy.

When they can access a sense of vulnerability in connection without feeling overwhelmed or shutting down.

When they can access a sense of vulnerability in connection without feeling overwhelmed or shutting down.

I often notice that a client starts feeling better when their symptoms ease such as feeling less anxiety or their mood improves. However I also find if the client develops insight they often feel a...

I often notice that a client starts feeling better when their symptoms ease such as feeling less anxiety or their mood improves. However I also find if the client develops insight they often feel a significant shift in the way they look at things and the way that they do things which indicates a deeper level of progress.

It depends on the client's unique circumstances and the nature of their concerns. Generally, progress can be observed when clients start to feel more in control of their thoughts, emotions, and...

It depends on the client's unique circumstances and the nature of their concerns. Generally, progress can be observed when clients start to feel more in control of their thoughts, emotions, and behaviors. They may begin to identify and challenge negative thought patterns and make changes in their behavior, leading to improvements in their overall well-being. However, the timeline for progress varies for each client, and it is important to have open communication to track progress and adjust treatment plans accordingly.

Clients often report a sense of being heard and supported in a non-judgmental manner, and consequently a sense of relief after their first session. This is especially true when they have had long...

Clients often report a sense of being heard and supported in a non-judgmental manner, and consequently a sense of relief after their first session. This is especially true when they have had long standing issues that they have felt unable to speak about with others in their lives, due to fear, shame or judgement, The time taken to make progress varies with the client's presenting issues, what they wish to achieve from counselling and therapy, and the complexity of any trauma in their lives. Sometimes clients require only a few sessions to help re-focus and implement strategies to help navigate their lives. Others require a longer period due to more complex needs. Client's often report a feeling of progress and increased freedom, as they begin to understand their relationship's, experiences and patterns of behaviour, and feel more able to make more informed choices in their lives.

From the first meeting of being in a safe space to express yourself without judgement is often progress in itself. Once we find the right tools for your empowerment then the journey continues to...

From the first meeting of being in a safe space to express yourself without judgement is often progress in itself. Once we find the right tools for your empowerment then the journey continues to strenghtnen.

Although clients report feeling better and start to make changes within the first few sessions, psychosynthesis psychotherapy is not a quick fix, or, a come when you feel bad kind of therapy. It is a...

Although clients report feeling better and start to make changes within the first few sessions, psychosynthesis psychotherapy is not a quick fix, or, a come when you feel bad kind of therapy. It is a process of self-awakening, a journey of the soul and a (re) discovery of who the person was always meant to be!

Some clients have that 'light-bulb' moment in just one session and that is so gratifying to see. Others may need a few more sessions, but in each session a positive step will be taken.

Some clients have that 'light-bulb' moment in just one session and that is so gratifying to see. Others may need a few more sessions, but in each session a positive step will be taken.

It very much depends on what brings the person to counselling. Clients often report relief from the first session simply by being able to connect with someone and tell their story. Beyond that it...

It very much depends on what brings the person to counselling. Clients often report relief from the first session simply by being able to connect with someone and tell their story. Beyond that it depends on the person and what we are working on.

This question can be very difficult to answer, as it always depends on what someone is coming in with, but moreso, what the expectation is of what change looks like. Most clients will experience...

This question can be very difficult to answer, as it always depends on what someone is coming in with, but moreso, what the expectation is of what change looks like. Most clients will experience some elements of change or progress once they connect and engage in the therapy process and begin to develop a sense of hope. This can be in as little as one session, though it will often be within the first 6 sessions. I usually find that those who are either skeptical of therapy itself, their own ability to improve, or are struggling in identifying what change would look like, have the greatest difficult to discern when progress is being made. This does not mean that progress is not being made, rather that it can be difficult to measure.

The difference is generally felt after the first session/s. After first 1-2 sessions my clients report relief of symptoms, increased feelings of joy, hope and motivation for further therapeutic...

The difference is generally felt after the first session/s. After first 1-2 sessions my clients report relief of symptoms, increased feelings of joy, hope and motivation for further therapeutic process. As we progress, we continuously negotiate the direction and possible impacts of further exploration or trauma work. The client is always in charge of the decisions and therapy can be paused, stopped or re-directed at any time. Great emphasis is put on transparency of the process, relationship between the therapist and the client, here-and-now experience in the room and safety as a priority above any treatment.

As I include the body as a resource, the client can usually see their progress by the change in how how they had originally interpreted and/or responded to their issue/event/emotion etc'. In...

As I include the body as a resource, the client can usually see their progress by the change in how how they had originally interpreted and/or responded to their issue/event/emotion etc'. In hindsight clients can see they are able to respond differently as they move toward mind, brain, body and spiritual integration.

When relationships feel closer and stress is reduced. I would say the majority of clients we see feel progress has been made by session three.

When relationships feel closer and stress is reduced. I would say the majority of clients we see feel progress has been made by session three.

It depends on the individual. Some clients see progress after the first appointment, others move more slowly and may start to notice change after 4 or 5 sessions. Everyone is different and move at...

It depends on the individual. Some clients see progress after the first appointment, others move more slowly and may start to notice change after 4 or 5 sessions. Everyone is different and move at their own pace.

Healing takes time, and depending on the issues you face, you may notice immediate changes, or you may notice change slowly creeping into your life. What's most important is a constant commitment to...

Healing takes time, and depending on the issues you face, you may notice immediate changes, or you may notice change slowly creeping into your life. What's most important is a constant commitment to doing the work and building self-awareness to the inner workings of your mind, especially when you are activated, so that you can being to make those necessary changes. Its important to be patient and loving towards yourself on your healing journey.

I hope that my clients will start to feel that some progress is being made after an initial session as it is often an important first step towards seeking input and support and this can be helpful in...

I hope that my clients will start to feel that some progress is being made after an initial session as it is often an important first step towards seeking input and support and this can be helpful in itself. I also hope that over time the client/s experiences changes in how they are viewing their concerns and ways to manage them.

I would like to think that my clients feel that some form of 'progress' has been made from the very first session. As a person-centred, strengths-based practitioner I am a strong believer in the power...

I would like to think that my clients feel that some form of 'progress' has been made from the very first session. As a person-centred, strengths-based practitioner I am a strong believer in the power of the client-counsellor relationship, i.e. the client's experience of being truly heard and rediscovering hope that their life and well-being will improve.

I usually find that even after the first session most of my clients go away feeling much better than when they came in. They'll walk away with a couple of tools to use, and a plan for things we can...

I usually find that even after the first session most of my clients go away feeling much better than when they came in. They'll walk away with a couple of tools to use, and a plan for things we can continue to explore in the coming sessions. There is no rule as to how long before a person feels completely 'better', as its so different for every person, but I don't believe that people need to be in therapy for years. Having said that, I do work with clients long term if needed, and many of my clients continue to work with me for quite some time (but with less frequent visits), as a way of checking in and making sure everything is on track.

From the very first session if Max (my Groodle Animal Assistant) and I are doing our jobs properly!

From the very first session if Max (my Groodle Animal Assistant) and I are doing our jobs properly!

I want clients to feel valued, connected and the beginnings of relief from the earliest possible time. During the first phone call or email, I work to build rapport, safety and connection.

I want clients to feel valued, connected and the beginnings of relief from the earliest possible time. During the first phone call or email, I work to build rapport, safety and connection.

Clients often experience relief after the first session as they feel understood and that they have support and holding during their exploration of their symptoms. I help clients to accept that they...

Clients often experience relief after the first session as they feel understood and that they have support and holding during their exploration of their symptoms. I help clients to accept that they are not their symptom or label - they are capable of connecting deeply to the truth of who they are when they can let go of the adaptive patterns they adopted to survive in childhood. The discarding of the old unhelpful beliefs and patterns takes place at the same time as building reconnection to the true foundation within the body, heart and soul so psychotherapy is a complex process. Changing entrenched patterns of reacting and relating can take time and it differs for each client.

The 'when' for client progress is dependent upon a range of individual factors including but not limited to client readiness for change, the client's level of insight into their difficulty, and...

The 'when' for client progress is dependent upon a range of individual factors including but not limited to client readiness for change, the client's level of insight into their difficulty, and management of extraneous variables that are negatively impacting the client, as well as client self-care strategies and the most important aspect, the therapeutic relationship that develops from a good fit between client and therapist; a therapeutic relationship founded on trust and openness.

When life feels a little different

When life feels a little different

Most of my clients comment that they feel a shift or change in their mood, outlook, demeanour between 6-10 sessions.

Most of my clients comment that they feel a shift or change in their mood, outlook, demeanour between 6-10 sessions.

Progress is made from increasing self-awareness and adopting more helpful behaviours and thinking patterns. Some level of progress can emerge even before the first session, when someone makes the...

Progress is made from increasing self-awareness and adopting more helpful behaviours and thinking patterns. Some level of progress can emerge even before the first session, when someone makes the empowering decision to seek help; it creates a sense of hope. I generally see my clients for a minimum of 4 sessions, that is the number I found to be the most adequate to produce long-lasting positive effects.

It depends on the presentation, but most of my clients start to gain some level of clarity about their situation after the first or second session. Clarity can make a big difference, as it brings with...

It depends on the presentation, but most of my clients start to gain some level of clarity about their situation after the first or second session. Clarity can make a big difference, as it brings with it a sense of agency and hope.

This will be unique to each client is my first thought, however some other key points come to mind. Clients experiencing progress may: - be less critical and more accepting of themselves - feel...

This will be unique to each client is my first thought, however some other key points come to mind. Clients experiencing progress may: - be less critical and more accepting of themselves - feel more grounded, less out of control in their own bodies - notice that things that might have upset them in the past trigger them less or not at all - feel they are making decisions for themselves that are not simply fear-driven - feel less alone in the world and othered - are more curious about how they think and feel at any given time - can validate and soothe themselves through difficult times - feel more able to spend time in the present, rather than focused on the past or future

Most clients can experience catharsis during a session through the engagement of the creative materials. Engaging in art therapy maybe a long term support in maintaining a sense of wellbeing.

Most clients can experience catharsis during a session through the engagement of the creative materials. Engaging in art therapy maybe a long term support in maintaining a sense of wellbeing.

This can vary from client to client depending on the current issues impacting on the individual.

This can vary from client to client depending on the current issues impacting on the individual.

Depending on what you are seeking support for meaningful and lasting change can take time. I always support my clients to build exercises and experiments into their daily lives, to enhance and...

Depending on what you are seeking support for meaningful and lasting change can take time. I always support my clients to build exercises and experiments into their daily lives, to enhance and accelerate the work we are doing together in therapy and to reduce the amount of time needed to meet their goals. Most of my clients notice shifts and changes in the first session, often that is related to the feeling of a new possibility or hope, previously missing. Many of my clients inform me in the first session that that have never told anyone else some of the things they're telling me.

It will depend on what is important to the client and what their goals for therapy are. I think once a trusting connection is made the real work can commence.

It will depend on what is important to the client and what their goals for therapy are. I think once a trusting connection is made the real work can commence.

Therapy is a process, a process of growing in awareness, learning and unlearning. However, clients should start to notice some progress and have a clear sense of whether it is helpful in the first few...

Therapy is a process, a process of growing in awareness, learning and unlearning. However, clients should start to notice some progress and have a clear sense of whether it is helpful in the first few sessions. Usually clients start with regular sessions to gain traction and sessions usually become less frequent over time as progress is made. A big part of therapy is helping clients make contact with their own understanding and internal processes. When a client can do this they will know progress is being made, they will feel it. Their internal navigation system develops. We are all different yet also similar in many ways. Common signs of progress are: clients gain more contact with themselves; they start to become aware of and regulate their emotions more easily; they gain in self-acceptance; their relationships improve; they feel freer and more vitality in their bodies; they gain wider perspectives on things; their thinking and worldviews become more flexible; they have a broader experience of themselves, discovering capacities in themselves they were unaware of; their comfort zones broaden; they feel greater choice in what they do, how they respond to situations etc.

It would be when the client feels that some of the issues that they presented with initially have started to subside and they have developed some insight and learnt new approaches to live a better...

It would be when the client feels that some of the issues that they presented with initially have started to subside and they have developed some insight and learnt new approaches to live a better life for themselves.

I believe the client will start to feel that progress is being made during the first session as we lay the groundwork and prepare for the journey together through a collaborative joining. In order to...

I believe the client will start to feel that progress is being made during the first session as we lay the groundwork and prepare for the journey together through a collaborative joining. In order to feel progress, I believe we need to feel hear, experience being seen and joined by another in our process. This is what I aim for during the first session with my clients. I work to attune to what is being communicated through verbal and non-verbal communication, listen deeply and get a 'felt sense' for the client's world. Progress is different for everyone therefore I use transparency and openness between myself and the client to check in, reflect back and communicate on what is happening as it is happening to invite a deeper level of trust and agency into the therapeutic relationship. We outline goals, hopes for therapy, frameworks for safety and a process for our work together.

My goal is to ensure that the child/adolescent and their parents/caregiver feel understood and heard in the first assessment appointment, and that they have had a chance to formulate some initial...

My goal is to ensure that the child/adolescent and their parents/caregiver feel understood and heard in the first assessment appointment, and that they have had a chance to formulate some initial treatment goals. Some clients may experience progress very early on, but for other clients, progress can take time. Therapy is a collaborative process where the psychologist and client work together to bring about change. We will regularly review progress towards clinical goals to ensure that the treatment is working, and make changes as needed.

Each client is an individual. I notice that clients feel progress has been made at 'aha moments', when they get excited at showing me the insights that have occurred between session, or notice how...

Each client is an individual. I notice that clients feel progress has been made at 'aha moments', when they get excited at showing me the insights that have occurred between session, or notice how they are responding differently to situations. And synchronicities. They will say, 'I get it. I feel different. I want to know more.' Children will tell me that they are handing situations differently, and share how they use a mantra/mudra to help them remember what they have learned in session or have created solutions of their own.

Progress depends on the issues, severity of the problem and how open to change the client is. I work with the individual at their pace. At the end of the session, we gauge the progress they feel they...

Progress depends on the issues, severity of the problem and how open to change the client is. I work with the individual at their pace. At the end of the session, we gauge the progress they feel they have made. The ultimate goal is to have the individual feel that they are strong enough to no longer need my services.

Clear progress is made when individuals present with less symptoms, better functioning and leading happier lives.

Clear progress is made when individuals present with less symptoms, better functioning and leading happier lives.

When you start to see yourself responding differently to a situation, that's where the magic is.

When you start to see yourself responding differently to a situation, that's where the magic is.

The timeline for change in couple and family therapy can vary widely depending on the unique dynamics and challenges present in each situation. It's important to recognise that therapy is a process,...

The timeline for change in couple and family therapy can vary widely depending on the unique dynamics and challenges present in each situation. It's important to recognise that therapy is a process, and change occurs at different rates for different individuals and families. However, some factors that can influence when things might start to change: - Commitment to change - The Therapeutic Alliance - Understanding and Insight - Skill Development - Emotional Processing - Targeted Goals and Milestones It's important to note that the therapeutic process is not linear, and setbacks or challenges can occur along the way. Each couple or family's journey is unique, and the timeline for change will depend on various factors. Regular communication and reviews provide insight into the progress being made and help manage expectations.

The patient/client is the only one who can determine that. From my perspective the work of therapy is NOT a linear process. When I agree to commence work with an individual, I am agreeing to remain in...

The patient/client is the only one who can determine that. From my perspective the work of therapy is NOT a linear process. When I agree to commence work with an individual, I am agreeing to remain in the relationship, to assist it to grow in order for a deeper understanding of a person's way of Being, to develop

This is highly dependent on the client's reason for seeking counselling, very generalised 4-6 sessions can bring about a shift towards healing.

This is highly dependent on the client's reason for seeking counselling, very generalised 4-6 sessions can bring about a shift towards healing.

A client usually feels some relief after sharing their story with me, it allows them to feel lighter and know that someone else is on that journey with them. Saying things out loud is very powerful...

A client usually feels some relief after sharing their story with me, it allows them to feel lighter and know that someone else is on that journey with them. Saying things out loud is very powerful and can be the first step to making changes.

Most clients say that just opening up about a problem and sharing it can lighten the load a little bit... however, once you have said something out loud, you can't take it back! ...so sometimes the...

Most clients say that just opening up about a problem and sharing it can lighten the load a little bit... however, once you have said something out loud, you can't take it back! ...so sometimes the first few sessions of therapy are a real emotional rollercoaster. Between the first few sessions, often a decision will be made that will cause the situation to settle almost immediately; but other times, it can take a while longer to unpack the layers of struggle and heartache, and defenses... so I won't make promises that I can't keep by saying that you'll feel fine in no time. I think it's safe to say that the first step in change is often the hardest - the important thing is to remind yourself that deciding to care for yourself is the most fundamental step towards making progress.

From client feedback, I believe that a positive change may be experienced in one session. For maximum opportunity for this to occur I recommend that the first session be 90 minutes.

From client feedback, I believe that a positive change may be experienced in one session. For maximum opportunity for this to occur I recommend that the first session be 90 minutes.

I think most individuals will begin to feel a shift the first time they have a session. I believe that when you sit and focus on feelings and notice how the body feels with awareness, old patterns...

I think most individuals will begin to feel a shift the first time they have a session. I believe that when you sit and focus on feelings and notice how the body feels with awareness, old patterns will spontaneously shift.

That can occur very early but for many it takes several weeks. As long as they feel understood and that the clinical psychologist is working hard to understand them, some progress is being made.

That can occur very early but for many it takes several weeks. As long as they feel understood and that the clinical psychologist is working hard to understand them, some progress is being made.

My clients often feel elevated and more aware of the underlying causes of their distress after their first session. As my counselling is an active process in which clients commit to do the work, they...

My clients often feel elevated and more aware of the underlying causes of their distress after their first session. As my counselling is an active process in which clients commit to do the work, they see results as soon as they get home. As they describe it: I could feel a shift and things started to make more sense. Progress is incremental but significant. It gives client hope at times of doubt. Deeper work and more long-term progress is often felt between the 3rd and 6th session. The same goes for couple therapy and family sessions. The crucial part is that the client engage in their own inner work between the sessions as that is where the change happens.

I believe work in psychotherapy is about healing through the integration of psyche and body. When you attend for therapy, you may experience change from the beginning, or no big change for weeks or...

I believe work in psychotherapy is about healing through the integration of psyche and body. When you attend for therapy, you may experience change from the beginning, or no big change for weeks or months. You may talk about the same things in circles before something happens: an insight, an understanding, an 'aha' moment, a gush of emotions, a relief from tension. When and how we get to this point in therapy is usually not foreseeable. The process can be described as to be like titration. You make small steps. There is no explosion, but natural, holistic change.

The client will feel that progress is made when they begin to understand themselves and others better and begin to feel kinder towards themselves. They may become aware of patterned responses they...

The client will feel that progress is made when they begin to understand themselves and others better and begin to feel kinder towards themselves. They may become aware of patterned responses they make and start to consider other possible responses they can choose from. They will start to notice how they impact on others and are also impacted on by others.

Many feel progress is being made when they have gained some measure of control back in their personal lives. Others feel encouraged when their horizons have been broadened, i.e., when “stuck' or...

Many feel progress is being made when they have gained some measure of control back in their personal lives. Others feel encouraged when their horizons have been broadened, i.e., when “stuck' or limited perspectives have been loosened and/or enriched by alternative points of view. Still others feel that our work is therapeutic when their inner dignity as a self has been witnessed and loved. Still others feel released into life when their inner potential has been mentored by me and they have been given some tools with which they can begin to actualize that potential.

hopefully from the first session and onwards

hopefully from the first session and onwards

Each client is unique and progress will depend on what the objectives are for the client. Most clients find that six-12 sessions gives them a sense of how progress is in process.

Each client is unique and progress will depend on what the objectives are for the client. Most clients find that six-12 sessions gives them a sense of how progress is in process.

It's not easy to say that progress will be made at a certain time. This depends of the definition of progress, the persons engagement, what is coming up for them and how often they have a session....

It's not easy to say that progress will be made at a certain time. This depends of the definition of progress, the persons engagement, what is coming up for them and how often they have a session. These outcomes are also deeply impacted by the match between myself and the person I am working with. However in my experience people feel benefit from their time with me in the beginning, the middle and the end. My approach facilitates immediate, short term and long term benefits.

Usually by session three. Sometimes just booking the appointment makes them feel better!

Usually by session three. Sometimes just booking the appointment makes them feel better!

Often people tell me that the first thing they feel is some relief from sharing their story and being heard in a non-judgemental relationship with me. I try to bring an empathic and gentle curiosity...

Often people tell me that the first thing they feel is some relief from sharing their story and being heard in a non-judgemental relationship with me. I try to bring an empathic and gentle curiosity so that people can explore their story and understand themselves better. Life can be pretty challenging going forwards, and often it seems to make more sense looking backwards. When people can look back and notice themselves changing, session by session, becoming more competent, coping better, facing difficulties without suffering so much with their problems, then they can begin to tell a story of change and progress. I have had clients tell me things like, 'I still have the same feelings and reactions to life's events, however, they no longer get the better of me. They don't trigger or frighten me so I am able to manage better now' (numerous clients and not a direct quote). This kind of change leads to increased hope. Interestingly, hope and expectancy that counselling or therapy will help provide the remaining 15% of what leads to good outcomes in therapy.

Honestly, I don't know. We recommend giving up 4-6 sessions before changing therapists but some people can feel progress is being made within the first session. Personally, I've always felt some...

Honestly, I don't know. We recommend giving up 4-6 sessions before changing therapists but some people can feel progress is being made within the first session. Personally, I've always felt some progress in my 3rd session with therapists I've ended up seeing long term.

In my experience every client is so different. I have found that my clients achieve progress best when we remain mindful to check-in around how the client will first measure progress. What will that...

In my experience every client is so different. I have found that my clients achieve progress best when we remain mindful to check-in around how the client will first measure progress. What will that look/feel like. I am very solutions focused, thus it is important to me that my client is feeling progression throughout our sessions both short and long term.

The client can feel a difference from the first session, particularly if they feel heard and understood for the first time. Therapy is not a linear process as clients are learning to feel their...

The client can feel a difference from the first session, particularly if they feel heard and understood for the first time. Therapy is not a linear process as clients are learning to feel their feelings and voice their difficulties, which can be an uncomfortable process. Sometimes there may be a dip in mood, but generally the overall trajectory is one of improvement in mood and function, although it very much depends on the severity of the issues. The length of therapy depends on the issues presented and the client's readiness for change. Therapy is work for both parties; clients do best when they show up prepared to explore as openly as they can.

In the Internal Family Systems (IFS) model context, the client's perception of progress varies depending on their circumstances and the specific therapy goals. Progress typically begins to manifest...

In the Internal Family Systems (IFS) model context, the client's perception of progress varies depending on their circumstances and the specific therapy goals. Progress typically begins to manifest when the client experiences a few critical developments within the IFS framework: 1. **Awareness and Understanding:** Initially, progress often starts with the client gaining a deeper awareness and understanding of their internal system, which includes the roles and dynamics of their various parts. They can unravel the complexity of their inner world as they learn to differentiate between different parts and recognize certain parts' protective functions. 2. **Self-Leadership:** Progress is often evident when clients strengthen their relationship with their core Self-energy. This involves enhancing their ability to lead their internal system with compassion, wisdom, and self-empowerment. Clients may exhibit more self-leadership by making decisions that align with their values and intentions. 3. **Part Harmony:** As clients continue to work with the IFS model, they may notice a shift towards greater harmony and cooperation among their internal parts. This harmony signifies progress, indicating that previously conflicting or protective parts are beginning to communicate and collaborate more effectively. Such cooperation can result in reduced internal conflicts and increased self-acceptance. 4. **Symptom Reduction:** One of the most tangible indicators of progress is the reduction of symptoms related to the client's challenges, whether trauma, mood disorders, or other issues. As clients work through their parts and address the underlying emotional wounds, they may observe fewer symptoms, such as decreased anxiety, improved mood, and enhanced emotional regulation. 5. **Improved Relationships:** Progress may also become evident when clients report improved relationships with others. The insights gained through IFS can lead to healthier interactions as clients better understand their triggers and responses and learn how to communicate their needs more effectively. 6. **Enhanced Self-Compassion:** Another sign of progress is when clients demonstrate greater self-compassion. They may become more accepting of themselves, their flaws, and their past experiences. This self-compassion is fundamental to healing and growth within the IFS framework. Of course, these progress indicators can vary significantly among clients. Factors such as the severity of their challenges, their commitment to the therapeutic process, and the client(s) willingness to engage with their internal system are all factors that will impact the progress. Progress is a dynamic journey, and each individual's pace of change is unique.

This varies depending on the circumstances and goals of each client. For some, a meaningful shift can occur in 5 to 10 sessions. For others wishing to create a change in long-held patterns of...

This varies depending on the circumstances and goals of each client. For some, a meaningful shift can occur in 5 to 10 sessions. For others wishing to create a change in long-held patterns of behaviour, it can be beneficial to attend sessions for a longer time.

Depending on the nature of the client's issues, they will typically start to see some progress in three to six months. Very often a client will see significant improvement after about a year of...

Depending on the nature of the client's issues, they will typically start to see some progress in three to six months. Very often a client will see significant improvement after about a year of counselling.

This is totally dependent on the nature of the patient's condition(s). Progress will be monitored and discussed in each session.

This is totally dependent on the nature of the patient's condition(s). Progress will be monitored and discussed in each session.

I think most people have a subjective experience or knowing whether something is overall going well or doing them good. I also help clients identify their goals and they get a sense of progress when...

I think most people have a subjective experience or knowing whether something is overall going well or doing them good. I also help clients identify their goals and they get a sense of progress when they're meeting these goals and/or feeling better within themselves and about their lives.

Progress will of course vary from client to client, depending on the client's experience, history, their level of awareness and current circumstance. It can be very slow and extremely subtle, often...

Progress will of course vary from client to client, depending on the client's experience, history, their level of awareness and current circumstance. It can be very slow and extremely subtle, often out of awareness. For some, huge progress may consist of picking up the phone and making that first appointment, then in turning up, then in coming back and continuing in spite of the temptations not to do so. Facing one's fears and expressing them (either verbally or somatically), then facing them and attempting different coping strategies for difficulties/issues are all examples of significant progress which may be dismissed or minimalised or even overlooked. I personally feel that the client starts to feel that progress is being made when they truly feel (even out of awareness) that they are heard, understood and accepted, unconditionally and without judgement. This may be a feeling (such as relief, or a sense of trust or of being held or supported), rather than something that can be verbalised, or it can be a bodily experience, such as a deep sigh, or tears. Understanding may come later as to why, but this is something for the client and therapist to gently explore together.

A person is most likely to notice and experience small incremental shifts during each session. Often this is the best healing because it is natural. I have witnessed clients regaining hope in the...

A person is most likely to notice and experience small incremental shifts during each session. Often this is the best healing because it is natural. I have witnessed clients regaining hope in the first session as they feel heard and understood for the first time in quite a while. With each session the client comes to understand who they are in relation to how they do what they do and how this influences their existence. This work can be liberating as people shift out of out dated behaviours that are no longer useful. In turn a new more satisfying experience evolves with their partner, parent, child, friend or employer.

Being able to talk about one's experiences safely and freely is progress. My aim is to create an environment for the client to be able to share what they need to with me from the first session

Being able to talk about one's experiences safely and freely is progress. My aim is to create an environment for the client to be able to share what they need to with me from the first session

Sometimes just by scheduling the first appointment, clients report that a shift has occurred. For others, it may take a few sessions to really start to see some changes. I believe therapy is a life...

Sometimes just by scheduling the first appointment, clients report that a shift has occurred. For others, it may take a few sessions to really start to see some changes. I believe therapy is a life long journey and relationship with yourself. That we as humans are continually learning, growing and changing.

It is common for people to feel some relief from their symptoms at the first session. It is of course important to keep in mind that many issues are long-term and are connected to deep mythic...

It is common for people to feel some relief from their symptoms at the first session. It is of course important to keep in mind that many issues are long-term and are connected to deep mythic processes, so sometimes a number of sessions are needed, depending of the goals of the person seeking therapy.

When they start to feel more satisfied with themselves, with others, and with life in general.

When they start to feel more satisfied with themselves, with others, and with life in general.

Definitely they will feel relieved after the first session and without fail I see great movement after the third session and onwards.

Definitely they will feel relieved after the first session and without fail I see great movement after the third session and onwards.

It is not realistic to expect instant results. Even though some people find one or two sessions completely resolves their issues, this is not the norm. Therapy requires a good match between the client...

It is not realistic to expect instant results. Even though some people find one or two sessions completely resolves their issues, this is not the norm. Therapy requires a good match between the client and therapist, so that a good alliance is made and a therapeutic bond develops. This should be evident within a few sessions. Research suggests that the client who feels there is a good match and something positive happening within 2 or 3 sessions is likely to have a good outcome down the track. If it's not feeling right for you after 3 sessions, discuss your dissatisfaction with the therapist or find someone else who is a better match.

I believe very strongly in establishing a clear therapeutic goal for my clients. Once that is determined, we look at the hindrances that obstruct the achievement of that goal. By focusing on an...

I believe very strongly in establishing a clear therapeutic goal for my clients. Once that is determined, we look at the hindrances that obstruct the achievement of that goal. By focusing on an individuals patterns and the trigger points that ignite issues, I can accompany them in making self directed choices and forging change. I also frequently check in with my clients to see whether the work is beneficial and what has changed in their experience of themselves and the world around them. Clients that also commit to participating in the Hoffman Process (an 8 day intensive deep, short- term therapy) usually feel an immediate reduction of their symptoms after the completion of the course. The integration of the experience can vary and is dependent on the client's commitment to heal and to honour themselves and others.

I find that generally my clients and I have a better understanding of the issue by the end of this session which generally can bring some relief. Depending on the issue the client brings, depends on...

I find that generally my clients and I have a better understanding of the issue by the end of this session which generally can bring some relief. Depending on the issue the client brings, depends on the time required. I find that six sessions usually provides the clarity required. Then it is up to the client as to whether they wish to proceed and further deepen their clarity around other aspects of themselves (or the situation). There is not limit to understanding self and self expression it is an never ending journey. I myself still deep in and out of therapy as the need arises. I like to think of it as mental health hygiene. In my private practice I have some clients that come once a fortnight for a year, whilst others come once a month after the initial six sessions depending on the support they require. Others dip in and out as they need.

I have had clients who have found one session enough to get them on their way. Some of my clients find they receive what they need between about 4 to 10 sessions. And then there are the longer-term...

I have had clients who have found one session enough to get them on their way. Some of my clients find they receive what they need between about 4 to 10 sessions. And then there are the longer-term clients that engage in therapy over a much longer period of time. So much depends on the relation of trust between client and therapist. The sooner we can build trust, the sooner the sense of progress.

It's challenging to pinpoint when a client will begin to sense progress, as it varies individually. Progress timelines are influenced by your unique concerns. After your initial session, we'll develop...

It's challenging to pinpoint when a client will begin to sense progress, as it varies individually. Progress timelines are influenced by your unique concerns. After your initial session, we'll develop a personalized treatment plan to guide your healing journey. The number of sessions needed depends on your specific needs and goals. In general, research shows that around 90% of individuals experience mood improvement after just one counselling session.

When there has been enough safety and space created for their process to start 'percolating' , then insights arise in those spaces. Then clients begin to develop a beginning capacity for...

When there has been enough safety and space created for their process to start 'percolating' , then insights arise in those spaces. Then clients begin to develop a beginning capacity for self-observation and self-reflection and responsiveness, rather than habitually reacting to uncomfortable experiences. This is very individual, depending on the depth of the issue(s), their commitment to therapy and the strength of (and reason for) their defensive patterns.

Because Gestalt therapy is not just 'talk-therapy' and because we bypass the thinking mind and engage the body and spirit in a very creative way, clients often report that they have greater awareness...

Because Gestalt therapy is not just 'talk-therapy' and because we bypass the thinking mind and engage the body and spirit in a very creative way, clients often report that they have greater awareness and clarity from the first few sessions. The work can be intense but doesn't necessarily have to be 'traumatic', and often the results are quite subtle yet deeply moving and profound. I usually structure the counselling and therapy as an initial consultation, and when we decide to engage in therapy together we schedule 6 sessions and a review of our work together - from there we decide on our progress and contract for further sessions.

My goal is that in the first session a couple will feel like they experienced each other in a different way. In the first month the couple should be competent at dialoguing deeply and safely in the...

My goal is that in the first session a couple will feel like they experienced each other in a different way. In the first month the couple should be competent at dialoguing deeply and safely in the office. In 3 months they should have a range of very successful tools to help them stay connected in dialogue outside the office. The exceptions to this typically occur where there is significant trauma in which case the process often takes longer to assimilate outside the office. Trauma is normally identified in the first 2-3 weeks.

Depending on their stages of change and area of need, they can feel immediate progress or it could take them a while to unpack some surface things before progress is noticeable. Either way, the...

Depending on their stages of change and area of need, they can feel immediate progress or it could take them a while to unpack some surface things before progress is noticeable. Either way, the client needs to feel comfortable with sharing vulnerable information and rapport needs to be made.