Starting counselling or psychotherapy can feel daunting. It is also a significant commitment of time, energy and emotion. Most people begin therapy feeling conflicted. One part wants things to change, while another is understandably hesitant. After all, change often requires us to step into the unknown.
Therapy is not something that simply happens to you. It is a collaborative process. While your therapist has an important role, the quality of your engagement with the process also matters. Here are five ways to get the most from your therapy.
Be curious
Curiosity is one of the greatest allies in psychotherapy. Rather than judging your thoughts, feelings or behaviours, try becoming interested in them.
The aim of therapy is not to discover whether you are good or bad, right or wrong. It is to understand yourself more deeply. The more curious you are about your inner world, the greater the opportunity for self-awareness and meaningful change.
Be honest
Therapy can only work with what is brought into the room. This does not mean you need to reveal everything immediately or share every detail of your life. Trust takes time.
What matters is being as honest as you can, including about the things that feel difficult to say. Sometimes the most important moments in therapy begin with a sentence such as, “This is difficult to talk about, but I think it’s important.”
Even saying, “I’m not being completely honest,” can open the door to valuable therapeutic work.
Invest in the relationship
Research consistently shows that one of the strongest predictors of successful therapy is the quality of the relationship between therapist and client.
Feeling safe, understood and able to trust your therapist provides the foundation for deeper exploration. This does not mean the relationship will always feel comfortable. There may be misunderstandings, moments of uncertainty, or times when trust feels shaken.
These moments are not necessarily signs that something has gone wrong. When they can be talked about openly, they often become an important part of the therapeutic process.
Pay attention between sessions
Therapy does not begin and end with the fifty-minute session. Much of the work happens in the days between appointments.
Notice your thoughts, emotions and relationships. Observe recurring patterns, emotional triggers and the way you speak to yourself. The more attention you pay to your experience outside the therapy room, the richer your conversations in therapy are likely to become.
Prioritise the process
Psychotherapy is an investment in your wellbeing. Like any meaningful process, it requires consistency.
Attend your sessions regularly, arrive on time, and keep coming even when part of you wants to avoid it. Resistance is a normal part of therapy and often signals that something important is happening.
It’s perfectly okay to tell your therapist, “I really didn’t feel like coming today.” In fact, conversations that begin this way are often among the most productive.
Therapy is rarely about quick fixes. It is a gradual process of understanding yourself more deeply, developing new ways of relating, and creating lasting change. The more you are willing to engage with that process, the more you are likely to benefit from it.
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- Filed under: Mark Vahrmeyer, Psychotherapy, Sam Jahara

About the Author
Sam Jahara is a UKCP registered Psychotherapist, Supervisor and Executive Coach. She is also the co-founder of Brighton and Hove Psychotherapy. Sam works with individuals and couples from Hove and Lewes.
To enquire about psychotherapy sessions with Sam Jahara click here, or to view our full clinical team, please click here.
