What to Talk about in Therapy

Woman walking in the woods thinking about her therapy session near Dover, NH.

Working with a therapist is much like any other relationship. It is exciting at first. You have so much to talk about it. You are making breakthroughs left and right. You look forward to seeing them. But after two- or three-months things might start to slow down. You get comfortable. The conversation doesn’t flow as easily. You stop really knowing what to talk about in therapy.
This is totally normal. It’s even common to feel this way. Revealing your inner monologue to a stranger once a week does not come naturally for most people. In fact, having nothing to talk about is not a sign that there is something wrong with you or the therapy itself; it’s an opportunity to explore some uncharted emotional territory. Because of this, you might find the sessions that started with nothing to talk about end up being the most enlightening and productive.
This ebb and flow can be attributed to the way therapy is structured. Therapy sessions are typically scheduled weekly, rather than “as needed” because treatment is most effective when it is not about crisis management. Talk therapy is most successful when you do the work slowly, and put out small fires as they arise, instead of waiting until you need the fire department.
Because most people are propelled to therapy by a crisis, or a recognition that there is an unsustainable pattern in their lives, there is usually a lot to talk about at beginning. This usually involves the challenges that brought you into treatment and the history that gives context to what you are dealing with. But what do you do when you arrive for your scheduled session without anything to talk about in therapy? Read on for some tips that will help you find things to talk about in your session.

Lean into your strengths.

You might feel like you have nothing to talk about in therapy because you are feeling good. If this is the case, you might wonder what is therapy for? Many people think that talk therapy is only for solving problems or when you are feeling poorly. What do you do when things are going great? This is an opportunity to focus on what made this week different. Did you avoid triggers, or did you cope with them in a new way? Did you try something your therapist suggested and find it to be helpful? Maybe a lingering issue at work or with a partner finally resolved themselves. It is just as important to discuss your strengths as much as your weaknesses and figure out how to make these positive actions a pattern.

Talk about not talking.

It might sound a little silly but use your difficulty in finding something to talk about as a starting point. Chances are the lack of words isn’t because there isn’t much on your mind, or that nothing has happened. Use your session to pinpoint why you feel blocked. It could just be that you are in fact overloaded or distracted. If that is the case, a few moments of mindfulness and focus on breathwork can potentially open the floodgates.

The issue could also be that you are protecting yourself. Maybe you were able to open up in your last session. Sometimes when you have shared a lot, it can be hard to sit with that vulnerability. Maybe you are feeling embarrassed or ashamed. It could be worth telling your therapist that it feels awkward now that they know so much more about you. A good therapist will validate these feelings and support you in expressing them.

As mentioned earlier, your relationship with your therapist is like any other. It is possible that you are upset with them. Check-in with yourself. How are you feeling about your therapist? Did they say something at your last session that made you feel judged or misunderstood? If you realize you are experiencing negative feelings towards them, say something. It’s not personal; you have a professional working relationship. If your therapist handles it poorly, it might be a sign to move on to a new therapist. Then again, if they express curiosity, apologize, and own what they have done wrong, it can be very healing to work through the conflict together. Just remember that finding the right therapist is important in receiving effective treatment. It may take a few sessions to find out, so remain patient.

Check-in with your therapy goals.

If it has been a while, it might be worthwhile to visit the reasons you are in counseling and the goals you are trying to achieve. If you have been coming in for a while and feel like you don’t have much to say, it can be helpful to review that list. When your therapist goes through it with you, you may realize that you have made great progress on your goals, and it is time to start thinking about a break from therapy. You may also discover that you never really touched on something you identified as important when you started individual therapy. Revisiting the list might also prompt you to add something new.

There is always plenty to talk about in therapy.

People panic at the realization that they do not have anything to talk about in psychotherapy and can resort to talking about minor issues or experiences to fill the time or please their therapist. Other times it is about wanting to justify the time and expense of an individual therapy session. It can also be coming from a fear that if they say, “I don’t have much to talk about,” their therapist will declare them ready to “graduate” and the client will lose the stability of that relationship.

With the Right Therapist, You Won’t Run into Trouble

But there is a lot to be done when there is nothing immediately pressing, as mentioned above. Or, put another way, there is a lot to talk about when there’s nothing to talk about. If you’ve found the right therapist, this won’t be an issue and you’ll be able to reap the benefits of therapy as you open up about your life.  If you think we might be a good fit, please contact me today for a free 15 minute consultation to talk about whether therapy might be right for you.

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