It is difficult to generalize and describe a typical session, because every patient is unique and so is each experience of therapy. But normally in the beginning of a session the person has the freedom to start talking about anything he/she has in mind. I will share my thoughts when appropriate to point out to what in my interpretation might be something significant in relation to what the patient is communicating.
Quite often a person’s experiences or relationship dynamics will be inadvertently repeated and subtly re-enacted with the therapist in the session. For example, a patient might feel that the psychotherapist is acting or speaking very much like their father, which brings out specific feelings or reactions. This is often unconscious, but it is nonetheless an important opportunity to understand something that is happening in the here-and-now of the session, and at the same time related to what may be deeply rooted in the mind. So if patient and therapist are able to understand it and work through, it may help to deal with similar situations or feelings in other contexts.
During the sessions I will help the person establish links that relate feelings and thoughts to experiences (past or present), so they can realise what may be hidden underneath the words, and so find new perspectives and meanings in life.
As the sessions progress, the psychotherapy process will help the person become more integrated, thoughtful and less defensive. It will provide tools that will allow a person to be resilient when situations or painful experiences come up in life.