Working with a therapist is much like any other relationship. Itโs exciting at first. You have so much to talk about it. Youโre making breakthroughs left and right. You look forward to seeing them. But after two or three months things will start to slow down. You get comfortable. The conversation doesnโt flow as easily. You stop really knowing what to talk about in therapy.
This is totally normal. Itโs even common to feel this way from the get-go. Revealing your inner monologue to a stranger once a week does not come naturally for most people. In fact, having nothing to talk about isnโt a sign that thereโs something wrong with you or the therapy itself; itโs an opportunity to explore some uncharted emotional territory. Because of this, you might find the sessions that started with nothing to talk about in psychotherapy end up being the most enlightening and productive.
This ebb and flow can be attributed to the way psychodynamic therapy is structured. Therapy sessions are typically scheduled weekly, rather than โas neededโ because treatment is most effective when itโs 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 by a crisis, or a recognition that thereโs an unsustainable pattern in their lives, there is usually a lot to talk about at the onset. This usually involves the challenges that brought you into treatment and the history that gives context to what youโre dealing with. But what do you do when you arrive for your scheduled session without anything to talk about in therapy? Read on for our tips that will help you find things to talk about in therapy.
Lean into your strengths.
You might feel like you have nothing to talk about in therapy because youโre feeling good. If you think this, you might wonder what is therapy for? Many people think that talk therapy is only for solving problems or when youโre 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. Itโs 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 isnโt because there isnโt much on your mind, or that nothing has happened. Use your session to pinpoint why you feel blocked. It could just be that youโre in fact overloaded or distracted. If thatโs the case, a few moments of mindfulness and focus on breathwork can potentially open the floodgates.
The issue could also be that youโre protecting yourself. Maybe you were able to open up in your last session. Sometimes when youโve shared a lot, it can be hard to sit with that vulnerability.ย Maybe youโre 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. Itโs possible that youโre upset with them. Check-in with yourself.ย 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 youโre experiencing negative feelings towards them, say something. Itโs 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 theyโve 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 itโs been a while, it might be worthwhile to visit the reasons youโre in counseling and the goals youโre trying to achieve. If youโve been coming in for a while and feel like you donโt have much to say, it can be helpful to review that list. When your therapist goes through it with you, you may realize that youโve made great progress on your goals, and itโs time to start thinking about a break from psychodynamic 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.
Thereโs always plenty to talk about in therapy.
People panic at the realization that they donโt 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 itโs 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, โI donโt have much to talk about,โ their therapist will declare them ready to โgraduateโ and the client will lose the stability of that relationship.
With the Right Therapist, You Wonโt Run into Trouble
But thereโs a lot to be done when thereโs nothing immediately pressing, as mentioned above. Or, put otherwise, thereโs a lot to talk about when thereโs nothing to talk about. If youโve found the right therapist, this hopefully wonโt be an issue and youโll be able to reap the benefits of therapy as you open up about your life.
About Alison LaSov
Alison is a Licensed Marriage & Family Therapist and the co-founder and CEO ofย Advekit, an online platform that matches you with a therapist tailored to your needs and helps you save on each session. Alison has extensive experience working with children and families, having worked within the Los Angeles education system as well as supervised a non-profit Teen Crisis Hotline out of Cedars-Sinai Hospital. While Alison found working one on one with clients to be extremely rewarding, she was motivated to found Advekit to improve access to mental healthcare on a larger scale. A Los Angeles native, Alison earned her B.A. from UCLA and M.A. from Pepperdine University. You can follow Alison on Twitter and Instagram.