2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
When a difficult situation arises in life and you understand that you need to contact a psychotherapist, it is useful and interesting to know how everything is organized and how the process itself goes. I will try to briefly talk about the beginning of psychotherapy and how the process is organized.
Psychotherapy can be short or long. Short-term therapy can last for several months, while long-term therapy in its essence does not have a definite end and can last for several years. In this case, the decision to end psychotherapy is made directly in the process itself and depends on many factors (the presence of stable positive changes, the absence of critical areas for psychotherapeutic work, the patient's desire to finish therapy, etc., etc.).
At the initial appointment, it is decided how often the meetings will take place. The frequency of meetings can range from one per week to five or six. The more frequent the meetings, the more dynamic the work is and the better the psychotherapist gets to know his patient. Better develop relationships in which the patient can freely talk about everything that comes to his mind, about all his feelings, about all the events that happened and are happening to him, even if they cause shame. It is worth remembering that the psychotherapist in most cases does not evaluate the good or the bad, the person tells him, he behaves correctly or incorrectly and argues. Everything that is said is important. Also, more frequent meetings support the patient and help him get through difficult moments in life more easily.
After the number of meetings per week, the amount and method of payment (for each meeting, advance payment per month, post payment), the method of conducting the therapeutic session (face-to-face appointment, telephone consultation, Skype consultation) has been determined, work continues.
In fact, the stage of setting rules and boundaries in therapy is very important. Having a clear understanding of when and how the therapy session will take place helps the patient feel safe. Eliminates unnecessary and unnecessary moments in which you can feel anxious. Payment must satisfy both parties. The therapist will not be effective if he does not feel that his salary is really decent. So the patient himself will not strive to work if the amount for the meeting is insignificant for him. In this case, there is no feeling that you are really doing something for yourself and this is significant. It is normal when a patient's monthly budget for psychotherapy is twenty to thirty percent of his income.
To work effectively between patient and therapist, a therapeutic alliance is needed. The stage of establishing a therapeutic alliance takes a certain amount of time and takes place at the initial stage. The therapeutic alliance is a rational relationship between the therapist and the patient, which makes it possible for both parties to work fruitfully in the course of psychodynamic psychotherapy. Without this alliance, it is impossible to imagine that a person who comes for help will tell the therapist everything, even the most intimate. Well, if there is a secret, it is already difficult to talk about effective therapeutic work.
This is, in short, what can be said about the beginning of psychodynamic psychotherapy. I will describe the rest of the steps in the following materials.
If you still have questions, you can ask me, and I am ready to answer them.
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