The typical process will look something like the following, but this is a general guide only. Please bear in mind that the number of sessions can vary and will depend on what you’re working on and how quickly we can work through the steps.
One to two sessions to get to know each other and evaluate where you are with what you’re experiencing and how it affects your life. During these sessions, we will also discuss how you view to your experiences.
Session three will usually be mainly concerned with discussing and agreeing on a viable approach to your treatment. The important phrase here is “your treatment” – we will not be doing anything you disagree with or feel doesn’t make sense for you. I try to explain the reasons behind any of my suggestions and why I think they will work for you. If you disagree, we will discuss the reasons behind this, and if you still disagree, we’ll find something else that will work.
The important thing is that this is your treatment, and any plan has to include developing habits and ways of thinking that work for you.
Sessions four to eight will follow the steps we outlined together in our plan and work our way through it, step by step.
Session nine will usually focus on relapse prevention, how to identify in the future when you may be slipping back, and how to manage this and prevent it. This is an area we will have been touching on throughout the process, but we’ll try to tie it all together in this session.
Session ten is a wrap-up session. Here we will recap on all the work we’ve done and focus again on relapse prevention.
Session eleven will usually be approximately six months later. The purpose of this session is to evaluate together if the plan has worked for you in the medium to long term. Sometimes we may need to tweak things a little here. Typically, with the best will in the world, many people will have let one or two parts of their plan slide a little. This session has proven valuable to help remind people of their plan.
Whilst this last session, in particular, may seem unnecessary to some, it has proven to be a highly effective part of the overall programme and appears to contribute strongly to long-term positive results.