Now accepting Telehealth appointments. Schedule a virtual visit.

Why Do I Need a Therapy Session Goal?

Why Do I Need a Therapy Session Goal?

Do you sometimes feel challenged to think of a goal when you are getting ready to start your therapy session? Well you’re not alone. Not all therapists have the expectation that their clients will have a session goal, but Satir therapists do.

When I began my journey to becoming a Satir-inspired counselor/therapist, I experienced a surprising amount of challenge when it came to bringing a goal to my sessions with my own therapist. In hindsight, the idea of truly directing my own life was so foreign to me that I think I was months into the process before I registered that bringing my own goal was expected of me! And then--I distinctly remember--I argued with my therapist about it. I did. I was a pretty difficult client at times.

Because of my own experience, I do my best to communicate my expectations to my clients as clearly as possible. Counseling--which includes what we think of as therapy, psychotherapy, mental health counseling and even coaching--involves cultivating a trusting alliance between the client and counselor. The first goal is to create an environment where the client feels safe to be their true Self, including being vulnerable and taking risks. The client should expect that at times the counselor will be supportive of their Self, periodically confront them, but also that she will not betray or abandon them, even when there are misunderstandings or differences of opinion between them. This level of trust requires, among other things, clear communication around expectations, not only on the part of the counselor but on the part of the client. 

Why is a session goal important? Sometimes clients expect that setting their goals at the beginning of therapy is sufficient until we review the treatment plan again. If we proceeded in this way, it would mean that all that you're becoming during the therapy process wouldn't be considered.

To get used to the idea of being the active, creative force in our own lives, we must allow our connection with our Self--the Self as conceptualized by Satir using her Iceberg--to weigh in on our decisions in each moment. 

This is why a shorter term goal for the session is needed. Ideally it will be a goal that is compatible with the long term goal for the counseling work--the session goal will contribute to that larger goal, even as it has a more immediate and distinct purpose. 

I hear from some clients that it can be a heavy lift to conceptualize long term and session goals, and even more challenging to see how they fit together. It’s okay if this is happening: the most important thing is to recognize that it is. The therapist can help the client to develop their goals if the client needs and would like that level of support.

What the therapist should not be doing is deciding--alone--what the goals are. That takes the reason for therapy away from the client. And this can happen far too easily, even with the best of intentions. When the reason for therapy migrates from client to therapist, what happens? The client starts to feel like therapy is being “done to” them. They might worry about pleasing the therapist. Sometimes a client who was perfectly willing and even excited to begin, starts to feel like therapy is a job. Ugh!

So what’s a client to do?

First of all, trust your therapist enough to be honest if you're feeling challenged in developing a session goal. She’s not going to be angry with you or blame you.

If you can’t think of a goal, and you're matter-of-fact about it, the therapist can support you in developing one during the first part of your session. A particularly effective way of doing this is by going inside yourself and taking a read of how you are feeling, physically and emotionally. Your therapist can help you do this by holding space for you, acting as a sounding board, even using a technique to support you in looking and feeling inward. Your therapist will be patient: this time is yours, and using it to be with yourself fully is highly appropriate.

Once you have established self-connection, wander around your Iceberg a bit. Allow yourself the indulgence of Self-curiosity. What feelings am I having? How do I feel about them? What do I believe about myself right now? About my life since we last met? Has my life been going the way I wanted it to? Do I have a deeper need that I hadn’t been connecting with that is coming to the surface? Are people in my life behaving as I expect them to? Am I behaving as I expect myself to? Has anyone expressed disappointment in me in a context that troubled me? What have I been spending my time doing? How do I feel about that? Have at least some of my actions been the result of inspiration or excitement, or have I taken action largely based on meeting the expectations of others? How connected do I feel to my life force?

Sometimes when people can’t think of session goals, they think it’s time to stop therapy. And sometimes it is. If that’s the case, the client will typically feel their life is on track in a relaxed and synchronous way, things going according to plan. A feeling of relaxed happiness or exciting and productive energy characterizes the client’s day to day life. They are symptom free. Challenges arise and are met with excitement, resolved with a sense of accomplishment and joy. This stable situation will last at least 6-12 weeks. A client who believes this describes their own circumstances might look into reducing frequency of therapy before stopping altogether.

Sometimes when a client can’t think of a session goal, however, it’s a sign that their life has become a bit overwhelming without their noticing. They’ve stopped having their own goals and begun living in response to the expectations of others. Even if there’s joy in that--and sometimes there is--would that really be the time to stop therapy? It wouldn’t for me.

So if you’re feeling a sense of challenge around developing a session goal, sit down and ask yourself some of the questions above. And if that doesn’t work, tell your therapist and ask for her support. After all, supporting clients is what therapists love to do.

Do you find writing exercises helpful? Here's a Google Docs template just for helping you develop your therapy session goal:

You Might Also Enjoy...

From Chaos to Connection

The idea that our human conflicts are damaging to us, and can--even must--be ended isn’t new. My personal favorite expression comes from Joni Mitchell’s song California:

What Do We Owe to Each Other?

For the past year or so I really enjoyed watching the series The Good Place. It’s funny, creative, thought provoking, human.

Being the Real You in Every Moment

I’m a big fan of the Washington Post advice columnist, Carolyn Hax. She’s been writing her column for 22 years and doing a weekly, live chat as well.

Children, and the Consequences of Failing Them

June 27, 2019’s Rolling Stone article has brought to our attention that children are still being kept in cages on our southern border, for the apparent “crime” of their own vulnerability.