But what about if you were to take a video or audio recording of someone in each of these types of sessions? What would you notice then?
We’ve asked a spiritual director and a clinical psychologist to share what typically goes on when they host these sessions, to help us better understand how they can overlap and how they’re different. Of course, sessions can vary widely from provider to provider and client to client, but here are some good general insights.
From Sierra Neiman Westbrook, M.Div, certified spiritual director:
When I host a spiritual direction session, I typically start by encouraging a moment of silence and/or by me reading a short passage from scripture, a poem, or a quote from a book. This is meant to help the directee (client) and me to settle our thoughts, slow down our breathing and heartrate from the hurry we might have been in to arrive, and to turn our awareness to God’s presence with us. Then I ask a very open-ended question like, “What has been standing out to you lately?” In response, my directee might bring up absolutely anything: something relating to their relationship with their partner, a frustration from work, an opportunity they’re trying to discern next steps on, a piece of global news, or something from their past experience, for example. And I’ll listen.
I’m trained as an attentive, compassionate, and non-judgmental listener. I’m also trained to not give advice or share how my own experience is similar or different from the directee’s. Nor do I presume to know exactly how God is guiding my directee in the midst of their circumstances. So I’ll highlight what I’m hearing them say, ask clarifying questions, point out what I notice is stirring up strong emotion for them, and ask questions to encourage deeper thinking. I might invite us to take more silent pauses along the way. All of this is meant to help us listen together to our true “director,” which in Christ-centered spiritual direction we know to be God.
At the end of a session we might take yet another moment to pause in silence, with the directee perhaps identifying some thoughts or questions they want to hold onto. I may also suggest some resources for them to look into, and/or practices to try. Some directees also request that I pray for them out loud as we conclude our session.
I usually meet with each directee about once per month, and might continue meeting with them for years. Many folks who engage in spiritual direction see this way of processing/listening together as a spiritual practice.
From Justin Neiman Westbrook, Ph.D., licensed psychologist:
A course of mental health therapy will typically start with an intake appointment. The therapist will ask a lot of questions about various aspects of the client’s life in order to lay a foundation to build upon moving forward in therapy. Unlike spiritual direction, mental health therapy typically includes a mental health diagnosis. This diagnosis and the conceptualization of what is causing and maintaining the diagnosis provide guidance in creating a treatment plan that the therapist and client collaborate on together. Various topics can be relevant and discussed within the parameters of the treatment plan.
Subsequent follow-up sessions could start in one of a few ways. The therapist might begin by following up on what was discussed at the previous appointment and what the client had decided to work on in between sessions. If there was not homework, the therapist could start with a brief recap of what had been discussed in the previous appointment to determine whether those topics needed further exploration in the current session. The therapist might start with an open-ended question, such as “What do we need to focus on today?” The therapist might opt to begin with silence, inviting the client to begin wherever they need to without the therapist setting the agenda. In a more structured form of therapy focused on learning specific skills, the therapist would introduce the topic of the current session after reviewing the homework.
Therapists might engage with clients in a variety of ways within a session. Genuineness, empathy, and respect underlie everything else. Research has consistently shown that the therapeutic relationship has the greatest impact on client outcomes. Therapists are trained to communicate effectively, listen well, and develop and maintain this therapeutic relationship. Within that relationship, therapists typically work with clients on developing insight and/or techniques in order to help them address the issues they came to therapy for.
Therapy sessions often end with a summary of what has been discussed in the session. This may involve identifying what the client has decided to work on before the following session based on what was explored in the current session.
Length and frequency of therapy vary based on the client’s need. Some forms of therapy involve having multiple sessions per week for several weeks, months, or even years. Other forms of therapy involve meeting weekly or every other week, particularly at first. As clients make progress on their goals, frequency of sessions tends to decrease and eventually lead toward the end of a given course of therapy. Some clients like to meet with a therapist regularly for ongoing support. Other clients come to therapy to address a specific issue and are ready to end therapy once they have done so or have at least gotten what they need in order to continue working on it on their own. Regardless, therapy is meant to end, though clients are welcome to return in the future as needed.
What additional questions do you have? (Continue the conversation here)



RSS Feed