6 Tips on How to Open Up in Therapy

therapy. illustrated people with colour swashes holding each other.

Have you considered going to therapy, but fear has stopped you? You are not alone.

“What if I’m scared to open up in therapy? How do I talk about myself? What if my therapist thinks I am weird?”

The above is one of the most common questions that my clients ask me before their first session. And the hesitation before entering any form of therapy is understandable.

Whether you’re still struggling with the depths of mental illness, in recovery, long recovered, or simply have a few creases that you want to iron out… entering therapy is a huge and exciting step. And it may just be a little bit scary to you, as well. That’s okay!

It’s a big step, so it’s natural to be a little nervous.

But, from the perspective of someone who regularly goes to therapy, I want to tell you this:

It’s not always easy to open up to a stranger. You have to trust the process and know that it’s up to YOU to guide how much you want to open up to your therapist. Ultimately, that will dictate the quality of therapy that they’re able to give you. Without the utmost honesty, they can’t fully explore how to best guide you to the fullest based of their training and capabilities.

Although it feels unnatural at first to expose your secrets and truths to a total stranger when you’ve likely previously dedicated so much energy to secrecy and mistrust… fight through those feelings. 

Be honest anyway, in spite of what your fears tell you. The more you practice it, the easier it will become.

And, from the perspective of someone who now makes a living doing therapy,  I want to tell you this:

We understand your nerves, your hesitation, and your fear. We’re trained to help you overcome that. It’s our job to make you feel as comfortable as possible. We don’t want to intimidate or scare you and the last thing on our minds is judging you.

Also, we don’t sit around with friends over coffee after sessions and spill all your secrets. Nor do we gossip about you to strangers in the grocery line. But we do think about you after our sessions are finished. Sometimes we lay awake at night and think about how best we can help you in our time together. And we feel compassion and empathy and have hope you’re starting to feel better with our help. Often we brainstorm ways to make your life better and make you feel more at ease. And although our relationship is strictly professional, you become part of our lives.

We care about you, and not just because we’re being paid to help you. We’re humans too, and we understand.

When it comes to “opening up” to your therapist, there are plenty of strategies to help you work through the fear and discuss your thoughts more freely. Here are some of the favorites that I use myself in my own therapy, and with my clients:

1. Journal your thoughts before therapy

This is one of the most effective ways to overcome your fear of discussing yourself in therapy. Before each session, it’s helpful to note some issues you’d like to discuss, significant events/thoughts that you’ve had and questions that you might like to ask your therapist. As you go more in-depth into your therapy, you may also find it helpful to keep a therapy journal noting what you’ve discussed and how you’re implementing this into your life. And, if you’re about to see a therapist for the first time, you might also find it helpful to write them a letter before you see them explaining why you’re seeking their help and what you’d most like to achieve. This helps give your therapist some context. It also allows you to feel as though you’ve already started the relationship before your first session.

2. Start with small chunks

It’s easier to talk about less vulnerable subjects. So first, get comfortable talking with your therapist by discussing some smaller issues. Your therapist is trained in guiding conversations and will lead the discussion in small talk, opening up and setting boundaries. So follow their lead. If you feel particularly vulnerable, you can even ask them to explain their confidentiality policy to you for your own peace of mind.

3. Remind yourself that you aren’t going to therapy to be ordered around

They’re not there to tell you what to do, but rather to guide you to helping you find your own answers and way forward. As guided by proven strategies, skills, and techniques that they can teach you.

Your therapist wants to empower you to be in the driver’s seat of your own life.

Focus on the empowerment in this, and allow yourself to guide therapy at your own pace.

4. Go into each therapy session prepared

Ideally, choose session times where you’re not likely to be overwhelmed with stress or anxiety (e.g. from school or work) that might inhibit your desire to be vulnerable and honest with your therapist. Before your sessions, allow yourself to be in a calm headspace by taking a few deep breaths and reminding yourself of:

  1. Why you’re in therapy
  2. What it is helping you to achieve in your life
  3. What you want to get out of that session.

Therapy is certainly not always easy but if you are prepared for each session, the process is easier. At the end of a session, your therapist will usually tell you what they would like to discuss with you when you next meet. Make a note of this so that you have ample time to prepare.

5. Re-frame your expectations of therapy

You’re not there to entertain your therapist or stun them with how ‘broken’ you are… therapy is not a contest. But merely a discussion intended to enhance your mental wellness and build resilience so that you may have a wonderful, happy life. Be mindful of your own personality traits to safeguard yourself. Do you normally use humor as a tool of deflection to avoid talking about hard things?

Try not to use therapy as a way to make jokes or make light of your situation. It’s a time to be serious, a time to improve and a time to be honest.

6. No dishonesty under any circumstances

I mean it! If you’re having a great week, be honest. But if you’re having an awful week, say so. And if you haven’t done your prescribed homework, say so. You will not be reprimanded or punished by your therapist for lack of action. If you’re struggling with sessions or homework, your therapist will help you find a way to make this easier. Secondly, if the homework isn’t working for you or you don’t feel yourself making progress, you are not going to let down your therapist and they’re not going to be disappointed in you. They want to help you find the path to your success and if one path doesn’t work, they’re going to keep trying and trying and trying until it feels ‘right’ to you.

There is no ‘wrong’ answer, as you and your life and your struggles are unique!

Finally, I want to remind you of this: your mental health is not a ‘luxury item’. It’s a necessity. It’s your sanity, your survival, your hope and your ability to live your life in the way that you deserve to.

And you, my friend, are worth investing in.

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  1. says: Mats Wolff

    Its great when you said that therapy is certainly not always easy but if you are prepared for each session, the process is easier. I want to bring my son to a psychiatrist after his recent rehab with alcoholism. Thanks for tips on opening up in therapy and I hope that I can find a good center for my son soon!

  2. says: Mats Wolff

    It helpful when you said to journal your thoughts before therapy. One of my friend’s son has anxiety and she wants to bring him to a anxiety treatment centre. Thanks for the article and I will share it with my friend so that she can bring her son to an appropriate anxiety centre.

  3. says: Mats Wolff

    It’s true that treatment is not always simple, but if you’re prepared for each session, the process becomes simpler. I intend to bring my son to a psychiatrist following his recent alcoholism rehabilitation. Thank you for the advice on treatment opening up, and I hope to locate a decent center for my son soon.

  4. says: Amy Saunders

    Yup, there’s no way to deny that we could just jot down every single thought of ours as a kind of method to fully express ourselves. One of the kids in my neighborhood came out to me last week and to be honest I have no clue on how to react to that. I’ll suggest him to seek professional assistance so he could feel better about himself eventually.

  5. Thank you so much for sharing such an informative and useful blog post. I like your informative blog. And I wish that you will be sharing this as an informative and motivational blog in future

  6. I plan on going to an individual therapy sessions due to the increase mental breakdowns I’ve experienced this year which affects my personal relationship. It’s scary to go through it so I’m looking into tips that can help me and wow, thanks for everything you wrote in here! I appreciate that you provided advice on how to schedule therapy appointments when you won’t be too stressed out or anxious to be open and vulnerable with your therapist.

  7. Many patients in treatment are concerned about what will happen to the information they divulge. It’s normal to have some queries and worries regarding your privacy. Will your therapist discuss your problems with their friends over coffee? Will they publish a book or research on your life? Not at all. Consider your therapist as a vault or a professional secret keeper. Nothing that goes in will come out.

  8. says: Emilia

    This is often why people need help. Even if there are no serious problems in life, you may need help understanding yourself, your feelings, desires and goals. Many people mistakenly believe that a psychologist is only needed by a person who has mental health problems, but this is not true, because a psychologist will be useful to everyone. Some have problems in relationships, others have stress at work, others are hampered by self-doubt, and others still cannot achieve their goals. The main thing is to find the right person for this purpose, here you can find out in more detail about one of the best life coach

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