What Happens During Your First Therapy Session?

Your first therapy session

(aka “Intake Assessment”)

Understand what goes on during your Intake Assessment at Annabelle Psychology

Your first therapy session with your psychologist is called an Intake Assessment or simply, Intake.

Intake is a session for your psychologist to understand you as a person and discuss the issues that have brought you to therapy. It is vital that the Intake takes place in a safe, private, and non-judgemental space. Your psychologist may also ask you questions about the personal information that you filled in your intake form prior to the Intake session.

Through guided conversation, your psychologist will develop an understanding of your concerns and other underlying factors and explore relevant background or history; for example, information about your family, social relationships, work history or any past counselling that you have done. With the information you share, your psychologist works with you to craft a collaborative and flexible plan for future therapy sessions. Bring a notepad to record the discussions that occur during your session.

Intake sessions run for 90 minutes. If the concerns or the issues you face are complex, your psychologist may request that you extend your Intake session or return on another day.

Back to All Notes

Things You Have Permission to Say to Your Therapist

Sharing our more private feelings with a stranger and trusting them to help us is not easy.

It can feel like we’re stuck between a rock and a hard place at times – a professional should be the best person to help us, but we have our reservations about this whole process.

What should we do?

Well, remember that therapists are human too! There may be times when therapists make mistakes or make you feel uncomfortable, and it is more than okay to voice your opinions!

1.     “I feel uncomfortable

While some levels of discomfort may be an inherent part of the therapeutic process (e.g., confronting your fears), it is still a good idea to voice our discomforts so that the therapist is better able to tailor the therapy to feel more manageable. That way, therapy could be less daunting and it’s easier for us to find the motivation to carry on with it.

2.     “I disagree

Yes, the therapist is a professional who likely has better knowledge of the particular issue, and that’s exactly why we’re there seeking their opinion!

However, every situation is unique. What the therapist makes of our situation may not necessarily be always 100% accurate. By disagreeing (or agreeing), we can help the therapist to better understand our concerns, allowing them to provide us with a more tailored therapeutic plan.

3.     “That didn’t work for me

Some practices have been found to work best for most people and the therapist is likely to have made an informed decision based on our circumstances.

However, sometimes, things just don’t seem to work for us. And that’s okay! We don’t need to pretend that it works. We should quickly inform our therapist about it so that they can look for alternatives or help us work out what’s not working! The goal for therapy, after all, is to help us, and identifying what doesn’t work is helpful.

4.     “What about…

Hang on! Why does it seem like the therapist is only working on one of the many concerns we have raised? There are many reasons why this may be so. For example, the therapist may feel that this is the most pressing concern or that addressing this could help address the other issues too.

Regardless, it’s certainly a good idea to enquire about the other issues and to hear their opinion on them.

5.     “Perhaps, we may not be a good fit

Sometimes, both parties may have tried their best, but things just don’t click. It feels awkward, strange, and perhaps even a struggle to want to open up and share. It’s okay to thank your therapist for their efforts and to inform them that you think it may not be working out.

Therapy can be a difficult process, but rest assured that it is meant to be your safe space! Therapists have your best interests at heart and voicing your opinions can help to better tailor the therapy to your needs and comfort. So, please voice your opinions, they matter!

Back to All Notes

What is Art Therapy?

Art therapy is a form of psychotherapy that uses art as a means of communication. An alternative to verbal communication, art serves as the medium through which individuals express themselves.

Does Art Therapy Work?

In a word: yes. Art therapy is an evidence-based management modality that is effective and has demonstrated clinical effects in the management of mental disorders and reducing the effects of symptoms.

Art therapy has been shown to benefit adults, adolescents, and children, experiencing mental health challenges stemming from anxiety and depression to complex trauma.

 

What does Art Therapy address?

A wide spectrum of mental and emotional disorders, such as anxiety, complex trauma, depression, mood disorders, personality disorders, and post-traumatic stress disorder (PTSD). Art therapy can also be used to instil personal growth, improving communication, coping and problem-solving skills, as well as enhancing self-awareness, and emotional resilience.

Art therapy is used as a complementary psychotherapy management plan alongside other management modalities. Art therapy helps clients to address trauma and/or other complex psychological concerns which might be difficult to express verbally in talk therapy. It is not meant to be diagnostic, but rather, is a medium to address emotional issues which may be confusing or distressing in a safe way.

Self-expression through artistic creation is therapeutic for individuals who are on a journey to discover more about their authentic self and personalities. Art therapy allows individuals to explore their emotions, improve self-esteem, relieve stress, improve symptoms of anxiety and depression, or cope with physical illness.

 

What does an Art Therapist do?

Art therapists are mental health professionals with a master’s degree, trained to use art media, the creative process, and the resulting artwork to help people express their emotions and thoughts, explore their identity, and develop social skills.

Utilising creative modalities such as drawing, painting, colouring, collages, or sculpting, individuals are encouraged to express themselves without the fear of being judged or criticized.

Together with the client, an art therapist facilitates the understanding of underlying meanings and messages behind the art, bringing clarification of the individual’s feelings or emotions and allowing them to access core conflicts and resolve various struggles.

Art therapists work with people of all ages, from children to adults.

 

What if I have no artistic creativity?

You don't need any prior experience or knowledge of art to benefit from art therapy.

In the same way one does not need to be a psychologist to undergo psychotherapy, one does not need to be an artist (or possess any form of artistic talent really) to experience art therapy.

The quality of the resultant art is unimportant – what matters is the process of creation. The art therapist then guides an individual through a reflective process to interpret the resultant messages, symbols, and psychological associations between the art and the client’s individual experiences.

The art therapist is trained in the ways of colour, texture, and art medium used in therapy that may express the thoughts and emotions that their client is portraying. 

Art therapy is suitable for people of all ages and abilities, and no prior experience or artistic talent is required.

 

What happens in an art therapy session?

An art therapy session will typically begin with both parties: therapist and client, getting to know each other, building a therapeutic relationship as a foundation for growth and therapy. A variety of art media is provided in an art therapy session; an art therapist will guide you through different characteristics of art media such as pencil, chalks, charcoals, colour pencils, pastels, markers, paints, clay, etc. This is for you to identity and choose a medium/media that is most suitable to express your feelings and thoughts and even to access unconscious psychological materials.

There will be an immersion (otherwise known as flow) in the process of art making, which is therapeutic in and of itself. In the beginning phase of therapy, the art therapist might guide you through a set of directives in order for you to ease into a creative process, and also for the therapist to learn about your fluency in symbol making and insights on your core conflicts.

When the artwork is completed, which could be done in a single session or over a few sessions depending on the depth and complexity, the art therapist will engage you in therapeutic dialogues to facilitate reflections and insight-building based on symbolic expressions in your artwork.

Typically, weekly art therapy sessions are recommended at the start, but as therapy progresses, you can discuss with your art therapist to find a frequency and regularity that best suit your needs.

Art therapy is particularly beneficial for the following mental and emotional disorders and difficulties:

 ADULTS

  • Abuse (including physical, verbal, and emotional)

  • Addiction

  • Anger management

  • Anxiety / Obsessive Compulsive Disorder (OCD)

  • Changes in family dynamics

  • Chronic illness / Palliative care

  • Coping with transitions or life changes

  • Depression

  • Eating disorders

  • Grief and loss

  • Low self esteem

  • Personality/Mood disorders

  • Trauma

  • Work/life stress

CHILDREN AND ADOLESCENTS

  • Adoption

  • Anger management

  • Anxiety / Obsessive Compulsive Disorder (OCD)

  • Attachment issues

  • Behavioural issues

  • Bullying

  • Childhood depression

  • Chronic illness / Palliative care

  • Eating disorders

  • Gender identity

  • Grief and loss

  • Low self-esteem

  • Parents who are separated or divorced

  • Physical challenges (such as a loss of mobility, paralysis, Cerebral Palsy, Spina Bifida)

  • School stress

  • Selective mutism

  • Social skills

  • Special needs and Learning Difficulties such as: Autism Spectrum Disorder (ASD), Asperger Syndrome (AS), Attention Deficit Disorder & Attention Deficit Hyperactivity Disorder (ADD/ADHD), Pervasive Developmental Disorder Not Otherwise Specified (PDDNOS), Dyslexia, Dyspraxia, sensory issues and speech challenges

  • Transitions (e.g. moving to a new school, or country etc.

  • Trauma 

What is a Child Psychologist or Educational Psychologist?

Child Psychologists are specially trained to assess and evaluate neurodevelopmental disorders in children and adults. They are usually used to describe an Educational Psychologist or a Clinical Psychologist specialising in children.

Child Psychologists use their specialist knowledge to assess, diagnose and provide psychological interventions to children, young persons and adults on concerns regarding their learning or academic performance, behavioural, social and emotional development. Because their work involves a deep understanding of developmental issues across a person’s lifespan, they may also provide developmental assessments across the range of ages from the child, adolescent and adult populations.

Simply put, Child Psychologists identify and provide psychological interventions to learning or developmental concerns.


For example, Child Psychologists assess for and identify, and provide psychological interventions to learning or developmental concerns such as Intellectual Developmental Disorder, Autism Spectrum Disorder, or Specific Learning Disorder (known as Dyslexia for reading impairments or Dyscalculia for math impairments). They also administer Psychometric Assessments such as verbal and non-verbal measures of intelligence, behavioural scales and ratings, and Functional Behavioural Analysis measures (FBA).

High quality early intervention from an experienced Child Psychologist can change a child’s developmental trajectory and improve outcomes for that child and his or her family.


For intervention to yield the best results, Child Psychologists work closely with children and their parents, teachers and other allied health professionals (such as Speech Therapists and Occupational Therapists) to deliver evidence-based psychological interventions for learning and developmental problems.

If you have concerns that your child may need a Child Psychologist, our child psychologists are happy to discuss your concerns with you.

Ask for a call back from one of our Child Psychologists to find out more.


A Multi-disciplinary Approach

Children with neurodevelopmental concerns will often require assessment and intervention by other Allied Health Practitioners. Neurodevelopmental concerns such as Autism Spectrum Disorder often impact psychological, speech, sensory and motor functions. Intervention achieves the best outcomes when delivered as part of a multidisciplinary team comprising paediatricians, speech therapists, occupational therapists and psychologists.

Continuing Therapy

Continuing Therapy

(“psychotherapy” -
works best if you follow through!)

Therapy will be different for everyone.

During Intake and through the course of therapy, your psychologist and you will jointly formulate and refine your management plan based on the information you provide.

It is therefore important that you share information that you feel may be relevant to your concerns. This is because therapy is a collaborative management plan based on the relationship between your needs as an individual and your psychologist.

We call this the Therapeutic Alliance.

Grounded in dialogue, psychotherapy is at its most effective when you participate fully in your sessions. Your psychologist will provide a supportive environment for you to share thorny or difficult issues with someone who’s objective, neutral and non-judgemental. You and your psychologist will work together as a team to identify and change the thought and behaviour patterns that are keeping you from feeling your best.

Back to All Notes

You can be completely honest with your psychologist without concern that anyone else will know what you revealed.

The therapeutic relationship is a confidential one (subject to a few legal exceptions: for example, if you threaten to harm yourself or someone else, or by court order). At your request, information we collect about you can be shared with other medical or mental health professionals.

By the end of management plan, you may have learned new skills to better cope not only with the problem that brought you in, but with whatever challenges that may arise in the future.

Therapy sessions typically run for 60 minutes. During session, your psychologist may perform necessary tasks such as schedule your follow-up consultations, discuss or vary your management plan, or seek or communicate important information with persons you authorise us to do so.

It is very important that you do not feel that these tasks are a “waste of consultation time”, as they enable us to provide you with an effective psychological service.

So how many sessions does it take for me to feel better?

This is a difficult question to answer. But we can share with you some of the factors that affect the duration and frequency of the sessions. Typically, this depends on
Ψ the complexity of issues
Ψ how long you wait before seeking help
Ψ how frequent you turn up for session
Ψ whether you “complete your homework”

By way of example (and only as a guideline), persons who present with straightforward depression or anxiety typically take at least 10 to 15 sessions before they feel well enough to request for discharge. More complex issues such as Personality Disorders may take years.

Back to All Notes