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[!summary]Therapists must learn three things in the first session: what is wrong, how the patient hopes therapy will help, and why they seek help now. It is important to clearly name the problem with care and honesty. This honest approach builds trust and sets the foundation for real change.
Highlights
id977177060
It’s vital to hear the patient’s thoughts and hopes about how therapy can help them. This is an invitation to start thinking together about how things could be different, what that might look like, and their ideas about how therapy might help them get there. Their ideas may be realistic or unrealistic. They may be specific or vague. They may have trouble even imagining how things could be better. All of this is crucial information—the starting point for developing a shared purpose for psychotherapy. Psychotherapy is never an end in itself. Meaningful psychotherapy has a purpose: psychological change.
id977177762
What is wrong must be acknowledged, named, and spoken about directly. This is why they have come to therapy. If not now, when? Obviously, we do this with timing, tact, and compassion. But we do it.