The Most Important Part of Therapy Happens After You Leave the Therapist’s Office

The Most Important Part of Therapy Happens After You Leave the Therapist’s Office


Think of this phrase as a kind of positive fuel to help you get up and get through hard days.

I also tell the people I work with that no person is an island. We need others for connection and support. If we don’t have a strong network, we need to encourage ourselves to build one. Years ago, I was working with a veteran with PTSD, and he told me his goal was to get married. 

“Great,” I replied, “Do you have a girlfriend?” 

It turned out that he didn’t have a girlfriend, know any suitable partners, and rarely left his apartment. We set some steps to reach his goal: leave his apartment at least several times a week, take a community college class, attend small social gatherings where he could potentially meet appropriate partners, and ask a woman out for a coffee or to a movie. We talked about how it was impossible to meet his goal without choosing to take small steps.

When we are feeling depressed, anxious, and super stressed, we often have a tough time clearly seeing our skills, assets, strengths, and capabilities. This is also indispensable to our confidence-building. If you don’t know your strengths or are unable to see them, you can work with a therapist or a friend to identify and develop your strengths. As I tell my patients, “You have strengths, or you wouldn’t be in my office.”



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Sophie Clearwater

Vancouver-based environmental journalist, writing about nature, sustainability, and the Pacific Northwest.

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