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How do I tell my therapist I still don't understand what we are working toward?

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"We'll get to that," my therapist said when I asked for help with the dread I feel before opening work emails.

The first two sessions were mostly background. In the third we talked about my mother's move, which matters too, but I left unsure how it connected to the reason I booked. Each session costs £70. I can budget for two more this month, but not an open-ended weekly appointment.

My sister says three sessions is far too soon to question anything. I am not expecting the dread to vanish in three meetings. I want to understand the approach and what we would look for as progress.

[NIMH suggests asking about therapy goals, expected time frames and how progress will be assessed](https://www.nimh.nih.gov/health/topics/psychotherapies). That made the question feel reasonable, but I still worry that saying "I don't know what we're doing" will sound as though I am grading the therapist.

Would you raise this before booking again or use the beginning of another session to agree a direction? I want to give the work a chance without quietly promising money I do not have.

Discussion

2 community replies

A concrete version is: "I came because work emails fill me with dread. Could you explain how our conversations relate to that and how we'll review whether this is helping?" It leaves space for an explanation rather than assuming the background sessions were wasted.

There is no session count in this story that lets a commenter pronounce therapy a success or failure. [NIMH recommends discussing goals, the approach and how progress is assessed](https://www.nimh.nih.gov/health/topics/psychotherapies). Your sister's confidence that it is too soon cannot settle whether the plan is clear or affordable.

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