The Therapists Question: An End Session Inquiry and Its Implications

Introduction

Every therapy session concludes with a seemingly innocent but potentially significant question from the therapist: "Do you want to come back?" This inquiry often appears at the end of each session, perhaps within an email or during the final moments of the meeting. However, its implications are multifaceted, touching on the dynamics between therapist and client, the framework of therapy itself, and individual preferences. This article explores the reasoning behind this question, its potential impact, and how to navigate it effectively.

The Purpose of the Question

Many therapists end their sessions by asking if you want to return because it serves several important functions. Primarily, it puts the locus of control on the client, encouraging them to reflect on their progress and their future in therapy. This approach ensures that the client remains an active participant in their treatment plan. Additionally, it helps the therapist manage her schedule more effectively by confirming attendance in the next session. However, the repeated nature of this question can sometimes be seen as redundant, especially if a clear timeline is established in the beginning.

Discussion on Redundancy

It might seem excessive to ask this question every week, especially in scenarios where the timeline for therapy is well-defined. For instance, if a client has a history of trauma and therapy is expected to extend over a prolonged period, the therapist can estimate the duration with some certainty. Thus, asking the client every session if they plan to return can be seen as unnecessarily formulaic and cold.

Alternative Approaches

Instead of asking this question every session, therapists can incorporate a broader discussion about the therapeutic journey at the outset. This discussion would include an estimated timeline for the treatment plan, as well as clear indicators for when the client might be ready to conclude therapy. For example, if a client has a clear 2-3 year timeline, the therapist can say, "We can work together for at least 2-3 years. If you feel we have achieved our goals or if you're ready to explore other avenues, we can then discuss the next steps."

Client-Centered Therapy

The therapist-client relationship is built on trust and respect. By discussing the timeline at the start, the therapist can demonstrate that she is committed to working with the client for the agreed-upon period. This approach empowers the client to feel secure in the therapeutic alliance and to take a more proactive role in their treatment.

Trauma and Long-Term Therapy

For clients with a history of trauma, the therapist might work for a longer period, often extending over 2-3 years. In such cases, it would be inappropriate to ask the question after every session, as doing so might appear dismissive of the established agreement. If the client is close to concluding therapy, the therapist can discuss it transparently and honestly, rather than soliciting this information weekly.

Conclusion and Reflection

The therapist's question at the end of the session is a small but significant aspect of the therapy process. While it serves important functions, its repetitive nature can be problematic. Open dialogue and a clear plan can help both the client and therapist navigate the therapeutic journey more effectively and respectfully. Reflecting on the therapist's initial question can also provide valuable insights into the client's thoughts and feelings about their progress and future in therapy.