Common Therapy Questions Asked During A Counseling And Therapy Session

The therapeutic process can seem a little bit mysterious for people who have never been to therapy and don’t have a firsthand source of information about it. During the first therapy session, the questions a therapist will typically ask depend largely on the treatment plan, whether it's individual therapy or group therapy, and the type of therapy the client will receive. Family history and future goals may also be discussed. Finally, each client is different; therefore, the therapy questions to ask in couples therapy, for example will likely be different for each client.

If you're contemplating seeking therapy but don't know what to expect, it would be helpful to learn about a few of the most common therapy questions. It's also helpful to understand the rudimentary points about what clinical psychology is and why people typically seek help in order to feel safe and supported.

Therapy and psychotherapy for improved mental health

While the terms "therapy" and "psychotherapy" are often used interchangeably, they are not exactly the same.

Therapy

Therapy is a broad term that refers to any form of treatment designed to improve a specific condition, which can be physical or mental. Therapy isn’t just about mental health—it’s any kind of treatment that helps you heal or improve a specific condition. It could be physical therapy to recover from an injury, speech therapy to work on communication skills, or psychotherapy to navigate emotions and mental well-being. The right type of therapy depends on what you’re going through and what kind of support you need. Whether it’s for your body or mind, therapy is about progress, not perfection—finding the right approach can make all the difference.

Psychotherapy

Psychotherapy, on the other hand, is a specific type of therapy that focuses exclusively on mental health and emotional issues.

According to the APA, psychotherapy is “a collaborative treatment based on the therapeutic relationship between an individual and a psychologist.” 

Psychotherapy is often also referred to as talk therapy and may include variations on its basic framework, including cognitive behavioral therapy, music therapy, expressive arts, play therapy, solution-focused/brief therapy, and more. While most therapists focus on individual treatment, there is also couple’s, group, and family therapy involving family members. Since therapists understand that people in your life may have different needs, many pull different techniques from various theories and therapies. In general, though, psychotherapy has a focus on improving mental health.

CBT, in particular, is frequently used to treat a wide variety of mental health disorders and concerns. This type of therapy generally focuses on identifying and adjusting unhelpful or unhealthy thought patterns. Some of the most frequently asked questions in CBT may have to do with the thoughts you have and your emotional and behavioral responses to them.

Why do people seek therapy and counseling?

There are many reasons why people seek the help of a therapist. (This can be the reason behind one of the most common questions therapists ask: “What brings you here today?”) For those with long-term mental illnesses, therapy is a way to relieve symptoms and help the client cope with their illness. But it doesn’t have to only be about treating diagnosable disorders. Some may find it to be a useful tool for learning to cope with a traumatizing event (like the loss of a loved one). Some use it to learn how to change unhelpful behaviors or thought patterns to live a happier life or how to manage personality issues causing problems in day-to-day life. Others may utilize a therapy session to speak with someone as a sort of “mental checkup” or “maintenance.” 

Mental health symptoms and conditions in a therapy session

Therapy can be extremely helpful, and you may find that it increases self-confidence and helps you learn more about your personal relationships and feelings. Some common conditions and symptoms that sessions can help with include:

• Stress and anxiety
• Depression
• Trauma
• Physical chronic pain
• Concerns about family or relationships
• Personality and behavioral concerns

What therapy questions will my therapist ask?

When attending your first appointment, you may be asked to fill out intake forms with responses about your medical and therapeutic history before you meet. Then, you'll sit down with your therapist and begin the process of getting to know each other during the initial meeting. Therapists understand that a person's perspective of their problems is one of the most important factors that determine how they'll progress. Your therapist may learn about your unique perspective by asking open-ended questions or follow-up questions about your life feelings, and future goals.

Common therapy questions

Some common questions your therapist may ask include:

• How is your focus at work or school?
• Do you have a favorite animal or a favorite dessert that brings you joy?
• Do you have a preference on how we go about focusing on these issues?
• How would you describe your childhood?
• Are there any concerns you need to address with me before we start?

Open-ended queries such as these help a therapist find out more about your condition and your views on your life and family, so they will know how to approach your situation properly. Couples therapy questions may help therapists determine the underlying issues between partners and uncover unhelpful communication patterns.

Your therapist will likely take notes while discussing these open-ended questions with you. Their observations about your answers will help them to streamline your treatment. They’ll also probably reference your responses to therapy questions in future sessions to further your treatment and provide a good benchmark for your progress. 

If you reach the end of your treatment and are no longer in need of regular sessions, the therapist will address this with you. This is a good, positive thing — it means you have likely accomplished your current goals. Sometimes this can feel like a miracle happened, but it's no such thing. It’s actually the result of the hard work and dedication you put into the therapeutic process, along with the support and guidance provided by your therapist. This accomplishment demonstrates your growth and progress in overcoming challenges and achieving a healthier mental state.

Finding the right therapist for different types of therapy and counseling

It does occasionally happen that a client doesn’t feel they have a connection with their therapist after the first session. If this is the case for you, you may think about working with a different professional, but first, be sure that you have spent adequate time with them before you decide. It often takes time to see results in therapy, and unless they say something inappropriate or make you feel uncomfortable, one session with them will not likely be enough to determine whether it will work. Remember that you can ask your therapist questions as well, and this can be an effective way to delve into your mental health goals and how different types of therapy may help you achieve them.

When a therapist ends treatment

On the other side of the coin, there are times when a therapist does not feel like they are the best fit for the client or the client is not benefiting from their service. In these cases, the therapist has the right to terminate treatment. It may sound strange, but this is the responsible and ethical response on the part of the therapist if this is the case. 

If this happens, the therapist will explain why this decision has been made, let the client express their feelings, and offer referrals to other therapists likely to be a better fit. 

Types of therapy

Therapy isn’t just about talking—it’s about finding the right space to feel comfortable and supported. Some people prefer face-to-face sessions, while others need something more flexible. The good news? There’s no wrong choice, just what works best for you.

In-person therapy

Traditional in-person therapy offers a structured setting where you can engage in deep, uninterrupted conversations with a therapist. For many, sitting in a room with a therapist feels more real. You’re fully present, and they can pick up on little things—body language, tone, or emotional shifts—that might go unnoticed online. Some therapies, like EMDR or play therapy, also work better in person.

But in-person therapy isn’t always practical. Maybe your schedule is packed, or getting to an office is a hassle. Some people also feel uneasy about seeing a therapist in a waiting room or clinic. If that’s the case, online therapy might be worth exploring.

Online therapy

For some, the barriers to treatment don’t have anything to do with a reluctance to communicate honestly. People may face time limitations due to a busy schedule or availability challenges that make it difficult to commute to sessions. Perhaps they ride a car with a significant other and may not be able to line up session times with the time they have the care. Or they may feel uncomfortable seeing a therapist in person or encountering others in a clinical office setting. 

In these cases, many people find that online therapy is the best solution. It allows the patient to attend sessions at their convenience from the comfort of home or anywhere with an internet connection. Some questions to ask a therapist can also be prepared beforehand. Patients can speak to the therapist via video chat, instant messaging, text, and phone. Group, couples, and family therapy is also available online. 

Research shows that online therapy can be as effective as in-person treatment for helping conditions such as anxiety, depression, trauma, and more, including addressing negative thinking patterns. Many have found the psychological support they need in online therapy, and there are a variety of online platforms, such as BetterHelp, that connect people with mental health experts holding master's degrees or higher qualifications. Virtual therapy is safe, convenient, professional, and tailored to the patient to provide the best treatment program that meets each patient’s unique needs.