Frequently Asked Questions

How is session frequency determined during the therapy process?

Therapy sessions are generally recommended to be scheduled once a week. However, depending on the client’s needs and the joint evaluation of the therapist and client, sessions may be held more or less frequently.

Is there a difference in effectiveness between online and face-to-face therapy?

Research shows that online therapy is as effective as face-to-face therapy, with no significant differences (Erasmus et al.; 2025). However, in some cases, depending on the client’s needs, face-to-face therapy may be recommended or preferred. For some clients, starting therapy face-to-face and later continuing online or in a hybrid format, after a trustful relationship is established, can be a good option.

How does change occur during the therapy process?

Therapy can be long, gradual, and sometimes nonlinear and the mechanism of change may vary depending on the theoretical approach adopted by the therapist. From a schema therapy perspective, the early stages focus on building the therapeutic relationship, fostering insight, and connecting past experiences with present issues. Over time, awareness leads to changes first in thoughts, then in emotions, and in the long term, in behaviors and recurring maladaptive life patterns.

How long does therapy last and how does it end?

Therapy is a long-term process that progresses step by step. Its length depends on the client’s topics, goals, motivation, and personal pace. Therapy concludes once the goals are met, through the joint decision of the client and therapist. Toward the end, session frequency is gradually reduced to support the client’s independence and healthy separation from the therapist. Progress is reviewed, resources are discussed, and gains are consolidated. If needed, the client may resume therapy in the future.

Should I seek psychiatric support or psychotherapy?

Psychiatric support is often recommended when functioning is significantly impaired. However, the appropriate treatment plan depends on multiple factors such as symptoms, resources, expectations, and biological predispositions, and is determined by the psychiatrist or psychotherapist. Clients may be referred between the two when necessary, and in some cases, a combination of both psychiatric and psychotherapeutic support is recommended.

Which therapy approach is best suited for me?

The most suitable approach depends on the client’s concerns and expectations. While all approaches aim to enhance well-being and resilience, they differ in theory and mechanisms of change. CBT is more present-focused, targeting changes in behavior and thought patterns. Schema therapy addresses recurring life patterns, connecting early experiences with current situations, and also integrates emotion-focused techniques. EMDR focuses on processing traumatic memories by activating the brain’s natural mechanisms, aiming to desensitize distressing experiences. For more detailed innformation, please see the “Areas of Practice” section.

How is confidentiality maintained in therapy?

Confidentiality is a fundamental principle. No information is shared with third parties without the client’s consent. Exceptions apply when there is a risk of harm to self or others, or in cases where the therapist has a legal obligation.

What is an informed consent form?

The consent form is a mutual agreement, between the client and the therapist, designed to ensure a healthy and effective therapy process. Signing this form is a prerequisite for therapy. It outlines the rights and responsibilities of both the client and therapist, and defines the framework for sessions throughout the therapeutic process. Click here for a sample consent form.

What should I expect in the first session?

The initial clinical interview is an introduction and assessment meeting where therapist and client meet for the first time. The therapist aims to understand the client’s expectations, and to define therapy goals together. Through open and structured questions, the therapist explores the client’s personal history, family background, medical history, complaints, and expectations. At the end of the session, concrete and realistic therapy goals are set collaboratively.