Writing about Therapy Sessions

What can I say? Writers, while not necessarily crazy (sorry, with mental health issues), nonetheless seem to be not infrequent users of therapy in various forms. And there is the whole write-what-you-know thing. So, sooner or later, we try to depict a therapy session.

And it almost always falls flat.

Not because you are a crummy writer but because of the nature of therapy. As those of us who have addressed our problems this way know, it is iterative, repetitive and slow process which takes a long time to get results. All things anathema to story.

So, if you try to truly reflect conversation in a session, you’re likely to get a boring, going nowhere mess which contributes little to the story.

How about speeding things up?

One option is, of course, to telescope the process in the novel. This compression in other areas is often quite justifiable to maintain the momentum of the story. So, the main character is completely open to all the suggestions made by the counsellor, integrates the learning with lightning speed, and is back on the right track in no time. She goes from mistrusting the world to complete and utter belief in the innate goodness of humanity.

First of all, sucky tale. You’ve removed all the struggles and conflict that makes a narrative hum. But more importantly for our purposes, completely unrealistic. Because we know in our own lives, with or without guidance, change doesn’t happen that way. Change is iterative, repetitive and slow.

How to avoid writing therapist scenes

Despite this, the insights that come with therapy may be pivotal to your plot. So how do you write about it without writing about it?

First, you probably need a scene establishing that your protagonist is seeing a therapist. But it might be the first session, where the main character illustrates the real reason she is embarking on this process. She thinks it’s because her family is so difficult but her defensiveness and the sharp tongued way she communicates cues the reader that there are other issues. Tricky to write, but if done well, it provides the reader with important information early on.

From there forward, the therapist might not figure prominently at all. But the main character might recall something learned in therapy which she applies to the present point in the plot. You might even be able to get away with a short—very short—scene where the protagonist comes to a significant revelation which we then see her applying it to refocusing her actions and life.

So you might be able to get the juice out of these sessions without having to do all the peeling, pitting, and dissecting which actually occurs.

If you must write about therapy

It is possible that your plot is integrally tied to depicting therapy sessions.

The only thing I have ever seen which did this effectively was an originally Israeli series, adapted to North American audience called In Treatment. In it, a therapist treated four different patients. And it works. Even though the whole series takes place inside the therapist’s office and the patients are just basically telling the therapist their stories.

So, if you must, you would do well to study why this tell-not-show approach works. If it’s the acting or direction, then you’re sunk. If it is the extremely clever writing (and I suspect it is), study how the writers made it work. Unless of course, it’s just bloody magic.