What Does a Therapist Actually Do? Debunking Therapy Myths
Therapy is often misunderstood. Thanks to pop culture, outdated beliefs, and stigma around mental health, many people still have the wrong idea about what therapy is—and what a therapist actually does.
If you've ever asked yourself, “What happens in therapy?” or “Do I need to be in crisis to see a therapist?”—you’re not alone. As a licensed therapist serving New York and Connecticut, I’ve heard these questions many times. Let’s clear things up.
Myth #1: “Therapy is just talking about your feelings.”
The truth: While talking is part of therapy, it’s much more than venting. A good therapist helps you understand patterns, build skills, and make meaningful changes. Whether we're exploring past experiences or working on tools for the present, therapy is active and collaborative.
Myth #2: “You only need therapy if something is really wrong.”
The truth: Many people come to therapy to prevent problems, not just fix them. You don’t need to hit a breaking point to benefit. Therapy can help with life transitions, stress, relationship struggles, or just feeling stuck. It’s for anyone seeking growth, clarity, or support.
Myth #3: “Therapists give advice and tell you what to do.”
The truth: Therapy isn’t about someone else solving your problems. My role isn’t to give advice, but to help you reflect, explore options, and strengthen your own decision-making. You’re the expert on your life—we work together to move you toward your goals.
Myth #4: “Therapists just nod and say ‘how does that make you feel?’”
The truth: That stereotype misses the point. While empathy is crucial, effective therapy also includes structure, evidence-based techniques, and real strategies. Whether we’re using CBT, DBT, or mindfulness, your sessions are shaped by your needs—not a script.
So, What Does a Therapist Actually Do?
As a therapist, my role includes:
Creating a safe, judgment-free space
Helping you identify patterns and blind spots
Teaching coping tools and emotional regulation strategies
Supporting growth in relationships and communication
Encouraging self-compassion, boundaries, and self-awareness
Holding space for hard emotions—and guiding change at your pace
Every person’s therapy experience is unique, but it’s always grounded in connection, collaboration, and your goals.
Final Thoughts: Therapy Is a Tool, Not a Last Resort
Therapy isn’t just for crisis moments—it’s for anyone wanting to better understand themselves, navigate challenges, and live with more intention.
If you’re curious about therapy but unsure where to start, that’s okay. You don’t have to have everything figured out before reaching out. You just have to be open to the process.
Katie O’Leary, LCSW
Licensed Therapist | Serving New York and Connecticut
Virtual therapy sessions available for adults, teens, and families.
👉 Contact me to schedule a consultation or learn more about working together.