Working Collegiately in the Therapy Room: A Collaborative Approach to Healing

Written by John Dray

I am a trainee psychotherapist working with compassion and affirmation within the LGBTQ+ community.

25th November 2024

Therapy has traditionally been seen as a space where the therapist guides the client through their mental health challenges. However, a growing emphasis on collaboration has introduced a collegiate model in the therapy room, fostering a partnership between therapist and client. Working collegiately with a psychotherapist is more than just participating in sessions; it involves active engagement, mutual respect, and shared responsibility in the therapeutic process. In this article, we will explore what it means to work collegiately in therapy, the benefits of this approach, and practical ways clients can engage collaboratively with their therapists.

What Does It Mean to Work Collegiately in Therapy?

Working collegiately in therapy refers to a collaborative and reciprocal approach between the client and therapist. This model views the therapist and client as partners in a shared journey, where each person brings valuable insights and expertise. While the therapist offers professional knowledge, experience, and therapeutic strategies, the client provides unique personal insights, goals, and lived experiences. Together, they co-create a treatment plan and actively shape the therapeutic process.

In this context, “collegiately” implies working as equals, respecting each other’s contributions, and allowing for open communication. This approach moves away from the hierarchical model, which casts the therapist as the expert and the client as a passive recipient, towards a dynamic and empowering relationship.

Key Aspects of a Collegiate Approach in Therapy

1. Mutual Respect and Trust

The foundation of collegiate work in therapy is mutual respect. The therapist respects the client’s knowledge of themselves, while the client values the therapist’s training and expertise. This respect fosters a relationship of trust, enabling both parties to be open, honest, and receptive to each other’s ideas.

2. Shared Goals and Decision-Making

A collegiate approach encourages clients to participate actively in goal-setting and treatment planning. Rather than the therapist setting all objectives, clients have the opportunity to discuss their own aspirations, explore their challenges, and jointly agree upon a therapeutic direction. This shared decision-making process ensures that the therapy remains aligned with the client’s needs and values.

3. Client Empowerment

One of the most significant benefits of working collegiately is the empowerment it offers clients. When clients feel they are active participants rather than passive recipients, they often experience a greater sense of control over their lives and their therapeutic journey. Empowerment in therapy can increase motivation, promote self-efficacy, and enhance the overall effectiveness of treatment.

4. Open Communication and Feedback

Effective collegiate therapy requires transparent communication and continuous feedback. This means clients feel comfortable discussing their experiences, thoughts, and feelings about the therapy itself, while therapists actively listen and adjust their approach accordingly. Feedback ensures that therapy remains relevant and responsive to the client’s evolving needs.

5. Flexible Roles and Adaptive Approaches

In a collegiate framework, the roles of therapist and client may adapt over time. A client might lead a session by expressing particular insights, while in another, the therapist may take a more directive approach to introduce specific techniques. This flexibility reflects the ever-changing nature of therapy and acknowledges that both participants’ roles can shift in response to the therapeutic process.

Practical Steps to Engage Collegiately with Your Therapist

1. Express Your Goals and Preferences

Starting therapy with clear intentions can help guide the direction of treatment. Share your goals, preferences, and any specific areas you’d like to explore. By being upfront about your needs, you encourage the therapist to adapt their approach and create a mutually agreed-upon treatment plan.

2. Provide Feedback Regularly

Therapy is a personal journey, and you may find some techniques or approaches resonate with you more than others. Providing feedback about what’s working and what isn’t can help your therapist adjust their approach, ensuring sessions remain beneficial and aligned with your needs.

3. Ask Questions and Seek Understanding

Engaging in therapy collegiately involves asking questions and seeking clarity on interventions, approaches, or insights your therapist may provide. Understanding the rationale behind certain therapeutic methods can empower you to engage more deeply and effectively in the therapeutic process.

4. Take an Active Role Between Sessions

Taking an active role outside of sessions – such as practising coping strategies, reflecting on insights, or journaling – can strengthen the collegiate approach. Bringing these experiences back to the therapy room offers rich material for further exploration, allowing for a more integrated and meaningful therapeutic experience.

5. Acknowledge Challenges and Limitations Together

Collegiate work in therapy also means openly discussing challenges, misunderstandings, or difficult moments. By addressing these issues together, both the client and therapist can adjust and refine their approach, creating a stronger and more resilient therapeutic relationship.

Benefits of Working Collegiately in Therapy

The collegiate approach to therapy can offer a range of benefits that positively impact the therapeutic outcome and client well-being:

  • Increased Engagement: Clients who feel empowered and involved are more likely to engage actively in their therapy, making it a more rewarding experience.
  • Stronger Therapeutic Alliance: Collaborative work enhances the bond between therapist and client, a critical factor in the success of therapy.
  • Enhanced Personal Growth: Through active participation, clients gain a deeper understanding of themselves and their mental health, facilitating personal growth and self-awareness.
  • Sustainable Change: Empowerment and active involvement often lead to more sustainable changes, as clients leave therapy with the tools and confidence to maintain their well-being independently.

Conclusion

Working collegiately with a psychotherapist is a dynamic, empowering approach that transforms the traditional therapeutic model into a shared, collaborative journey. By valuing mutual respect, shared decision-making, and open communication, clients can take an active role in their therapy, leading to more meaningful and lasting outcomes. If you’re beginning therapy or considering it, exploring a collegiate approach could be a valuable way to enhance your therapeutic experience, creating a path to growth that’s both empowering and transformative.


By embracing this collegiate model, clients and therapists alike can find a more balanced, empowering way to engage in the therapeutic process – one that builds not only resilience but also a profound sense of agency and self-awareness.