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What Is Psychotherapy and How Does It Work?

Winner Ikechukwu•September 27, 2026•5 min read

If you have been considering therapy, you may have questions about what actually happens during a session. Is psychotherapy just talking about your problems? How does it help? And do you need to have a mental health condition before you can see a therapist?

Understanding how psychotherapy works can make the idea of seeking support feel less unfamiliar.

What Is Psychotherapy?

Psychotherapy, also called talk therapy, is a form of therapy that involves working with a trained mental health professional to explore thoughts, emotions, behaviours, relationships, and challenges that may be affecting your wellbeing.

Depending on your needs, psychotherapy can help you manage symptoms of mental health conditions, cope with difficult experiences, improve relationships, develop coping skills, and understand patterns that may be affecting your everyday life.

Psychotherapy can take place individually, with a partner or family member, or in a group setting. The approach used will depend on your concerns, goals, and the therapist’s area of training.

How Does Psychotherapy Work?

Psychotherapy works through a collaborative relationship between you and your therapist.

During sessions, you may talk about what you are experiencing, identify patterns in your thoughts or behaviour, and explore ways to respond to challenges differently. Your therapist may also teach you practical skills to manage difficult emotions, communicate more effectively, or cope with symptoms.

The process is not about a therapist simply telling you what to do. Instead, therapy provides a structured space where you can better understand yourself and work towards goals that are meaningful to you.

The number and frequency of sessions can vary depending on the type of therapy, your needs, and your treatment goals.

What Are the Different Types of Psychotherapy?

There are several types of psychotherapy, and not every approach works in exactly the same way.

what is psychotherapy

Cognitive behavioural therapy (CBT) focuses on the relationship between thoughts, feelings, and behaviours. It can help you identify unhelpful thought patterns and develop healthier ways of responding to them.

Psychodynamic therapy explores how past experiences and unconscious thoughts or feelings may influence current emotions, relationships, and behaviours.

Humanistic therapies focus on personal growth, self-awareness, values, and the ability to make meaningful choices.

Integrative therapy combines techniques from different therapeutic approaches depending on the person’s needs and goals.

There are also specialised approaches, including couples therapy, family therapy, group therapy, and trauma-focused therapies.

What Can Psychotherapy Help With?

People seek psychotherapy for many different reasons. It can support people experiencing mental health conditions such as anxiety and depression, as well as people dealing with difficult life experiences or personal challenges.

Psychotherapy may help with:

  • Anxiety and persistent worry
  • Depression and low mood
  • Stress and emotional overwhelm
  • Grief and loss
  • Trauma
  • Relationship difficulties
  • Low self-esteem
  • Difficult life transitions
  • Unhelpful thought or behaviour patterns

Therapy can also be useful when you are not experiencing a mental health condition but want help navigating a challenging situation or understanding yourself better.

What Happens During a Psychotherapy Session?

Your first session may involve discussing what brought you to therapy, what you would like help with, your background, and what you hope to achieve.

You and your therapist may then work together to identify goals and decide how to approach your concerns.

Not every session will look the same. Some may involve talking through a recent experience, while others may include exercises, questions, reflection, or practising specific coping strategies.

It is also normal to feel nervous before your first session. You do not have to know exactly what to say. Your therapist can help guide the conversation.

Can Psychotherapy Be Done Online?

Yes. Online psychotherapy, sometimes called teletherapy, allows you to work with a mental health professional remotely through options such as video or audio sessions.

Online therapy can make mental health support more accessible for people who have busy schedules, live far from a provider, or prefer receiving support from a familiar environment.

However, online therapy may not be suitable for every situation. The appropriate format depends on your needs and the services available to you.

Is Psychotherapy Right for Me?

You do not need to wait until your mental health has reached a crisis before considering psychotherapy.

Therapy may be worth considering if emotional difficulties are affecting your relationships, work, studies, sleep, or everyday life, or if you simply want professional support while navigating a difficult period.

Finding a therapist you feel comfortable with is also important. A good therapeutic relationship can make it easier to communicate openly and work towards your goals.

Psychotherapy is not a quick fix, and progress can look different for everyone. It may take time to find the right approach and therapist for you.

Takeaway

Seeking psychotherapy is not a sign that you are unable to cope. It can be a practical step towards understanding what you are experiencing and developing healthier ways to manage life’s challenges.

If you are considering therapy, start by looking for a qualified mental health professional who can assess your needs and recommend an appropriate approach.

For people in Nigeria, accessible mental health services can make it easier to take that first step. Blueroomcare provides online mental health support that connects people with qualified professionals, making it possible to access care without necessarily visiting a physical facility.

You do not have to have everything figured out before asking for help. Sometimes, the first step is simply deciding that you would like support.

  • Need support? Start your care journey by booking a confidential therapy session and accessing daily journaling and wellness check-ins through the Blueroomcare App.
  • Looking for more guidance? Explore our blog for more mental health tips.


Sources

  • American Psychological Association: Psychotherapy
  • NHS: Talking Therapies

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