Each session is usually 50-60 mins with the first appointment sometimes longer (e.g. up to 90 mins) as it takes time to gather information at the beginning of therapy. The number of sessions typically required varies depending on the individual. On average, between 12-18 sessions is a good upper estimate. Some of the factors that will affect the number of sessions required include severity and complexity of symptoms or issues and openness/willingness of the client to approach their issues and make changes.
In terms of the experience of therapy, one thing I observe is that as a client becomes more aware of difficult thoughts and feelings, the harder it can be to continue with therapy. They often ask themselves why they would choose to feel the pain or discomfort of awareness! “Thinking about it and feeling the feelings makes it worse! I’m coming to therapy to feel better not worse!” Sometimes the only way to get to the other side is to go through the hard stuff! There are no short cuts, no way of avoiding the thoughts and feelings if you want to properly deal with the issues you struggle with.
In terms of privacy & confidentiality, APS psychologists are bound by a Professional Code of Ethics. This is also typically in line with a code of ethics outlined by the state Registration Board. In summary, psychologists are required by their professional governing bodies to maintain confidentiality regarding information disclosed by a client and to ensure that their personal information is stored in such a way that their privacy is maintained. Confidentiality may be breached when there is sufficient evidence that the client is in significant danger of harming others or themselves or engaging in reportable criminal behaviours. In the event that your information needs to be disclosed to others, this will usually be discussed with you first where possible. With your consent, letters are periodically written to your referring doctors or other people involved in your care. You are able to request to be informed of the content of these letters.