What Does a Counseling Session Look Like?

By Jennifer Harris, LPC-S, NCC, BC-TMH | Watershed Counseling, Jackson, MS

If you’ve ever wondered what actually happens in a counseling session, you’re not alone. The answer? It depends, because therapy is a deeply personal experience, tailored to meet each client’s unique needs, goals, and preferences.

Sometimes, counseling sessions are open-ended and exploratory, allowing space for creativity, reflection, and emotional processing. Other times, they follow a more structured format, grounded in specific therapeutic models or protocols. The approach a therapist takes is influenced by many factors, including:

• The client’s current concerns

• The complexity of those concerns

• The client’s level of functioning

• Time and scheduling limitations

• The therapist’s clinical expertise

• And most importantly, the client’s goals

One of the most widely used and effective forms of structured therapy is Cognitive Behavioral Therapy (CBT), especially for those navigating anxiety and depression.

What Is CBT (Cognitive Behavioral Therapy)?

CBT is an evidence-based therapy that has stood the test of time. Developed in the 1960s by Dr. Aaron Beck, CBT focuses on the relationship between our thoughts, emotions, and behaviors. The core idea is simple but powerful:

Our thoughts shape how we feel and what we do.

When we learn to recognize and shift unhelpful thought patterns, we can create meaningful changes in our emotions and behaviors. In other words, we move from feeling stuck and powerless to feeling empowered with tools and understanding.

CBT isn’t just talk therapy; it can be practiced through various mediums, including traditional conversation, expressive arts, mindfulness, and skill-building exercises. But the foundation stays the same: helping you understand your thinking patterns and belief systems, and learning how to manage them in order to improve your emotional and behavioral health.

Why I Love CBT — and Why Many Clients Do Too

One of the things I appreciate most about CBT is that it’s not mysterious or overly complicated. It provides a clear “roadmap” for change, making it easy to follow and accessible for clients who are ready to do the work.

CBT is especially helpful for those who value structure and want to be active participants in their own healing process. It gives you more than insight, it gives you skills.

While I offer a range of therapeutic approaches based on each individual’s needs, CBT remains a favorite because of its effectiveness and versatility.

Structured CBT Programs I Offer

For clients experiencing anxiety or depression who are looking for a focused, results-oriented approach, I offer two structured CBT programs:

✅ 16-Week CBT Program

• One individual session per week

• Ideal for steady, progressive work with time to reflect and integrate between sessions

✅ 8-Week CBT “Bootcamp”

• Two individual sessions per week

• A more intensive option for those seeking accelerated progress and support

What You Can Expect from These Programs

Whether you choose the 16-week or 8-week option, you’ll receive:

• A Clear Structure: Weekly objectives and focus areas so you always know what we’re working on

• Defined Start and Finish: A sense of direction and measurable progress

• Education and Empowerment: This is not information for the therapist only — it’s for YOU

• Insight + Skills: You’ll gain awareness and learn tools to support long-term change

• Ongoing Resources: Support materials to reinforce your progress between and beyond sessions

Is CBT Right for You?

If you’ve been feeling stuck in anxiety or depression, and you’re someone who values structure, enjoys learning, and wants to take an active role in your own healing, these CBT programs could be a great fit for you.

You don’t have to do this alone.
If you're ready to start, or just curious to learn more, reach out today to schedule a free consultation with me, Jennifer Harris by calling 601-362-7020 or schedule online. I’d be honored to support you in your journey.