What actually makes therapy work—and what happens before anyone even sits on the couch? In this episode of Getting to the Couch, we dive into how preparation shapes the therapy experience and why what happens between sessions can be just as important as what happens during them. We explore how clients and therapists both prepare for meaningful work, and how intention, reflection, and follow-through can dramatically influence outcomes.
We also unpack the role of therapeutic “homework,” why it matters, and how small actions outside the therapy room can lead to big changes over time. Whether you’re thinking about starting therapy, already in the process, or simply curious about how change really happens, this episode offers practical insights that might transform the way you approach the work. Give it a listen and see what preparation can make possible.
Resources:
Kazantzis, N., Deane, F. P., & Ronan, K. R. (2000). Homework assignments in cognitive and behavioral therapy: A meta-analysis. Clinical Psychology: Science and Practice, 7(2), 189–202. https://doi.org/10.1093/clipsy.7.2.189
de Jong, K., Douglas, S., Wolpert, M., Delgadillo, J., Aas, B., Bovendeerd, B., Carlier, I., Compare, A., Edbrooke-Childs, J., Janse, P., Lutz, W., Moltu, C., Nordberg, S., Poulsen, S., Rubel, J. A., Schiepek, G., Schilling, V. N. L. S., van Sonsbeek, M., & Barkham, M. (2025). Using progress feedback to enhance treatment outcomes: A narrative review. Administration and Policy in Mental Health and Mental Health Services Research, 52(1), 210–222. https://doi.org/10.1007/s10488-024-01381-3
Thanks for listening!
I hope this episode helped you in getting to therapy and utilizing therapy effectively.
If you have any questions about this podcast or would like to provide comments or suggestions for its hosts, feel free to use the following links or emails:
Benjamin Santee MA, LPC:
Website: https://caringmindscounseling.net/
Email: bsantee@caringmindscounseling.net
Flavio Da Silva LMSW, CAADC
Website: https://growingmindsgr.com/
Email: fdasilva@blueberryhillcounseling.com
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Song Credit: ( for all Season 1, Episodes 5 and higeher)
Name: Stronger Together
Artist: Evert Zeevalkink
License Crtificate #2239378
Courtesy of: bensound.com
