#and there’s still some stuff with work that’s stressing me out esp with setting boundaries and getting people to stay focused on tasks

[stonesandswords]

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[not-poignant]

Hi Pia! I'm a huge fan of your work and deeply enjoying FFS rn, it really shows the love and care you've put into this world and characters and it's an amazing read 🥰🧡

Idk if you've actually answered this question before or if it's a bit too much? So feel free to skip it. Do you have any advice on how to write a therapist and sessions with them? And to go along with that, a therapist&patient relationship that doesn't feel inauthentic but that's a healthy one?

I've had to visit both psychiatrists and psychologists a couple of times along my life, which has almost always been a positive experience to me, but when I get down to business and want to write a character going to therapy, I fall into a bunch of the psychoanalytic clichés US films have hammered us down with, even if I'm not from an Anglophile country!

Thanks a bunch in advance!! Ilu, have a nice start of the year🧡✨

Hiya anon!

I have a few thoughts about writing therapy sessions so I’m just going to put them down in no particular order.

Firstly, I don’t actually think it’s always a good idea to write therapy in stories, and a lot of the time I avoid writing it even when a character is actively seeing a therapist. This is particularly true in The Wind that Cuts the Night where all we see of Alex and his therapist are snippets, and nothing more than that, because therapy sessions would slow down the pacing, focus and value of the story.

Where possible, characters don’t see therapists, but talk to people in a way that is therapeutic, usually with love interests or members of the ensemble cast (Augus and Fenwrel in The Court of Five Thrones, Jack and Eva in The Golden Age that Never Was, Jack and North in From the Darkness We Rise/Into Shadows We Fall, Cullen and Cassandra, Cullen and Bull in Stuck on the Puzzle). All of those characters need therapy, but writing therapy sessions tends to slow down the pace of a fic pretty dramatically, and even I had misgivings about writing Efnisien’s sessions with Dr Gary at first because I’m acutely aware of the fact that:

1. Therapy sessions can be draggy and boring 2. They often take away important emotional realisations from other characters, ruining potential hurt/comfort and character relationship development moments with your actual cast / love interests 3. Fiction is meant to be fiction, not reality. 4. A lot of therapy sessions are actually not that interesting to sit in or write or observe, which is why writers do often find themselves falling into certain cliches while writing them to make them more interesting. Even I cut out huge chunks of sessions to get to the more interesting parts, lol. 5. You can write a character going to therapy without writing the therapy. You can just choose to have the character remember bits and pieces of the session later as it’s relevant to their life. 6. Therapy is different for everyone, and some readers (myself included) don’t enjoy reading it when the therapy is a kind that doesn’t resonate or feel right.

So you really need to ask yourself why you want to write therapy specifically, because a lot of the time it gets boring or - as you point out - falls into cliched territory. Writing a character going to a doctor a lot in detail for regular injections is boring. Writing them thinking about how they have to do this in brief while their love interest is sympathetic to them getting those injections is more interesting. Writing a character suffering from an illness that they need regular injections for, with their love interest comforting them? Interesting.

Falling Falling Stars is a unique fic in that Efnisien has no one before he meets Arden, except for Dr Gary and Gwyn. If you’re writing an FFS style fic, writing therapy sessions might be appropriate. It might be worth really thinking about the kind of fics you want to write, why you want to write therapy, how that will affect your pacing, etc.

If you’re still dead set on writing therapy sessions, then I have some suggestions re: writing more realistic/healthy therapy and how to find that knowledge yourself, and I don’t really know how to shorthand some of it:

1. Get books on therapy that are designed for the therapist. These are often expensive, but sometimes libraries stock them - and university libraries in particular will often have photocopy abilities (or you can just photograph the pages you need) because these books look at how sessions should be structured. Books with case studies are ideal, since they often show dialogue chains between the client and therapist. Books that obviously deal with the mental illnesses you’re planning on writing about are the most ideal.

2. With a view to this, learn about different therapeutic modalities (for example are you trying to write psychology or psychoanalysis or both? Are you writing social work? Are you writing cognitive behavioural therapy, dialectical behavioural therapy, expressive therapies, narrative therapy, transcendental therapy?) Be aware that different modalities have different session structures and learn what they are. Wikipedia is your friend, but your closest friend will be actually acquiring textbooks on the subject. This is a pretty significant financial barrier at times, I’ve been collecting books like this on psychology since like 1997.

3. Learn about your character’s mental instabilities that require them to go to a therapist and then look up the most recommended forms of therapy for your character’s specific issues. Will they suit your character? Why/why not? Will they have a therapist who realises and switches modality if it doesn’t suit? Or will they be lucky and find someone who helps them straight away?

4. All therapy sessions have a structure to them. And therapy often has a narrative arc through the course of therapy over many sessions. They should generally have the attempt at a beginning (greeting / setting up the problem to be discussed), middle (highlighting the source of conflict or inner conflict) and end (helping the client to focus on less stressful things, possible homework assigned, and potentially talking about future work/sessions). Learn this structure. Even if you’re not writing the whole session, you need to know where in the session you’re writing, beginning/middle/end will be different tonally. Structures will be different per therapeutic modality, and a therapist that knows many different modalities (like Dr Gary) will often be using slightly different structures each time depending on the character’s mood/issue.

5. In a healthy therapist/client relationship there will be the ability to discuss boundaries, grievances and the therapist won’t be revealing much about their personal life at all (unless anecdotally it’s super relevant and even then it will be deliberately vague). This is one of those things that will - in many cases - make for more boring sessions on the page, depending on the ‘client.’ For example, if you’re writing someone seeing a therapist for the first time, it might realistically take months or years before they start showing progress or trust. That’s not interesting (there’s a reason ‘therapy fiction’ isn’t a genre), so of course it’s tempting to shortcut into more dramatic moments.

*

I would say if you’re finding yourself leaning towards more cliched or dramatic forms of writing re: therapy, your writing brain may sense that the entire scene/s may not be suited to the story, and is trying to find a way to make them more interesting to yourself and the reader. If that’s not the case, then a lot more research is needed! It’s time to sink many hours into actually understanding what you’re trying to write. This doesn’t matter as much if you’re writing unrealistic or unhealthy therapy, but it’s 100% necessary when you’re trying to write healthier therapy depictions.***

Also a couple of sessions of experience is a start, but you might want to watch or find a way to watch more therapy sessions, because you’ve missed out on experiencing longer arcs, different modalities etc. (This is where my hands on experience with 19 therapists since 1995 is actually really helpful, lmao - I’ve had close to like 800~ sessions by now, with good and bad therapists; I cannot pretend that hasn’t given me a knowledge base that most people don’t share). You can still learn that stuff via research, MedCircle on Youtube is a good place to start, since it offers 30 minute snapshots on what CBT and DBT sessions will look like etc. and has some great playlists.

Most fics I’ve read don’t do a great job of depicting therapy, but the Babes!verse series by @rynfinity has probably some of the most realistic and still really interesting sessions I’ve read as an ongoing arc. The series is long, because it needs to be re: what it’s dealing with, but it’s great, and I definitely recommend looking at another example of how an author tackles these sorts of scenes. Out of the Mouths of Babes / The March of the Damned are the two intertwined series.

I apologise if this sounds discouraging overall, or daunting, but I just want to stress there’s a reason that I’m often not writing therapy in my writing, as anything more than the occasional scene with a non-therapist, or snapshots that are reflected on and that’s it. Falling Falling Stars is the exception to the rule, and unless you’re writing an exception to the rule as well, it’s really worth reflecting on the first six points I wrote - it’ll save you a fuckton of time and research. And if you go ahead with it, I wish you well! :D

*** Also disclaimer: But I still am writing very indulgent therapy that is not beholden to being either a 100% healthy or 100% realistic depiction. The fact is, real therapy sessions are pretty boring for observers except for maybe ten or twenty minutes in the middle at times.

(ETA: It’s just occurred to me that therapy fiction does exist, esp. in the mass media, but that it is - afaik - all unrealistic, dramatised or unhealthy. But if you want to watch a great show - I highly recommend In Treatment with Gabriel Byrne, just by aware that it is depicting, for the most part, unhealthy dynamics which are more character studies than anything).