A therapy session is the visible part of treatment. Clinically thoughtful psychotherapy may also involve professional work that happens before, after, and between sessions. This post describes what that work can include, and where its limits are.
Before a Session
Before a session, that work may involve reviewing previous themes, considering treatment goals, reviewing relevant assessment information, preparing interventions or resources, and thinking through what should be prioritized next.
After a Session
After a session, it may involve documenting the encounter, updating the treatment formulation, identifying emerging patterns, selecting resources or exercises, and determining how the next session should build on the previous one.
Between Sessions
When clinically appropriate, work between sessions may involve reviewing information the client has been asked to provide, coordinating with other professionals with authorization, preparing individualized materials, or responding to limited clinically relevant communication.
When Care Is More Complex
For some clients, effective outpatient therapy requires understanding more than what occurs during a weekly appointment. This can be particularly important during transitions from higher levels of care, when multiple providers are involved, or when mental health and substance-use concerns overlap.
When clinically appropriate and authorized by the client, treatment may involve reviewing relevant information, coordinating with other providers, planning for transitions in care, or preparing individualized strategies between appointments.
We will not disclose your SUD records without your specific written consent, except in the limited circumstances permitted by Part 2 (for example, a bona fide medical emergency, a qualifying court order, scientific research, audit/evaluation, or a crime on our premises or against our staff).
What This Does Not Mean
What occurs outside sessions depends on clinical need, clinician judgment, and consent. Work outside sessions does not mean unlimited texting, on-demand clinician availability, or unlimited between-session work.
The Same Care, However It Is Paid For
The clinical care is the same whether you use insurance or self-pay. For information about paying for therapy at Therapy Aligned, see self-pay therapy in New Jersey and what self-pay therapy covers.