I am going to talk, hmm type, about a part of therapy, well a few parts. The quiet parts.
Establishing goals in therapy is important, they can be long range or short term. Goals will change as therapy progresses, often hurdles need to be overcome, so the goals change to help with those hurdles, progressing toward the initial or primary goals we established.
As a therapist we see the goal and know how to reach it, we can just say to the patient, do this, this and this, stop doing this this and this. But this will not achieve anything. It really is not that simple.
Therapy often proceeds at a crawl, slow steps, as many forward as possible but with the understanding there will be many taken backwards too. Therapy is often a retraining, this does not occur overnight.
There will be times when it seems there is no advancement at all.
Sessions become silent