I like to start my sessions listening to the family/client’s wins and pain points since our last meeting. I meet “what’s going on” in real life with empathy and knowledge. During therapy, I work to build both client skills, and support systems, be it technology (high or low tech) or people. I love to have significant others in the session, to ask questions, practice techniques, and witness success! This collaboration can really flow when the client/family’s priorities lead the focus of therapy. I have often said the client does the real work, while I set up the correct practice—challenging, but not overwhelming. And it should be relevant to the client’s interests (i.e. fun). Equally important, it is my job to provide feedback on progress, each session, with either objective data, and/or specific examples of behaviors they used successfully. The session usually ends by identifying some opportunity to practice emerging skills outside of our time together, at a level the client can feel successful much, but not all of the time.