This book explores, through careful examination of theory and practice, what is likely to happen in the therapy room from the first encounter to the final session. It will be of use to therapists and counsellors from all backgrounds an essential reading for trainees. This accessible book is an exercise in de-mystification, and will introduce the reader, whether therapist, counsellor, or lay-person, to the realities of clinical work in the confidentiality of the therapy room. The book is illustrated throughout by case material, fictionalised in order to protect client confidentiality.